Table 1.1a. Individuals, by mental health diagnosis: Number, 2013–2018
Mental health diagnosis¹	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	5,576,659	5,818,881	5,311,897	5,813,339	5,934,383	6,213,791
Trauma- and stressor-related disorders	645,568	660,241	637,555	664,355	734,330	793,054
Anxiety disorders	376,408	409,035	427,333	493,641	579,070	654,028
Attention deficit/hyperactivity disorder+	442,351	420,745	351,786	406,362	429,499	461,444
Conduct disorder+	134,084	128,790	108,805	101,972	92,296	86,573
Delirium/dementia	25,278	26,010	20,292	15,298	11,421	11,463
Mood disorders	2,121,517	2,207,515	2,013,579	1,921,176	1,922,966	2,011,300
Bipolar disorders	854,076	880,161	758,549	663,415	607,293	601,023
Depressive disorders	1,267,441	1,327,354	1,255,030	1,257,761	1,315,673	1,410,277
Oppositional defiant disorder+	120,659	114,832	97,732	97,031	100,927	103,714
Pervasive developmental disorders+	58,322	67,896	44,635	69,443	64,777	65,578
Personality disorders	29,089	31,118	31,330	37,771	41,677	45,746
Schizophrenia and other psychotic disorders	630,500	656,286	593,824	576,500	626,384	660,521
Alcohol or substance-related disorders	161,155	189,290	115,824	112,563	124,679	144,759
Other mental disorders²	204,065	213,013	206,063	284,349	380,782	455,832
No/deferred diagnosis³	627,663	694,110	663,139	1,032,878	825,575	719,779
+ Indicates diagnoses typically identified in childhood (age < 18 years).
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
³ No/deferred diagnosis includes unknown, not collected, missing, invalid, or other non-mental health diagnoses.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.1b. Individuals, by mental health diagnosis: Column percent distribution,  2013–2018
Mental health diagnosis¹	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	100.0	100.0	100.0	100.0	100.0	100.0
Trauma- and stressor-related disorders	11.6	11.3	12.0	11.4	12.4	12.8
Anxiety disorders	6.7	7.0	8.0	8.5	9.8	10.5
Attention deficit/hyperactivity disorder+	7.9	7.2	6.6	7.0	7.2	7.4
Conduct disorder+	2.4	2.2	2.0	1.8	1.6	1.4
Delirium/dementia	†	†	†	†	†	†
Mood disorders	38.0	37.9	37.9	33.0	32.4	32.4
Bipolar disorders	15.3	15.1	14.3	11.4	10.2	9.7
Depressive disorders	22.7	22.8	23.6	21.6	22.2	22.7
Oppositional defiant disorder+	2.2	2.0	1.8	1.7	1.7	1.7
Pervasive developmental disorders+	1.0	1.2	†	1.2	1.1	1.1
Personality disorders	†	†	†	†	†	†
Schizophrenia and other psychotic disorders	11.3	11.3	11.2	9.9	10.6	10.6
Alcohol or substance-related disorders	2.9	3.3	2.2	1.9	2.1	2.3
Other mental disorders²	3.7	3.7	3.9	4.9	6.4	7.3
No/deferred diagnosis³	11.3	11.9	12.5	17.8	13.9	11.6
+ Indicates diagnoses typically identified in childhood (age < 18 years); † Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
³ No/deferred diagnosis includes unknown, not collected, missing, invalid, or other non-mental health diagnoses.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.2a. Individuals, by gender and age: Number, 2013–2018
Gender and age	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	5,576,659	5,818,881	5,311,897	5,813,339	5,934,383	6,213,791
Gender
Male	2,713,018	2,828,069	2,570,572	2,799,851	2,873,064	3,021,655
Female	2,857,645	2,981,225	2,732,474	2,994,143	3,037,899	3,175,592
Total	5,570,663	5,809,294	5,303,046	5,793,994	5,910,963	6,197,247
Age¹
0 to 11 years	812,119	849,907	731,351	811,404	812,159	892,484
