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200420
Table 8.1A – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Numbers in Thousands, 2018 and 2019
Age Category Total
(2018)
Total
(2019)
Male
(2018)
Male
(2019)
Female
(2018)
Female
(2019)
TOTAL 47,635a 51,495 18,308a 19,758 29,327a 31,737
18-25 8,944a 9,930 3,526a 3,856 5,419a 6,074
18-20 3,262a 3,757 1,280 1,427 1,982a 2,330
21-25 5,682a 6,172 2,245 2,429 3,437 3,744
26 or Older 38,691a 41,565 14,782a 15,902 23,908a 25,663
26-49 22,721a 25,279 9,037a 9,884 13,684a 15,396
26-29 4,857a 5,512 2,041 2,245 2,817a 3,266
30-34 5,756a 6,421 2,352 2,618 3,404a 3,803
35-39 4,848 5,148 2,025 1,903 2,822a 3,244
40-44 3,731a 4,280 1,444 1,581 2,287a 2,699
45-49 3,530 3,919 1,176a 1,536 2,354 2,383
50 or Older 15,969 16,286 5,745 6,018 10,224 10,268
50-54 3,438 3,504 1,483 1,481 1,955 2,023
55-59 3,591 3,720 1,347 1,439 2,244 2,281
60-64 2,881 2,809 971 872 1,910 1,938
65 or Older 6,059 6,252 1,943 2,226 4,116 4,026
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 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, 2018 and 2019.
200420
Table 8.1B – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Percentages, 2018 and 2019
Age Category Total
(2018)
Total
(2019)
Male
(2018)
Male
(2019)
Female
(2018)
Female
(2019)
TOTAL 19.1a 20.6 15.2a 16.3 22.8a 24.5
18-25 26.3a 29.4 20.6a 22.8 32.0a 36.1
18-20 25.0a 28.5 18.6a 21.2 32.2a 36.3
21-25 27.1a 30.0 22.1 23.9 31.8a 36.0
26 or Older 18.0a 19.2 14.3 15.3 21.4a 22.8
26-49 22.5a 25.0 18.1a 19.8 26.8a 30.0
26-29 27.2a 30.5 22.8 24.6 31.7a 36.7
30-34 25.9a 28.8 21.5 23.9 30.3a 33.6
35-39 22.1 24.0 18.9 18.3 25.2a 29.4
40-44 19.1a 22.2 14.8 16.7 23.3a 27.5
45-49 18.2 19.3 12.5a 15.3 23.6 23.4
50 or Older 14.0 14.1 10.8 11.2 16.9 16.7
50-54 16.7 17.0 14.8 14.5 18.5 19.4
55-59 16.5 17.5 13.4 14.0 19.2 20.8
60-64 14.1 13.7 9.5 8.9 18.8 17.9
65 or Older 11.8 11.8 8.5 9.4 14.6 13.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 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, 2018 and 2019.
200414
Table 8.2A – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 47,635a 51,495 8,944a 9,930 38,691a 41,565 22,721a 25,279 15,969 16,286
GENDER                    
Male 18,308a 19,758 3,526a 3,856 14,782a 15,902 9,037a 9,884 5,745 6,018
Female 29,327a 31,737 5,419a 6,074 23,908a 25,663 13,684a 15,396 10,224 10,268
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 40,785a 44,055 7,318a 8,094 33,466a 35,961 19,116a 21,449 14,350 14,512
White 32,210a 34,967 5,464a 6,021 26,746a 28,946 15,033a 16,749 11,714 12,196
Black or African American 4,802 5,174 967 1,102 3,835 4,072 2,156a 2,629 1,679 1,443
AIAN 333 260 50 52 282 208 160 111 * *
NHOPI 198 164 * * * 126 * 110 * *
Asian 2,081 2,100 537 513 1,544 1,587 1,196 1,133 348 454
Two or More Races 1,160 1,390 278a 369 882 1,022 433a 715 449 306
Hispanic or Latino 6,850 7,440 1,626 1,836 5,224 5,604 3,605 3,830 1,619 1,774
CURRENT EMPLOYMENT                    
Full-Time 21,805a 23,829 3,634a 4,049 18,171a 19,779 13,365a 15,417 4,806 4,362
Part-Time 7,101a 8,137 2,559a 2,886 4,542a 5,251 2,893 3,292 1,648 1,959
Unemployed 2,756 2,750 864 895 1,892 1,855 1,366 1,312 526 543
Other1 15,972 16,780 1,887 2,099 14,085 14,680 5,096 5,258 8,989 9,422
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.2B – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 19.1a 20.6 26.3a 29.4 18.0a 19.2 22.5a 25.0 14.0 14.1
GENDER                    
Male 15.2a 16.3 20.6a 22.8 14.3 15.3 18.1a 19.8 10.8 11.2
Female 22.8a 24.5 32.0a 36.1 21.4a 22.8 26.8a 30.0 16.9 16.7
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 19.6a 21.1 27.7a 31.0 18.4a 19.7 23.7a 26.6 14.2 14.2
White 20.4a 22.2 29.9a 33.4 19.2a 20.7 26.1a 29.2 14.3 14.8
Black or African American 16.2 17.3 20.4a 23.8 15.4 16.1 16.8a 20.3 14.0 11.7
AIAN 22.1 18.7 22.6 23.6 22.0 17.7 26.1 22.1 * *
NHOPI 21.1 16.6 * * * 15.1 * 20.2 * *
Asian 14.7 14.4 23.7 24.6 13.0 12.7 16.0 15.7 7.8 8.6
Two or More Races 26.8 31.7 37.0 39.3 24.6 29.6 29.2 36.3 21.4 20.8
Hispanic or Latino 16.9 18.0 21.3 24.0 15.9 16.7 17.6 18.5 13.0 13.7
CURRENT EMPLOYMENT                    
Full-Time 17.6a 19.2 25.0a 28.2 16.7a 18.0 19.6a 22.3 11.7 10.7
Part-Time 22.0a 25.0 29.5a 34.6 19.3 21.7 26.6a 30.8 13.0 14.4
Unemployed 27.6 27.7 27.9 27.2 27.4 27.9 29.2 30.7 23.7 22.9
Other1 19.3 20.1 24.5a 27.1 18.7 19.4 29.4 30.4 15.5 16.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.3A – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 47,635a 51,495 8,944a 9,930 38,691a 41,565 22,721a 25,279 15,969 16,286
GEOGRAPHIC REGION                    
Northeast 8,291 8,608 1,616 1,611 6,675 6,997 3,885 3,970 2,790 3,027
Midwest 10,329a 11,497 2,029a 2,284 8,300a 9,213 4,787a 5,512 3,513 3,701
South 16,946a 18,212 3,016a 3,544 13,930 14,668 8,080a 9,317 5,850 5,351
West 12,068a 13,178 2,283 2,491 9,785a 10,686 5,969 6,480 3,816 4,207
COUNTY TYPE                    
Large Metro 25,715a 28,346 4,963a 5,573 20,752a 22,773 12,714a 14,283 8,038 8,490
Small Metro 15,312 15,837 2,856 3,136 12,456 12,701 7,133 7,666 5,323 5,035
Nonmetro 6,608 7,312 1,125 1,222 5,483 6,090 2,874a 3,330 2,608 2,761
Urbanized 3,153 3,100 545 596 2,608 2,504 1,435 1,475 1,173 1,029
Less Urbanized 2,820a 3,554 508 515 2,312a 3,039 1,207a 1,528 1,105a 1,511
Completely Rural 635 658 73 110 562 547 232 326 331 221
POVERTY LEVEL1                    
Less Than 100% 9,094 8,646 2,163 2,262 6,931 6,384 3,951 3,888 2,981 2,496
100-199% 10,091a 11,258 2,126 2,338 7,966a 8,920 4,573 4,692 3,392a 4,228
200% or More 28,246a 31,255 4,452a 4,994 23,794a 26,261 14,197a 16,699 9,596 9,562
EDUCATION                    
< High School 5,628 5,505 970 1,107 4,658 4,399 1,993 2,066 2,665 2,332
High School Graduate 11,110 11,705 2,393a 2,839 8,717 8,867 4,463 4,808 4,254 4,058
Some College/Associate's Degree 17,171 18,250 4,092a 4,584 13,079 13,666 8,145 8,637 4,935 5,029
College Graduate 13,725a 16,034 1,489 1,400 12,236a 14,633 8,121a 9,768 4,115a 4,865
HEALTH INSURANCE2                    
Private 28,245a 30,795 5,655a 6,308 22,590a 24,487 13,379a 15,301 9,212 9,186
Medicaid/CHIP 10,410 11,149 1,906 2,070 8,504 9,078 5,033 5,502 3,471 3,576
Other3 11,142 11,598 577a 714 10,564 10,884 2,446 2,512 8,119 8,372
No Coverage 5,371 5,630 1,110 1,250 4,260 4,380 3,325 3,558 935 823
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.3B – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 19.1a 20.6 26.3a 29.4 18.0a 19.2 22.5a 25.0 14.0 14.1
GEOGRAPHIC REGION                    
Northeast 18.9 19.7 27.5 27.9 17.6 18.4 22.7 23.2 13.4 14.4
Midwest 19.9a 22.1 28.0a 31.9 18.6a 20.5 23.5a 27.1 14.4 15.1
South 18.0a 19.2 23.6a 27.9 17.1 17.8 21.1a 24.2 13.6 12.3
West 20.4a 22.1 28.0a 30.8 19.2 20.8 23.7 25.6 14.8 16.1
COUNTY TYPE                    
Large Metro 18.6a 20.2 26.1a 29.7 17.3a 18.8 21.3a 23.8 13.4 13.8
Small Metro 20.6 20.9 26.8a 29.6 19.6 19.5 24.5a 26.4 15.4 14.0
Nonmetro 18.4a 21.2 25.7 28.2 17.4a 20.2 23.5a 27.2 13.5 15.4
Urbanized 19.4 21.6 28.2 29.4 18.3 20.3 25.7 27.7 13.5 14.7
Less Urbanized 17.2a 22.0 24.2 26.6 16.2a 21.3 21.2a 27.3 12.9a 17.5
Completely Rural 18.9 16.7 21.3 29.4 18.7 15.4 24.8 24.5 15.9 9.9
POVERTY LEVEL1                    
Less Than 100% 26.3 26.7 25.9a 28.6 26.5 26.1 27.2 29.0 25.6 22.7
100-199% 20.5a 23.7 25.8a 30.2 19.4a 22.4 23.7 24.8 15.6a 20.2
200% or More 17.2a 18.5 26.7a 29.5 16.1a 17.2 21.2a 24.2 11.9 11.5
EDUCATION                    
< High School 18.2 18.3 20.6 23.6 17.8 17.3 17.6 19.1 17.9 15.9
High School Graduate 18.0 19.3 23.0a 26.8 17.0 17.7 21.3 23.0 14.1 13.9
Some College/Associate's Degree 22.3a 23.7 30.3a 34.0 20.6 21.5 26.3 28.0 15.1 15.4
College Graduate 17.3a 19.5 27.4 28.4 16.6a 18.9 21.5a 25.3 11.4 12.5
HEALTH INSURANCE2                    
Private 17.1a 18.6 27.6a 30.9 15.6a 16.9 19.9a 22.9 11.8 11.7
Medicaid/CHIP 28.3a 31.2 26.3 28.6 28.8a 31.8 31.4 34.0 25.6 29.0
Other3 16.3 16.8 22.5a 28.1 16.1 16.4 31.4 34.4 14.0 14.2
No Coverage 21.8 21.8 23.1 25.9 21.5 20.8 23.1 23.6 17.3 13.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200420
Table 8.4A – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Numbers in Thousands, 2018 and 2019
Age Category Total
(2018)
Total
(2019)
Male
(2018)
Male
(2019)
Female
(2018)
Female
(2019)
TOTAL 11,373a 13,115 4,025a 4,668 7,348a 8,447
18-25 2,619a 2,899 917 979 1,701a 1,920
18-20 912a 1,082 287 363 625 719
21-25 1,706 1,818 630 616 1,076 1,202
26 or Older 8,755a 10,216 3,108a 3,689 5,647a 6,527
26-49 5,907a 6,847 2,216 2,443 3,691a 4,404
26-29 1,432 1,566 567 595 865 971
30-34 1,489 1,672 568 638 921 1,034
35-39 1,135 1,373 456 427 679a 947
40-44 884a 1,116 314 380 570 736
45-49 966 1,119 311 404 656 716
50 or Older 2,848 3,369 892 1,246 1,956 2,123
50-54 858 952 276 425 582 526
55-59 809 958 304 356 505 602
60-64 511 634 116 143 394 491
65 or Older 670 825 196 321 474 504
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 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, 2018 and 2019.
200420
Table 8.4B – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Percentages, 2018 and 2019
Age Category Total
(2018)
Total
(2019)
Male
(2018)
Male
(2019)
Female
(2018)
Female
(2019)
TOTAL 4.6a 5.2 3.4a 3.9 5.7a 6.5
18-25 7.7a 8.6 5.4 5.8 10.0a 11.4
18-20 7.0a 8.2 4.2 5.4 10.1 11.2
21-25 8.1 8.8 6.2 6.1 10.0a 11.5
26 or Older 4.1a 4.7 3.0a 3.5 5.1a 5.8
26-49 5.9a 6.8 4.4 4.9 7.2a 8.6
26-29 8.0 8.7 6.3 6.5 9.7 10.9
30-34 6.7 7.5 5.2 5.8 8.2 9.1
35-39 5.2a 6.4 4.3 4.1 6.1a 8.6
40-44 4.5a 5.8 3.2 4.0 5.8 7.5
45-49 5.0 5.5 3.3 4.0 6.6 7.0
50 or Older 2.5 2.9 1.7 2.3 3.2 3.5
50-54 4.2 4.6 2.8 4.2 5.5 5.0
55-59 3.7 4.5 3.0 3.5 4.3 5.5
60-64 2.5 3.1 1.1 1.5 3.9 4.5
65 or Older 1.3 1.6 0.9 1.4 1.7 1.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 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, 2018 and 2019.
200414
Table 8.5A – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 11,373a 13,115 2,619a 2,899 8,755a 10,216 5,907a 6,847 2,848 3,369
GENDER                    
Male 4,025a 4,668 917 979 3,108a 3,689 2,216 2,443 892 1,246
Female 7,348a 8,447 1,701a 1,920 5,647a 6,527 3,691a 4,404 1,956 2,123
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 9,902a 11,109 2,133a 2,375 7,770a 8,734 5,102a 5,786 2,667 2,948
White 8,076a 8,937 1,661 1,851 6,415 7,086 4,155a 4,626 2,260 2,460
Black or African American 1,077 1,188 213 265 864 923 572 630 292 293
AIAN 97 93 14 16 83 78 52 40 * *
NHOPI 43 25 * * 38 23 * 23 * *
Asian 303a 457 132 136 171a 321 166 247 5 74
Two or More Races 307 409 109 105 198 304 132a 221 67 84
Hispanic or Latino 1,471a 2,006 486 524 985a 1,482 804a 1,061 181a 420
CURRENT EMPLOYMENT                    
Full-Time 4,818a 5,686 1,104 1,234 3,713a 4,452 2,878a 3,699 835 753
Part-Time 1,866a 2,231 735 829 1,131 1,402 885 959 247 442
Unemployed 789 838 287 238 502 600 406 468 96 132
Other1 3,900 4,361 493 598 3,408 3,762 1,738 1,720 1,670 2,042
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.5B – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 4.6a 5.2 7.7a 8.6 4.1a 4.7 5.9a 6.8 2.5 2.9
GENDER                    
Male 3.4a 3.9 5.4 5.8 3.0a 3.5 4.4 4.9 1.7 2.3
Female 5.7a 6.5 10.0a 11.4 5.1a 5.8 7.2a 8.6 3.2 3.5
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 4.8a 5.3 8.1a 9.1 4.3a 4.8 6.3a 7.2 2.6 2.9
White 5.1a 5.7 9.1a 10.3 4.6 5.1 7.2a 8.1 2.8 3.0
Black or African American 3.6 4.0 4.5 5.7 3.5 3.7 4.4 4.9 2.4 2.4
AIAN 6.4 6.7 6.3 7.2 6.5 6.6 8.5 8.0 * *
NHOPI 4.5 2.6 * * 4.9 2.7 * 4.1 * *
Asian 2.1 3.1 5.8 6.5 1.4a 2.6 2.2 3.4 0.1 1.4
Two or More Races 7.1 9.3 14.5 11.1 5.5 8.8 8.9 11.2 3.2 5.7
Hispanic or Latino 3.6a 4.9 6.4 6.8 3.0a 4.4 3.9a 5.1 1.4 3.2
CURRENT EMPLOYMENT                    
Full-Time 3.9a 4.6 7.6 8.6 3.4a 4.1 4.2a 5.4 2.0 1.8
Part-Time 5.8a 6.8 8.5 9.9 4.8 5.8 8.1 9.0 1.9 3.3
Unemployed 7.9 8.4 9.3 7.2 7.3 9.0 8.7 11.0 4.3 5.6
Other1 4.7 5.2 6.4 7.7 4.5 5.0 10.0 9.9 2.9 3.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.6A – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 11,373a 13,115 2,619a 2,899 8,755a 10,216 5,907a 6,847 2,848 3,369
GEOGRAPHIC REGION                    
Northeast 1,805 2,062 442 484 1,363 1,578 972 955 391 623
Midwest 2,639 2,918 643 701 1,996 2,217 1,301 1,410 696 807
South 4,027a 4,766 869 995 3,158a 3,771 2,114a 2,716 1,044 1,055
West 2,902a 3,369 665 719 2,237 2,650 1,520 1,766 717 884
COUNTY TYPE                    
Large Metro 5,740a 6,743 1,455 1,545 4,285a 5,198 3,130 3,484 1,155a 1,714
Small Metro 3,932 4,341 816a 985 3,116 3,356 1,996 2,283 1,120 1,073
Nonmetro 1,701a 2,031 348 370 1,354 1,662 780a 1,080 573 582
Urbanized 753 889 164 202 589 687 361a 513 228 174
Less Urbanized 754 938 171 130 583a 808 340 459 243 349
Completely Rural 194 205 13a 38 182 167 80 108 102 59
POVERTY LEVEL1                    
Less Than 100% 2,722 2,590 625 674 2,097 1,916 1,367 1,338 730 578
100-199% 2,439a 3,218 570a 727 1,869a 2,491 1,320 1,365 549a 1,126
200% or More 6,164a 7,222 1,375 1,413 4,789a 5,809 3,220a 4,144 1,569 1,665
EDUCATION                    
< High School 1,218 1,286 265 319 953 967 554 518 399 449
High School Graduate 2,821 3,100 707a 843 2,114 2,257 1,232a 1,513 882 745
Some College/Associate's Degree 4,557a 5,357 1,274 1,405 3,283a 3,952 2,349 2,663 934 1,289
College Graduate 2,778a 3,372 373 332 2,405a 3,040 1,772a 2,154 633 886
HEALTH INSURANCE2                    
Private 5,977a 7,051 1,682 1,760 4,295a 5,291 2,824a 3,595 1,471 1,696
Medicaid/CHIP 2,978a 3,602 559 660 2,420a 2,941 1,677 1,954 743 987
Other3 2,338 2,638 151 216 2,187 2,423 855 881 1,331 1,542
No Coverage 1,524 1,557 326 387 1,199 1,170 1,014 1,003 184 167
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.6B – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 4.6a 5.2 7.7a 8.6 4.1a 4.7 5.9a 6.8 2.5 2.9
GEOGRAPHIC REGION                    
Northeast 4.1 4.7 7.5 8.4 3.6 4.1 5.7 5.6 1.9 3.0
Midwest 5.1 5.6 8.9 9.8 4.5 4.9 6.4 6.9 2.9 3.3
South 4.3a 5.0 6.8 7.8 3.9a 4.6 5.5a 7.0 2.4 2.4
West 4.9 5.7 8.1 8.9 4.4 5.1 6.0 7.0 2.8 3.4
COUNTY TYPE                    
Large Metro 4.1a 4.8 7.7 8.2 3.6a 4.3 5.3 5.8 1.9a 2.8
Small Metro 5.3 5.7 7.6a 9.3 4.9 5.2 6.9 7.9 3.2 3.0
Nonmetro 4.7a 5.9 7.9 8.5 4.3a 5.5 6.4a 8.8 3.0 3.3
Urbanized 4.6a 6.2 8.5 10.0 4.1a 5.6 6.5a 9.7 2.6 2.5
Less Urbanized 4.6 5.8 8.1 6.7 4.1a 5.7 6.0a 8.2 2.8 4.0
Completely Rural 5.8 5.2 3.7a 10.1 6.0 4.7 8.5 8.1 4.9 2.6
POVERTY LEVEL1                    
Less Than 100% 7.9 8.0 7.5 8.5 8.0 7.8 9.4 10.0 6.3 5.2
100-199% 5.0a 6.8 6.9a 9.4 4.6a 6.2 6.8 7.2 2.5a 5.4
200% or More 3.8a 4.3 8.2 8.3 3.2a 3.8 4.8a 6.0 1.9 2.0
EDUCATION                    
< High School 3.9 4.3 5.6 6.8 3.6 3.8 4.9 4.8 2.7 3.1
High School Graduate 4.6 5.1 6.8 7.9 4.1 4.5 5.9a 7.2 2.9 2.5
Some College/Associate's Degree 5.9a 7.0 9.4 10.4 5.2a 6.2 7.6 8.6 2.9 3.9
College Graduate 3.5a 4.1 6.9 6.7 3.3a 3.9 4.7a 5.6 1.8 2.3
HEALTH INSURANCE2                    
Private 3.6a 4.3 8.2 8.6 3.0a 3.6 4.2a 5.4 1.9 2.2
Medicaid/CHIP 8.1a 10.1 7.7 9.1 8.2a 10.3 10.5 12.1 5.5a 8.0
Other3 3.4 3.8 5.9a 8.5 3.3 3.6 11.0 12.1 2.3 2.6
No Coverage 6.2 6.0 6.8 8.0 6.1 5.6 7.1 6.7 3.4 2.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.7A – Levels of Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness
(2018)
No
Mental
Illness
(2019)
TOTAL 47,635a 51,495 11,373a 13,115 36,262a 38,379 201,222a 198,822
AGE GROUP                
18-25 8,944a 9,930 2,619a 2,899 6,326a 7,031 25,092a 23,803
26 or Older 38,691a 41,565 8,755a 10,216 29,936 31,349 176,131 175,019
26-49 22,721a 25,279 5,907a 6,847 16,815a 18,432 78,218a 76,004
50 or Older 15,969 16,286 2,848 3,369 13,121 12,917 97,913 99,015
GENDER                
Male 18,308a 19,758 4,025a 4,668 14,283 15,090 101,827 101,104
Female 29,327a 31,737 7,348a 8,447 21,979a 23,290 99,395a 97,718
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 40,785a 44,055 9,902a 11,109 30,882a 32,946 167,530a 164,992
White 32,210a 34,967 8,076a 8,937 24,134a 26,030 125,557 122,844
Black or African American 4,802 5,174 1,077 1,188 3,726 3,986 24,778 24,720
AIAN 333 260 97 93 235 166 1,174 1,132
NHOPI 198 164 43 25 156 138 744 824
Asian 2,081 2,100 303a 457 1,778 1,644 12,107 12,476
Two or More Races 1,160 1,390 307 409 853 981 3,170 2,995
Hispanic or Latino 6,850 7,440 1,471a 2,006 5,380 5,433 33,692 33,830
CURRENT EMPLOYMENT                
Full-Time 21,805a 23,829 4,818a 5,686 16,987a 18,143 101,876 100,358
Part-Time 7,101a 8,137 1,866a 2,231 5,235a 5,906 25,131 24,461
Unemployed 2,756 2,750 789 838 1,967 1,912 7,242 7,179
Other1 15,972 16,780 3,900 4,361 12,072 12,419 66,974 66,824
* = 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.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.7B – Levels of Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness
(2018)
No
Mental
Illness
(2019)
TOTAL 19.1a 20.6 4.6a 5.2 14.6a 15.3 80.9a 79.4
AGE GROUP                
18-25 26.3a 29.4 7.7a 8.6 18.6a 20.8 73.7a 70.6
26 or Older 18.0a 19.2 4.1a 4.7 13.9 14.5 82.0a 80.8
26-49 22.5a 25.0 5.9a 6.8 16.7a 18.2 77.5a 75.0
50 or Older 14.0 14.1 2.5 2.9 11.5 11.2 86.0 85.9
GENDER                
Male 15.2a 16.3 3.4a 3.9 11.9 12.5 84.8a 83.7
Female 22.8a 24.5 5.7a 6.5 17.1a 18.0 77.2a 75.5
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 19.6a 21.1 4.8a 5.3 14.8a 15.8 80.4a 78.9
White 20.4a 22.2 5.1a 5.7 15.3a 16.5 79.6a 77.8
Black or African American 16.2 17.3 3.6 4.0 12.6 13.3 83.8 82.7
AIAN 22.1 18.7 6.4 6.7 15.6 12.0 77.9 81.3
NHOPI 21.1 16.6 4.5 2.6 16.5 14.0 78.9 83.4
Asian 14.7 14.4 2.1 3.1 12.5 11.3 85.3 85.6
Two or More Races 26.8 31.7 7.1 9.3 19.7 22.4 73.2 68.3
Hispanic or Latino 16.9 18.0 3.6a 4.9 13.3 13.2 83.1 82.0
CURRENT EMPLOYMENT                
Full-Time 17.6a 19.2 3.9a 4.6 13.7a 14.6 82.4a 80.8
Part-Time 22.0a 25.0 5.8a 6.8 16.2a 18.1 78.0a 75.0
Unemployed 27.6 27.7 7.9 8.4 19.7 19.3 72.4 72.3
Other1 19.3 20.1 4.7 5.2 14.6 14.9 80.7 79.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.8A – Levels of Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness
(2018)
No
Mental
Illness
(2019)
TOTAL 47,635a 51,495 11,373a 13,115 36,262a 38,379 201,222a 198,822
GEOGRAPHIC REGION                
Northeast 8,291 8,608 1,805 2,062 6,486 6,546 35,525 35,191
Midwest 10,329a 11,497 2,639 2,918 7,690a 8,579 41,584a 40,540
South 16,946a 18,212 4,027a 4,766 12,919 13,446 77,089 76,699
West 12,068a 13,178 2,902a 3,369 9,166 9,809 47,024 46,391
COUNTY TYPE                
Large Metro 25,715a 28,346 5,740a 6,743 19,975a 21,603 112,896 111,853
Small Metro 15,312 15,837 3,932 4,341 11,380 11,496 58,994 59,811
Nonmetro 6,608 7,312 1,701a 2,031 4,907 5,280 29,332a 27,158
Urbanized 3,153 3,100 753 889 2,400 2,211 13,061a 11,256
Less Urbanized 2,820a 3,554 754 938 2,066a 2,616 13,550 12,624
Completely Rural 635 658 194 205 441 453 2,721 3,278
POVERTY LEVEL1                
Less Than 100% 9,094 8,646 2,722 2,590 6,373 6,056 25,428a 23,686
100-199% 10,091a 11,258 2,439a 3,218 7,652 8,041 39,168a 36,335
200% or More 28,246a 31,255 6,164a 7,222 22,082a 24,033 136,066 137,993
EDUCATION                
< High School 5,628 5,505 1,218 1,286 4,410 4,219 25,286 24,649
High School Graduate 11,110 11,705 2,821 3,100 8,290 8,605 50,449 49,050
Some College/Associate's Degree 17,171 18,250 4,557a 5,357 12,614 12,893 59,953 58,793
College Graduate 13,725a 16,034 2,778a 3,372 10,948a 12,662 65,535 66,329
HEALTH INSURANCE2                
Private 28,245a 30,795 5,977a 7,051 22,268a 23,744 137,279 134,837
Medicaid/CHIP 10,410 11,149 2,978a 3,602 7,432 7,547 26,407a 24,617
Other3 11,142 11,598 2,338 2,638 8,804 8,960 57,106 57,405
No Coverage 5,371 5,630 1,524 1,557 3,847 4,073 19,218 20,248
* = 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.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.8B – Levels of Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness
(2018)
No
Mental
Illness
(2019)
TOTAL 19.1a 20.6 4.6a 5.2 14.6a 15.3 80.9a 79.4
GEOGRAPHIC REGION                
Northeast 18.9 19.7 4.1 4.7 14.8 14.9 81.1 80.3
Midwest 19.9a 22.1 5.1 5.6 14.8a 16.5 80.1a 77.9
South 18.0a 19.2 4.3a 5.0 13.7 14.2 82.0a 80.8
West 20.4a 22.1 4.9 5.7 15.5 16.5 79.6a 77.9
COUNTY TYPE                
Large Metro 18.6a 20.2 4.1a 4.8 14.4a 15.4 81.4a 79.8
Small Metro 20.6 20.9 5.3 5.7 15.3 15.2 79.4 79.1
Nonmetro 18.4a 21.2 4.7a 5.9 13.7a 15.3 81.6a 78.8
Urbanized 19.4 21.6 4.6a 6.2 14.8 15.4 80.6 78.4
Less Urbanized 17.2a 22.0 4.6 5.8 12.6a 16.2 82.8a 78.0
Completely Rural 18.9 16.7 5.8 5.2 13.1 11.5 81.1 83.3
POVERTY LEVEL1                
Less Than 100% 26.3 26.7 7.9 8.0 18.5 18.7 73.7 73.3
100-199% 20.5a 23.7 5.0a 6.8 15.5 16.9 79.5a 76.3
200% or More 17.2a 18.5 3.8a 4.3 13.4a 14.2 82.8a 81.5
EDUCATION                
< High School 18.2 18.3 3.9 4.3 14.3 14.0 81.8 81.7
High School Graduate 18.0 19.3 4.6 5.1 13.5 14.2 82.0 80.7
Some College/Associate's Degree 22.3a 23.7 5.9a 7.0 16.4 16.7 77.7a 76.3
College Graduate 17.3a 19.5 3.5a 4.1 13.8a 15.4 82.7a 80.5
HEALTH INSURANCE2                
Private 17.1a 18.6 3.6a 4.3 13.5a 14.3 82.9a 81.4
Medicaid/CHIP 28.3a 31.2 8.1a 10.1 20.2 21.1 71.7a 68.8
Other3 16.3 16.8 3.4 3.8 12.9 13.0 83.7 83.2
No Coverage 21.8 21.8 6.2 6.0 15.6 15.7 78.2 78.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.9A – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 9,187 9,536 2,447 2,575 6,740 6,961 5,020 5,218 1,720 1,744
GENDER                    
Male 4,836 4,916 1,152 1,165 3,683 3,751 2,774 2,742 909 1,009
Female 4,351 4,620 1,295 1,410 3,057 3,210 2,246 2,476 810 734
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 7,845 8,118 2,026 2,055 5,819 6,062 4,276 4,382 1,543 1,680
White 6,123 6,491 1,530 1,569 4,593 4,922 3,339 3,540 1,253 1,382
Black or African American 1,067 947 249 253 818 695 564 490 255 205
AIAN 79 52 26 10 53 42 48 35 * 7
NHOPI 45 27 * * * 20 * 20 * *
Asian 304 298 128 99 177 199 177 143 * 56
Two or More Races 226 302 89 117 137 185 107 154 30 31
Hispanic or Latino 1,342 1,419 421 520 921 899 744 836 177 63
CURRENT EMPLOYMENT                    
Full-Time 4,820 4,847 1,058 1,198 3,762 3,649 3,113 3,077 649 572
Part-Time 1,404 1,620 699 671 706a 950 579 682 126 268
Unemployed 838 822 271 254 567 568 466 485 101 83
Other1 2,124 2,247 419 453 1,705 1,794 862 973 844 821
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.9B – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 3.7 3.8 7.2 7.6 3.1 3.2 5.0 5.2 1.5 1.5
GENDER                    
Male 4.0 4.1 6.7 6.9 3.6 3.6 5.6 5.5 1.7 1.9
Female 3.4 3.6 7.6 8.4 2.7 2.9 4.4 4.8 1.3 1.2
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 3.8 3.9 7.7 7.9 3.2 3.3 5.3 5.4 1.5 1.6
White 3.9 4.1 8.4 8.7 3.3 3.5 5.8 6.2 1.5 1.7
Black or African American 3.6 3.2 5.3 5.4 3.3 2.8 4.4 3.8 2.1 1.7
AIAN 5.3 3.8 12.0 4.7 4.1 3.6 7.8 6.9 * 1.1
NHOPI 4.7 2.8 * * * 2.4 * 3.7 * *
Asian 2.1 2.0 5.6 4.7 1.5 1.6 2.4 2.0 * 1.1
Two or More Races 5.2 6.9 11.9 12.5 3.8 5.4 7.2 7.8 1.4 2.1
Hispanic or Latino 3.3 3.4 5.5 6.8 2.8 2.7 3.6 4.0 1.4 0.5
CURRENT EMPLOYMENT                    
Full-Time 3.9 3.9 7.3 8.4 3.4 3.3 4.6 4.5 1.6 1.4
Part-Time 4.4 5.0 8.0 8.0 3.0 3.9 5.3 6.4 1.0 2.0
Unemployed 8.4 8.3 8.7 7.7 8.2 8.6 10.0 11.3 4.6 3.5
Other1 2.6 2.7 5.4 5.8 2.3 2.4 5.0 5.6 1.5 1.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.10A – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 9,187 9,536 2,447 2,575 6,740 6,961 5,020 5,218 1,720 1,744
GEOGRAPHIC REGION                    
Northeast 1,637 1,416 443 431 1,194 985 833 779 361 205
Midwest 1,889a 2,242 553 635 1,336 1,607 978 1,115 359 492
South 2,945 3,023 766 861 2,178 2,163 1,653 1,754 526 409
West 2,715 2,855 684 648 2,031 2,207 1,557 1,570 475 637
COUNTY TYPE                    
Large Metro 5,165 5,606 1,317 1,477 3,848 4,129 3,010 3,207 838 922
Small Metro 2,864 2,684 831 797 2,034 1,888 1,453 1,383 581 504
Nonmetro 1,157 1,246 299 302 858 944 557 627 301 317
Urbanized 556 658 153 167 403 492 307 289 95 203
Less Urbanized 517 509 130 116 387 393 232 292 155 101
Completely Rural 84 79 15 19 68 60 18 47 50 13
POVERTY LEVEL1                    
Less Than 100% 1,954 1,753 614 565 1,340 1,188 870 850 470 338
100-199% 1,957 2,080 569 589 1,388 1,490 1,051 985 337 505
200% or More 5,198 5,619 1,186 1,336 4,012 4,283 3,099 3,383 913 900
EDUCATION                    
< High School 1,188 951 286 286 901 665 496 414 406 251
High School Graduate 2,200 2,329 581a 729 1,619 1,599 1,132 1,207 487 393
Some College/Associate's Degree 3,396 3,500 1,175 1,165 2,221 2,334 1,767 1,734 454 600
College Graduate 2,403 2,757 405 394 1,999 2,363 1,625 1,863 373 500
HEALTH INSURANCE2                    
Private 4,964 5,221 1,567 1,661 3,396 3,560 2,570 2,706 827 854
Medicaid/CHIP 2,388 2,288 479 512 1,908 1,776 1,307 1,321 601 455
Other3 1,218 1,412 158 199 1,060 1,213 535 457 526 756
No Coverage 1,449 1,523 311 343 1,138 1,180 937 1,033 201 148
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.10B – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 3.7 3.8 7.2 7.6 3.1 3.2 5.0 5.2 1.5 1.5
GEOGRAPHIC REGION                    
Northeast 3.7 3.2 7.6 7.5 3.1 2.6 4.9 4.6 1.7 1.0
Midwest 3.6a 4.3 7.6 8.9 3.0 3.6 4.8 5.5 1.5 2.0
South 3.1 3.2 6.0 6.8 2.7 2.6 4.3 4.6 1.2 0.9
West 4.6 4.8 8.4 8.0 4.0 4.3 6.2 6.2 1.8 2.4
COUNTY TYPE                    
Large Metro 3.7 4.0 6.9 7.9 3.2 3.4 5.0 5.3 1.4 1.5
Small Metro 3.9 3.5 7.8 7.5 3.2 2.9 5.0 4.8 1.7 1.4
Nonmetro 3.2 3.6 6.8 7.0 2.7 3.1 4.6 5.1 1.6 1.8
Urbanized 3.4 4.6 7.9 8.2 2.8 4.0 5.5 5.4 1.1 2.9
Less Urbanized 3.2 3.1 6.2 6.0 2.7 2.8 4.1 5.2 1.8 1.2
Completely Rural 2.5 2.0 4.5 5.1 2.3 1.7 1.9 3.5 2.4 0.6
POVERTY LEVEL1                    
Less Than 100% 5.7 5.4 7.4 7.2 5.1 4.9 6.0 6.3 4.0 3.1
100-199% 4.0 4.4 6.9 7.6 3.4 3.7 5.5 5.2 1.5 2.4
200% or More 3.2 3.3 7.1 7.9 2.7 2.8 4.6 4.9 1.1 1.1
EDUCATION                    
< High School 3.8 3.2 6.1 6.1 3.4 2.6 4.4 3.8 2.7 1.7
High School Graduate 3.6 3.8 5.6a 6.9 3.2 3.2 5.4 5.8 1.6 1.3
Some College/Associate's Degree 4.4 4.5 8.7 8.6 3.5 3.7 5.7 5.6 1.4 1.8
College Graduate 3.0 3.3 7.5 8.0 2.7 3.1 4.3 4.8 1.0 1.3
HEALTH INSURANCE2                    
Private 3.0 3.2 7.7 8.1 2.3 2.5 3.8 4.1 1.1 1.1
Medicaid/CHIP 6.5 6.4 6.6 7.1 6.5 6.2 8.2 8.2 4.4 3.7
Other3 1.8 2.0 6.2 7.8 1.6 1.8 6.9 6.2 0.9 1.3
No Coverage 5.9 5.9 6.5 7.1 5.8 5.6 6.5 6.9 3.7 2.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.11A – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 3,166 3,564 879 958 2,287 2,606 1,726 1,998 560 607
GENDER                    
Male 1,376 1,562 353 368 1,022 1,195 813 923 209 271
Female 1,790 2,002 526 591 1,265 1,411 914 1,075 351 336
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 2,815 3,072 762 754 2,053 2,318 1,498 1,717 555 601
White 2,201 2,429 606 573 1,596 1,856 1,128a 1,367 468 489
Black or African American 376 350 64 76 312 274 236 196 76 77
AIAN 37 21 10 2 27 18 27 18 * 1
NHOPI * 13 * * * 12 * 12 * *
Asian 71 125 37 50 35 76 35 52 * *
Two or More Races 109 134 46 52 63 82 53 72 11 10
Hispanic or Latino 351 491 117a 204 234 287 228 282 6 6
CURRENT EMPLOYMENT                    
Full-Time 1,465 1,706 392 473 1,073 1,232 847 1,066 226 166
Part-Time 504 600 213 245 291 355 248 264 43 91
Unemployed 347 345 123 89 224 256 178 213 46 43
Other1 849 914 151 151 698 763 453 456 245 307
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.11B – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 1.3 1.4 2.6 2.8 1.1 1.2 1.7 2.0 0.5 0.5
GENDER                    
Male 1.1 1.3 2.1 2.2 1.0 1.1 1.6 1.8 0.4 0.5
Female 1.4 1.5 3.1 3.5 1.1 1.3 1.8 2.1 0.6 0.5
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 1.4 1.5 2.9 2.9 1.1 1.3 1.9 2.1 0.5 0.6
White 1.4 1.5 3.3 3.2 1.1 1.3 2.0a 2.4 0.6 0.6
Black or African American 1.3 1.2 1.4 1.6 1.3 1.1 1.8 1.5 0.6 0.6
AIAN 2.4 1.5 4.3 1.1 2.1 1.6 4.4 3.5 * 0.1
NHOPI * 1.3 * * * 1.4 * 2.1 * *
Asian 0.5 0.9 1.6 2.4 0.3 0.6 0.5 0.7 * *
Two or More Races 2.5 3.1 6.1 5.5 1.8 2.4 3.6 3.7 0.5 0.7
Hispanic or Latino 0.9 1.2 1.5a 2.7 0.7 0.9 1.1 1.4 0.0 0.0
CURRENT EMPLOYMENT                    
Full-Time 1.2 1.4 2.7 3.3 1.0 1.1 1.2 1.5 0.6 0.4
Part-Time 1.6 1.8 2.5 2.9 1.2 1.5 2.3 2.5 0.3 0.7
Unemployed 3.5 3.5 4.0 2.7 3.2 3.9 3.8 5.0 2.1 1.8
Other1 1.0 1.1 2.0 2.0 0.9 1.0 2.6 2.6 0.4 0.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.12A – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 3,166 3,564 879 958 2,287 2,606 1,726 1,998 560 607
GEOGRAPHIC REGION                    
Northeast 525 542 161 192 364 350 324 269 40 81
Midwest 630 790 227 279 403 511 285a 398 118 113
South 1,112 1,151 263 269 849 881 601 743 248 139
West 899 1,081 228 218 670 864 516 589 154 274
COUNTY TYPE                    
Large Metro 1,633a 2,086 474 530 1,159a 1,555 987 1,122 173a 433
Small Metro 1,108 1,023 290 298 818 725 560 611 257 114
Nonmetro 425 455 115 130 310 326 179a 266 130 60
Urbanized 193 250 58 69 136 181 98 140 37 41
Less Urbanized 198 173 55 48 143 125 74 110 70 15
Completely Rural 34 32 3 13 31 19 8 15 23 4
POVERTY LEVEL1                    
Less Than 100% 714 733 222 198 492 535 336 413 157 122
100-199% 791 899 206 270 585 629 464 393 121 237
200% or More 1,639 1,903 429 461 1,210 1,441 926a 1,193 283 249
EDUCATION                    
< High School 375 255 92 76 282 179 197 149 85 30
High School Graduate 816 922 247 287 569 636 345 481 223 155
Some College/Associate's Degree 1,220a 1,502 402 470 817 1,032 655 789 162 243
College Graduate 756 885 137 126 619 759 529 579 90 180
HEALTH INSURANCE2                    
Private 1,542 1,814 575 587 967 1,227 693a 934 273 293
Medicaid/CHIP 929 1,014 173 215 755 799 574 640 182 159
Other3 455 465 50 84 404 381 231 176 174 205
No Coverage 549 567 110 119 439 448 360 379 79 68
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.12B – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 1.3 1.4 2.6 2.8 1.1 1.2 1.7 2.0 0.5 0.5
GEOGRAPHIC REGION                    
Northeast 1.2 1.2 2.7 3.3 1.0 0.9 1.9 1.6 0.2 0.4
Midwest 1.2 1.5 3.1 3.9 0.9 1.1 1.4a 2.0 0.5 0.5
South 1.2 1.2 2.1 2.1 1.0 1.1 1.6 1.9 0.6 0.3
West 1.5 1.8 2.8 2.7 1.3 1.7 2.1 2.3 0.6 1.0
COUNTY TYPE                    
Large Metro 1.2a 1.5 2.5 2.8 1.0a 1.3 1.7 1.9 0.3a 0.7
Small Metro 1.5 1.4 2.7 2.8 1.3 1.1 1.9 2.1 0.7 0.3
Nonmetro 1.2 1.3 2.6 3.0 1.0 1.1 1.5a 2.2 0.7 0.3
Urbanized 1.2 1.7 3.0 3.4 0.9 1.5 1.8 2.6 0.4 0.6
Less Urbanized 1.2 1.1 2.6 2.5 1.0 0.9 1.3 2.0 0.8 0.2
Completely Rural 1.0 0.8 0.9 3.4 1.0 0.5 0.8 1.2 1.1 0.2
POVERTY LEVEL1                    
Less Than 100% 2.1 2.3 2.7 2.5 1.9 2.2 2.3 3.1 1.3 1.1
100-199% 1.6 1.9 2.5a 3.5 1.4 1.6 2.4 2.1 0.6 1.1
200% or More 1.0 1.1 2.6 2.7 0.8 0.9 1.4a 1.7 0.4 0.3
EDUCATION                    
< High School 1.2 0.8 2.0 1.6 1.1 0.7 1.7 1.4 0.6 0.2
High School Graduate 1.3 1.5 2.4 2.7 1.1 1.3 1.6 2.3 0.7 0.5
Some College/Associate's Degree 1.6a 1.9 3.0 3.5 1.3 1.6 2.1 2.6 0.5 0.7
College Graduate 1.0 1.1 2.5 2.5 0.8 1.0 1.4 1.5 0.2 0.5
HEALTH INSURANCE2                    
Private 0.9 1.1 2.8 2.9 0.7 0.8 1.0a 1.4 0.4 0.4
Medicaid/CHIP 2.5 2.8 2.4 3.0 2.6 2.8 3.6 4.0 1.3 1.3
Other3 0.7 0.7 2.0 3.3 0.6 0.6 3.0 2.4 0.3 0.3
No Coverage 2.2 2.2 2.3 2.5 2.2 2.1 2.5 2.5 1.5 1.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.13A – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 6,021 5,973 1,568 1,617 4,453 4,356 3,294 3,219 1,159 1,136
GENDER                    
Male 3,460 3,354 799 797 2,661 2,557 1,961 1,819 700 738
Female 2,561 2,619 769 820 1,792 1,799 1,333 1,401 459 398
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 5,030 5,045 1,264 1,301 3,766 3,744 2,778 2,665 988 1,079
White 3,922 4,061 924 996 2,997 3,066 2,212 2,173 785 892
Black or African American 691 598 185 177 506 421 328 293 178 127
AIAN 42 32 17 8 25 24 20 17 * 7
NHOPI * 14 * * * 8 * 8 * *
Asian 233 172 91 49 142 123 142 91 * *
Two or More Races 117 168 44 65 74 103 55 82 19 20
Hispanic or Latino 991 927 304 316 687 611 516 554 171 57
CURRENT EMPLOYMENT                    
Full-Time 3,355 3,141 666 724 2,688 2,417 2,266 2,011 422 406
Part-Time 901 1,020 486 426 415 595 331 419 83 176
Unemployed 491 477 147 165 343 312 289 272 55 40
Other1 1,275 1,333 268 302 1,007 1,032 408 517 599 514
* = 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.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.13B – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 2.4 2.4 4.6 4.8 2.1 2.0 3.3 3.2 1.0 1.0
GENDER                    
Male 2.9 2.8 4.7 4.7 2.6 2.5 3.9 3.6 1.3 1.4
Female 2.0 2.0 4.5 4.9 1.6 1.6 2.6 2.7 0.8 0.6
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 2.4 2.4 4.8 5.0 2.1 2.0 3.5 3.3 1.0 1.1
White 2.5 2.6 5.1 5.5 2.1 2.2 3.8 3.8 1.0 1.1
Black or African American 2.3 2.0 3.9 3.8 2.0 1.7 2.6 2.3 1.5 1.0
AIAN 2.8 2.3 7.7 3.6 2.0 2.0 3.3 3.4 * 1.0
NHOPI * 1.4 * * * 1.0 * 1.5 * *
Asian 1.6 1.2 4.0 2.4 1.2 1.0 1.9 1.3 * *
Two or More Races 2.7 3.8 5.8 7.0 2.1 3.0 3.7 4.2 0.9 1.4
Hispanic or Latino 2.4 2.2 4.0 4.1 2.1 1.8 2.5 2.7 1.4 0.4
CURRENT EMPLOYMENT                    
Full-Time 2.7 2.5 4.6 5.1 2.5 2.2 3.3 2.9 1.0 1.0
Part-Time 2.8 3.1 5.6 5.1 1.8 2.5 3.0 3.9 0.7 1.3
Unemployed 4.9 4.8 4.8 5.0 5.0 4.7 6.2 6.4 2.5 1.7
Other1 1.5 1.6 3.5 3.9 1.3 1.4 2.4 3.0 1.0 0.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.14A – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 6,021 5,973 1,568 1,617 4,453 4,356 3,294 3,219 1,159 1,136
GEOGRAPHIC REGION                    
Northeast 1,113 875 282 240 830 635 509 511 321a 124
Midwest 1,259 1,452 326 356 933 1,096 692 717 240 379
South 1,833 1,873 503 591 1,329 1,281 1,052 1,011 278 270
West 1,816 1,773 456 430 1,361 1,343 1,041 981 320 363
COUNTY TYPE                    
Large Metro 3,532 3,520 844 946 2,689 2,574 2,024 2,085 665 489
Small Metro 1,757 1,661 541 499 1,216 1,163 893 773 323 390
Nonmetro 732 791 183 172 548 619 378 362 171 257
Urbanized 363 408 96 97 267 311 209 149 58 162
Less Urbanized 319 336 75 69 244 268 158 182 86 86
Completely Rural 50 47 12 6 37 40 10 31 27 *
POVERTY LEVEL1                    
Less Than 100% 1,240 1,019 392 367 848 653 535 437 313 216
100-199% 1,166 1,181 363 319 803 861 587 593 216 269
200% or More 3,559 3,717 757 875 2,802 2,841 2,172 2,190 630 652
EDUCATION                    
< High School 813 696 194 210 619 486 299 265 320 221
High School Graduate 1,384 1,407 334a 443 1,050 964 787 726 263 238
Some College/Associate's Degree 2,176 1,998 772 696 1,404 1,302 1,112 945 292 357
College Graduate 1,648 1,872 267 269 1,380 1,604 1,096 1,284 284 320
HEALTH INSURANCE2                    
Private 3,422 3,407 992 1,074 2,430 2,333 1,876 1,772 554 562
Medicaid/CHIP 1,459 1,274 306 297 1,153 977 734 681 419 296
Other3 764 947 108 115 656 831 304 280 352 551
No Coverage 899 957 201 224 699 733 577 653 122 79
* = 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.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.14B – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
TOTAL 2.4 2.4 4.6 4.8 2.1 2.0 3.3 3.2 1.0 1.0
GEOGRAPHIC REGION                    
Northeast 2.5 2.0 4.8 4.2 2.2 1.7 3.0 3.0 1.5a 0.6
Midwest 2.4 2.8 4.5 5.0 2.1 2.4 3.4 3.5 1.0 1.5
South 1.9 2.0 3.9 4.7 1.6 1.6 2.7 2.6 0.6 0.6
West 3.1 3.0 5.6 5.3 2.7 2.6 4.1 3.9 1.2 1.4
COUNTY TYPE                    
Large Metro 2.5 2.5 4.4 5.0 2.2 2.1 3.4 3.5 1.1 0.8
Small Metro 2.4 2.2 5.1 4.7 1.9 1.8 3.1 2.7 0.9 1.1
Nonmetro 2.0 2.3 4.2 4.0 1.7 2.1 3.1 3.0 0.9 1.4
Urbanized 2.2 2.8 4.9 4.8 1.9 2.5 3.7 2.8 0.7 2.3
Less Urbanized 2.0 2.1 3.6 3.6 1.7 1.9 2.8 3.2 1.0 1.0
Completely Rural 1.5 1.2 3.6 1.7 1.2 1.1 1.1 2.3 1.3 *
POVERTY LEVEL1                    
Less Than 100% 3.6 3.2 4.7 4.6 3.2 2.7 3.7 3.3 2.7 2.0
100-199% 2.4 2.5 4.4 4.1 2.0 2.2 3.0 3.1 1.0 1.3
200% or More 2.2 2.2 4.5 5.2 1.9 1.9 3.2 3.2 0.8 0.8
EDUCATION                    
< High School 2.6 2.3 4.1 4.5 2.4 1.9 2.6 2.4 2.1 1.5
High School Graduate 2.2 2.3 3.2a 4.2 2.1 1.9 3.8 3.5 0.9 0.8
Some College/Associate's Degree 2.8 2.6 5.7 5.2 2.2 2.0 3.6 3.1 0.9 1.1
College Graduate 2.1 2.3 4.9 5.4 1.9 2.1 2.9 3.3 0.8 0.8
HEALTH INSURANCE2                    
Private 2.1 2.1 4.8 5.3 1.7 1.6 2.8 2.7 0.7 0.7
Medicaid/CHIP 4.0 3.6 4.2 4.1 3.9 3.4 4.6 4.2 3.1 2.4
Other3 1.1 1.4 4.2 4.5 1.0 1.3 3.9 3.8 0.6 0.9
No Coverage 3.7 3.7 4.2 4.6 3.5 3.5 4.0 4.3 2.3 1.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.15A – Any Mental Illness and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Past Year Probation Status and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Any
Mental
Illness
Among
Adults
Total1
(2018)
Any
Mental
Illness
Among
Adults
Total1
(2019)
Any
Mental
Illness
Among
Adults
On
Probation
(2018)
Any
Mental
Illness
Among
Adults
On
Probation
(2019)
Any
Mental
Illness
Among
Adults
Not on
Probation
(2018)
Any
Mental
Illness
Among
Adults
Not on
Probation
(2019)
Serious
Mental
Illness
Among
Adults
Total1
(2018)
Serious
Mental
Illness
Among
Adults
Total1
(2019)
Serious
Mental
Illness
Among
Adults
On
Probation
(2018)
Serious
Mental
Illness
Among
Adults
On
Probation
(2019)
Serious
Mental
Illness
Among
Adults
Not on
Probation
(2018)
Serious
Mental
Illness
Among
Adults
Not on
Probation
(2019)
TOTAL 18 OR OLDER 47,635a 51,495 1,274 1,461 46,308a 49,986 11,373a 13,115 492 445 10,873a 12,667
AGE GROUP                        
18-49 31,666a 35,209 1,084 1,225 30,529a 33,961 8,525a 9,746 406 393 8,110a 9,350
18-25 8,944a 9,930 257 282 8,666a 9,638 2,619a 2,899 112 72 2,504a 2,827
26-34 10,613a 11,933 383 496 10,225a 11,437 2,921 3,238 108 189 2,811 3,049
35-49 12,108a 13,346 443 448 11,637a 12,886 2,986a 3,609 186 132 2,794a 3,474
GENDER/AGE GROUP                        
Male 18 or Older 18,308a 19,758 707a 943 17,557a 18,786 4,025a 4,668 255 251 3,763a 4,414
Male 18-49 12,563a 13,740 623 778 11,896a 12,958 3,133 3,422 208 236 2,918 3,183
Female 18 or Older 29,327a 31,737 567 518 28,751a 31,199 7,348a 8,447 237 193 7,110a 8,254
Female 18-49 19,103a 21,469 461 448 18,632a 21,003 5,393a 6,324 198 157 5,192a 6,167
* = 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.