12 to 14 years	403,736	417,244	376,750	401,746	401,160	438,967
15 to 17 years	434,873	439,431	411,136	444,858	443,765	469,162
18 to 20 years	268,477	259,939	234,919	260,296	268,132	288,195
21 to 24 years	326,256	336,104	304,520	333,579	345,253	357,257
25 to 29 years	441,976	463,364	432,045	487,419	527,755	557,653
30 to 34 years	446,072	471,411	438,256	483,106	511,309	534,107
35 to 39 years	383,178	406,379	388,512	435,995	467,430	494,186
40 to 44 years	407,261	415,026	369,047	387,645	389,997	400,992
45 to 49 years	435,990	442,877	390,827	415,729	413,334	414,109
50 to 54 years	444,153	469,914	428,470	452,852	438,901	430,035
55 to 59 years	337,373	368,375	350,060	385,959	389,871	402,710
60 to 64 years	203,503	225,348	220,758	249,173	255,186	273,170
65 years and older	228,205	250,048	231,583	259,691	263,860	256,693
Total	5,573,172	5,815,367	5,308,234	5,809,452	5,928,112	6,209,720
¹ Age is based on the individual's age at the midpoint of the reporting period.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.2b. Individuals, by gender and age: Column percent distribution, 2013–2018
Gender and age	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	48.7	48.7	48.5	48.3	48.6	48.8
Female	51.3	51.3	51.5	51.7	51.4	51.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
0 to 11 years	14.6	14.6	13.8	14.0	13.7	14.4
12 to 14 years	7.2	7.2	7.1	6.9	6.8	7.1
15 to 17 years	7.8	7.6	7.7	7.7	7.5	7.6
18 to 20 years	4.8	4.5	4.4	4.5	4.5	4.6
21 to 24 years	5.9	5.8	5.7	5.7	5.8	5.8
25 to 29 years	7.9	8.0	8.1	8.4	8.9	9.0
30 to 34 years	8.0	8.1	8.3	8.3	8.6	8.6
35 to 39 years	6.9	7.0	7.3	7.5	7.9	8.0
40 to 44 years	7.3	7.1	7.0	6.7	6.6	6.5
45 to 49 years	7.8	7.6	7.4	7.2	7.0	6.7
50 to 54 years	8.0	8.1	8.1	7.8	7.4	6.9
55 to 59 years	6.1	6.3	6.6	6.6	6.6	6.5
60 to 64 years	3.7	3.9	4.2	4.3	4.3	4.4
65 years and older	4.1	4.3	4.4	4.5	4.5	4.1
Total	100.0	100.0	100.0	100.0	100.0	100.0
¹ Age is based on the individual's age at the midpoint of the reporting period.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.3a. Individuals, by race and ethnicity: Number, 2013–2018
Race and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	5,576,659	5,818,881	5,311,897	5,813,339	5,934,383	6,213,791
Race
American Indian or Alaska Native	62,079	73,160	73,483	76,232	79,740	89,566
Asian¹	60,040	69,140	67,106	78,385	82,820	91,274
Black or African American	1,051,934	1,106,235	993,314	1,070,717	1,090,821	1,138,522
Native Hawaiian or Other Pacific Islander	13,130	14,158	15,587	17,693	12,649	15,296
White	3,493,575	3,621,667	3,256,197	3,596,852	3,667,144	3,844,577
Other	467,957	488,936	440,646	491,417	537,599	579,001
Total	5,148,715	5,373,296	4,846,333	5,331,296	5,470,773	5,758,236
Ethnicity
Not of Hispanic or Latino origin	3,891,620	3,995,971	3,593,763	3,912,972	4,464,374	4,603,454
Hispanic or Latino origin	703,437	750,208	725,197	800,551	856,460	893,469
Total	4,595,057	4,746,179	4,318,960	4,713,523	5,320,834	5,496,923
Specific Hispanic or Latino origin
Mexican	32,588	45,719	54,002	42,618	52,074	49,932
Puerto Rican	29,990	49,184	51,790	44,068	51,139	27,716
Cuban	9,951	9,323	9,503	8,850	8,816	9,489
Other specific	45,395	56,850	51,609	51,118	59,058	59,964
Total	117,924	161,076	166,904	146,654	171,087	147,101
¹ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.3b. Individuals, by race and ethnicity: Column percent distribution, 2013–2018