1 The Total column includes respondents with unknown past year probation status.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.15B – Any Mental Illness and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Past Year Probation Status and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Any
Mental
Illness
Among
Adults
Total1
(2018)
Any
Mental
Illness
Among
Adults
Total1
(2019)
Any
Mental
Illness
Among
Adults
On
Probation
(2018)
Any
Mental
Illness
Among
Adults
On
Probation
(2019)
Any
Mental
Illness
Among
Adults
Not on
Probation
(2018)
Any
Mental
Illness
Among
Adults
Not on
Probation
(2019)
Serious
Mental
Illness
Among
Adults
Total1
(2018)
Serious
Mental
Illness
Among
Adults
Total1
(2019)
Serious
Mental
Illness
Among
Adults
On
Probation
(2018)
Serious
Mental
Illness
Among
Adults
On
Probation
(2019)
Serious
Mental
Illness
Among
Adults
Not on
Probation
(2018)
Serious
Mental
Illness
Among
Adults
Not on
Probation
(2019)
TOTAL 18 OR OLDER 19.1a 20.6 34.0 38.2 19.0a 20.3 4.6a 5.2 13.1 11.6 4.5a 5.2
AGE GROUP                        
18-49 23.5a 26.1 36.2 40.1 23.2a 25.8 6.3a 7.2 13.5 12.8 6.2a 7.1
18-25 26.3a 29.4 28.3 34.3 26.3a 29.4 7.7a 8.6 12.3 8.7 7.6a 8.6
26-34 26.5a 29.6 37.9 45.4 26.4a 29.2 7.3 8.0 10.7 17.3 7.2 7.8
35-49 19.9a 21.9 41.1 39.2 19.5a 21.6 4.9a 5.9 17.3 11.6 4.7a 5.8
GENDER/AGE GROUP                        
Male 18 or Older 15.2a 16.3 27.3a 35.4 15.0a 15.9 3.4a 3.9 9.8 9.4 3.2a 3.7
Male 18-49 18.8a 20.5 30.4 36.2 18.5a 20.1 4.7 5.1 10.1 11.0 4.5 4.9
Female 18 or Older 22.8a 24.5 49.2 44.8 22.6a 24.4 5.7a 6.5 20.5 16.7 5.6a 6.4
Female 18-49 28.1a 31.5 48.7 49.1 27.9a 31.3 7.9a 9.3 21.0 17.2 7.8a 9.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown past year probation status.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.16A – Any Mental Illness and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Past Year Parole/Supervised Release Status and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Any
Mental
Illness
Among
Adults
Total1
(2018)
Any
Mental
Illness
Among
Adults
Total1
(2019)
Any
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2018)
Any
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2019)
Any
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2018)
Any
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2019)
Serious
Mental
Illness
Among
Adults
Total1
(2018)
Serious
Mental
Illness
Among
Adults
Total1
(2019)
Serious
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2018)
Serious
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2019)
Serious
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2018)
Serious
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2019)
TOTAL 18 OR OLDER 47,635a 51,495 537 514 47,069a 50,955 11,373a 13,115 226 134 11,148a 12,978
AGE GROUP                        
18-49 31,666a 35,209 432 446 31,205a 34,738 8,525a 9,746 146 126 8,379a 9,617
18-25 8,944a 9,930 64 76 8,870a 9,841 2,619a 2,899 * 11 2,589a 2,887
26-34 10,613a 11,933 * * 10,465a 11,774 2,921 3,238 * * 2,888 3,174
35-49 12,108a 13,346 220 212 11,870a 13,123 2,986a 3,609 83 * 2,902a 3,556
GENDER/AGE GROUP                        
Male 18 or Older 18,308a 19,758 345 373 17,942a 19,381 4,025a 4,668 133 83 3,892a 4,582
Male 18-49 12,563a 13,740 269 317 12,272a 13,420 3,133 3,422 83 75 3,050 3,344
Female 18 or Older 29,327a 31,737 * * 29,127a 31,574 7,348a 8,447 * * 7,255a 8,396
Female 18-49 19,103a 21,469 * * 18,933a 21,319 5,393a 6,324 * * 5,330a 6,273
* = 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.
1 The Total column includes respondents with unknown past year parole/supervised release status.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200414
Table 8.16B – Any Mental Illness and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Past Year Parole/Supervised Release Status and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Any
Mental
Illness
Among
Adults
Total1
(2018)
Any
Mental
Illness
Among
Adults
Total1
(2019)
Any
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2018)
Any
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2019)
Any
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2018)
Any
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2019)
Serious
Mental
Illness
Among
Adults
Total1
(2018)
Serious
Mental
Illness
Among
Adults
Total1
(2019)
Serious
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2018)
Serious
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2019)
Serious
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2018)
Serious
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2019)
TOTAL 18 OR OLDER 19.1a 20.6 35.1 34.3 19.1a 20.5 4.6a 5.2 14.8 8.9 4.5a 5.2
AGE GROUP                        
18-49 23.5a 26.1 37.0 36.7 23.4a 26.0 6.3a 7.2 12.5 10.4 6.3a 7.2
18-25 26.3a 29.4 25.3 30.9 26.3a 29.5 7.7a 8.6 * 4.7 7.7a 8.6
26-34 26.5a 29.6 * * 26.5a 29.6 7.3 8.0 * * 7.3 8.0
35-49 19.9a 21.9 40.4 37.1 19.7a 21.8 4.9a 5.9 15.3 * 4.8a 5.9
GENDER/AGE GROUP                        
Male 18 or Older 15.2a 16.3 29.7 32.6 15.1a 16.2 3.4a 3.9 11.5 7.3 3.3a 3.8
Male 18-49 18.8a 20.5 30.7 34.0 18.7a 20.4 4.7 5.1 9.5 8.1 4.6 5.1
Female 18 or Older 22.8a 24.5 * * 22.7a 24.5 5.7a 6.5 * * 5.7a 6.5
Female 18-49 28.1a 31.5 * * 28.0a 31.5 7.9a 9.3 * * 7.9a 9.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown past year parole/supervised release status.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.17A – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
TOTAL 37,101a 40,154 20,579a 22,953 7,277a 8,575 13,302a 14,378 16,522 17,201
AGE GROUP                    
18-25 5,120a 5,756 3,328a 3,846 1,406a 1,626 1,922a 2,220 1,792 1,910
26 or Older 31,981a 34,397 17,251a 19,107 5,870a 6,949 11,381 12,158 14,730 15,291
26-49 16,113a 17,931 9,950a 11,452 3,753a 4,455 6,198a 6,997 6,163 6,480
50 or Older 15,868 16,466 7,301 7,655 2,118 2,494 5,183 5,161 8,567 8,811
GENDER                    
Male 12,096a 13,428 6,372a 7,217 2,267 2,634 4,104 4,584 5,724 6,210
Female 25,006a 26,726 14,207a 15,735 5,009a 5,942 9,198 9,794 10,798 10,991
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 33,573a 36,188 18,330a 20,456 6,453a 7,516 11,877a 12,940 15,243 15,732
White 29,151a 31,158 15,761a 17,548 5,418a 6,291 10,343a 11,257 13,390 13,610
Black or African American 2,555 2,897 1,468 1,688 625 686 844 1,001 1,087 1,210
AIAN 211 192 * * * * * * 85 92
NHOPI 98 59 * * * * * * 6 21
Asian 894 1,012 518 487 * * 385 265 376 525
Two or More Races 664 869 365a 596 * * 189a 341 300 274
Hispanic or Latino 3,528 3,965 2,249 2,497 823 1,059 1,425 1,437 1,279 1,469
CURRENT EMPLOYMENT                    
Full-Time 16,601 17,316 8,828a 9,918 2,829a 3,483 5,999 6,435 7,773 7,399
Part-Time 5,601a 6,400 3,175 3,465 1,187 1,343 1,988 2,122 2,426a 2,935
Unemployed 1,471 1,715 1,034 1,105 467 514 567 591 437a 610
Other2 13,429a 14,722 7,542a 8,465 2,794 3,235 4,749 5,230 5,886 6,257
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.17B – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
TOTAL 15.0a 16.1 43.3 44.8 64.1 65.5 36.8 37.6 8.3 8.7
AGE GROUP                    
18-25 15.2a 17.2 37.3 38.9 53.8 56.4 30.5 31.7 7.2a 8.1
26 or Older 15.0a 16.0 44.7 46.1 67.2 68.1 38.1 39.0 8.4 8.8
26-49 16.1a 17.8 43.9 45.4 63.7 65.1 36.9 38.1 7.9 8.6
50 or Older 14.0 14.4 45.8 47.2 74.4 74.3 39.6 40.2 8.8 8.9
GENDER                    
Male 10.1a 11.2 34.9 36.8 56.4 56.5 28.8 30.7 5.7 6.2
Female 19.5a 20.8 48.6 49.7 68.3 70.5 42.0 42.1 10.9 11.3
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 16.2a 17.4 45.1 46.6 65.3 67.8 38.6 39.4 9.2 9.6
White 18.6a 19.8 49.1 50.3 67.2 70.5 43.0 43.4 10.7 11.1
Black or African American 8.7 9.8 30.6 32.9 58.0 57.9 22.7 25.4 4.4 4.9
AIAN 14.1 13.9 * * * * * * 7.3 8.3
NHOPI 10.9 6.1 * * * * * * 0.8 2.6
Asian 6.3 7.0 24.9 23.3 * * 21.7 16.1 3.1 4.3
Two or More Races 15.4 20.0 31.8a 43.0 * * 22.3a 34.9 9.5 9.2
Hispanic or Latino 8.8 9.7 32.9 33.9 56.0 52.8 26.6 26.8 3.8 4.4
CURRENT EMPLOYMENT                    
Full-Time 13.5 14.0 40.5 41.7 58.8 61.3 35.3 35.6 7.7 7.4
Part-Time 17.5a 19.8 44.9 42.7 63.8 60.3 38.2 36.1 9.7a 12.1
Unemployed 14.9 17.4 37.6 40.4 59.2 61.6 28.9 31.1 6.1a 8.6
Other2 16.3a 17.7 47.4 50.8 71.8 74.4 39.6 42.5 8.9 9.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.18A – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
TOTAL 37,101a 40,154 20,579a 22,953 7,277a 8,575 13,302a 14,378 16,522 17,201
GEOGRAPHIC REGION                    
Northeast 7,369 7,503 3,771 4,048 1,184 1,406 2,588 2,642 3,597 3,455
Midwest 8,868a 9,740 4,842a 5,682 1,780 2,032 3,062a 3,651 4,027 4,058
South 12,569 13,503 7,057 7,650 2,625 2,902 4,432 4,747 5,512 5,853
West 8,296a 9,407 4,909 5,573 1,688a 2,235 3,221 3,338 3,387 3,835
COUNTY TYPE                    
Large Metro 19,362a 21,410 10,585a 12,293 3,587a 4,439 6,998a 7,854 8,777 9,117
Small Metro 12,252 12,970 7,058 7,273 2,605 2,812 4,453 4,461 5,194 5,698
Nonmetro 5,486 5,774 2,935a 3,387 1,084 1,324 1,851 2,063 2,551 2,386
Urbanized 2,585 2,557 1,314 1,509 481 560 834 949 1,271 1,048
Less Urbanized 2,338 2,684 1,292a 1,587 458 621 834 966 1,046 1,097
Completely Rural 563 532 329 291 * * * 148 234 241
POVERTY LEVEL2                    
Less Than 100% 5,832 5,578 4,052 3,860 1,774 1,692 2,278 2,168 1,780 1,718
100-199% 6,116a 7,403 3,753a 4,762 1,470a 2,000 2,283a 2,762 2,363 2,641
200% or More 25,042a 26,957 12,707a 14,184 4,009a 4,847 8,698 9,337 12,335 12,773
EDUCATION                    
< High School 3,172 3,382 1,877 2,062 788 821 1,089 1,241 1,295 1,320
High School Graduate 7,167 7,939 4,263 4,550 1,622 1,793 2,641 2,757 2,904 3,389
Some College/Associate's Degree 12,994 13,772 7,776 8,333 3,011 3,470 4,765 4,862 5,218 5,439
College Graduate 13,768a 15,061 6,663a 8,008 1,856a 2,491 4,807a 5,517 7,105 7,054
HEALTH INSURANCE3                    
Private 24,849a 26,711 12,721a 14,061 3,922a 4,725 8,800 9,336 12,128 12,650
Medicaid/CHIP 6,834a 8,131 4,749a 5,553 2,033a 2,540 2,716 3,013 2,085a 2,578
Other4 10,363 10,935 5,050 5,633 1,791 2,053 3,259 3,580 5,313 5,301
No Coverage 1,985 2,048 1,463 1,419 714 665 749 755 522 629
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: 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.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.18B – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
TOTAL 15.0a 16.1 43.3 44.8 64.1 65.5 36.8 37.6 8.3 8.7
GEOGRAPHIC REGION                    
Northeast 16.9 17.3 45.6 47.2 65.6 68.3 40.0 40.5 10.2 9.9
Midwest 17.2a 18.8 47.1 49.6 67.5 69.7 40.0 42.8 9.7 10.0
South 13.4 14.3 41.8 42.1 65.5 61.1 34.4 35.4 7.2 7.7
West 14.1a 15.9 40.8 42.6 58.1a 66.5 35.3 34.4 7.3 8.3
COUNTY TYPE                    
Large Metro 14.1a 15.4 41.2 43.6 62.5 65.9 35.1 36.6 7.8 8.2
Small Metro 16.6 17.2 46.3 46.0 66.4 64.9 39.3 38.9 8.9 9.6
Nonmetro 15.4 16.8 44.6 46.5 64.1 65.7 37.9 39.2 8.8 8.8
Urbanized 16.0 17.9 41.7a 48.9 63.8 63.2 34.7a 43.1 9.8 9.4
Less Urbanized 14.4a 16.7 46.3 44.9 61.4 67.0 40.8 37.1 7.8 8.7
Completely Rural 17.1 13.6 51.9 44.3 * * * 32.6 8.8 7.4
POVERTY LEVEL2                    
Less Than 100% 17.1 17.5 44.8 44.9 65.3 65.6 35.9 36.0 7.1 7.4
100-199% 12.5a 15.6 37.3a 42.4 60.4 62.2 29.9a 34.5 6.1a 7.3
200% or More 15.3 16.0 45.1 45.6 65.1 67.2 39.5 39.0 9.1 9.3
EDUCATION                    
< High School 10.4 11.3 33.5 37.7 64.9 64.1 24.8 29.6 5.2 5.4
High School Graduate 11.7a 13.2 38.4 39.2 57.7 58.1 31.9 32.4 5.8a 7.0
Some College/Associate's Degree 16.9 18.0 45.5 45.8 66.2 64.9 38.0 37.8 8.7 9.3
College Graduate 17.4 18.3 48.6 50.1 66.8a 73.9 44.0 43.7 10.9 10.7
HEALTH INSURANCE3                    
Private 15.1a 16.2 45.2 45.8 65.8 67.1 39.6 39.5 8.9 9.4
Medicaid/CHIP 18.7a 22.9 45.7a 50.1 68.3 70.8 36.6 40.3 8.0a 10.6
Other4 15.3 15.9 45.5 48.8 76.6 77.8 37.2 40.2 9.4 9.3
No Coverage 8.2 8.0 27.4 25.5 47.1 42.8 19.6 18.8 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: 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.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.19A – Received Inpatient Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic/Socioeconomic Characteristic Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
TOTAL 2,366 2,371 1,580 1,674 824 974 756 699 786 697
AGE GROUP                    
18-25 545 567 415 436 247 262 167 174 130 131
26 or Older 1,822 1,804 1,166 1,238 577 713 588 525 656 566
26-49 1,021 955 753 730 374 494 378a 236 268 225
50 or Older 801 850 413 508 203 219 210 289 388 341
GENDER                    
Male 1,042 1,077 728 683 357 333 371 350 315 394
Female 1,324 1,294 853 991 467 642 385 349 472 303
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 1,897 1,995 1,252 1,385 671 797 581 588 645 610
White 1,306 1,298 944 1,009 528 641 416 368 362 289
Black or African American 449 463 226 260 102 93 125 167 223 203
AIAN 27 18 11 * * * * * 16 5
NHOPI * 4 * * * * * * * 1
Asian 58 131 24 52 * 19 9 33 34 78
Two or More Races 56 81 47 47 24 38 23 10 10 33
Hispanic or Latino 469 377 328 289 153 177 175 111 141 88
HEALTH INSURANCE2                    
Private 855 841 530 564 291 386 239 178 325 277
Medicaid/CHIP 1,008 1,125 714 804 380 451 333 353 294 321
Other3 831 811 440 530 209 246 231 284 391 281
No Coverage 251 260 221 182 121 103 101 79 30 78
CURRENT EMPLOYMENT                    
Full-Time 571 594 419 441 217 291 203 150 152 153
Part-Time 285 284 212 196 133 128 79 68 73 88
Unemployed 205 314 133 206 72 117 61 89 71 108
Other4 1,306 1,179 816 831 402 439 413 392 490 348
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.19B – Received Inpatient Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Demographic/Socioeconomic Characteristic Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
TOTAL 1.0 1.0 3.3 3.3 7.3 7.4 2.1 1.8 0.4 0.4
AGE GROUP                    
18-25 1.6 1.7 4.6 4.4 9.4 9.0 2.7 2.5 0.5 0.6
26 or Older 0.9 0.8 3.0 3.0 6.6 7.0 2.0 1.7 0.4 0.3
26-49 1.0 0.9 3.3 2.9 6.3 7.2 2.3a 1.3 0.3 0.3
50 or Older 0.7 0.7 2.6 3.1 7.1 6.5 1.6 2.2 0.4 0.3
GENDER                    
Male 0.9 0.9 4.0 3.5 8.9 7.1 2.6 2.3 0.3 0.4
Female 1.0 1.0 2.9 3.1 6.4 7.6 1.8 1.5 0.5 0.3
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 0.9 1.0 3.1 3.1 6.8 7.2 1.9 1.8 0.4 0.4
White 0.8 0.8 2.9 2.9 6.5 7.2 1.7 1.4 0.3 0.2
Black or African American 1.5 1.6 4.7 5.1 9.4 7.9 3.4 4.2 0.9 0.8
AIAN 1.8 1.3 3.2 * * * * * 1.4 0.5
NHOPI * 0.4 * * * * * * * 0.1
Asian 0.4 0.9 1.2 2.5 * 4.2 0.5 2.0 0.3 0.6
Two or More Races 1.3 1.8 4.1 3.4 8.0 9.2 2.7 1.0 0.3 1.1
Hispanic or Latino 1.2 0.9 4.8 3.9 10.4 8.8 3.3 2.1 0.4 0.3
HEALTH INSURANCE2                    
Private 0.5 0.5 1.9 1.8 4.9 5.5 1.1 0.8 0.2 0.2
Medicaid/CHIP 2.8 3.2 6.9 7.2 12.8 12.5 4.5 4.7 1.1 1.3
Other3 1.2 1.2 3.9 4.6 8.9 9.3 2.6 3.2 0.7 0.5
No Coverage 1.0 1.0 4.1 3.2 7.9 6.6 2.6 2.0 0.2 0.4
CURRENT EMPLOYMENT                    
Full-Time 0.5 0.5 1.9 1.9 4.5 5.1 1.2 0.8 0.1 0.2
Part-Time 0.9 0.9 3.0 2.4 7.2 5.8 1.5 1.1 0.3 0.4
Unemployed 2.1 3.2 4.9 7.5 9.1 13.9 3.1 4.7 1.0 1.5
Other4 1.6 1.4 5.1 5.0 10.3 10.1 3.4 3.2 0.7 0.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.20A – Received Outpatient Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic/Socioeconomic Characteristic Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
TOTAL 19,461 20,561 12,377a 13,855 4,970a 5,773 7,407 8,082 7,084 6,706
AGE GROUP                    
18-25 3,131a 3,456 2,174a 2,562 976a 1,135 1,199a 1,426 956 894
26 or Older 16,330 17,105 10,203a 11,293 3,994a 4,638 6,208 6,656 6,128 5,812
26-49 8,805a 9,893 6,033a 7,100 2,496a 3,078 3,537a 4,022 2,771 2,793
50 or Older 7,526 7,213 4,169 4,194 1,498 1,559 2,671 2,634 3,356 3,019
GENDER                    
Male 6,442 6,821 3,911 4,316 1,613 1,720 2,299 2,596 2,530 2,505
Female 13,019 13,740 8,466a 9,540 3,357a 4,053 5,108 5,486 4,554 4,201
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 17,587 18,280 11,070a 12,281 4,420a 5,064 6,650 7,217 6,517 6,000
White 15,105 15,298 9,495a 10,333 3,677a 4,195 5,817 6,138 5,611 4,965
Black or African American 1,307a 1,701 812a 1,149 445 487 366a 662 495 552
AIAN 109 99 * * * * * * 48 47
NHOPI 59 31 * * * * * * * 13
Asian 575 635 364 304 * * 269 147 211 331
Two or More Races 432 517 280a 425 * 192 129a 233 152 91
Hispanic or Latino 1,874a 2,281 1,307 1,575 550 709 757 865 567 706
HEALTH INSURANCE2                    
Private 13,034 13,428 7,751a 8,576 2,690a 3,189 5,060 5,387 5,283 4,852
Medicaid/CHIP 3,767a 4,494 2,924a 3,457 1,397a 1,744 1,527 1,713 843 1,037
Other3 5,105 5,198 2,943 3,307 1,213 1,387 1,730 1,920 2,162 1,891
No Coverage 973 986 746 759 415 427 332 333 226 227
CURRENT EMPLOYMENT                    
Full-Time 8,678 8,876 5,241a 5,941 1,844a 2,230 3,397 3,711 3,436a 2,935
Part-Time 3,269 3,599 2,088 2,292 912 970 1,176 1,322 1,180 1,307
Unemployed 768 930 586 678 296 374 291 305 182 251
Other4 6,747 7,156 4,461 4,944 1,918 2,199 2,542 2,746 2,286 2,212
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.20B – Received Outpatient Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Demographic/Socioeconomic Characteristic Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
TOTAL 7.9 8.3 26.1 27.1 43.9 44.2 20.5 21.2 3.5 3.4
AGE GROUP                    
18-25 9.3a 10.3 24.5 26.0 37.5 39.6 19.1 20.4 3.8 3.8
26 or Older 7.6 7.9 26.5 27.3 45.8 45.6 20.8 21.4 3.5 3.3
26-49 8.8a 9.8 26.7 28.2 42.5 45.1 21.1 21.9 3.6 3.7
50 or Older 6.6 6.3 26.2 25.9 52.7 46.4 20.4 20.5 3.4 3.1
GENDER                    
Male 5.4 5.7 21.5 22.0 40.2 37.0 16.2 17.3 2.5 2.5
Female 10.2 10.7 29.0 30.2 46.0 48.3 23.3 23.7 4.6 4.3
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 8.5 8.8 27.3 28.0 44.9 45.8 21.6 22.0 3.9 3.7
White 9.6 9.7 29.6 29.7 45.8 47.1 24.2 23.7 4.5 4.1
Black or African American 4.5a 5.7 16.9a 22.4 41.4 41.7 9.9a 16.7 2.0 2.3
AIAN 7.3 7.2 * * * * * * 4.2 4.3
NHOPI 6.5 3.2 * * * * * * * 1.6
Asian 4.1 4.4 17.6 14.6 * * 15.2 9.0 1.7 2.7
Two or More Races 10.1 11.8 24.4 30.7 * 47.0 15.2 23.8 4.9 3.1
Hispanic or Latino 4.7 5.6 19.2 21.4 37.4 35.5 14.1 16.2 1.7 2.1
HEALTH INSURANCE2                    
Private 7.9 8.1 27.5 28.0 45.2 45.4 22.8 22.8 3.9 3.6
Medicaid/CHIP 10.3a 12.7 28.3 31.3 47.2 48.9 20.7 22.9 3.2a 4.3
Other3 7.5 7.6 26.5 28.7 52.2 52.6 19.7 21.6 3.8 3.3
No Coverage 4.0 3.8 14.0 13.7 27.5 27.5 8.7 8.3 1.2 1.1
CURRENT EMPLOYMENT                    
Full-Time 7.0 7.2 24.1 25.0 38.4 39.3 20.0 20.5 3.4 2.9
Part-Time 10.2 11.1 29.6 28.3 49.2 43.9 22.6 22.5 4.7 5.4
Unemployed 7.8 9.5 21.4 24.9 37.7 45.5 14.8 16.1 2.5 3.5
Other4 8.2 8.6 28.1 29.8 49.5 50.6 21.2 22.4 3.4 3.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.21A – Received Prescription Medication as a Type of Mental Health Service in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic/Socioeconomic Characteristic Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
TOTAL 30,115a 32,629 17,219a 18,854 6,420a 7,402 10,799 11,452 12,896 13,775
AGE GROUP                    
18-25 3,769a 4,165 2,547a 2,854 1,101a 1,297 1,446 1,557 1,222 1,312
26 or Older 26,346a 28,464 14,672a 16,000 5,319a 6,105 9,353 9,895 11,674 12,464
26-49 12,990a 14,388 8,294a 9,422 3,395a 3,860 4,899a 5,562 4,696 4,966
50 or Older 13,356 14,076 6,378 6,578 1,924 2,246 4,455 4,333 6,978 7,498
GENDER                    
Male 9,566a 10,700 5,185a 5,868 1,948 2,229 3,237 3,639 4,381 4,832
Female 20,549a 21,929 12,035a 12,986 4,473a 5,173 7,562 7,813 8,515 8,943
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 27,384a 29,627 15,429a 16,860 5,722a 6,473 9,706 10,386 11,956 12,767
White 24,253a 26,094 13,461a 14,744 4,859a 5,492 8,602 9,252 10,791 11,350
Black or African American 1,885 1,941 1,158 1,176 525 521 633 656 727 764
AIAN 174 152 * * * * * * 60 67
NHOPI 57 51 * * * * * * 6 19
Asian 507 702 345 356 * * 240 159 162 346
Two or More Races 509 687 298a 466 * 209 150a 257 210 221
Hispanic or Latino 2,731 3,003 1,791 1,994 698 929 1,093 1,065 940 1,009
HEALTH INSURANCE2                    
Private 19,988a 21,701 10,480a 11,403 3,438a 4,020 7,042 7,383 9,508 10,298
Medicaid/CHIP 5,684a 6,743 4,094a 4,736 1,814a 2,274 2,280 2,462 1,590a 2,007
Other3 8,679 9,117 4,362 4,777 1,624 1,823 2,739 2,955 4,316 4,339
No Coverage 1,582 1,540 1,195 1,093 604 540 591 553 387 447
CURRENT EMPLOYMENT                    
Full-Time 13,123 13,917 7,217a 8,002 2,450a 2,914 4,768 5,088 5,905 5,915
Part-Time 4,518 4,926 2,614 2,720 995 1,120 1,620 1,600 1,904 2,206
Unemployed 1,196 1,374 900 908 422 449 478 459 295a 466
Other4 11,279a 12,412 6,488 7,224 2,554 2,919 3,934 4,304 4,791 5,188
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.21B – Received Prescription Medication as a Type of Mental Health Service in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Demographic/Socioeconomic Characteristic Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
TOTAL 12.2a 13.1 36.2 36.7 56.5 56.5 29.9 29.9 6.4a 7.0
AGE GROUP                    
18-25 11.1a 12.4 28.6 28.8 42.1 44.8 22.9 22.2 4.9 5.6
26 or Older 12.3a 13.2 38.0 38.5 60.8 59.8 31.3 31.6 6.7 7.2
26-49 12.9a 14.3 36.6 37.3 57.6 56.4 29.2 30.2 6.0 6.6
50 or Older 11.8 12.3 40.0 40.4 67.5 66.7 34.0 33.6 7.2 7.6
GENDER                    
Male 8.0a 8.9 28.4 29.8 48.5 47.8 22.8 24.2 4.3 4.8
Female 16.0a 17.0 41.1 41.0 60.9 61.3 34.4 33.6 8.6 9.2
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 13.2a 14.2 37.9 38.3 57.9 58.3 31.5 31.6 7.2a 7.8
White 15.4a 16.6 41.8 42.2 60.2 61.5 35.7 35.6 8.6 9.3
Black or African American 6.4 6.5 24.2 22.9 48.8 43.9 17.1 16.6 3.0 3.1
AIAN 11.6 11.1 * * * * * * 5.1 6.0
NHOPI 6.3 5.2 * * * * * * 0.8 2.3
Asian 3.6 4.8 16.6 17.1 * * 13.5 9.8 1.3 2.8
Two or More Races 11.8 15.8 25.9 33.5 * 51.0 17.7 26.2 6.7 7.4
Hispanic or Latino 6.8 7.3 26.2 26.8 47.4 46.3 20.4 19.6 2.8 3.0
HEALTH INSURANCE2                    
Private 12.1a 13.2 37.2 37.1 57.5 57.0 31.7 31.2 7.0a 7.7
Medicaid/CHIP 15.6a 19.0 39.4 42.6 61.1 63.2 30.7 32.8 6.1a 8.2
Other3 12.8 13.3 39.3 41.3 69.6 69.1 31.2 33.1 7.6 7.6
No Coverage 6.5 6.0 22.3 19.5 39.7 34.7 15.4 13.6 2.0 2.2
CURRENT EMPLOYMENT                    
Full-Time 10.6 11.2 33.1 33.6 50.9 51.3 28.1 28.1 5.8 5.9
Part-Time 14.1 15.2 36.9 33.5 53.4 50.2 31.0 27.1 7.6 9.1
Unemployed 12.1 13.9 32.8 33.1 53.5 53.5 24.4 24.1 4.1a 6.5
Other4 13.7a 14.9 40.8 43.2 65.6 67.0 32.8 34.8 7.2 7.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.22A – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness and Age Group: Numbers in Thousands, 2018 and 2019
Co-Occurring Substance Use
Disorder (SUD) and Level of
Mental Illness/Age Group
Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2018)
Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2019)
Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2018)
Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2019)
Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2018)
Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2019)
Received
SU Tx at a
Specialty
Facility AND
MH Services
(2018)
Received
SU Tx at a
Specialty
Facility AND
MH Services
(2019)
SUD and Any Mental Illness 4,709 4,596 303 182 3,758 3,664 645 742
18-25 1,067 1,109 49 35 924 941 90 130
26 or Older 3,642 3,486 254 147 2,834 2,723 555 613
26-49 2,481 2,486 127 113 1,942 1,925 412 445
50 or Older 1,162 1,000 * 35 892 798 143 167
SUD and Serious Mental Illness 2,197 2,371 84 68 1,767 1,852 345 452
18-25 529 577 14 19 464 491 51 67
26 or Older 1,668 1,794 71 48 1,303 1,361 295 385
26-49 1,157 1,325 33 48 888 972 237 305
50 or Older * * * * * * * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 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, 2018 and 2019.
200413
Table 8.22B – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness and Age Group: Percentages, 2018 and 2019
Co-Occurring Substance Use
Disorder (SUD) and Level of
Mental Illness/Age Group
Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2018)
Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2019)
Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2018)
Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2019)
Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2018)
Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2019)
Received
SU Tx at a
Specialty
Facility AND
MH Services
(2018)
Received
SU Tx at a
Specialty
Facility AND
MH Services
(2019)
SUD and Any Mental Illness 51.4 48.6 3.3 1.9 41.0 38.7 7.0 7.8
18-25 43.8 43.3 2.0 1.4 37.9 36.7 3.7 5.0
26 or Older 54.1 50.5 3.8 2.1 42.1 39.5 8.2 8.8
26-49 49.5 48.1 2.5 2.2 38.7 37.2 8.2 8.5
50 or Older 67.6 57.9 * 2.0 51.9 46.2 8.3 9.6
SUD and Serious Mental Illness 69.5 66.6 2.7 1.9 55.9 52.0 10.9 12.7
18-25 60.1 60.5 1.5 2.0 52.8 51.4 5.8 7.0
26 or Older 73.1 68.9 3.1 1.9 57.1 52.2 12.9 14.8
26-49 67.2 66.3 1.9 2.4 51.6 48.6 13.7 15.3
50 or Older * * * * * * * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 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, 2018 and 2019.
200413
Table 8.23A – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Past Year Level of Mental Illness: Numbers in Thousands, 2018 and 2019
Location of Mental Health Services1 Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness2
(2018)
No
Mental
Illness2
(2019)
Outpatient Mental Health Clinic or Center 4,517a 5,162 3,479a 3,990 1,825 2,033 1,655 1,958 1,037 1,172
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
12,356 12,429 7,605 8,240 2,932a 3,398 4,672 4,843 4,751 4,188
Doctor's Office - Not Part of a Clinic 2,834 3,136 2,062 2,162 880 830 1,182 1,332 772 974
Outpatient Medical Clinic 1,261 1,181 858 857 376 422 481 434 403 324
Partial Day Hospital or Day Treatment Program 285 346 263 321 184 183 79 138 21 25
School or University Setting/Clinic/Center3 149 151 100 103 43 35 57 68 49 48
Some Other Place4 467 534 286 312 139 180 147 132 181 223
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive.
2 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
3 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.23B – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Past Year Level of Mental Illness: Percentages, 2018 and 2019
Location of Mental Health Services1 Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness2
(2018)
No
Mental
Illness2
(2019)
Outpatient Mental Health Clinic or Center 23.3 25.3 28.2 29.0 36.8 35.3 22.4 24.4 14.8 17.6
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
63.8 60.8 61.6 59.8 59.1 59.1 63.2 60.4 67.7 62.8
Doctor's Office - Not Part of a Clinic 14.6 15.3 16.7 15.7 17.8 14.4 16.0 16.6 11.0 14.6
Outpatient Medical Clinic 6.5 5.8 6.9 6.2 7.6 7.3 6.5 5.4 5.7 4.9
Partial Day Hospital or Day Treatment Program 1.5 1.7 2.1 2.3 3.7 3.2 1.1 1.7 0.3 0.4
School or University Setting/Clinic/Center3 0.8 0.7 0.8 0.8 0.9 0.6 0.8 0.9 0.7 0.7
Some Other Place4 2.4 2.6 2.3 2.3 2.8 3.2 2.0 1.7 2.6 3.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive.
2 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
3 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.24A – Types and Locations of Mental Health Services Received in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness: Numbers in Thousands, 2018 and 2019
Type and Location of
Mental Health Services
Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
ANY MENTAL HEALTH SERVICES2 37,101a 40,154 20,579a 22,953 7,277a 8,575 13,302a 14,378 16,522 17,201
Outpatient 19,461 20,561 12,377a 13,855 4,970a 5,773 7,407 8,082 7,084 6,706
Outpatient Mental Health Clinic or Center 4,517a 5,162 3,479a 3,990 1,825 2,033 1,655 1,958 1,037 1,172
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
12,356 12,429 7,605 8,240 2,932a 3,398 4,672 4,843 4,751 4,188
Doctor's Office - Not Part of a Clinic 2,834 3,136 2,062 2,162 880 830 1,182 1,332 772 974
Outpatient Medical Clinic 1,261 1,181 858 857 376 422 481 434 403 324
Partial Day Hospital or Day Treatment Program 285 346 263 321 184 183 79 138 21 25
School or University Setting/Clinic/Center3 149 151 100 103 43 35 57 68 49 48
Some Other Place4 467 534 286 312 139 180 147 132 181 223
Inpatient 2,366 2,371 1,580 1,674 824 974 756 699 786 697
Prescription Medication 30,115a 32,629 17,219a 18,854 6,420a 7,402 10,799 11,452 12,896 13,775
DID NOT RECEIVE MENTAL HEALTH SERVICES 210,232 208,617 26,926a 28,330 4,075 4,515 22,851 23,815 183,306 180,287
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive.
3 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.24B – Types and Locations of Mental Health Services Received in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness: Percentages, 2018 and 2019
Type and Location of
Mental Health Services
Total
(2018)
Total
(2019)
Any
Mental
Illness
(2018)
Any
Mental
Illness
(2019)
Serious
Mental
Illness
(2018)
Serious
Mental
Illness
(2019)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
ANY MENTAL HEALTH SERVICES2 15.0a 16.1 43.3 44.8 64.1 65.5 36.8 37.6 8.3 8.7
Outpatient 7.9 8.3 26.1 27.1 43.9 44.2 20.5 21.2 3.5 3.4
Outpatient Mental Health Clinic or Center 1.8a 2.1 7.3 7.8 16.1 15.6 4.6 5.1 0.5 0.6
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
5.0 5.0 16.0 16.1 25.9 26.1 12.9 12.7 2.4 2.1
Doctor's Office - Not Part of a Clinic 1.1 1.3 4.4 4.2 7.8 6.4 3.3 3.5 0.4 0.5
Outpatient Medical Clinic 0.5 0.5 1.8 1.7 3.3 3.2 1.3 1.1 0.2 0.2
Partial Day Hospital or Day Treatment Program 0.1 0.1 0.6 0.6 1.6 1.4 0.2 0.4 0.0 0.0
School or University Setting/Clinic/Center3 0.1 0.1 0.2 0.2 0.4 0.3 0.2 0.2 0.0 0.0
Some Other Place4 0.2 0.2 0.6 0.6 1.2 1.4 0.4 0.3 0.1 0.1
Inpatient 1.0 1.0 3.3 3.3 7.3 7.4 2.1 1.8 0.4 0.4
Prescription Medication 12.2a 13.1 36.2 36.7 56.5 56.5 29.9 29.9 6.4a 7.0
DID NOT RECEIVE MENTAL HEALTH SERVICES 85.0a 83.9 56.7 55.2 35.9 34.5 63.2 62.4 91.7 91.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental 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.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
2 Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive.
3 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200323
Table 8.25A – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Age Group: Numbers in Thousands, 2018 and 2019
Location of Mental Health Services1 Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
Outpatient Mental Health Clinic or Center 4,517a 5,162 882 911 3,635a 4,251 2,103 2,395 1,531 1,856
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
12,356 12,429 2,062 2,243 10,294 10,185 5,488a 6,238 4,806a 3,947
Doctor's Office - Not Part of a Clinic 2,834 3,136 307 404 2,527 2,733 1,279 1,490 1,248 1,243
Outpatient Medical Clinic 1,261 1,181 163 212 1,098 969 632 583 466 385
Partial Day Hospital or Day Treatment Program 285 346 111 80 174 266 141 159 33 107
School or University Setting/Clinic/Center2 149 151 123 114 26 37 26 37 * *
Some Other Place3 467 534 64 55 403 480 174 154 229 326
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive.
2 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling.
3 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200323
Table 8.25B – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Age Group: Percentages, 2018 and 2019
Location of Mental Health Services1 Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
Outpatient Mental Health Clinic or Center 23.3 25.3 28.3 26.6 22.4 25.0 24.0 24.3 20.5 25.9
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
63.8 60.8 66.3 65.5 63.3 59.9 62.6 63.4 64.3a 55.0
Doctor's Office - Not Part of a Clinic 14.6 15.3 9.9 11.8 15.6 16.1 14.6 15.1 16.7 17.3
Outpatient Medical Clinic 6.5 5.8 5.2 6.2 6.8 5.7 7.2 5.9 6.2 5.4
Partial Day Hospital or Day Treatment Program 1.5 1.7 3.6 2.3 1.1 1.6 1.6 1.6 0.4 1.5
School or University Setting/Clinic/Center2 0.8 0.7 4.0 3.4 0.2 0.2 0.3 0.4 * *
Some Other Place3 2.4 2.6 2.1 1.6 2.5 2.8 2.0 1.6 3.1 4.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
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 could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive.
2 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling.
3 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200323
Table 8.26A – Sources of Payment for Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Age Group: Numbers in Thousands, 2018 and 2019
Source of Payment1 Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
Self or Family Member Living in Household 7,310 7,542 1,371 1,473 5,939 6,069 3,523a 3,964 2,416 2,106
Family Member Not Living in Household 621 683 338 324 283 359 234 258 49 100
Private Health Insurance 7,889 7,772 1,114 1,153 6,775 6,619 3,731 3,914 3,045 2,704
Medicare 2,837 3,250 212 227 2,625 3,023 710a 913 1,915 2,110
Medicaid 2,318 2,604 322 297 1,996 2,307 1,249 1,484 747 823
Rehabilitation Program 30 30 9 6 21 24 21 18 * 7
Employer 1,289 1,346 105 86 1,184 1,260 646 821 538 439
VA or Other Military Program 1,083 951 32 38 1,051 913 400 392 652 521
Other Public Source 462 545 63a 116 399 429 211 302 187 126
Other Private Source 275 220 42 55 233 164 131 98 103 66
Free Treatment 886a 1,156 344 444 542 712 360 459 182 253
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple sources of payment for outpatient mental health services; thus, these response categories are not mutually exclusive.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200323
Table 8.26B – Sources of Payment for Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Age Group: Percentages, 2018 and 2019
Source of Payment1 Aged 18+
(2018)
Aged 18+
(2019)
Aged 18-25
(2018)
Aged 18-25
(2019)
Aged 26+
(2018)
Aged 26+
(2019)
Aged 26-49
(2018)
Aged 26-49
(2019)
Aged 50+
(2018)
Aged 50+
(2019)
Self or Family Member Living in Household 37.9 37.2 44.5 44.2 36.7 35.8 40.3 40.5 32.4 29.4
Family Member Not Living in Household 3.2 3.4 11.0 9.7 1.7 2.1 2.7 2.6 0.7 1.4
Private Health Insurance 40.9 38.3 36.1 34.6 41.8 39.0 42.7 40.0 40.8 37.7
Medicare 14.7 16.0 6.9 6.8 16.2 17.8 8.1 9.3 25.7 29.4
Medicaid 12.0 12.8 10.5 8.9 12.3 13.6 14.3 15.2 10.0 11.5
Rehabilitation Program 0.2 0.1 0.3 0.2 0.1 0.1 0.2 0.2 * 0.1
Employer 6.7 6.6 3.4 2.6 7.3 7.4 7.4 8.4 7.2 6.1
VA or Other Military Program 5.6 4.7 1.0 1.2 6.5 5.4 4.6 4.0 8.7 7.3
Other Public Source 2.4 2.7 2.0a 3.5 2.5 2.5 2.4 3.1 2.5 1.8
Other Private Source 1.4 1.1 1.3 1.7 1.4 1.0 1.5 1.0 1.4 0.9
Free Treatment 4.6 5.7 11.2 13.3 3.3 4.2 4.1 4.7 2.4 3.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple sources of payment for outpatient mental health services; thus, these response categories are not mutually exclusive.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.27A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 14,215a 16,597 7,349a 8,573 6,845a 7,997
AGE GROUP            
18-25 4,261a 5,079 1,763a 2,193 2,489a 2,883
26 or Older 9,954a 11,519 5,586a 6,380 4,356a 5,114
26-49 7,110a 8,480 3,654a 4,522 3,445a 3,933
50 or Older 2,844 3,039 1,931 1,858 911 1,181
GENDER            
Male 4,245a 5,174 2,025 2,232 2,214a 2,932
Female 9,969a 11,424 5,324a 6,341 4,630 5,065
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 12,077a 14,063 6,264a 7,376 5,792a 6,661
White 9,938a 11,221 5,393a 6,054 4,528a 5,142
Black or African American 1,228a 1,555 522a 751 706 803
AIAN 80 96 * * 33 54
NHOPI 20 52 * * * 37
Asian 451 636 115a 262 336 375
Two or More Races 359a 502 176 252 180 250
Hispanic or Latino 2,138a 2,534 1,085 1,197 1,052a 1,335
CURRENT EMPLOYMENT            
Full-Time 6,590a 8,201 3,192a 3,906 3,397a 4,276
Part-Time 2,938 3,137 1,395 1,426 1,537 1,704
Unemployed 800 977 405 510 395 467
Other3 3,887 4,281 2,356 2,732 1,515 1,550
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.27B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 5.7a 6.7 19.9 21.4 3.3a 3.8
AGE GROUP            
18-25 12.6a 15.2 34.5a 38.3 8.7a 10.4
26 or Older 4.7a 5.3 17.5 18.6 2.4a 2.8
26-49 7.1a 8.4 22.8a 25.3 4.1a 4.8
50 or Older 2.5 2.7 12.2 11.3 0.9 1.2
GENDER            
Male 3.6a 4.3 16.8 16.7 2.1a 2.8
Female 7.8a 8.9 21.3a 23.8 4.5 5.0
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 5.8a 6.8 18.7a 20.4 3.3a 3.9
White 6.3a 7.1 18.5 19.5 3.5a 4.1
Black or African American 4.2a 5.3 20.6 26.1 2.6 3.0
AIAN 5.4 7.0 * * 2.5 4.6
NHOPI 2.2 5.3 * * * 4.0
Asian 3.2 4.4 12.9a 26.2 2.6 2.8
Two or More Races 8.4a 11.6 26.6 29.1 5.0 7.2
Hispanic or Latino 5.3 6.2 31.0 30.3 2.9a 3.6
CURRENT EMPLOYMENT            
Full-Time 5.4a 6.6 19.3a 22.6 3.2a 4.0
Part-Time 9.2 9.7 24.9 22.3 5.8 6.6
Unemployed 8.1 9.9 27.6 29.9 4.7 5.7
Other3 4.7 5.2 17.6 18.6 2.2 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: 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 Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.28A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 14,215a 16,597 7,349a 8,573 6,845a 7,997
GEOGRAPHIC REGION            
Northeast 2,468 2,673 1,390 1,408 1,069 1,253
Midwest 3,139a 3,754 1,677a 2,095 1,458 1,646
South 4,987a 5,868 2,439a 2,973 2,543 2,894
West 3,621a 4,302 1,844 2,097 1,775a 2,203
COUNTY TYPE            
Large Metro 7,952a 9,310 3,786a 4,715 4,162 4,578
Small Metro 4,427a 5,096 2,482 2,677 1,933a 2,409
Nonmetro 1,836a 2,190 1,081 1,181 749a 1,009
Urbanized 870 1,027 459 546 411 482
Less Urbanized 820 991 526 549 289a 442
Completely Rural 145 172 95 86 50 86
POVERTY LEVEL3            
Less Than 100% 2,804 2,814 1,651 1,735 1,146 1,078
100-199% 3,135a 3,824 1,520a 2,034 1,605 1,790
200% or More 8,160a 9,738 4,133a 4,704 4,022a 5,007
EDUCATION            
< High School 1,303 1,367 794 792 508 574
High School Graduate 2,733a 3,315 1,304a 1,719 1,426 1,595
Some College/Associate's Degree 5,546a 6,201 2,989 3,138 2,546a 3,058
College Graduate 4,633a 5,714 2,263a 2,924 2,365a 2,770
HEALTH INSURANCE4            
Private 8,330a 10,270 4,139a 5,044 4,173a 5,200
Medicaid/CHIP 3,199 3,617 1,947a 2,322 1,251 1,294
Other5 2,223 2,297 1,502 1,526 719 771
No Coverage 1,853 1,994 762 762 1,091 1,231
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.28B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 5.7a 6.7 19.9 21.4 3.3a 3.8
GEOGRAPHIC REGION            
Northeast 5.7 6.1 18.9 18.9 3.0 3.5
Midwest 6.1a 7.2 18.9 21.6 3.4 3.9
South 5.3a 6.2 19.4 22.1 3.1 3.6
West 6.2a 7.3 22.3 22.3 3.5a 4.4
COUNTY TYPE            
Large Metro 5.8a 6.7 19.6a 22.1 3.5 3.9
Small Metro 6.0a 6.8 20.3 20.7 3.1a 3.9
Nonmetro 5.1a 6.4 19.7 20.6 2.5a 3.5
Urbanized 5.4a 7.2 17.8 21.4 3.0 4.1
Less Urbanized 5.0 6.2 22.5 20.6 2.1a 3.3
Completely Rural 4.4 4.4 17.0 16.2 1.8 2.5
POVERTY LEVEL3            
Less Than 100% 8.2 8.8 28.5 31.3 4.1 4.1
100-199% 6.4a 8.1 24.9 27.7 3.8a 4.5
200% or More 5.0a 5.8 16.5 17.5 2.9a 3.5
EDUCATION            
< High School 4.3 4.6 25.0 23.8 1.9 2.2
High School Graduate 4.5a 5.5 18.3 21.7 2.6 3.1
Some College/Associate's Degree 7.2a 8.1 23.1 22.8 4.0a 4.9
College Graduate 5.9a 7.0 16.4a 19.4 3.6 4.1
HEALTH INSURANCE4            
Private 5.1a 6.2 16.7a 18.9 3.0a 3.8
Medicaid/CHIP 8.8a 10.2 28.6 28.7 4.2 4.8
Other5 3.3 3.3 14.5 14.0 1.3 1.3
No Coverage 7.6 7.8 38.4 38.0 4.9 5.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.29A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 11,208a 13,321 6,223a 7,480 4,966a 5,826
AGE GROUP            
18-25 3,370a 4,021 1,537a 1,884 1,824a 2,135
26 or Older 7,839a 9,300 4,686a 5,596 3,142a 3,690
26-49 5,732a 7,047 3,195a 4,043 2,527a 2,990
50 or Older 2,107 2,253 1,491 1,553 614 700
GENDER            
Male 3,333a 4,026 1,675 1,931 1,653a 2,093
Female 7,875a 9,295 4,548a 5,549 3,312a 3,733
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 9,469a 11,286 5,294a 6,441 4,155a 4,829
White 7,881a 9,030 4,587a 5,343 3,278 3,672
Black or African American 878a 1,223 412a 639 466 582
AIAN 55 * * * * *
NHOPI * * * * * *
Asian 328 462 85 * 244 289
Two or More Races 307a 437 * 230 138 207
Hispanic or Latino 1,739 2,035 928 1,039 811 996
CURRENT EMPLOYMENT            
Full-Time 5,190a 6,604 2,685a 3,484 2,505a 3,112
Part-Time 2,291 2,524 1,214 1,198 1,073a 1,318
Unemployed 634 773 353 442 282 331
Other3 3,093 3,420 1,972 2,356 1,106 1,064
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.29B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 23.6a 26.0 30.3 32.7 18.5a 20.6
AGE GROUP            
18-25 37.9a 40.7 46.3 49.2 32.8 35.5
26 or Older 20.3a 22.5 27.3 29.3 14.7 16.6
26-49 25.3a 28.0 32.2 35.4 19.9 21.8
50 or Older 13.2 13.9 20.5 20.3 7.1 8.2
GENDER            
Male 18.3a 20.5 26.5 26.9 13.9a 16.9
Female 26.9a 29.4 32.1a 35.3 22.1 23.5
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 23.3a 25.7 29.0 31.6 18.6a 20.7
White 24.5 25.9 29.2 30.5 20.1 21.2
Black or African American 18.3a 23.9 28.2a 37.9 14.0 17.0
AIAN 16.5 * * * * *
NHOPI * * * * * *
Asian 15.9 22.3 16.3 * 15.8 18.1
Two or More Races 26.8 31.5 * 38.7 17.8 26.2
Hispanic or Latino 25.5 27.6 41.6 41.7 17.7 20.4
CURRENT EMPLOYMENT            
Full-Time 23.8a 27.8 30.5a 35.2 19.3a 22.5
Part-Time 32.4 31.1 38.2 34.6 27.7 28.4
Unemployed 23.1 28.2 34.2 40.1 16.4 20.3
Other3 19.5 20.6 26.3 28.0 13.3 13.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.30A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 11,208a 13,321 6,223a 7,480 4,966a 5,826
GEOGRAPHIC REGION            
Northeast 1,873 1,989 1,164 1,171 702 809
Midwest 2,506a 3,103 1,428a 1,876 1,074 1,222
South 3,972a 4,659 2,057a 2,545 1,910 2,113
West 2,857a 3,571 1,575 1,888 1,280a 1,681
COUNTY TYPE            
Large Metro 6,052a 7,529 3,124a 4,145 2,924a 3,378
Small Metro 3,647 3,926 2,204 2,240 1,432a 1,676
Nonmetro 1,510a 1,867 895 1,095 610 772
Urbanized 688 857 374 492 314 365
Less Urbanized 698 863 443 521 250 341
Completely Rural 124 147 * 81 * 66
POVERTY LEVEL3            
Less Than 100% 2,323 2,294 1,408 1,503 909 791
100-199% 2,518a 3,140 1,354a 1,737 1,154a 1,403
200% or More 6,270a 7,706 3,420a 4,147 2,847a 3,543
EDUCATION            
< High School 1,011 1,047 628 702 381 345
High School Graduate 2,236a 2,660 1,119a 1,377 1,113 1,284
Some College/Associate's Degree 4,624a 5,232 2,666 2,877 1,947a 2,349
College Graduate 3,337a 4,382 1,810a 2,524 1,524a 1,848
HEALTH INSURANCE4            
Private 6,327a 8,112 3,440a 4,391 2,869a 3,706
Medicaid/CHIP 2,668 2,931 1,719 1,954 949 977
Other5 1,685 1,820 1,156 1,292 527 527
No Coverage 1,577 1,650 708 703 869 947
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.30B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 23.6a 26.0 30.3 32.7 18.5a 20.6
GEOGRAPHIC REGION            
Northeast 22.7 23.2 31.0 29.1 15.7 17.9
Midwest 24.3 27.1 29.6 33.1 19.7 21.2
South 23.5 25.7 29.2 33.3 19.4 20.1
West 23.8a 27.3 32.3 34.0 18.0a 22.5
COUNTY TYPE            
Large Metro 23.6a 26.7 29.6a 33.8 19.4 21.3
Small Metro 23.9 24.9 31.3 30.9 17.5 19.7
Nonmetro 22.9 25.6 30.6 32.3 16.8 19.8
Urbanized 21.9a 27.7 28.7 32.6 17.1 23.1
Less Urbanized 24.8 24.3 34.3 32.9 16.7 17.5
Completely Rural 19.6 22.4 * 28.0 * 17.9
POVERTY LEVEL3            
Less Than 100% 25.7 26.7 35.0 39.3 18.2 16.7
100-199% 25.1 28.0 36.2 36.5 18.4 21.8