Race and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.2	1.4	1.5	1.4	1.5	1.6
Asian¹	1.2	1.3	1.4	1.5	1.5	1.6
Black or African American	20.4	20.6	20.5	20.1	19.9	19.8
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	67.9	67.4	67.2	67.5	67.0	66.8
Other	9.1	9.1	9.1	9.2	9.8	10.1
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	84.7	84.2	83.2	83.0	83.9	83.7
Hispanic or Latino origin	15.3	15.8	16.8	17.0	16.1	16.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	27.6	28.4	32.4	29.1	30.4	33.9
Puerto Rican	25.4	30.5	31.0	30.0	29.9	18.8
Cuban	8.4	5.8	5.7	6.0	5.2	6.5
Other specific	38.5	35.3	30.9	34.9	34.5	40.8
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.4a. Individuals aged 17 years and younger, by mental health diagnosis: Number, 2013–2018
Mental health diagnosis¹	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 0 to 17 years	1,650,728	1,706,582	1,519,237	1,658,008	1,657,084	1,800,613
Trauma- and stressor-related disorders	324,173	329,697	300,043	325,701	343,048	386,335
Anxiety disorders	110,703	124,465	127,468	146,398	163,507	186,058
Attention deficit/hyperactivity disorder+	383,840	360,448	293,813	340,594	357,649	384,329
Conduct disorder	123,355	119,363	99,232	92,855	80,193	75,786
Mood disorders	312,644	331,301	298,143	262,988	233,013	250,271
Bipolar disorders	129,415	132,404	105,092	67,516	33,221	26,214
Depressive disorders	183,229	198,897	193,051	195,472	199,792	224,057
Oppositional defiant disorder	109,717	105,328	88,511	91,303	94,179	98,418
Pervasive developmental disorders	45,801	54,063	32,315	53,911	47,823	46,303
Alcohol or substance-related disorders	9,101	15,194	8,736	9,331	10,174	9,005
Other mental disorders²	87,924	99,499	90,696	131,433	152,557	193,773
No/deferred diagnosis³	143,470	167,224	180,280	203,494	174,941	170,335
+ Indicates diagnoses typically identified in childhood (age < 18 years).
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
³ No/deferred diagnosis includes unknown, not collected, missing, invalid, or other non-mental health diagnoses.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.4b. Individuals aged 17 years and younger, by mental health diagnosis: Column percent distribution, 2013–2018
Mental health diagnosis¹	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 0 to 17 years	100.0	100.0	100.0	100.0	100.0	100.0
Trauma- and stressor-related disorders	19.6	19.3	19.7	19.6	20.7	21.5
Anxiety disorders	6.7	7.3	8.4	8.8	9.9	10.3
Attention deficit/hyperactivity disorder+	23.3	21.1	19.3	20.5	21.6	21.3
Conduct disorder	7.5	7.0	6.5	5.6	4.8	4.2
Mood disorders	18.9	19.4	19.6	15.9	14.1	13.9
Bipolar disorders	7.8	7.8	6.9	4.1	2.0	1.5
Depressive disorders	11.1	11.7	12.7	11.8	12.1	12.4
Oppositional defiant disorder	6.6	6.2	5.8	5.5	5.7	5.5
Pervasive developmental disorders	2.8	3.2	2.1	3.3	2.9	2.6
Alcohol or substance-related disorders	†	†	†	†	†	†
Other mental disorders²	5.3	5.8	6.0	7.9	9.2	10.8
No/deferred diagnosis³	8.7	9.8	11.9	12.3	10.6	9.5
+ Indicates diagnoses typically identified in childhood (age < 18 years); † Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
³ No/deferred diagnosis includes unknown, not collected, missing, invalid, or other non-mental health diagnoses.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.5a. Individuals aged 18 to 24 years, by mental health diagnosis: Number, 2013–2018
Mental health diagnosis¹	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 18 to 24 years	594,733	596,043	539,439	593,875	613,385	645,452