200% or More 22.3a 24.7 27.0 29.3 18.4a 21.0
EDUCATION            
< High School 18.0 19.2 33.5 34.1 10.2 10.2
High School Graduate 20.2 22.9 26.4 30.3 16.3 18.2
Some College/Associate's Degree 27.1 28.8 34.5 34.7 20.9 23.8
College Graduate 24.3a 27.4 27.2 31.5 21.7 23.2
HEALTH INSURANCE4            
Private 22.5a 26.4 27.2a 31.3 18.6a 22.3
Medicaid/CHIP 25.7 26.4 36.3 35.3 16.9 17.7
Other5 15.2 15.7 22.9 22.9 8.7 8.9
No Coverage 29.4 29.7 48.4 50.1 22.4 22.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.31A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 5,116a 6,233 3,268a 4,186 1,845 2,046
AGE GROUP            
18-25 1,549a 1,803 819a 1,024 726 778
26 or Older 3,567a 4,430 2,448a 3,162 1,119 1,268
26-49 2,660a 3,251 1,755a 2,214 905 1,038
50 or Older 907 1,178 693 948 * *
GENDER            
Male 1,593 1,826 930 1,071 663 754
Female 3,523a 4,407 2,337a 3,114 1,182 1,292
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 4,323a 5,250 2,761a 3,559 1,559 1,690
White 3,590a 4,137 2,398a 2,875 1,190 1,262
Black or African American 391a 595 217a 365 174 228
AIAN * * * * * *
NHOPI * * * * * *
Asian * * * * * *
Two or More Races * * * * * *
Hispanic or Latino 793 983 507 627 286 356
CURRENT EMPLOYMENT            
Full-Time 2,144a 2,946 1,239a 1,838 905 1,106
Part-Time 950a 1,194 597 681 353a 513
Unemployed 383 364 * 259 * *
Other3 1,639 1,730 1,210 1,407 426 323
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.31B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 45.1 47.7 45.0 48.9 45.4 45.6
AGE GROUP            
18-25 59.5 62.5 58.5 62.9 60.6 62.3
26 or Older 40.8 43.5 41.8 45.6 39.0 39.2
26-49 45.2 47.6 47.0 49.8 42.3 43.5
50 or Older 31.9 35.1 32.7 38.0 * *
GENDER            
Male 39.9 39.4 41.3 40.7 38.0 37.6
Female 48.0 52.3 46.7a 52.5 50.9 52.0
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 43.8 47.4 42.9 47.4 45.6 47.7
White 44.6 46.4 44.4 45.8 45.2 48.4
Black or African American 36.3a 50.6 34.8a 53.2 38.5 46.8
AIAN * * * * * *
NHOPI * * * * * *
Asian * * * * * *
Two or More Races * * * * * *
Hispanic or Latino 53.9 49.0 61.6 59.2 44.2 37.6
CURRENT EMPLOYMENT            
Full-Time 44.6a 51.9 44.0a 52.8 45.8 50.6
Part-Time 51.1 53.6 50.3 50.7 52.5 58.4
Unemployed 48.6 43.6 * 50.7 * *
Other3 42.1 39.8 43.5 43.6 38.8 29.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.32A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 5,116a 6,233 3,268a 4,186 1,845 2,046
GEOGRAPHIC REGION            
Northeast 793 986 569 702 224 284
Midwest 1,290 1,422 831 993 458 429
South 1,740a 2,208 1,101a 1,432 636 775
West 1,294a 1,617 766a 1,058 528 558
COUNTY TYPE            
Large Metro 2,618a 3,389 1,576a 2,336 1,042 1,052
Small Metro 1,742 1,875 1,196 1,217 546 659
Nonmetro 756a 968 496 633 257 336
Urbanized 299a 448 179a 272 * *
Less Urbanized 391 450 273 312 * *
Completely Rural * * * * * *
POVERTY LEVEL3            
Less Than 100% 1,234 1,240 833 913 401 328
100-199% 1,156a 1,556 736a 987 416a 569
200% or More 2,690a 3,369 1,682a 2,264 1,007 1,103
EDUCATION            
< High School 481 558 349 432 * 127
High School Graduate 1,133 1,323 632 796 498 527
Some College/Associate's Degree 2,250a 2,641 1,508 1,702 742 937
College Graduate 1,252a 1,711 779a 1,256 473 455
HEALTH INSURANCE4            
Private 2,566a 3,443 1,598a 2,252 965a 1,189
Medicaid/CHIP 1,338 1,621 970 1,221 368 400
Other5 817 910 662 765 155 145
No Coverage 918 853 508 451 409 402
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.32B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL 45.1 47.7 45.0 48.9 45.4 45.6
GEOGRAPHIC REGION            
Northeast 44.1 47.9 48.3 49.9 36.2 43.4
Midwest 48.9 48.8 46.7 49.0 53.4 48.7
South 43.3 46.6 42.0 49.4 46.2 42.3
West 44.8 48.1 45.8 47.3 43.4 49.8
COUNTY TYPE            
Large Metro 45.8 50.4 44.1a 52.7 48.6 46.0
Small Metro 44.3 43.4 45.9 43.3 41.5 43.6
Nonmetro 44.7 47.7 46.1 47.8 42.5 48.5
Urbanized 40.2 50.4 37.6 48.6 * *
Less Urbanized 52.1 48.0 59.9 50.3 * *
Completely Rural * * * * * *
POVERTY LEVEL3            
Less Than 100% 45.5 48.1 47.2 54.0 42.6 37.3
100-199% 47.6 48.7 50.2 49.5 43.3 47.4
200% or More 43.7 46.7 42.0 46.7 47.1 46.7
EDUCATION            
< High School 39.6 44.2 44.4 52.7 * 28.7
High School Graduate 40.3 42.8 39.1 44.5 42.0 40.7
Some College/Associate's Degree 49.6 49.4 50.3 49.0 48.5 50.1
College Graduate 45.2 50.8 42.1 50.4 51.3 51.7
HEALTH INSURANCE4            
Private 43.1a 48.9 40.9a 47.7 47.3 51.4
Medicaid/CHIP 45.0 45.2 47.8 48.1 39.0 38.4
Other5 35.0 34.5 37.1 37.3 28.3 24.8
No Coverage 60.5 55.5 71.2 68.4 51.3 46.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.33A – Detailed Reasons for Not Receiving Mental Health Services in Past Year among Persons Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year, by Receipt of Past Year Mental Health Services: Numbers in Thousands, 2018 and 2019
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL POPULATION 14,215a 16,597 7,349a 8,573 6,845a 7,997
Could Not Afford Cost 5,411a 6,701 2,587a 3,467 2,815a 3,232
Might Cause Neighbors/Community to Have Negative Opinion 1,467 1,651 665 749 801 897
Might Have Negative Effect on Job 1,320 1,492 679 686 641 806
Health Insurance Does Not Cover Any Mental Health Services 1,100 1,243 551 574 545 669
Health Insurance Does Not Pay Enough for Mental Health Services 2,213 2,505 1,143a 1,441 1,065 1,061
Did Not Know Where to Go for Services 3,432a 4,033 1,552 1,604 1,879a 2,420
Concerned about Confidentiality 1,199 1,438 473a 644 726 794
Concerned about Being Committed/Having to Take Medicine 1,731a 2,031 888 1,077 841 952
Did Not Feel Need for Treatment at the Time 1,465 1,685 686 885 778 801
Thought Could Handle the Problem Without Treatment 3,709a 4,579 1,641a 2,052 2,067a 2,526
Treatment Would Not Help 1,572a 1,893 870 1,032 703 862
Did Not Have Time 2,832a 3,553 1,406a 1,861 1,415a 1,686
Did Not Want Others to Find Out 1,053 1,103 381 436 671 667
No Transportation/Inconvenient 722 920 459 597 263 323
Some Other Reason4 1,502a 1,906 880a 1,183 618 720
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.33B – Detailed Reasons for Not Receiving Mental Health Services in Past Year among Persons Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year, by Receipt of Past Year Mental Health Services: Percentages, 2018 and 2019
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0
Could Not Afford Cost 38.5 40.6 35.7a 40.6 41.5 40.8
Might Cause Neighbors/Community to Have Negative Opinion 10.4 10.0 9.2 8.8 11.8 11.3
Might Have Negative Effect on Job 9.4 9.0 9.4 8.0 9.4 10.2
Health Insurance Does Not Cover Any Mental Health Services 7.8 7.5 7.6 6.7 8.0 8.4
Health Insurance Does Not Pay Enough for Mental Health Services 15.7 15.2 15.8 16.9 15.7 13.4
Did Not Know Where to Go for Services 24.4 24.4 21.4 18.8 27.7 30.5
Concerned about Confidentiality 8.5 8.7 6.5 7.5 10.7 10.0
Concerned about Being Committed/Having to Take Medicine 12.3 12.3 12.3 12.6 12.4 12.0
Did Not Feel Need for Treatment at the Time 10.4 10.2 9.5 10.4 11.5 10.1
Thought Could Handle the Problem Without Treatment 26.4 27.8 22.7 24.0 30.4 31.9
Treatment Would Not Help 11.2 11.5 12.0 12.1 10.3 10.9
Did Not Have Time 20.2 21.6 19.4 21.8 20.8 21.3
Did Not Want Others to Find Out 7.5 6.7 5.3 5.1 9.9 8.4
No Transportation/Inconvenient 5.1 5.6 6.3 7.0 3.9 4.1
Some Other Reason4 10.7 11.6 12.2 13.9 9.1 9.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.34A – Detailed Reasons for Not Receiving Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Receipt of Past Year Mental Health Services: Numbers in Thousands, 2018 and 2019
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL POPULATION 11,208a 13,321 6,223a 7,480 4,966a 5,826
Could Not Afford Cost 4,529a 5,744 2,283a 3,198 2,238 2,547
Might Cause Neighbors/Community to Have Negative Opinion 1,227 1,404 616 703 610 696
Might Have Negative Effect on Job 1,159 1,327 618 651 541 676
Health Insurance Does Not Cover Any Mental Health Services 884 1,033 439 519 441 513
Health Insurance Does Not Pay Enough for Mental Health Services 1,846 2,116 1,047 1,262 794 853
Did Not Know Where to Go for Services 2,799a 3,315 1,348 1,394 1,449a 1,920
Concerned about Confidentiality 1,030a 1,281 429a 602 601 679
Concerned about Being Committed/Having to Take Medicine 1,564a 1,892 862 1,030 698 861
Did Not Feel Need for Treatment at the Time 1,139 1,241 605 712 533 529
Thought Could Handle the Problem Without Treatment 2,855a 3,516 1,387a 1,749 1,468a 1,767
Treatment Would Not Help 1,329a 1,694 761 952 569a 741
Did Not Have Time 2,317a 2,822 1,255a 1,654 1,053 1,162
Did Not Want Others to Find Out 876 994 338 422 538 573
No Transportation/Inconvenient 624a 842 440 568 184 274
Some Other Reason4 1,316 1,544 781a 1,031 531 509
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.34B – Detailed Reasons for Not Receiving Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Receipt of Past Year Mental Health Services: Percentages, 2018 and 2019
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0
Could Not Afford Cost 40.7 43.3 37.1a 42.9 45.2 43.9
Might Cause Neighbors/Community to Have Negative Opinion 11.0 10.6 10.0 9.4 12.3 12.0
Might Have Negative Effect on Job 10.4 10.0 10.1 8.7 10.9 11.7
Health Insurance Does Not Cover Any Mental Health Services 8.0 7.8 7.1 7.0 8.9 8.8
Health Insurance Does Not Pay Enough for Mental Health Services 16.6 15.9 17.0 16.9 16.0 14.7
Did Not Know Where to Go for Services 25.2 25.0 21.9 18.7 29.3 33.1
Concerned about Confidentiality 9.3 9.6 7.0 8.1 12.1 11.7
Concerned about Being Committed/Having to Take Medicine 14.1 14.2 14.0 13.8 14.1 14.8
Did Not Feel Need for Treatment at the Time 10.2 9.3 9.8 9.5 10.8 9.1
Thought Could Handle the Problem Without Treatment 25.7 26.5 22.6 23.5 29.6 30.5
Treatment Would Not Help 12.0 12.8 12.4 12.8 11.5 12.8
Did Not Have Time 20.8 21.3 20.4 22.2 21.3 20.0
Did Not Want Others to Find Out 7.9 7.5 5.5 5.7 10.9 9.9
No Transportation/Inconvenient 5.6 6.3 7.2 7.6 3.7 4.7
Some Other Reason4 11.8 11.6 12.7 13.8 10.7 8.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.35A – Detailed Reasons for Not Receiving Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Receipt of Past Year Mental Health Services: Numbers in Thousands, 2018 and 2019
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL POPULATION 5,116a 6,233 3,268a 4,186 1,845 2,046
Could Not Afford Cost 2,351a 2,923 1,338a 1,864 1,009 1,059
Might Cause Neighbors/Community to Have Negative Opinion 667 715 401 450 266 265
Might Have Negative Effect on Job 668 780 417 441 251 339
Health Insurance Does Not Cover Any Mental Health Services 493 473 304 272 189 201
Health Insurance Does Not Pay Enough for Mental Health Services 973 1,065 617 717 352 348
Did Not Know Where to Go for Services 1,365 1,547 781 793 584 753
Concerned about Confidentiality 617 735 308 390 308 345
Concerned about Being Committed/Having to Take Medicine 1,044 1,240 624 760 416 478
Did Not Feel Need for Treatment at the Time 473 505 304 332 169 173
Thought Could Handle the Problem Without Treatment 1,131a 1,479 663a 921 468 558
Treatment Would Not Help 674 842 408a 564 266 277
Did Not Have Time 946 1,182 610 804 335 378
Did Not Want Others to Find Out 454 449 211 258 243 190
No Transportation/Inconvenient 410 459 318 325 92 135
Some Other Reason4 641a 871 440a 636 202 235
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200413
Table 8.35B – Detailed Reasons for Not Receiving Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Receipt of Past Year Mental Health Services: Percentages, 2018 and 2019
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2018 2019 2018 2019 2018 2019
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0
Could Not Afford Cost 46.1 46.9 41.2 44.6 54.7 51.8
Might Cause Neighbors/Community to Have Negative Opinion 13.1 11.5 12.3 10.8 14.4 12.9
Might Have Negative Effect on Job 13.1 12.5 12.8 10.5 13.6 16.6
Health Insurance Does Not Cover Any Mental Health Services 9.7 7.6 9.4 6.5 10.3 9.8
Health Insurance Does Not Pay Enough for Mental Health Services 19.1 17.1 19.0 17.1 19.1 17.0
Did Not Know Where to Go for Services 26.8 24.8 24.0 19.0 31.6 36.8
Concerned about Confidentiality 12.1 11.8 9.5 9.3 16.7 16.9
Concerned about Being Committed/Having to Take Medicine 20.5 19.9 19.2 18.2 22.5 23.4
Did Not Feel Need for Treatment at the Time 9.3 8.1 9.3 7.9 9.2 8.5
Thought Could Handle the Problem Without Treatment 22.2 23.7 20.4 22.0 25.4 27.3
Treatment Would Not Help 13.2 13.5 12.6 13.5 14.4 13.6
Did Not Have Time 18.6 19.0 18.8 19.2 18.2 18.5
Did Not Want Others to Find Out 8.9 7.2 6.5 6.2 13.2 9.3
No Transportation/Inconvenient 8.0 7.4 9.8 7.8 5.0 6.6
Some Other Reason4 12.6 14.0 13.5 15.2 10.9 11.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
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 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200324
Table 8.36A – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Numbers in Thousands, 2018 and 2019
Age Category Total
(2018)
Total
(2019)
Male
(2018)
Male
(2019)
Female
(2018)
Female
(2019)
TOTAL 17,720a 19,357 6,272a 7,125 11,447 12,233
18-25 4,609a 5,045 1,665 1,841 2,943a 3,204
18-20 1,818 2,050 631 736 1,187 1,314
21-25 2,790 2,995 1,034 1,105 1,756 1,890
26 or Older 13,111a 14,312 4,607a 5,284 8,504 9,028
26-49 7,990a 8,914 2,956 3,271 5,034a 5,643
26-29 1,996 2,088 797 852 1,199 1,236
30-34 1,911a 2,259 696 845 1,215 1,414
35-39 1,467 1,705 565 487 902a 1,218
40-44 1,319 1,455 483 532 836 922
45-49 1,295 1,407 415 555 881 852
50 or Older 5,121 5,399 1,651 2,013 3,470 3,386
50-54 1,382 1,364 530 562 852 801
55-59 1,281 1,270 437 452 843 818
60-64 971 1,056 262 307 709 749
65 or Older 1,488 1,709 422 693 1,066 1,017
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 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, 2018 and 2019.
200324
Table 8.36B – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Percentages, 2018 and 2019
Age Category Total
(2018)
Total
(2019)
Male
(2018)
Male
(2019)
Female
(2018)
Female
(2019)
TOTAL 7.2a 7.8 5.3a 6.0 9.0 9.6
18-25 13.8a 15.2 9.9 11.1 17.6a 19.4
18-20 14.2a 15.8 9.3 11.1 19.6 20.8
21-25 13.5a 14.8 10.3 11.1 16.5a 18.5
26 or Older 6.2a 6.7 4.5a 5.1 7.7 8.1
26-49 8.0a 8.9 6.0 6.6 10.0a 11.1
26-29 11.4 11.7 9.1 9.5 13.7 14.0
30-34 8.7a 10.2 6.4 7.8 10.9 12.6
35-39 6.8 8.0 5.4 4.7 8.2a 11.1
40-44 6.8 7.6 5.0 5.7 8.6 9.5
45-49 6.7 7.0 4.4 5.5 8.9 8.5
50 or Older 4.5 4.7 3.1 3.8 5.8 5.6
50-54 6.8 6.7 5.3 5.6 8.1 7.8
55-59 5.9 6.1 4.4 4.5 7.3 7.5
60-64 4.8 5.2 2.6 3.2 7.1 6.9
65 or Older 2.9 3.3 1.9 3.0 3.8 3.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 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, 2018 and 2019.
200324
Table 8.37A – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Numbers in Thousands, 2018 and 2019
Age Category Total
(2018)
Total
(2019)
Male
(2018)
Male
(2019)
Female
(2018)
Female
(2019)
TOTAL 11,489a 13,112 4,013a 4,646 7,476a 8,466
18-25 2,968a 3,407 1,087 1,236 1,881a 2,170
18-20 1,183 1,341 417 482 766 859
21-25 1,785a 2,065 670 754 1,115a 1,311
26 or Older 8,520a 9,705 2,926 3,409 5,595a 6,296
26-49 5,284a 6,101 1,980 2,169 3,304a 3,932
26-29 1,326 1,427 530 558 796 869
30-34 1,259 1,468 480 511 778 957
35-39 973 1,192 366 331 606a 860
40-44 895 1,039 345 401 550 638
45-49 831 976 258 367 573 609
50 or Older 3,236 3,604 946 1,240 2,291 2,364
50-54 976 887 287 341 689 546
55-59 852 886 311 314 541 572
60-64 588 737 128 174 460 563
65 or Older 820 1,094 220 411 601 684
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
a The difference between this estimate and the 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, 2018 and 2019.
200324
Table 8.37B – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Percentages, 2018 and 2019
Age Category Total
(2018)
Total
(2019)
Male
(2018)
Male
(2019)
Female
(2018)
Female
(2019)
TOTAL 4.7a 5.3 3.4a 3.9 5.9a 6.6
18-25 8.9a 10.3 6.5a 7.4 11.3a 13.1
18-20 9.2 10.3 6.2 7.2 12.6 13.6
21-25 8.6a 10.2 6.7 7.6 10.5a 12.8
26 or Older 4.0a 4.5 2.9 3.3 5.1 5.7
26-49 5.3a 6.1 4.0 4.4 6.5a 7.8
26-29 7.6 8.0 6.0 6.2 9.1 9.9
30-34 5.7 6.7 4.4 4.7 7.0 8.5
35-39 4.5a 5.6 3.5 3.2 5.5a 7.9
40-44 4.6 5.5 3.6 4.3 5.7 6.6
45-49 4.3 4.9 2.8 3.7 5.8 6.0
50 or Older 2.9 3.2 1.8 2.3 3.8 3.9
50-54 4.8 4.4 2.9 3.4 6.6 5.3
55-59 4.0 4.2 3.1 3.1 4.7 5.3
60-64 2.9 3.6 1.3 1.8 4.6 5.2
65 or Older 1.6 2.1 1.0 1.8 2.2 2.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown 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, 2018 and 2019.
200324
Table 8.38A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Gender and Age Group: Numbers in Thousands, 2018 and 2019
Gender/Age Group Had MDE
(2018)
Had MDE
(2019)
Had MDE
with Severe
Impairment1
(2018)
Had MDE
with Severe
Impairment1
(2019)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2019)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2019)
TOTAL 17,720a 19,357 11,489a 13,112 11,462a 12,824 7,878a 9,467
18-25 4,609a 5,045 2,968a 3,407 2,286a 2,565 1,594a 1,921
26 or Older 13,111a 14,312 8,520a 9,705 9,176a 10,258 6,283a 7,546
26-49 7,990a 8,914 5,284a 6,101 5,142a 6,135 3,593a 4,532
50 or Older 5,121 5,399 3,236 3,604 4,034 4,124 2,691 3,014
MALE 6,272a 7,125 4,013a 4,646 3,548 4,041 2,464 2,868
18-25 1,665 1,841 1,087 1,236 674 793 496 599
26 or Older 4,607a 5,284 2,926 3,409 2,875 3,248 1,969 2,268
26-49 2,956 3,271 1,980 2,169 1,660 1,927 1,220 1,369
50 or Older 1,651 2,013 946 1,240 1,215 1,321 * 899
FEMALE 11,447 12,233 7,476a 8,466 7,914a 8,783 5,414a 6,599
18-25 2,943a 3,204 1,881a 2,170 1,612 1,772 1,099a 1,321
26 or Older 8,504 9,028 5,595a 6,296 6,302a 7,011 4,315a 5,278
26-49 5,034a 5,643 3,304a 3,932 3,482a 4,208 2,372a 3,163
50 or Older 3,470 3,386 2,291 2,364 2,819 2,802 1,942 2,115
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200324
Table 8.38B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Gender and Age Group: Percentages, 2018 and 2019
Gender/Age Group Had MDE
(2018)
Had MDE
(2019)
Had MDE
with Severe
Impairment1
(2018)
Had MDE
with Severe
Impairment1
(2019)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2019)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2019)
TOTAL 7.2a 7.8 4.7a 5.3 64.8 66.3 68.6a 72.2
18-25 13.8a 15.2 8.9a 10.3 49.6 50.9 53.7 56.4
26 or Older 6.2a 6.7 4.0a 4.5 70.1 71.8 73.8a 77.8
26-49 8.0a 8.9 5.3a 6.1 64.4a 68.9 68.0a 74.4
50 or Older 4.5 4.7 2.9 3.2 78.9 76.5 83.1 83.6
MALE 5.3a 6.0 3.4a 3.9 56.7 56.8 61.4 61.8
18-25 9.9 11.1 6.5a 7.4 40.5 43.1 45.6 48.5
26 or Older 4.5a 5.1 2.9 3.3 62.6 61.6 67.3 66.7
26-49 6.0 6.6 4.0 4.4 56.3 59.2 61.7 63.3
50 or Older 3.1 3.8 1.8 2.3 73.9 65.6 * 72.5
FEMALE 9.0 9.6 5.9a 6.6 69.2 71.9 72.4a 78.0
18-25 17.6a 19.4 11.3a 13.1 54.8 55.3 58.4 60.9
26 or Older 7.7 8.1 5.1 5.7 74.1 77.7 77.1a 83.8
26-49 10.0a 11.1 6.5a 7.8 69.2a 74.6 71.8a 80.4
50 or Older 5.8 5.6 3.8 3.9 81.3 83.0 84.8 89.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200324
Table 8.39A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Had MDE
(2018)
Had MDE
(2019)
Had MDE
with Severe
Impairment1
(2018)
Had MDE
with Severe
Impairment1
(2019)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2019)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2019)
TOTAL 17,720a 19,357 11,489a 13,112 11,462a 12,824 7,878a 9,467
GENDER                
Male 6,272a 7,125 4,013a 4,646 3,548 4,041 2,464 2,868
Female 11,447 12,233 7,476a 8,466 7,914a 8,783 5,414a 6,599
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 15,225a 16,588 9,970a 11,299 10,118a 11,223 6,972a 8,255
White 12,224a 13,319 7,993a 9,071 8,366a 9,346 5,767a 6,851
Black or African American 1,783 1,841 1,150 1,264 1,090 1,096 740 808
AIAN 125 129 93 109 * * * *
NHOPI 64 34 55 18 * * * *
Asian 593 669 379 427 261 346 * *
Two or More Races 437 595 299 411 288 359 * 259
Hispanic or Latino 2,495 2,769 1,519 1,813 1,344 1,601 906a 1,212
CURRENT EMPLOYMENT                
Full-Time 7,750a 8,550 4,784a 5,362 4,680 5,148 3,031a 3,569
Part-Time 2,906a 3,404 1,813a 2,339 1,731a 2,112 1,127a 1,614
Unemployed 1,112 1,099 735 774 648 639 465 474
Other3 5,952 6,304 4,158 4,637 4,403 4,925 3,254 3,810
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200324
Table 8.39B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Had MDE
(2018)
Had MDE
(2019)
Had MDE
with Severe
Impairment1
(2018)
Had MDE
with Severe
Impairment1
(2019)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2019)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2019)
TOTAL 7.2a 7.8 4.7a 5.3 64.8 66.3 68.6a 72.2
GENDER                
Male 5.3a 6.0 3.4a 3.9 56.7 56.8 61.4 61.8
Female 9.0 9.6 5.9a 6.6 69.2 71.9 72.4a 78.0
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 7.4a 8.0 4.8a 5.5 66.5 67.7 69.9a 73.1
White 7.8a 8.5 5.1a 5.8 68.5 70.2 72.2 75.6
Black or African American 6.1 6.3 4.0 4.3 61.2 59.6 64.3 64.1
AIAN 8.5 9.4 6.4 7.9 * * * *
NHOPI 6.9 3.5 5.9 1.8 * * * *
Asian 4.3 4.7 2.7 3.0 43.9 51.7 * *
Two or More Races 10.2 13.7 7.0 9.4 65.8 60.3 * 63.0
Hispanic or Latino 6.2 6.8 3.8 4.5 53.9 58.0 59.6 66.9
CURRENT EMPLOYMENT                
Full-Time 6.3a 6.9 3.9a 4.4 60.4 60.3 63.4 66.6
Part-Time 9.1a 10.6 5.7a 7.3 59.6 62.0 62.2 69.0
Unemployed 11.3 11.2 7.5 7.9 58.3 58.4 63.4 61.5
Other3 7.3 7.7 5.1 5.6 74.2 78.3 78.3 82.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
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 with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.40A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Geographic, Socioeconomic, and Health Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic/
Health Characteristic
Had MDE
(2018)
Had MDE
(2019)
Had MDE
with Severe
Impairment1
(2018)
Had MDE
with Severe
Impairment1
(2019)
Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2019)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2019)
TOTAL 17,720a 19,357 11,489a 13,112 11,462a 12,824 7,878a 9,467
GEOGRAPHIC REGION                
Northeast 2,917 3,161 1,840 2,110 2,035 2,227 1,313 1,565
Midwest 4,120 4,344 2,750 2,890 2,773 2,999 1,994 2,141
South 6,166a 6,873 4,147a 4,647 3,880 4,314 2,818 3,203
West 4,516 4,979 2,752a 3,464 2,773 3,284 1,754a 2,559
COUNTY TYPE                
Large Metro 9,356a 10,446 5,838a 7,114 5,865a 6,859 3,826a 5,151
Small Metro 5,798 6,038 3,846 4,131 3,921 4,123 2,788 3,043
Nonmetro 2,566 2,873 1,806 1,866 1,677 1,842 1,264 1,273
POVERTY LEVEL3                
Less Than 100% 3,636 3,380 2,634 2,521 2,397 2,298 1,840 1,864
100-199% 3,785a 4,537 2,469a 3,251 2,345a 2,892 1,635a 2,217
200% or More 10,198a 11,243 6,318a 7,238 6,684a 7,514 4,375a 5,334
EDUCATION                
< High School 1,821 1,801 1,242 1,359 1,168 1,216 879 969
High School Graduate 4,175 4,373 2,830 2,942 2,450 2,602 1,815 1,949
Some College/Associate's Degree 6,953 7,625 4,699a 5,380 4,539 4,974 3,285a 3,832
College Graduate 4,770a 5,558 2,718a 3,430 3,305a 4,031 1,899a 2,717
HEALTH INSURANCE4                
Private 10,245a 11,255 6,305a 7,140 6,755a 7,578 4,350a 5,268
Medicaid/CHIP 4,021a 4,578 2,902a 3,414 2,865a 3,410 2,166a 2,727
Other5 3,660 4,052 2,522 2,842 2,915 3,080 2,072 2,313
No Coverage 2,219 2,124 1,378 1,543 954 892 685 748
OVERALL HEALTH6                
Excellent 1,869 2,041 998 1,203 1,039 1,171 578 762
Very Good 5,772 6,184 3,435a 3,936 3,448 3,783 2,161a 2,640
Good 5,622a 6,369 3,636a 4,300 3,655a 4,219 2,440a 3,109
Fair/Poor 4,457 4,758 3,420 3,668 3,319 3,645 2,699 2,952
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
6 Respondents with unknown health data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.40B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Geographic, Socioeconomic, and Health Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic/
Health Characteristic
Had MDE
(2018)
Had MDE
(2019)
Had MDE
with Severe
Impairment1
(2018)
Had MDE
with Severe
Impairment1
(2019)
Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2019)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2019)
TOTAL 7.2a 7.8 4.7a 5.3 64.8 66.3 68.6a 72.2
GEOGRAPHIC REGION                
Northeast 6.7 7.4 4.3 4.9 69.8 70.7 71.3 74.2
Midwest 8.0 8.4 5.3 5.6 67.3 69.0 72.5 74.1
South 6.6a 7.3 4.5 5.0 63.1 62.9 68.0 69.0
West 7.7 8.5 4.7a 5.9 61.5 66.0 63.7a 73.9
COUNTY TYPE                
Large Metro 6.8a 7.6 4.3a 5.1 62.7 65.7 65.5a 72.4
Small Metro 7.9 8.1 5.2 5.5 67.7 68.4 72.5 73.8
Nonmetro 7.2a 8.4 5.1 5.5 65.7 64.3 70.1 68.2
POVERTY LEVEL3                
Less Than 100% 10.7 10.7 7.8 8.0 66.0 68.3 69.9 74.0
100-199% 7.8a 9.7 5.1a 6.9 62.2 63.9 66.2 68.2
200% or More 6.3 6.7 3.9a 4.3 65.5 66.9 69.2a 73.7
EDUCATION                
< High School 6.0 6.1 4.1 4.6 64.6 67.7 70.7 71.5
High School Graduate 6.9 7.3 4.7 4.9 58.7 59.5 64.2 66.3
Some College/Associate's Degree 9.1a 10.0 6.2a 7.1 65.3 65.4 69.9 71.2
College Graduate 6.1a 6.8 3.5a 4.2 69.3 72.6 69.9a 79.2
HEALTH INSURANCE4                
Private 6.2a 6.9 3.8a 4.3 65.9 67.4 69.0a 73.8
Medicaid/CHIP 11.2a 13.1 8.1a 9.7 71.3 74.5 74.7 79.9
Other5 5.4 5.9 3.7 4.2 79.8 76.2 82.2 81.4
No Coverage 9.2 8.4 5.7 6.1 43.1 42.1 49.7 48.6
OVERALL HEALTH6                
Excellent 3.6 4.0 1.9 2.4 55.6 57.4 57.9 63.4
Very Good 6.5 6.9 3.9a 4.4 59.7 61.2 62.9 67.1
Good 7.8a 8.7 5.0a 5.9 65.1 66.4 67.2 72.3
Fair/Poor 13.2 14.0 10.1 10.8 74.7 76.8 78.9 80.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
6 Respondents with unknown health data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.41A – Level of Mental Illness and Major Depressive Episode (MDE) and MDE with Severe Impairment Status in Past Year among Persons Aged 18 or Older, by Past Year Substance Use Disorder Status and Past Year Substance Use Disorder for Specific Substances: Numbers in Thousands, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
Had MDE2
(2018)
Had MDE2
(2019)
Had MDE
with Severe
Impairment2,3
(2018)
Had MDE
with Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 248,857 250,316 47,635a 51,495 11,373a 13,115 36,262a 38,379 201,222a 198,822 17,720a 19,357 11,489a 13,112 228,363 227,964
ILLICIT DRUGS 7,412 7,419 4,361 4,595 1,910 2,002 2,451 2,593 3,051 2,825 2,230 2,223 1,631 1,726 5,058 5,079
Marijuana 3,910 4,136 2,118 2,423 748 868 1,370 1,554 1,791 1,714 1,072 1,099 702 812 2,779 2,955
Cocaine 973 1,006 581 653 322 362 259 291 391 352 317 315 247 257 649 676
Heroin 522 438 * * * * * 113 * * * * 103 * * *
Hallucinogens * * * * * * * * * * * * * * * *
Inhalants * * * * * * * * * * * * * * * *
Methamphetamine 1,033 1,029 752 717 440 392 312 324 281 312 427 346 331 301 584 668
Misuse of Psychotherapeutics 2,370 2,011 1,637 1,455 820 819 816 636 733 556 833 859 647 731 1,488a 1,127
Pain Relievers 1,591 1,279 1,061 918 472 537 589a 381 529 361 462 527 350 453 1,112a 732
Stimulants 508 492 380 378 219 183 162 195 128 114 240 206 194 164 249 283
Tranquilizers or Sedatives 683 585 554 441 295 298 259a 143 129 145 337 315 264 282 332 264
Tranquilizers 612 508 518 389 275 266 243a 123 94 118 314 278 244 245 292 223
Sedatives * * * * * * * * * * * * * * * *
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 1,920 1,535 1,262 1,069 550 617 713a 452 658 466 536 603 400 504 1,350a 907
Illicit Drugs Other
   Than Marijuana4
4,163 3,820 2,705 2,560 1,389 1,372 1,316 1,188 1,457 1,260 1,428 1,337 1,111 1,110 2,658 2,427
ALCOHOL 14,418 14,090 6,390 6,370 1,971 2,210 4,420 4,160 8,027 7,720 2,642 2,889 1,728 1,904 11,612 11,073
BOTH ILLICIT DRUGS
AND ALCOHOL
2,487 2,225 1,565 1,428 715 648 850 781 923 796 833 731 634 555 1,613 1,458
ILLICIT DRUGS OR
ALCOHOL
19,343 19,285 9,187 9,536 3,166 3,564 6,021 5,973 10,156 9,749 4,039 4,381 2,725 3,075 15,056 14,694
ILLICIT DRUGS ONLY 4,925 5,195 2,797 3,166 1,195 1,354 1,601 1,812 2,129 2,029 1,396 1,492 997 1,171 3,445 3,621
ALCOHOL ONLY 11,930 11,866 4,826 4,942 1,256a 1,562 3,570 3,380 7,105 6,924 1,809a 2,158 1,094a 1,349 9,999 9,615
NO SUBSTANCE USE
DISORDER
229,515 231,031 38,448a 41,958 8,207a 9,551 30,241a 32,407 191,066 189,073 13,681a 14,976 8,764a 10,037 213,307 213,270
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.41B – Level of Mental Illness and Major Depressive Episode (MDE) and MDE with Severe Impairment Status in Past Year among Persons Aged 18 or Older, by Past Year Substance Use Disorder Status and Past Year Substance Use Disorder for Specific Substances: Percentages, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
Had MDE2
(2018)
Had MDE2
(2019)
Had MDE
with Severe
Impairment2,3
(2018)
Had MDE
with Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 100.0 100.0 19.1a 20.6 4.6a 5.2 14.6a 15.3 80.9a 79.4 7.2a 7.8 4.7a 5.3 92.8a 92.2
ILLICIT DRUGS 100.0 100.0 58.8 61.9 25.8 27.0 33.1 34.9 41.2 38.1 30.6 30.4 22.4 23.7 69.4 69.6
Marijuana 100.0 100.0 54.2 58.6 19.1 21.0 35.0 37.6 45.8 41.4 27.8 27.1 18.3 20.0 72.2 72.9
Cocaine 100.0 100.0 59.8 65.0 33.2 36.0 26.6 29.0 40.2 35.0 32.8 31.8 25.6 26.1 67.2 68.2
Heroin 100.0 100.0 * * * * * 25.9 * * * * 20.5 * * *
Hallucinogens * * * * * * * * * * * * * * * *
Inhalants * * * * * * * * * * * * * * * *
Methamphetamine 100.0 100.0 72.8 69.7 42.6 38.1 30.2 31.5 27.2 30.3 42.2 34.2 32.8 29.6 57.8 65.8
Misuse of Psychotherapeutics 100.0 100.0 69.1 72.4 34.6 40.7 34.4 31.6 30.9 27.6 35.9 43.2 27.9a 36.8 64.1 56.8
Pain Relievers 100.0 100.0 66.7 71.8 29.7a 42.0 37.0 29.8 33.3 28.2 29.3a 41.9 22.2a 35.9 70.7a 58.1
Stimulants 100.0 100.0 74.9 76.9 43.1 37.2 31.8 39.7 25.1 23.1 49.1 42.1 39.7 33.6 50.9 57.9
Tranquilizers or Sedatives 100.0 100.0 81.2 75.3 43.2 50.9 38.0 24.4 18.8 24.7 50.4 54.4 39.5 48.7 49.6 45.6
Tranquilizers 100.0 100.0 84.7 76.7 45.0 52.5 39.7a 24.2 15.3 23.3 51.8 55.5 40.3 49.0 48.2 44.5
Sedatives * * * * * * * * * * * * * * * *
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 100.0 100.0 65.7 69.6 28.6a 40.2 37.1 29.4 34.3 30.4 28.4a 39.9 21.2a 33.3 71.6a 60.1
Illicit Drugs Other
   Than Marijuana4
100.0 100.0 65.0 67.0 33.4 35.9 31.6 31.1 35.0 33.0 34.9 35.5 27.2 29.5 65.1 64.5
ALCOHOL 100.0 100.0 44.3 45.2 13.7 15.7 30.7 29.5 55.7 54.8 18.5 20.7 12.1 13.7 81.5 79.3
BOTH ILLICIT DRUGS
AND ALCOHOL
100.0 100.0 62.9 64.2 28.7 29.1 34.2 35.1 37.1 35.8 34.1 33.4 25.9 25.4 65.9 66.6
ILLICIT DRUGS OR
ALCOHOL
100.0 100.0 47.5 49.4 16.4a 18.5 31.1 31.0 52.5 50.6 21.1 23.0 14.3a 16.1 78.9 77.0
ILLICIT DRUGS ONLY 100.0 100.0 56.8 60.9 24.3 26.1 32.5 34.9 43.2 39.1 28.8 29.2 20.6 22.9 71.2 70.8
ALCOHOL ONLY 100.0 100.0 40.4 41.6 10.5a 13.2 29.9 28.5 59.6 58.4 15.3a 18.3 9.3a 11.5 84.7a 81.7
NO SUBSTANCE USE
DISORDER
100.0 100.0 16.8a 18.2 3.6a 4.1 13.2a 14.0 83.2a 81.8 6.0a 6.6 3.9a 4.4 94.0a 93.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.42A – Substance Use in Past Year and Past Month among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2018 and 2019
Substance Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
PAST YEAR USE
Illicit Drugs 49,031a 52,924 17,496a 19,998 5,614a 6,475 11,882a 13,524 31,535 32,926 7,663a 8,555 5,169a 6,112 40,603a 43,776
Marijuana 40,377a 44,958 13,915a 16,741 4,420a 5,225 9,496a 11,516 26,462a 28,217 6,261a 7,200 4,228a 5,080 33,566a 37,318
Cocaine 5,418 5,371 2,430 2,523 870 974 1,560 1,549 2,987 2,848 1,044 1,148 671 809 4,232 4,179
Crack 753 766 407 477 174 287 233 190 346 289 122a 256 88a 225 618 510
Heroin 798 745 430 423 206 260 224 163 367 322 160 223 123 182 609 511
Hallucinogens 5,219 5,571 2,412 2,616 907 863 1,505 1,753 2,807 2,954 1,236 1,223 796 854 3,853 4,252
LSD 2,115 2,191 1,046 1,069 402 326 644 743 1,070 1,122 573 529 375 341 1,508 1,613
PCP 56 52 33 17 17 10 15 7 23 35 23 8 23 7 21 31
Ecstasy 2,386 2,395 1,095 1,114 392 344 702 770 1,292 1,281 551 496 370 341 1,789 1,866
Inhalants 1,341 1,399 621 696 218 234 403 462 720 703 360 357 172 259 959 1,003
Methamphetamine 1,824 1,958 1,126 1,150 579 534 548 616 697 808 580 471 449 418 1,192 1,462
Misuse of
   Psychotherapeutics
15,686 15,242 7,196 7,347 2,594 2,799 4,602 4,548 8,490 7,895 3,126 3,329 2,154 2,465 12,206 11,706
Pain Relievers 9,253 9,158 4,229 4,396 1,582 1,746 2,646 2,651 5,024 4,761 1,863 2,017 1,309 1,514 7,160 7,031
Stimulants 4,739 4,499 2,331 2,259 822 885 1,509 1,374 2,409 2,240 1,066 1,101 715 785 3,598 3,358
Tranquilizers or Sedatives 5,975 5,459 3,203 3,175 1,217 1,366 1,986 1,809 2,772a 2,285 1,389 1,530 929a 1,204 4,446a 3,834
Tranquilizers 5,319 4,829 2,958 2,864 1,131 1,272 1,827 1,592 2,362a 1,965 1,295 1,417 859a 1,108 3,903a 3,318
Sedatives 1,021 1,016 470 574 202 250 268 324 551 442 210 282 165 223 785 728
Benzodiazepines 5,039 4,460 2,758 2,639 1,065 1,167 1,693 1,472 2,280a 1,821 1,186 1,338 795a 1,054 3,737a 3,037
Opioids 9,551 9,499 4,374 4,534 1,657 1,813 2,717 2,720 5,177 4,965 1,913 2,066 1,342 1,550 7,393 7,318
Illicit Drugs Other Than
   Marijuana4
21,422 21,727 9,392 9,969 3,315 3,696 6,077 6,273 12,029 11,758 4,063 4,456 2,766a 3,269 16,883 16,960
PAST MONTH USE
Alcohol 137,602 137,381 27,214a 29,216 6,288a 7,399 20,926 21,817 110,388 108,165 10,121a 11,058 6,307a 7,170 126,207 124,902
Binge Alcohol Use5 65,891 64,633 14,891a 15,895 3,676a 4,283 11,215 11,612 51,000a 48,738 5,670 6,205 3,448a 3,970 59,607 57,705
Heavy Alcohol Use 16,437 15,835 4,227 4,436 1,163 1,297 3,063 3,138 12,211 11,399 1,742 1,808 1,045 1,107 14,531 13,853
Cigarette Use 46,284 45,313 13,399 13,991 4,236 4,322 9,163 9,669 32,885 31,322 5,405 5,328 3,844 3,866 40,114 39,260
Daily Cigarette Use 27,229 26,721 7,937 8,283 2,748 2,560 5,190 5,724 19,292 18,437 3,184 3,164 2,317 2,334 23,690 23,173
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.42B – Substance Use in Past Year and Past Month among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2018 and 2019
Substance Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
PAST YEAR USE
Illicit Drugs 19.7a 21.1 36.7a 38.8 49.4 49.4 32.8a 35.2 15.7a 16.6 43.2 44.2 45.0 46.6 17.8a 19.2
Marijuana 16.2a 18.0 29.2a 32.5 38.9 39.8 26.2a 30.0 13.2a 14.2 35.3 37.2 36.8 38.7 14.7a 16.4
Cocaine 2.2 2.1 5.1 4.9 7.7 7.4 4.3 4.0 1.5 1.4 5.9 5.9 5.8 6.2 1.9 1.8
Crack 0.3 0.3 0.9 0.9 1.5 2.2 0.6 0.5 0.2 0.1 0.7a 1.3 0.8a 1.7 0.3 0.2
Heroin 0.3 0.3 0.9 0.8 1.8 2.0 0.6 0.4 0.2 0.2 0.9 1.2 1.1 1.4 0.3 0.2
Hallucinogens 2.1 2.2 5.1 5.1 8.0 6.6 4.2 4.6 1.4 1.5 7.0 6.3 6.9 6.5 1.7 1.9
LSD 0.9 0.9 2.2 2.1 3.5a 2.5 1.8 1.9 0.5 0.6 3.2 2.7 3.3 2.6 0.7 0.7
PCP 0.0 0.0 0.1 0.0 0.2 0.1 0.0 0.0 0.0 0.0 0.1 0.0 0.2 0.1 0.0 0.0
Ecstasy 1.0 1.0 2.3 2.2 3.4 2.6 1.9 2.0 0.6 0.6 3.1 2.6 3.2 2.6 0.8 0.8
Inhalants 0.5 0.6 1.3 1.4 1.9 1.8 1.1 1.2 0.4 0.4 2.0 1.8 1.5 2.0 0.4 0.4
Methamphetamine 0.7 0.8 2.4 2.2 5.1 4.1 1.5 1.6 0.3 0.4 3.3 2.4 3.9 3.2 0.5 0.6
Misuse of
   Psychotherapeutics
6.3 6.1 15.1 14.3 22.8 21.3 12.7 11.8 4.2 4.0 17.6 17.2 18.8 18.8 5.3 5.1
Pain Relievers 3.7 3.7 8.9 8.5 13.9 13.3 7.3 6.9 2.5 2.4 10.5 10.4 11.4 11.6 3.1 3.1
Stimulants 1.9 1.8 4.9 4.4 7.2 6.7 4.2 3.6 1.2 1.1 6.0 5.7 6.2 6.0 1.6 1.5
Tranquilizers or Sedatives 2.4 2.2 6.7 6.2 10.7 10.4 5.5 4.7 1.4a 1.1 7.8 7.9 8.1 9.2 1.9a 1.7
Tranquilizers 2.1 1.9 6.2 5.6 9.9 9.7 5.0 4.1 1.2 1.0 7.3 7.3 7.5 8.5 1.7a 1.5
Sedatives 0.4 0.4 1.0 1.1 1.8 1.9 0.7 0.8 0.3 0.2 1.2 1.5 1.4 1.7 0.3 0.3
Benzodiazepines 2.0a 1.8 5.8 5.1 9.4 8.9 4.7 3.8 1.1a 0.9 6.7 6.9 6.9 8.0 1.6a 1.3
Opioids 3.8 3.8 9.2 8.8 14.6 13.8 7.5 7.1 2.6 2.5 10.8 10.7 11.7 11.8 3.2 3.2
Illicit Drugs Other Than
   Marijuana4
8.6 8.7 19.7 19.4 29.2 28.2 16.8 16.3 6.0 5.9 22.9 23.0 24.1 24.9 7.4 7.4
PAST MONTH USE
Alcohol 55.3 54.9 57.1 56.7 55.3 56.4 57.7 56.8 54.9 54.4 57.1 57.1 54.9 54.7 55.3 54.8
Binge Alcohol Use5 26.5 25.8 31.3 30.9 32.3 32.7 30.9 30.3 25.3 24.5 32.0 32.1 30.0 30.3 26.1 25.3
Heavy Alcohol Use 6.6 6.3 8.9 8.6 10.2 9.9 8.4 8.2 6.1 5.7 9.8 9.3 9.1 8.4 6.4 6.1
Cigarette Use 18.6 18.1 28.1 27.2 37.2a 33.0 25.3 25.2 16.3 15.8 30.5a 27.5 33.5a 29.5 17.6 17.2
Daily Cigarette Use 10.9 10.7 16.7 16.1 24.2a 19.5 14.3 14.9 9.6 9.3 18.0 16.3 20.2 17.8 10.4 10.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.43A – Substance Use in Past Year and Past Month among Persons Aged 18 to 25, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2018 and 2019
Substance Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
PAST YEAR USE
Illicit Drugs 13,168 13,193 4,761a 5,357 1,556a 1,761 3,204a 3,597 8,408a 7,836 2,549 2,750 1,645a 1,953 10,368 10,214
Marijuana 11,829 11,952 4,251a 4,866 1,372a 1,614 2,879a 3,252 7,578 7,085 2,266 2,504 1,477a 1,755 9,349 9,258
Cocaine 1,967 1,789 852 873 270 305 582 568 1,115a 915 401 451 248 308 1,500 1,306
Crack 87 61 48 47 25 19 23 28 39a 13 24 23 18 23 58 37
Heroin 157a 87 93 65 39 30 55 34 64a 22 48 39 40 35 103a 46
Hallucinogens 2,332 2,425 1,014 1,167 339 398 675 769 1,317 1,258 568 604 360 426 1,699 1,761
LSD 1,187 1,202 551 595 193 188 358 407 636 607 310 293 196 213 864 878
PCP 10 30 5 11 1 10 4 2 5 19 1 8 * 7 4 10
Ecstasy 1,063 1,089 454 474 135 141 320 333 608 615 261 235 151 170 782 835
Inhalants 495 577 227a 333 73a 125 155 208 268 244 135 195 79a 160 349 350
Methamphetamine 273 275 154 146 67 50 88 96 119 130 87 59 71 49 164 214
Misuse of
   Psychotherapeutics
4,202a 3,868 1,881 1,878 667 731 1,214 1,147 2,321a 1,990 1,015 1,042 672 791 3,087a 2,750
Pain Relievers 1,858 1,754 853 893 332 389 521 503 1,005 861 482 514 325 409 1,312 1,180
Stimulants 2,216a 1,951 962 957 317 371 645 587 1,254a 994 532 510 352 373 1,649a 1,419
Tranquilizers or Sedatives 1,658a 1,409 871 775 332 345 539a 430 787a 634 439 485 299a 396 1,186a 903
Tranquilizers 1,566a 1,313 821 712 308 305 512a 407 745a 601 408 437 282 355 1,125a 856
Sedatives 194 175 123 120 64 78 60 42 71 55 79 91 51 82 115 82
Benzodiazepines 1,526a 1,266 792 694 300 292 492 402 733a 572 402 428 278 347 1,096a 827
Opioids 1,895 1,776 877 904 338 389 539 515 1,018 871 493 517 332 409 1,339 1,199
Illicit Drugs Other Than
   Marijuana4
6,006 5,791 2,556 2,700 881 988 1,675 1,712 3,450a 3,091 1,365 1,438 889a 1,062 4,488 4,217
PAST MONTH USE
Alcohol 18,757 18,323 5,575a 6,031 1,689 1,804 3,886 4,227 13,182a 12,292 2,897 3,051 1,829 2,022 15,589 15,012
Binge Alcohol Use5 11,876 11,559 3,586 3,792 1,056 1,169 2,530 2,624 8,290 7,767 1,805 1,956 1,128a 1,313 9,883 9,454
Heavy Alcohol Use 3,074 2,844 973 944 309 350 665 594 2,101 1,900 476 522 275 358 2,525 2,269
Cigarette Use 6,514a 5,917 2,221 2,263 782 781 1,438 1,482 4,294a 3,654 1,116 1,112 750 831 5,212a 4,665
Daily Cigarette Use 2,438a 2,097 842 794 311 286 531 508 1,596a 1,303 385 345 265 286 1,979a 1,715