Trauma- and stressor-related disorders	62,731	59,530	58,196	59,427	66,457	70,164
Anxiety disorders	44,296	46,445	49,330	58,684	69,054	80,312
Attention deficit/hyperactivity disorder+	30,898	28,485	26,193	28,535	30,203	31,550
Mood disorders	245,158	245,601	221,704	211,884	210,810	226,862
Bipolar disorders	110,862	109,516	91,184	74,882	62,950	61,603
Depressive disorders	134,296	136,085	130,520	137,002	147,860	165,259
Personality disorders	3,666	3,797	3,761	4,713	5,681	6,454
Schizophrenia and other psychotic disorders	50,060	52,510	47,444	46,390	49,489	50,990
Alcohol or substance-related disorders	24,858	27,942	14,908	16,317	17,126	18,475
Other mental disorders²	49,718	45,092	42,486	52,010	66,807	72,671
No/deferred diagnosis³	83,348	86,641	75,417	115,915	97,758	87,974
+ Indicates diagnoses typically identified in childhood (age < 18 years).
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
³ No/deferred diagnosis includes unknown, not collected, missing, invalid, or other non-mental health diagnoses.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.5b. Individuals aged 18 to 24 years, by mental health diagnosis: Column percent distribution, 2013–2018
Mental health diagnosis¹	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 18 to 24 years	100.0	100.0	100.0	100.0	100.0	100.0
Trauma- and stressor-related disorders	10.5	10.0	10.8	10.0	10.8	10.9
Anxiety disorders	7.4	7.8	9.1	9.9	11.3	12.4
Attention deficit/hyperactivity disorder+	5.2	4.8	4.9	4.8	4.9	4.9
Mood disorders	41.2	41.2	41.1	35.7	34.4	35.1
Bipolar disorders	18.6	18.4	16.9	12.6	10.3	9.5
Depressive disorders	22.6	22.8	24.2	23.1	24.1	25.6
Personality disorders	†	†	†	†	†	†
Schizophrenia and other psychotic disorders	8.4	8.8	8.8	7.8	8.1	7.9
Alcohol or substance-related disorders	4.2	4.7	2.8	2.7	2.8	2.9
Other mental disorders²	8.4	7.6	7.9	8.8	10.9	11.3
No/deferred diagnosis³	14.0	14.5	14.0	19.5	15.9	13.6
+ Indicates diagnoses typically identified in childhood (age < 18 years); † Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
³ No/deferred diagnosis includes unknown, not collected, missing, invalid, or other non-mental health diagnoses.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.6a. Individuals aged 25 to 54 years, by mental health diagnosis: Number, 2013–2018
Mental health diagnosis¹	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 25 to 54 years	2,558,630	2,668,971	2,447,157	2,662,746	2,748,726	2,831,082
Trauma- and stressor-related disorders	213,648	222,216	228,296	232,527	263,676	276,239
Anxiety disorders	179,033	191,692	201,280	233,557	277,618	311,401
Attention deficit/hyperactivity disorder+	25,230	29,104	29,493	34,105	37,511	41,662
Mood disorders	1,210,553	1,251,869	1,127,292	1,090,202	1,098,760	1,127,106
Bipolar disorders	507,354	523,618	453,661	416,657	401,908	398,050
Depressive disorders	703,199	728,251	673,631	673,545	696,852	729,056
Personality disorders	19,753	21,088	21,286	25,254	27,942	30,448
Schizophrenia and other psychotic disorders	401,111	412,619	369,050	359,050	386,146	405,426
Alcohol or substance-related disorders	110,461	126,431	75,816	75,497	83,268	100,093
Other mental disorders²	95,670	95,623	94,559	116,745	162,025	184,532
No/deferred diagnosis³	303,171	318,329	300,085	495,809	411,780	354,175
+ Indicates diagnoses typically identified in childhood (age < 18 years).