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.43B – Substance Use in Past Year and Past Month among Persons Aged 18 to 25, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2018 and 2019
Substance Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
PAST YEAR USE
Illicit Drugs 38.7 39.1 53.2 54.0 59.4 60.7 50.7 51.2 33.5 32.9 55.3 54.5 55.4 57.3 35.9 36.3
Marijuana 34.8 35.4 47.5 49.0 52.4 55.7 45.5 46.3 30.2 29.8 49.2 49.6 49.8 51.5 32.4 32.9
Cocaine 5.8 5.3 9.5 8.8 10.3 10.5 9.2 8.1 4.4 3.8 8.7 8.9 8.3 9.0 5.2 4.6
Crack 0.3 0.2 0.5 0.5 0.9 0.7 0.4 0.4 0.2a 0.1 0.5 0.5 0.6 0.7 0.2 0.1
Heroin 0.5a 0.3 1.0 0.7 1.5 1.0 0.9 0.5 0.3a 0.1 1.1 0.8 1.3 1.0 0.4a 0.2
Hallucinogens 6.9 7.2 11.3 11.8 12.9 13.7 10.7 10.9 5.3 5.3 12.3 12.0 12.1 12.5 5.9 6.3
LSD 3.5 3.6 6.2 6.0 7.4 6.5 5.7 5.8 2.5 2.6 6.7 5.8 6.6 6.3 3.0 3.1
PCP 0.0 0.1 0.1 0.1 0.0 0.3 0.1 0.0 0.0 0.1 0.0 0.2 * 0.2 0.0 0.0
Ecstasy 3.1 3.2 5.1 4.8 5.1 4.9 5.1 4.7 2.4 2.6 5.7 4.7 5.1 5.0 2.7 3.0
Inhalants 1.5 1.7 2.5 3.4 2.8 4.3 2.4 3.0 1.1 1.0 2.9 3.9 2.7a 4.7 1.2 1.2
Methamphetamine 0.8 0.8 1.7 1.5 2.5 1.7 1.4 1.4 0.5 0.5 1.9 1.2 2.4 1.4 0.6 0.8
Misuse of
   Psychotherapeutics
12.3 11.5 21.0a 18.9 25.5 25.2 19.2a 16.3 9.2 8.4 22.0 20.7 22.7 23.2 10.7 9.8
Pain Relievers 5.5 5.2 9.5 9.0 12.7 13.4 8.2 7.2 4.0 3.6 10.5 10.2 11.0 12.0 4.5 4.2
Stimulants 6.5 5.8 10.7 9.6 12.1 12.8 10.2 8.3 5.0a 4.2 11.5 10.1 11.9 11.0 5.7 5.0
Tranquilizers or Sedatives 4.9a 4.2 9.7a 7.8 12.7 11.9 8.5a 6.1 3.1 2.7 9.5 9.6 10.1 11.6 4.1a 3.2
Tranquilizers 4.6a 3.9 9.2a 7.2 11.8 10.5 8.1a 5.8 3.0 2.5 8.9 8.7 9.5 10.4 3.9a 3.0
Sedatives 0.6 0.5 1.4 1.2 2.4 2.7 0.9 0.6 0.3 0.2 1.7 1.8 1.7 2.4 0.4 0.3
Benzodiazepines 4.5a 3.8 8.9a 7.0 11.5 10.1 7.8a 5.7 2.9a 2.4 8.7 8.5 9.3 10.2 3.8a 2.9
Opioids 5.6 5.3 9.8 9.1 12.9 13.4 8.5 7.3 4.1 3.7 10.7 10.2 11.2 12.0 4.6 4.3
Illicit Drugs Other Than
   Marijuana4
17.6 17.2 28.6 27.2 33.6 34.1 26.5 24.4 13.7 13.0 29.6 28.5 30.0 31.2 15.5 15.0
PAST MONTH USE
Alcohol 55.1 54.3 62.3 60.7 64.5 62.2 61.4 60.1 52.5 51.6 62.8 60.5 61.6 59.3 54.0 53.3
Binge Alcohol Use5 34.9 34.3 40.1 38.2 40.3 40.3 40.0 37.3 33.0 32.6 39.2 38.8 38.0 38.5 34.2 33.6
Heavy Alcohol Use 9.0 8.4 10.9 9.5 11.8 12.1 10.5a 8.5 8.4 8.0 10.3 10.3 9.3 10.5 8.7 8.1
Cigarette Use 19.1a 17.5 24.8 22.8 29.9 26.9 22.7 21.1 17.1a 15.4 24.2 22.0 25.3 24.4 18.0a 16.6
Daily Cigarette Use 7.2a 6.2 9.4a 8.0 11.9 9.9 8.4 7.2 6.4a 5.5 8.3 6.8 8.9 8.4 6.9a 6.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.44A – Substance Use in Past Year and Past Month among Persons Aged 26 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2018 and 2019
Substance Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
PAST YEAR USE
Illicit Drugs 35,863a 39,731 12,735a 14,641 4,058a 4,714 8,677a 9,927 23,128a 25,090 5,113a 5,805 3,525a 4,159 30,235a 33,562
Marijuana 28,548a 33,007 9,664a 11,875 3,047a 3,611 6,617a 8,263 18,884a 21,132 3,995a 4,696 2,751a 3,325 24,217a 28,059
Cocaine 3,451 3,582 1,578 1,649 600 669 978 981 1,872 1,933 643 697 423 501 2,733 2,873
Crack 666 706 359 430 149 268 210 162 307 276 98a 233 70a 203 559 473
Heroin 641 658 337 358 168 229 169 129 304 300 111 185 83 147 505 465
Hallucinogens 2,887 3,146 1,397 1,449 568 465 830 985 1,490 1,697 668 618 436 428 2,154 2,492
LSD 928 989 495 474 209 138 286 336 434 515 264 236 179 127 645 735
PCP 45 22 28 5 17 1 11 5 18 16 23 * 23 * 16 21
Ecstasy 1,324 1,306 640 639 258 203 383 436 683 667 290 262 219 171 1,008 1,031
Inhalants 846 822 394 363 145 109 248 254 452 459 225 162 93 99 610 653
Methamphetamine 1,551 1,682 972 1,004 512 484 460 520 578 678 492 412 377 369 1,028 1,248
Misuse of
   Psychotherapeutics
11,484 11,374 5,315 5,468 1,927 2,068 3,388 3,401 6,169 5,906 2,111 2,287 1,482 1,674 9,119 8,957
Pain Relievers 7,395 7,404 3,376 3,503 1,251 1,356 2,125 2,147 4,019 3,900 1,381 1,503 984 1,106 5,848 5,851
Stimulants 2,524 2,548 1,369 1,301 505 514 864 787 1,154 1,247 533 591 363 412 1,949 1,939
Tranquilizers or Sedatives 4,317 4,050 2,332 2,400 885 1,021 1,448 1,379 1,985 1,650 950 1,045 630 808 3,260 2,931
Tranquilizers 3,753 3,516 2,137 2,152 822 967 1,315 1,186 1,616 1,364 887 980 577 753 2,778 2,461
Sedatives 827 841 347 454 138 173 208 281 480 387 131 191 113 141 670 646
Benzodiazepines 3,513 3,194 1,966 1,946 765 876 1,201 1,070 1,547 1,249 784 910 517 707 2,641 2,210
Opioids 7,656 7,723 3,497 3,629 1,319 1,424 2,179 2,205 4,159 4,094 1,420 1,549 1,010 1,141 6,054 6,119
Illicit Drugs Other Than
   Marijuana4
15,416 15,936 6,837 7,269 2,434 2,709 4,402 4,560 8,579 8,666 2,699 3,017 1,877 2,207 12,395 12,743
PAST MONTH USE
Alcohol 118,844 119,058 21,639a 23,185 4,599a 5,595 17,039 17,590 97,206 95,873 7,224a 8,007 4,477a 5,149 110,618 109,890
Binge Alcohol Use5 54,015 53,073 11,304 12,103 2,620a 3,114 8,685 8,989 42,711 40,971 3,864 4,249 2,321 2,657 49,724 48,251
Heavy Alcohol Use 13,363 12,991 3,253 3,492 854 947 2,399 2,544 10,110 9,499 1,266 1,286 771 749 12,006 11,584
Cigarette Use 39,770 39,396 11,178 11,728 3,454 3,542 7,724 8,187 28,592 27,668 4,289 4,216 3,094 3,036 34,901 34,595
Daily Cigarette Use 24,792 24,624 7,096 7,490 2,436 2,273 4,659 5,216 17,696 17,134 2,799 2,819 2,052 2,048 21,711 21,458
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.44B – Substance Use in Past Year and Past Month among Persons Aged 26 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2018 and 2019
Substance Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
PAST YEAR USE
Illicit Drugs 16.7a 18.3 32.9a 35.2 46.4 46.1 29.0a 31.7 13.1a 14.3 39.0 40.6 41.4 42.9 15.2a 16.8
Marijuana 13.3a 15.2 25.0a 28.6 34.8 35.3 22.1a 26.4 10.7a 12.1 30.5 32.8 32.3 34.3 12.1a 14.0
Cocaine 1.6 1.7 4.1 4.0 6.9 6.5 3.3 3.1 1.1 1.1 4.9 4.9 5.0 5.2 1.4 1.4
Crack 0.3 0.3 0.9 1.0 1.7 2.6 0.7 0.5 0.2 0.2 0.7a 1.6 0.8a 2.1 0.3 0.2
Heroin 0.3 0.3 0.9 0.9 1.9 2.2 0.6 0.4 0.2 0.2 0.8 1.3 1.0 1.5 0.3 0.2
Hallucinogens 1.3 1.5 3.6 3.5 6.5a 4.5 2.8 3.1 0.8 1.0 5.1 4.3 5.1 4.4 1.1 1.2
LSD 0.4 0.5 1.3 1.1 2.4 1.4 1.0 1.1 0.2 0.3 2.0 1.7 2.1 1.3 0.3 0.4
PCP 0.0 0.0 0.1 0.0 0.2 0.0 0.0 0.0 0.0 0.0 0.2 * 0.3 * 0.0 0.0
Ecstasy 0.6 0.6 1.7 1.5 2.9 2.0 1.3 1.4 0.4 0.4 2.2 1.8 2.6 1.8 0.5 0.5
Inhalants 0.4 0.4 1.0 0.9 1.7 1.1 0.8 0.8 0.3 0.3 1.7 1.1 1.1 1.0 0.3 0.3
Methamphetamine 0.7 0.8 2.5 2.4 5.9 4.7 1.5 1.7 0.3 0.4 3.8 2.9 4.4 3.8 0.5 0.6
Misuse of
   Psychotherapeutics
5.3 5.3 13.7 13.2 22.0 20.2 11.3 10.8 3.5 3.4 16.1 16.0 17.4 17.2 4.6 4.5
Pain Relievers 3.4 3.4 8.7 8.4 14.3 13.3 7.1 6.8 2.3 2.2 10.5 10.5 11.5 11.4 2.9 2.9
Stimulants 1.2 1.2 3.5 3.1 5.8 5.0 2.9 2.5 0.7 0.7 4.1 4.1 4.3 4.2 1.0 1.0
Tranquilizers or Sedatives 2.0 1.9 6.0 5.8 10.1 10.0 4.8 4.4 1.1 0.9 7.2 7.3 7.4 8.3 1.6 1.5
Tranquilizers 1.7 1.6 5.5 5.2 9.4 9.5 4.4 3.8 0.9 0.8 6.8 6.8 6.8 7.8 1.4 1.2
Sedatives 0.4 0.4 0.9 1.1 1.6 1.7 0.7 0.9 0.3 0.2 1.0 1.3 1.3 1.5 0.3 0.3
Benzodiazepines 1.6 1.5 5.1 4.7 8.7 8.6 4.0 3.4 0.9 0.7 6.0 6.4 6.1 7.3 1.3 1.1
Opioids 3.6 3.6 9.0 8.7 15.1 13.9 7.3 7.0 2.4 2.3 10.8 10.8 11.9 11.8 3.0 3.1
Illicit Drugs Other Than
   Marijuana4
7.2 7.4 17.7 17.5 27.8 26.5 14.7 14.5 4.9 5.0 20.6 21.1 22.0 22.7 6.2 6.4
PAST MONTH USE
Alcohol 55.3 55.0 55.9 55.8 52.5 54.8 56.9 56.1 55.2 54.8 55.1 55.9 52.5 53.0 55.5 55.0
Binge Alcohol Use5 25.1 24.5 29.2 29.1 29.9 30.5 29.0 28.7 24.2 23.4 29.5 29.7 27.2 27.4 24.9 24.1
Heavy Alcohol Use 6.2 6.0 8.4 8.4 9.8 9.3 8.0 8.1 5.7 5.4 9.7 9.0 9.0 7.7 6.0 5.8
Cigarette Use 18.5 18.2 28.9 28.2 39.4a 34.7 25.8 26.1 16.2 15.8 32.7a 29.5 36.3a 31.3 17.5 17.3
Daily Cigarette Use 11.5 11.4 18.3 18.0 27.8a 22.3 15.6 16.6 10.0 9.8 21.4 19.7 24.1 21.1 10.9 10.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.45A – Substance Use in Past Year and Past Month among Persons Aged 26 to 49, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2018 and 2019
Substance Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
PAST YEAR USE
Illicit Drugs 23,942a 26,092 9,258a 10,401 2,956a 3,400 6,302a 7,001 14,684a 15,692 3,607a 4,101 2,483a 2,871 19,991a 21,773
Marijuana 19,660a 22,016 7,307a 8,513 2,367a 2,724 4,941a 5,789 12,352a 13,504 2,960 3,348 2,019 2,319 16,430a 18,488
Cocaine 2,823 2,863 1,380 1,444 545 559 835 886 1,443 1,418 609 594 395 423 2,140 2,256
Crack 359 343 221 269 94 171 127 98 138a 74 69 138 41a 131 282 205
Heroin 460 474 282 318 147 214 135 103 178 156 101 161 74 141 344 304
Hallucinogens 2,571 2,742 1,273 1,339 521 438 752 901 1,298 1,403 617 560 403 382 1,889 2,156
LSD 881 890 479 471 209 135 270 336 402 419 264 234 179 124 597 639
PCP 42 19 26 5 15 1 11 5 16 13 20 1 20 * 15 18
Ecstasy 1,283 1,261 629 632 258 195 371 436 654 630 290 254 219 163 967 994
Inhalants 617 623 333 292 134 109 199 183 284 331 190 135 93 99 416 481
Methamphetamine 1,149 1,262 753 809 403 437 350 373 396 453 365 354 292 321 753 895
Misuse of
   Psychotherapeutics
7,849 7,601 3,991 3,897 1,402 1,458 2,589 2,439 3,858 3,704 1,480 1,626 1,078 1,154 6,233 5,920
Pain Relievers 4,765 4,797 2,416 2,470 850 953 1,566 1,517 2,348 2,327 883 1,030 674 732 3,769 3,735
Stimulants 2,363 2,247 1,314 1,138 484 465 830 673 1,049 1,109 511 517 341 366 1,821 1,712
Tranquilizers or Sedatives 2,912 2,582 1,718 1,661 691 688 1,027 973 1,195a 921 682 733 497 522 2,177a 1,831
Tranquilizers 2,613 2,342 1,567 1,521 647 635 920 885 1,046a 821 635 671 460 467 1,933 1,653
Sedatives 527 423 287 280 116 129 172 151 239 144 113 147 95 99 398 273
Benzodiazepines 2,466 2,169 1,485 1,401 613 579 871 823 981a 768 589 635 424 455 1,833a 1,516
Opioids 4,913 4,971 2,484 2,573 898 1,019 1,586 1,553 2,429 2,398 914 1,066 691 768 3,880 3,869
Illicit Drugs Other Than
   Marijuana4
10,751 11,025 5,169 5,416 1,790 1,983 3,378 3,433 5,583 5,609 1,970 2,197 1,394 1,584 8,585 8,747
PAST MONTH USE
Alcohol 61,713 62,340 14,535a 16,174 3,449a 4,278 11,086a 11,896 47,178 46,166 4,912a 5,611 3,097a 3,723 56,247 56,256
Binge Alcohol Use5 33,381 33,413 8,220a 9,051 1,992a 2,393 6,227 6,658 25,161 24,362 2,752 3,053 1,687 1,985 30,360 30,131
Heavy Alcohol Use 8,072 7,816 2,431 2,530 663 745 1,768 1,785 5,641 5,286 945 902 580 595 7,079 6,873
Cigarette Use 23,603 22,628 7,457 7,686 2,353 2,547 5,104 5,139 16,146a 14,942 2,795 2,864 2,030 2,095 20,386 19,430
Daily Cigarette Use 13,818 13,106 4,735 4,641 1,599 1,537 3,136 3,103 9,083 8,465 1,771 1,848 1,327 1,367 11,825 11,078
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.45B – Substance Use in Past Year and Past Month among Persons Aged 26 to 49, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2018 and 2019
Substance Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
PAST YEAR USE
Illicit Drugs 23.7a 25.8 40.7 41.1 50.1 49.7 37.5 38.0 18.8a 20.6 45.1 46.0 47.0 47.1 21.8a 23.8
Marijuana 19.5a 21.7 32.2 33.7 40.1 39.8 29.4 31.4 15.8a 17.8 37.1 37.6 38.2 38.0 17.9a 20.2
Cocaine 2.8 2.8 6.1 5.7 9.2 8.2 5.0 4.8 1.8 1.9 7.6 6.7 7.5 6.9 2.3 2.5
Crack 0.4 0.3 1.0 1.1 1.6 2.5 0.8 0.5 0.2 0.1 0.9 1.5 0.8a 2.2 0.3 0.2
Heroin 0.5 0.5 1.2 1.3 2.5 3.1 0.8 0.6 0.2 0.2 1.3 1.8 1.4 2.3 0.4 0.3
Hallucinogens 2.5 2.7 5.6 5.3 8.8a 6.4 4.5 4.9 1.7 1.8 7.7 6.3 7.6 6.3 2.1 2.4
LSD 0.9 0.9 2.1 1.9 3.5 2.0 1.6 1.8 0.5 0.6 3.3 2.6 3.4 2.0 0.7 0.7
PCP 0.0 0.0 0.1 0.0 0.2 0.0 0.1 0.0 0.0 0.0 0.3 0.0 0.4 * 0.0 0.0
Ecstasy 1.3 1.2 2.8 2.5 4.4 2.8 2.2 2.4 0.8 0.8 3.6 2.8 4.1 2.7 1.1 1.1
Inhalants 0.6 0.6 1.5 1.2 2.3 1.6 1.2 1.0 0.4 0.4 2.4 1.5 1.8 1.6 0.5 0.5
Methamphetamine 1.1 1.2 3.3 3.2 6.8 6.4 2.1 2.0 0.5 0.6 4.6 4.0 5.5 5.3 0.8 1.0
Misuse of
   Psychotherapeutics
7.8 7.5 17.6a 15.4 23.7 21.3 15.4a 13.2 4.9 4.9 18.5 18.2 20.4 18.9 6.8 6.5
Pain Relievers 4.7 4.7 10.6 9.8 14.4 13.9 9.3 8.2 3.0 3.1 11.1 11.6 12.8 12.0 4.1 4.1
Stimulants 2.3 2.2 5.8a 4.5 8.2 6.8 4.9a 3.7 1.3 1.5 6.4 5.8 6.5 6.0 2.0 1.9
Tranquilizers or Sedatives 2.9 2.5 7.6 6.6 11.7 10.0 6.1 5.3 1.5a 1.2 8.5 8.2 9.4 8.6 2.4a 2.0
Tranquilizers 2.6 2.3 6.9 6.0 10.9 9.3 5.5 4.8 1.3 1.1 7.9 7.5 8.7 7.7 2.1 1.8
Sedatives 0.5 0.4 1.3 1.1 2.0 1.9 1.0 0.8 0.3 0.2 1.4 1.6 1.8 1.6 0.4 0.3
Benzodiazepines 2.4 2.1 6.5 5.5 10.4 8.4 5.2 4.5 1.3 1.0 7.4 7.1 8.0 7.5 2.0a 1.7
Opioids 4.9 4.9 10.9 10.2 15.2 14.9 9.4 8.4 3.1 3.2 11.4 12.0 13.1 12.6 4.2 4.2
Illicit Drugs Other Than
   Marijuana4
10.7 10.9 22.7 21.4 30.3 29.0 20.1 18.6 7.1 7.4 24.7 24.6 26.4 26.0 9.4 9.6
PAST MONTH USE
Alcohol 61.1 61.6 64.0 64.0 58.4a 62.5 65.9 64.5 60.3 60.7 61.5 62.9 58.6 61.0 61.3 61.6
Binge Alcohol Use5 33.1 33.0 36.2 35.8 33.7 34.9 37.0 36.1 32.2 32.1 34.4 34.2 31.9 32.5 33.1 33.0
Heavy Alcohol Use 8.0 7.7 10.7 10.0 11.2 10.9 10.5 9.7 7.2 7.0 11.8 10.1 11.0 9.8 7.7 7.5
Cigarette Use 23.4a 22.3 32.8a 30.4 39.8 37.2 30.4a 27.9 20.6 19.7 35.0 32.1 38.4 34.3 22.2 21.3
Daily Cigarette Use 13.7 12.9 20.8a 18.4 27.1a 22.5 18.6 16.8 11.6 11.1 22.2 20.7 25.1 22.4 12.9 12.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.46A – Substance Use in Past Year and Past Month among Persons Aged 50 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2018 and 2019
Substance Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
PAST YEAR USE
Illicit Drugs 11,921a 13,639 3,477a 4,240 1,102 1,314 2,375 2,926 8,444 9,399 1,506 1,704 1,042 1,288 10,244a 11,789
Marijuana 8,889a 10,990 2,357a 3,362 681 887 1,676a 2,475 6,532a 7,628 1,035 1,348 732 1,006 7,787a 9,572
Cocaine 628 720 198 205 55 110 143 95 430 515 34 103 28 79 593 617
Crack 307 363 138 161 55 96 83 65 169 202 28 95 28 71 277 268
Heroin 180 184 55 41 21 15 34 26 125 144 10 23 9 6 162 161
Hallucinogens 317 404 124 110 47 26 78 83 192 294 51 59 33 46 264 336
LSD 48 99 16 3 * 3 16 * 32 96 * 3 * 3 48 96
PCP * * 2 * 2 * * * * * 2 * 2 * * *
Ecstasy 41 45 11 8 * 8 11 * 30 37 * 8 * 8 41 37
Inhalants 229 199 61 71 11 * 50 71 168 128 35 * * * 194 172
Methamphetamine 402 420 219 195 110 48 110 147 182 225 127 58 86 48 275 353
Misuse of
   Psychotherapeutics
3,635 3,773 1,324 1,572 525 610 799 962 2,311 2,201 631 662 404 520 2,887 3,036
Pain Relievers 2,630 2,607 960 1,034 401 403 559 630 1,670 1,573 497 473 310 374 2,078 2,115
Stimulants 160 301 55a 163 22 50 34 113 105 138 23 74 22 46 128 227
Tranquilizers or Sedatives 1,405 1,468 615 739 194 333 420 406 790 729 268 311 132 286 1,083 1,101
Tranquilizers 1,141 1,174 570 632 176 331 394 300 571 543 253 309 117a 286 845 808
Sedatives 300 417 59 174 23 44 37 130 241 243 18 44 18 42 271 373
Benzodiazepines 1,047 1,026 481 544 152 297 330 248 565 481 195 275 93a 251 808 694
Opioids 2,743 2,752 1,013 1,057 420 405 593 652 1,730 1,695 506 483 319 374 2,174 2,250
Illicit Drugs Other Than
   Marijuana4
4,665 4,911 1,668 1,853 644 726 1,024 1,127 2,997 3,057 729 821 484 623 3,810 3,996
PAST MONTH USE
Alcohol 57,131 56,719 7,104 7,012 1,150 1,317 5,953 5,694 50,028 49,707 2,312 2,396 1,380 1,426 54,371 53,634
Binge Alcohol Use5 20,634 19,660 3,085 3,052 628 721 2,457 2,330 17,549 16,609 1,112 1,196 634 672 19,364 18,120
Heavy Alcohol Use 5,291 5,174 822 962 191 203 631 759 4,469 4,213 321 385 191 154 4,926 4,711
Cigarette Use 16,166 16,768 3,721 4,042 1,101 995 2,620 3,047 12,445 12,726 1,493 1,352 1,064 941 14,516 15,165
Daily Cigarette Use 10,974 11,518 2,361 2,849 837 736 1,524a 2,113 8,613 8,669 1,028 971 725 680 9,886 10,379
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.46B – Substance Use in Past Year and Past Month among Persons Aged 50 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2018 and 2019
Substance Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
PAST YEAR USE
Illicit Drugs 10.5a 11.8 21.8a 26.0 38.7 39.0 18.1a 22.7 8.6 9.5 29.4 31.6 32.2 35.7 9.5a 10.9
Marijuana 7.8a 9.5 14.8a 20.6 23.9 26.3 12.8a 19.2 6.7 7.7 20.2 25.0 22.6 27.9 7.2a 8.8
Cocaine 0.6 0.6 1.2 1.3 1.9 3.3 1.1 0.7 0.4 0.5 0.7 1.9 0.9 2.2 0.5 0.6
Crack 0.3 0.3 0.9 1.0 1.9 2.9 0.6 0.5 0.2 0.2 0.6 1.8 0.9 2.0 0.3 0.2
Heroin 0.2 0.2 0.3 0.2 0.7 0.4 0.3 0.2 0.1 0.1 0.2 0.4 0.3 0.2 0.1 0.1
Hallucinogens 0.3 0.3 0.8 0.7 1.6 0.8 0.6 0.6 0.2 0.3 1.0 1.1 1.0 1.3 0.2 0.3
LSD 0.0 0.1 0.1 0.0 * 0.1 0.1 * 0.0 0.1 * 0.0 * 0.1 0.0 0.1
PCP * * 0.0 * 0.1 * * * * * 0.0 * 0.1 * * *
Ecstasy 0.0 0.0 0.1 0.0 * 0.2 0.1 * 0.0 0.0 * 0.1 * 0.2 0.0 0.0
Inhalants 0.2 0.2 0.4 0.4 0.4 * 0.4 0.6 0.2 0.1 0.7 * * * 0.2 0.2
Methamphetamine 0.4 0.4 1.4 1.2 3.8 1.4 0.8 1.1 0.2 0.2 2.5 1.1 2.6 1.3 0.3 0.3
Misuse of
   Psychotherapeutics
3.2 3.3 8.3 9.7 18.4 18.1 6.1 7.4 2.4 2.2 12.3 12.3 12.5 14.4 2.7 2.8
Pain Relievers 2.3 2.3 6.0 6.3 14.1 12.0 4.3 4.9 1.7 1.6 9.7 8.8 9.6 10.4 1.9 1.9
Stimulants 0.1 0.3 0.3a 1.0 0.8 1.5 0.3 0.9 0.1 0.1 0.4 1.4 0.7 1.3 0.1 0.2
Tranquilizers or Sedatives 1.2 1.3 3.8 4.5 6.8 9.9 3.2 3.1 0.8 0.7 5.2 5.8 4.1 7.9 1.0 1.0
Tranquilizers 1.0 1.0 3.6 3.9 6.2 9.8 3.0 2.3 0.6 0.5 4.9 5.7 3.6 7.9 0.8 0.7
Sedatives 0.3 0.4 0.4 1.1 0.8 1.3 0.3 1.0 0.2 0.2 0.3 0.8 0.6 1.2 0.3 0.3
Benzodiazepines 0.9 0.9 3.0 3.3 5.3 8.8 2.5 1.9 0.6 0.5 3.8 5.1 2.9 7.0 0.7 0.6
Opioids 2.4 2.4 6.3 6.5 14.8 12.0 4.5 5.0 1.8 1.7 9.9 8.9 9.9 10.4 2.0 2.1
Illicit Drugs Other Than
   Marijuana4
4.1 4.3 10.4 11.4 22.6 21.5 7.8 8.7 3.1 3.1 14.2 15.2 14.9 17.3 3.5 3.7
PAST MONTH USE
Alcohol 50.2 49.2 44.5 43.1 40.4 39.1 45.4 44.1 51.1 50.2 45.1 44.4 42.6 39.6 50.4 49.4
Binge Alcohol Use5 18.1 17.1 19.3 18.7 22.0 21.4 18.7 18.0 17.9 16.8 21.7 22.2 19.6 18.6 18.0 16.7
Heavy Alcohol Use 4.6 4.5 5.1 5.9 6.7 6.0 4.8 5.9 4.6 4.3 6.3 7.1 5.9 4.3 4.6 4.3
Cigarette Use 14.2 14.5 23.3 24.8 38.6 29.5 20.0 23.6 12.7 12.9 29.2 25.1 32.9 26.1 13.5 14.0
Daily Cigarette Use 9.6 10.0 14.8 17.5 29.4 21.8 11.6a 16.4 8.8 8.8 20.1 18.0 22.4 18.9 9.2 9.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.47A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 248,857 250,316 47,635a 51,495 11,373a 13,115 36,262a 38,379 201,222 198,822 17,720a 19,357 11,489a 13,112 228,363 227,964
ILLICIT DRUGS 7,412 7,419 4,361 4,595 1,910 2,002 2,451 2,593 3,051 2,825 2,230 2,223 1,631 1,726 5,058 5,079
Marijuana 3,910 4,136 2,118 2,423 748 868 1,370 1,554 1,791 1,714 1,072 1,099 702 812 2,779 2,955
Cocaine 973 1,006 581 653 322 362 259 291 391 352 317 315 247 257 649 676
Heroin 522 438 333 300 146 187 187 113 189 138 132 188 103 159 372 244
Hallucinogens 235 234 157 124 99 72 58 51 78 110 108 89 86 63 117 138
Inhalants 95 63 62 39 23 18 40 20 33 24 28 7 18 * 67 55
Methamphetamine 1,033 1,029 752 717 440 392 312 324 281 312 427 346 331 301 584 668
Misuse of Psychotherapeutics 2,370 2,011 1,637 1,455 820 819 816 636 733 556 833 859 647 731 1,488a 1,127
Pain Relievers 1,591 1,279 1,061 918 472 537 589a 381 529 361 462 527 350 453 1,112a 732
Stimulants 508 492 380 378 219 183 162 195 128 114 240 206 194 164 249 283
Tranquilizers or Sedatives 683 585 554 441 295 298 259a 143 129 145 337 315 264 282 332 264
Tranquilizers 612 508 518 389 275 266 243a 123 94 118 314 278 244 245 292 223
Sedatives 100 137 62 106 43 62 20 44 38 31 42 86 39 65 50 47
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 1,920 1,535 1,262 1,069 550 617 713a 452 658 466 536 603 400 504 1,350a 907
Illicit Drugs Other
   Than Marijuana4
4,163 3,820 2,705 2,560 1,389 1,372 1,316 1,188 1,457 1,260 1,428 1,337 1,111 1,110 2,658 2,427
ALCOHOL 14,418 14,090 6,390 6,370 1,971 2,210 4,420 4,160 8,027 7,720 2,642 2,889 1,728 1,904 11,612 11,073
BOTH ILLICIT DRUGS
AND ALCOHOL
2,487 2,225 1,565 1,428 715 648 850 781 923 796 833 731 634 555 1,613 1,458
ILLICIT DRUGS OR
ALCOHOL
19,343 19,285 9,187 9,536 3,166 3,564 6,021 5,973 10,156 9,749 4,039 4,381 2,725 3,075 15,056 14,694
ILLICIT DRUGS ONLY 4,925 5,195 2,797 3,166 1,195 1,354 1,601 1,812 2,129 2,029 1,396 1,492 997 1,171 3,445 3,621
ALCOHOL ONLY 11,930 11,866 4,826 4,942 1,256a 1,562 3,570 3,380 7,105 6,924 1,809a 2,158 1,094a 1,349 9,999 9,615
NO SUBSTANCE USE
DISORDER
229,515a 231,031 38,448a 41,958 8,207a 9,551 30,241a 32,407 191,066 189,073 13,681a 14,976 8,764a 10,037 213,307 213,270
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.47B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
ILLICIT DRUGS 3.0 3.0 9.2 8.9 16.8 15.3 6.8 6.8 1.5 1.4 12.6 11.5 14.2 13.2 2.2 2.2
Marijuana 1.6 1.7 4.4 4.7 6.6 6.6 3.8 4.0 0.9 0.9 6.0 5.7 6.1 6.2 1.2 1.3
Cocaine 0.4 0.4 1.2 1.3 2.8 2.8 0.7 0.8 0.2 0.2 1.8 1.6 2.1 2.0 0.3 0.3
Heroin 0.2 0.2 0.7 0.6 1.3 1.4 0.5a 0.3 0.1 0.1 0.7 1.0 0.9 1.2 0.2 0.1
Hallucinogens 0.1 0.1 0.3 0.2 0.9 0.6 0.2 0.1 0.0 0.1 0.6 0.5 0.8 0.5 0.1 0.1
Inhalants 0.0 0.0 0.1 0.1 0.2 0.1 0.1 0.1 0.0 0.0 0.2 0.0 0.2 * 0.0 0.0
Methamphetamine 0.4 0.4 1.6 1.4 3.9 3.0 0.9 0.8 0.1 0.2 2.4 1.8 2.9 2.3 0.3 0.3
Misuse of Psychotherapeutics 1.0 0.8 3.4 2.8 7.2 6.2 2.3a 1.7 0.4 0.3 4.7 4.4 5.6 5.6 0.7a 0.5
Pain Relievers 0.6 0.5 2.2 1.8 4.2 4.1 1.6a 1.0 0.3 0.2 2.6 2.7 3.0 3.5 0.5a 0.3
Stimulants 0.2 0.2 0.8 0.7 1.9 1.4 0.4 0.5 0.1 0.1 1.4 1.1 1.7 1.3 0.1 0.1
Tranquilizers or Sedatives 0.3 0.2 1.2 0.9 2.6 2.3 0.7a 0.4 0.1 0.1 1.9 1.6 2.3 2.2 0.1 0.1
Tranquilizers 0.2 0.2 1.1a 0.8 2.4 2.0 0.7a 0.3 0.0 0.1 1.8 1.4 2.1 1.9 0.1 0.1
Sedatives 0.0 0.1 0.1 0.2 0.4 0.5 0.1 0.1 0.0 0.0 0.2 0.4 0.3 0.5 0.0 0.0
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 0.8a 0.6 2.7a 2.1 4.8 4.7 2.0a 1.2 0.3 0.2 3.0 3.1 3.5 3.8 0.6a 0.4
Illicit Drugs Other
   Than Marijuana4
1.7 1.5 5.7 5.0 12.2 10.5 3.6 3.1 0.7 0.6 8.1 6.9 9.7 8.5 1.2 1.1
ALCOHOL 5.8 5.6 13.4 12.4 17.3 16.8 12.2a 10.8 4.0 3.9 14.9 14.9 15.0 14.5 5.1 4.9
BOTH ILLICIT DRUGS
AND ALCOHOL
1.0 0.9 3.3 2.8 6.3 4.9 2.3 2.0 0.5 0.4 4.7 3.8 5.5 4.2 0.7 0.6
ILLICIT DRUGS OR
ALCOHOL
7.8 7.7 19.3 18.5 27.8 27.2 16.6 15.6 5.0 4.9 22.8 22.6 23.7 23.5 6.6 6.4
ILLICIT DRUGS ONLY 2.0 2.1 5.9 6.1 10.5 10.3 4.4 4.7 1.1 1.0 7.9 7.7 8.7 8.9 1.5 1.6
ALCOHOL ONLY 4.8 4.7 10.1 9.6 11.0 11.9 9.8 8.8 3.5 3.5 10.2 11.2 9.5 10.3 4.4 4.2
NO SUBSTANCE USE
DISORDER
92.2 92.3 80.7 81.5 72.2 72.8 83.4 84.4 95.0 95.1 77.2 77.4 76.3 76.5 93.4 93.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.48A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 18 to 25, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 34,036 33,732 8,944a 9,930 2,619a 2,899 6,326a 7,031 25,092a 23,803 4,609a 5,045 2,968a 3,407 28,886 28,142
ILLICIT DRUGS 2,599 2,514 1,409 1,532 566 548 843 984 1,190a 982 810 827 555 629 1,745 1,630
Marijuana 2,003 1,960 1,048 1,183 399 397 649a 785 955a 777 585 610 381 442 1,388 1,301
Cocaine 212 250 142 160 67 71 75 89 70 90 78 91 59 72 133 152
Heroin 101 62 74 44 31 23 43 22 28 18 39 33 33 30 60 29
Hallucinogens 138 122 75 83 49 41 26 42 63 39 48 58 39 41 84 63
Inhalants 40 25 25 13 2 4 23 9 15 11 11 1 11 0 29 23
Methamphetamine 134 125 91 82 47 31 45 52 43 43 53 37 43 27 77 86
Misuse of Psychotherapeutics 551 448 332 313 190 177 142 136 219a 135 227 213 172 193 317a 224
Pain Relievers 248 196 149 149 84 93 65 56 99a 47 93 101 72 93 154a 85
Stimulants 185 188 102 128 64 61 38 67 83 60 79 82 62 70 105 104
Tranquilizers or Sedatives 224 161 157 112 89 78 68a 34 67 49 114 76 93 75 108 83
Tranquilizers 223a 142 156a 93 87 67 68a 26 67 49 112a 59 92 59 108 80
Sedatives 9 25 7 25 7 17 * 8 3 * 7 22 6 22 3 3
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 312a 227 195 166 101 98 95 68 116a 61 118 112 94 100 190a 105
Illicit Drugs Other
   Than Marijuana4
914a 772 550 506 284 245 266 262 364a 265 345 312 264 269 551 439
ALCOHOL 3,424a 3,132 1,564 1,586 530 639 1,033 947 1,861a 1,546 835 891 561 618 2,520a 2,183
BOTH ILLICIT DRUGS
AND ALCOHOL
905 875 526 543 217 229 309 314 379 332 308 312 223 232 576 547
ILLICIT DRUGS OR
ALCOHOL
5,118a 4,771 2,447 2,575 879 958 1,568 1,617 2,671a 2,196 1,337 1,407 893 1,014 3,688a 3,266
ILLICIT DRUGS ONLY 1,694 1,639 883 989 349 319 534a 670 811a 650 502 516 332 397 1,169 1,082
ALCOHOL ONLY 2,519a 2,257 1,038 1,043 313a 410 725 633 1,482a 1,214 527 580 338 386 1,944a 1,636
NO SUBSTANCE USE
DISORDER
28,918 28,962 6,498a 7,355 1,739 1,941 4,758a 5,414 22,421 21,607 3,271a 3,638 2,076a 2,392 25,198 24,877
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.48B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 18 to 25, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
ILLICIT DRUGS 7.6 7.5 15.8 15.4 21.6 18.9 13.3 14.0 4.7 4.1 17.6 16.4 18.7 18.5 6.0 5.8
Marijuana 5.9 5.8 11.7 11.9 15.3 13.7 10.3 11.2 3.8 3.3 12.7 12.1 12.8 13.0 4.8 4.6
Cocaine 0.6 0.7 1.6 1.6 2.6 2.5 1.2 1.3 0.3 0.4 1.7 1.8 2.0 2.1 0.5 0.5
Heroin 0.3 0.2 0.8 0.4 1.2 0.8 0.7 0.3 0.1 0.1 0.8 0.7 1.1 0.9 0.2 0.1
Hallucinogens 0.4 0.4 0.8 0.8 1.9 1.4 0.4 0.6 0.3 0.2 1.0 1.2 1.3 1.2 0.3 0.2
Inhalants 0.1 0.1 0.3 0.1 0.1 0.2 0.4 0.1 0.1 0.0 0.2 0.0 0.4 0.0 0.1 0.1
Methamphetamine 0.4 0.4 1.0 0.8 1.8 1.1 0.7 0.7 0.2 0.2 1.2 0.7 1.4 0.8 0.3 0.3
Misuse of Psychotherapeutics 1.6 1.3 3.7 3.2 7.3 6.1 2.2 1.9 0.9a 0.6 4.9 4.2 5.8 5.7 1.1a 0.8
Pain Relievers 0.7 0.6 1.7 1.5 3.2 3.2 1.0 0.8 0.4a 0.2 2.0 2.0 2.4 2.7 0.5a 0.3
Stimulants 0.5 0.6 1.1 1.3 2.4 2.1 0.6 1.0 0.3 0.3 1.7 1.6 2.1 2.1 0.4 0.4
Tranquilizers or Sedatives 0.7 0.5 1.8a 1.1 3.4 2.7 1.1a 0.5 0.3 0.2 2.5 1.5 3.1 2.2 0.4 0.3
Tranquilizers 0.7a 0.4 1.7a 0.9 3.3 2.3 1.1a 0.4 0.3 0.2 2.4a 1.2 3.1a 1.7 0.4 0.3
Sedatives 0.0 0.1 0.1 0.3 0.2 0.6 * 0.1 0.0 * 0.1 0.4 0.2 0.7 0.0 0.0
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 0.9a 0.7 2.2 1.7 3.8 3.4 1.5 1.0 0.5a 0.3 2.6 2.2 3.2 2.9 0.7a 0.4
Illicit Drugs Other
   Than Marijuana4
2.7 2.3 6.1 5.1 10.8 8.4 4.2 3.7 1.5 1.1 7.5 6.2 8.9 7.9 1.9 1.6
ALCOHOL 10.1 9.3 17.5 16.0 20.2 22.0 16.3a 13.5 7.4a 6.5 18.1 17.7 18.9 18.1 8.7a 7.8
BOTH ILLICIT DRUGS
AND ALCOHOL
2.7 2.6 5.9 5.5 8.3 7.9 4.9 4.5 1.5 1.4 6.7 6.2 7.5 6.8 2.0 1.9
ILLICIT DRUGS OR
ALCOHOL
15.0 14.1 27.4 25.9 33.6 33.0 24.8 23.0 10.6a 9.2 29.0 27.9 30.1 29.8 12.8a 11.6
ILLICIT DRUGS ONLY 5.0 4.9 9.9 10.0 13.3 11.0 8.4 9.5 3.2 2.7 10.9 10.2 11.2 11.6 4.0 3.8
ALCOHOL ONLY 7.4a 6.7 11.6 10.5 12.0 14.1 11.5a 9.0 5.9a 5.1 11.4 11.5 11.4 11.3 6.7a 5.8
NO SUBSTANCE USE
DISORDER
85.0 85.9 72.6 74.1 66.4 67.0 75.2 77.0 89.4a 90.8 71.0 72.1 69.9 70.2 87.2a 88.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.49A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 26 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 214,821 216,584 38,691a 41,565 8,755a 10,216 29,936 31,349 176,131 175,019 13,111a 14,312 8,520a 9,705 199,477 199,821
ILLICIT DRUGS 4,814 4,905 2,952 3,062 1,344 1,454 1,608 1,609 1,861 1,843 1,420 1,396 1,076 1,098 3,313 3,449
Marijuana 1,907 2,176 1,070 1,240 349 471 721 769 837 937 487 489 322 370 1,391 1,655
Cocaine 760 756 439 493 255 291 184 202 321 262 239 224 188 185 516 524
Heroin 421 376 259 256 115 164 144 92 161 120 93 155 70 129 312 215
Hallucinogens 97 112 82 41 50 32 32 9 15a 71 60 30 47 21 32 75
Inhalants 55 38 37 25 21 14 17 12 18 13 17 6 8 * 38 32
Methamphetamine 899 904 661 634 393 362 268 273 238 269 374 309 289 273 507 582
Misuse of Psychotherapeutics 1,819 1,563 1,305 1,142 630 642 674 500 514 421 606 646 475 539 1,171 904
Pain Relievers 1,343 1,083 913 768 388 444 525a 324 430 315 369 426 277 360 959a 647
Stimulants 323 303 279 250 155 122 124 128 44 53 161 124 132 94 145 179
Tranquilizers or Sedatives 458 424 397 329 206 220 191 109 62 96 224 239 171 207 224 181
Tranquilizers 390 366 363 297 188 200 175 97 27 69 202 219 152 186 184 143
Sedatives 91 111 56 81 36 44 20 37 35 31 36 63 34 42 48 44
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 1,608 1,309 1,067 903 449 520 618a 384 541 405 418 491 306 403 1,159a 802
Illicit Drugs Other
   Than Marijuana4
3,248 3,048 2,155 2,053 1,105 1,127 1,050 926 1,093 995 1,083 1,025 847 842 2,107 1,988
ALCOHOL 10,994 10,959 4,827 4,784 1,440 1,571 3,386 3,214 6,167 6,174 1,807 1,998 1,167 1,287 9,092 8,890
BOTH ILLICIT DRUGS
AND ALCOHOL
1,582 1,350 1,039 885 498 419 541 467 544 464 526 419 411 323 1,038 911
ILLICIT DRUGS OR
ALCOHOL
14,225 14,514 6,740 6,961 2,287 2,606 4,453 4,356 7,485 7,553 2,701 2,974 1,832 2,061 11,368 11,428
ILLICIT DRUGS ONLY 3,231 3,556 1,913 2,177 846 1,035 1,067 1,142 1,318 1,379 894 976 665 774 2,276 2,538
ALCOHOL ONLY 9,411 9,609 3,788 3,899 943 1,152 2,845 2,747 5,623 5,710 1,282 1,579 756 963 8,055 7,979
NO SUBSTANCE USE
DISORDER
200,596a 202,069 31,951a 34,603 6,468a 7,610 25,483 26,993 168,646 167,466 10,410a 11,338 6,688a 7,644 188,109 188,393
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.49B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 26 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
ILLICIT DRUGS 2.2 2.3 7.6 7.4 15.4 14.2 5.4 5.1 1.1 1.1 10.8 9.8 12.6 11.3 1.7 1.7
Marijuana 0.9 1.0 2.8 3.0 4.0 4.6 2.4 2.5 0.5 0.5 3.7 3.4 3.8 3.8 0.7 0.8
Cocaine 0.4 0.3 1.1 1.2 2.9 2.8 0.6 0.6 0.2 0.1 1.8 1.6 2.2 1.9 0.3 0.3
Heroin 0.2 0.2 0.7 0.6 1.3 1.6 0.5 0.3 0.1 0.1 0.7 1.1 0.8 1.3 0.2 0.1
Hallucinogens 0.0 0.1 0.2 0.1 0.6 0.3 0.1 0.0 0.0a 0.0 0.5 0.2 0.6 0.2 0.0 0.0
Inhalants 0.0 0.0 0.1 0.1 0.2 0.1 0.1 0.0 0.0 0.0 0.1 0.0 0.1 * 0.0 0.0
Methamphetamine 0.4 0.4 1.7 1.5 4.5 3.5 0.9 0.9 0.1 0.2 2.9 2.2 3.4 2.8 0.3 0.3
Misuse of Psychotherapeutics 0.8 0.7 3.4 2.7 7.2 6.3 2.3 1.6 0.3 0.2 4.6 4.5 5.6 5.5 0.6 0.5
Pain Relievers 0.6 0.5 2.4 1.8 4.4 4.4 1.8a 1.0 0.2 0.2 2.8 3.0 3.3 3.7 0.5a 0.3
Stimulants 0.2 0.1 0.7 0.6 1.8 1.2 0.4 0.4 0.0 0.0 1.2 0.9 1.5 1.0 0.1 0.1
Tranquilizers or Sedatives 0.2 0.2 1.0 0.8 2.3 2.2 0.6 0.3 0.0 0.1 1.7 1.7 2.0 2.1 0.1 0.1
Tranquilizers 0.2 0.2 0.9 0.7 2.1 2.0 0.6 0.3 0.0 0.0 1.5 1.5 1.8 1.9 0.1 0.1
Sedatives 0.0 0.1 0.1 0.2 0.4 0.4 0.1 0.1 0.0 0.0 0.3 0.4 0.4 0.4 0.0 0.0
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 0.7 0.6 2.8 2.2 5.1 5.1 2.1a 1.2 0.3 0.2 3.2 3.4 3.6 4.2 0.6a 0.4
Illicit Drugs Other
   Than Marijuana4
1.5 1.4 5.6 4.9 12.6 11.0 3.5 3.0 0.6 0.6 8.3 7.2 9.9 8.7 1.1 1.0
ALCOHOL 5.1 5.1 12.5 11.5 16.5 15.4 11.3 10.3 3.5 3.5 13.8 14.0 13.7 13.3 4.6 4.4
BOTH ILLICIT DRUGS
AND ALCOHOL
0.7 0.6 2.7 2.1 5.7 4.1 1.8 1.5 0.3 0.3 4.0 2.9 4.8 3.3 0.5 0.5
ILLICIT DRUGS OR
ALCOHOL
6.6 6.7 17.4 16.7 26.1 25.5 14.9 13.9 4.2 4.3 20.6 20.8 21.5 21.2 5.7 5.7
ILLICIT DRUGS ONLY 1.5 1.6 4.9 5.2 9.7 10.1 3.6 3.6 0.7 0.8 6.8 6.8 7.8 8.0 1.1 1.3
ALCOHOL ONLY 4.4 4.4 9.8 9.4 10.8 11.3 9.5 8.8 3.2 3.3 9.8 11.0 8.9 9.9 4.0 4.0
NO SUBSTANCE USE
DISORDER
93.4 93.3 82.6 83.3 73.9 74.5 85.1 86.1 95.8 95.7 79.4 79.2 78.5 78.8 94.3 94.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.50A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 26 to 49, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 100,939 101,283 22,721a 25,279 5,907a 6,847 16,815a 18,432 78,218 76,004 7,990a 8,914 5,284a 6,101 91,692 91,299
ILLICIT DRUGS 3,570 3,736 2,329 2,418 1,019 1,121 1,310 1,297 1,241 1,319 1,087 1,077 833 823 2,422 2,607
Marijuana 1,550 1,792 941 1,062 345 409 596 653 609 729 439 411 306 302 1,087a 1,357
Cocaine 591 563 361 382 201 235 161 146 230 181 205 181 160 160 381 374
Heroin 280 328 224 223 106 157 117 66 57 105 84 140 61 129 188 183
Hallucinogens 95 104 80 33 48 24 32 9 15a 71 58 22 45 14 32 75
Inhalants 45 25 28 25 11 14 17 12 18 * 8 6 8 * 38 19
Methamphetamine 712 763 511 539 293 320 218 219 200 224 251 260 206 234 443 491
Misuse of Psychotherapeutics 1,216 1,116 936 865 443 470 494 395 279 251 410 493 345 396 771 610
Pain Relievers 838 723 610 556 245 310 365 246 228 167 218 310 192 255 605a 403
Stimulants 281 271 239 217 133 110 106 107 42 53 140 112 110 83 125 158
Tranquilizers or Sedatives 275 337 246 277 142 192 104 86 28 60 130 211 112 178 142 122
Tranquilizers 241 313 215 254 127 171 88 82 26 59 111 191 95 158 127 118
Sedatives 53 75 51 70 31 42 20 28 * 5 31 61 29 40 22 10
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 1,005 905 731 662 297 379 434a 283 274 243 258 360 212 298 723a 530
Illicit Drugs Other
   Than Marijuana4
2,287 2,243 1,602 1,571 781 845 822 726 685 672 762 777 616 627 1,482 1,431
ALCOHOL 7,387 7,063 3,547 3,544 1,096 1,235 2,451 2,309 3,840 3,518 1,326 1,440 868 1,001 5,983 5,590
BOTH ILLICIT DRUGS
AND ALCOHOL
1,219 1,027 856 744 389 358 467 387 363 283 443 353 333 282 764 655
ILLICIT DRUGS OR
ALCOHOL
9,738 9,772 5,020 5,218 1,726 1,998 3,294 3,219 4,718 4,554 1,970 2,164 1,368 1,541 7,642 7,542
ILLICIT DRUGS ONLY 2,351 2,709 1,473 1,673 630 763 843 910 878 1,036 643 725 500 541 1,659 1,952
ALCOHOL ONLY 6,168 6,036 2,691 2,800 707 877 1,984 1,923 3,477 3,236 883 1,087 535a 718 5,220 4,935
NO SUBSTANCE USE
DISORDER
91,201 91,511 17,701a 20,061 4,180a 4,849 13,521a 15,213 73,500 71,449 6,020a 6,749 3,916a 4,560 84,050 83,756
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.50B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 26 to 49, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
ILLICIT DRUGS 3.5 3.7 10.3 9.6 17.3 16.4 7.8 7.0 1.6 1.7 13.6 12.1 15.8 13.5 2.6 2.9
Marijuana 1.5 1.8 4.1 4.2 5.8 6.0 3.5 3.5 0.8 1.0 5.5 4.6 5.8 4.9 1.2a 1.5
Cocaine 0.6 0.6 1.6 1.5 3.4 3.4 1.0 0.8 0.3 0.2 2.6 2.0 3.0 2.6 0.4 0.4
Heroin 0.3 0.3 1.0 0.9 1.8 2.3 0.7 0.4 0.1 0.1 1.0 1.6 1.2 2.1 0.2 0.2
Hallucinogens 0.1 0.1 0.4a 0.1 0.8 0.3 0.2 0.1 0.0a 0.1 0.7 0.3 0.9a 0.2 0.0 0.1
Inhalants 0.0 0.0 0.1 0.1 0.2 0.2 0.1 0.1 0.0 * 0.1 0.1 0.1 * 0.0 0.0
Methamphetamine 0.7 0.8 2.3 2.1 5.0 4.7 1.3 1.2 0.3 0.3 3.1 2.9 3.9 3.8 0.5 0.5
Misuse of Psychotherapeutics 1.2 1.1 4.1 3.4 7.5 6.9 2.9 2.1 0.4 0.3 5.1 5.5 6.5 6.5 0.8 0.7
Pain Relievers 0.8 0.7 2.7 2.2 4.2 4.5 2.2a 1.3 0.3 0.2 2.7 3.5 3.6 4.2 0.7a 0.4
Stimulants 0.3 0.3 1.1 0.9 2.3 1.6 0.6 0.6 0.1 0.1 1.7 1.3 2.1 1.4 0.1 0.2
Tranquilizers or Sedatives 0.3 0.3 1.1 1.1 2.4 2.8 0.6 0.5 0.0 0.1 1.6 2.4 2.1 2.9 0.2 0.1
Tranquilizers 0.2 0.3 0.9 1.0 2.2 2.5 0.5 0.4 0.0 0.1 1.4 2.1 1.8 2.6 0.1 0.1
Sedatives 0.1 0.1 0.2 0.3 0.5 0.6 0.1 0.2 * 0.0 0.4 0.7 0.5 0.7 0.0 0.0
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 1.0 0.9 3.2 2.6 5.0 5.5 2.6a 1.5 0.3 0.3 3.2 4.0 4.0 4.9 0.8a 0.6
Illicit Drugs Other
   Than Marijuana4
2.3 2.2 7.1 6.2 13.2 12.3 4.9 3.9 0.9 0.9 9.5 8.7 11.7 10.3 1.6 1.6
ALCOHOL 7.3 7.0 15.6 14.0 18.6 18.0 14.6a 12.5 4.9 4.6 16.6 16.2 16.4 16.4 6.5 6.1
BOTH ILLICIT DRUGS
AND ALCOHOL
1.2 1.0 3.8 2.9 6.6 5.2 2.8 2.1 0.5 0.4 5.6 4.0 6.3 4.6 0.8 0.7
ILLICIT DRUGS OR
ALCOHOL
9.6 9.6 22.1 20.6 29.2 29.2 19.6 17.5 6.0 6.0 24.7 24.3 25.9 25.3 8.3 8.3
ILLICIT DRUGS ONLY 2.3 2.7 6.5 6.6 10.7 11.1 5.0 4.9 1.1 1.4 8.0 8.1 9.5 8.9 1.8 2.1
ALCOHOL ONLY 6.1 6.0 11.8 11.1 12.0 12.8 11.8 10.4 4.4 4.3 11.1 12.2 10.1 11.8 5.7 5.4
NO SUBSTANCE USE
DISORDER
90.4 90.4 77.9 79.4 70.8 70.8 80.4 82.5 94.0 94.0 75.3 75.7 74.1 74.7 91.7 91.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.51A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 50 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 113,882 115,301 15,969 16,286 2,848 3,369 13,121 12,917 97,913 99,015 5,121 5,399 3,236 3,604 107,785 108,523
ILLICIT DRUGS 1,243 1,169 623 645 325 333 298 312 621 524 333 318 243 275 891 842
Marijuana 357 385 129 177 4a 62 125 116 227 207 48 78 16 68 305 298
Cocaine 169 193 78 111 55 56 23 56 91 81 34 42 28 25 135 150
Heroin 140 47 36 32 9 7 27 26 105 15 9 15 9 * 124 32
Hallucinogens * 8 2 8 2 8 * * * * 2 8 2 8 * *
Inhalants 10 13 10 * * * * * * 13 10 * * * * 13
Methamphetamine 187 141 150 96 100 42 50 54 37 45 123 50 83 40 64 91
Misuse of Psychotherapeutics 603 447 368 277 188 171 181 105 235 171 196 153 130 142 399 294
Pain Relievers 505 360 302 212 142 134 160 78 203 148 151 116 85 105 354 244
Stimulants 42 33 40 33 22 * 18 21 * * 22 12 22 12 20 21
Tranquilizers or Sedatives 183 87 150 51 63 28 87 23 33 36 94 28 59 28 82 59
Tranquilizers 148 53 148 43 61 28 87 15 * 10 91 28 56 28 57 25
Sedatives 38 37 5 11 5 3 * 8 33 26 5 3 5 3 26 34
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 604 404 336 241 152 140 184 100 268 163 160 131 94 105 437 272
Illicit Drugs Other
   Than Marijuana4
961 805 553 482 325 282 229 200 408 323 321 248 231 215 625 557
ALCOHOL 3,607 3,896 1,280 1,240 344 335 936 904 2,327 2,656 481 558 299 286 3,109 3,300
BOTH ILLICIT DRUGS
AND ALCOHOL
364 322 183 141 109 61 74 80 181 181 82 66 78 41 274 256
ILLICIT DRUGS OR
ALCOHOL
4,486 4,742 1,720 1,744 560 607 1,159 1,136 2,767 2,999 732 810 464 520 3,726 3,886
ILLICIT DRUGS ONLY 880 847 440 504 216 272 224 232 440 343 251 252 165 234 617 586
ALCOHOL ONLY 3,243 3,573 1,097 1,099 236 275 861 824 2,146 2,474 399 492 221 245 2,835 3,044
NO SUBSTANCE USE
DISORDER
109,396a 110,559 14,250 14,542 2,288 2,762 11,962 11,780 95,146 96,017 4,390 4,589 2,773 3,085 104,059 104,637
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200408
Table 8.51B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 50 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2018 and 2019
Substance Use
Disorder Status
Total
(2018)
Total
(2019)
Any
Mental
Illness1
(2018)
Any
Mental
Illness1
(2019)
Serious
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2019)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2019)
No
Mental
Illness1
(2018)
No
Mental
Illness1
(2019)
MDE2
(2018)
MDE2
(2019)
MDE with
Severe
Impairment2,3
(2018)
MDE with
Severe
Impairment2,3
(2019)
No
MDE2
(2018)
No
MDE2
(2019)
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
ILLICIT DRUGS 1.1 1.0 3.9 4.0 11.4 9.9 2.3 2.4 0.6 0.5 6.5 5.9 7.5 7.6 0.8 0.8
Marijuana 0.3 0.3 0.8 1.1 0.1a 1.8 1.0 0.9 0.2 0.2 0.9 1.4 0.5 1.9 0.3 0.3
Cocaine 0.1 0.2 0.5 0.7 1.9 1.7 0.2 0.4 0.1 0.1 0.7 0.8 0.9 0.7 0.1 0.1
Heroin 0.1 0.0 0.2 0.2 0.3 0.2 0.2 0.2 0.1 0.0 0.2 0.3 0.3 * 0.1 0.0
Hallucinogens * 0.0 0.0 0.0 0.1 0.2 * * * * 0.0 0.1 0.1 0.2 * *
Inhalants 0.0 0.0 0.1 * * * * * * 0.0 0.2 * * * * 0.0
Methamphetamine 0.2 0.1 0.9 0.6 3.5 1.2 0.4 0.4 0.0 0.0 2.4 0.9 2.6 1.1 0.1 0.1
Misuse of Psychotherapeutics 0.5 0.4 2.3 1.7 6.6 5.1 1.4 0.8 0.2 0.2 3.8 2.8 4.0 3.9 0.4 0.3
Pain Relievers 0.4 0.3 1.9 1.3 5.0 4.0 1.2 0.6 0.2 0.1 2.9 2.2 2.6 2.9 0.3 0.2
Stimulants 0.0 0.0 0.2 0.2 0.8 * 0.1 0.2 * * 0.4 0.2 0.7 0.3 0.0 0.0
Tranquilizers or Sedatives 0.2 0.1 0.9 0.3 2.2 0.8 0.7 0.2 0.0 0.0 1.8 0.5 1.8 0.8 0.1 0.1
Tranquilizers 0.1 0.0 0.9 0.3 2.1 0.8 0.7 0.1 * 0.0 1.8 0.5 1.7 0.8 0.1 0.0
Sedatives 0.0 0.0 0.0 0.1 0.2 0.1 * 0.1 0.0 0.0 0.1 0.1 0.2 0.1 0.0 0.0
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 0.5 0.4 2.1 1.5 5.3 4.2 1.4 0.8 0.3 0.2 3.1 2.4 2.9 2.9 0.4 0.3
Illicit Drugs Other
   Than Marijuana4
0.8 0.7 3.5 3.0 11.4 8.4 1.7 1.5 0.4 0.3 6.3 4.6 7.1 6.0 0.6 0.5
ALCOHOL 3.2 3.4 8.0 7.6 12.1 10.0 7.1 7.0 2.4 2.7 9.4 10.3 9.2 7.9 2.9 3.0
BOTH ILLICIT DRUGS
AND ALCOHOL
0.3 0.3 1.1 0.9 3.8 1.8 0.6 0.6 0.2 0.2 1.6 1.2 2.4 1.1 0.3 0.2
ILLICIT DRUGS OR
ALCOHOL
3.9 4.1 10.8 10.7 19.7 18.0 8.8 8.8 2.8 3.0 14.3 15.0 14.3 14.4 3.5 3.6
ILLICIT DRUGS ONLY 0.8 0.7 2.8 3.1 7.6 8.1 1.7 1.8 0.4 0.3 4.9 4.7 5.1 6.5 0.6 0.5
ALCOHOL ONLY 2.8 3.1 6.9 6.7 8.3 8.2 6.6 6.4 2.2 2.5 7.8 9.1 6.8 6.8 2.6 2.8
NO SUBSTANCE USE
DISORDER
96.1 95.9 89.2 89.3 80.3 82.0 91.2 91.2 97.2 97.0 85.7 85.0 85.7 85.6 96.5 96.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Oth