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
³ No/deferred diagnosis includes unknown, not collected, missing, invalid, or other non-mental health diagnoses.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.6b. Individuals aged 25 to 54 years, by mental health diagnosis: Column percent distribution, 2013–2018
Mental health diagnosis¹	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 25 to 54 years	100.0	100.0	100.0	100.0	100.0	100.0
Trauma- and stressor-related disorders	8.4	8.3	9.3	8.7	9.6	9.8
Anxiety disorders	7.0	7.2	8.2	8.8	10.1	11.0
Attention deficit/hyperactivity disorder+	†	1.1	1.2	1.3	1.4	1.5
Mood disorders	47.3	46.9	46.1	40.9	40.0	39.8
Bipolar disorders	19.8	19.6	18.5	15.6	14.6	14.1
Depressive disorders	27.5	27.3	27.5	25.3	25.4	25.8
Personality disorders	†	†	†	†	1.0	1.1
Schizophrenia and other psychotic disorders	15.7	15.5	15.1	13.5	14.0	14.3
Alcohol or substance-related disorders	4.3	4.7	3.1	2.8	3.0	3.5
Other mental disorders²	3.7	3.6	3.9	4.4	5.9	6.5
No/deferred diagnosis³	11.8	11.9	12.3	18.6	15.0	12.5
+ Indicates diagnoses typically identified in childhood (age < 18 years); † Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
³ No/deferred diagnosis includes unknown, not collected, missing, invalid, or other non-mental health diagnoses.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.7a. Individuals aged 55 years and older, by mental health diagnosis: Number, 2013–2018
Mental health diagnosis¹	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 55 years and older	769,081	843,771	802,401	894,823	908,917	932,573
Trauma- and stressor-related disorders	44,797	48,596	50,789	46,360	60,431	59,957
Anxiety disorders	42,248	46,186	48,972	54,486	68,329	76,046
Delirium/dementia	18,812	18,841	14,385	10,283	7,156	6,966
Mood disorders	352,574	378,230	365,877	355,259	379,184	406,375
Bipolar disorders	106,239	114,407	108,361	104,009	108,904	115,042
Depressive disorders	246,335	263,823	257,516	251,250	270,280	291,333
Personality disorders	4,536	5,031	5,081	5,873	6,632	7,301
Schizophrenia and other psychotic disorders	168,732	180,237	168,101	162,135	181,172	194,943
Alcohol or substance-related disorders	16,430	19,195	15,829	11,033	13,554	17,176
Other mental disorders²	24,264	26,404	27,037	32,457	52,904	58,296
No/deferred diagnosis³	96,688	121,051	106,330	216,937	139,555	105,513
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
³ No/deferred diagnosis includes unknown, not collected, missing, invalid, or other non-mental health diagnoses.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.7b. Individuals aged 55 years and older, by mental health diagnosis: Column percent distribution, 2013–2018
Mental health diagnosis¹	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 55 years and older	100.0	100.0	100.0	100.0	100.0	100.0
Trauma- and stressor-related disorders	5.8	5.8	6.3	5.2	6.6	6.4
Anxiety disorders	5.5	5.5	6.1	6.1	7.5	8.2
Delirium/dementia	2.4	2.2	1.8	1.1	†	†
Mood disorders	45.8	44.8	45.6	39.7	41.7	43.6
Bipolar disorders	13.8	13.6	13.5	11.6	12.0	12.3
Depressive disorders	32.0	31.3	32.1	28.1	29.7	31.2
Personality disorders	†	†	†	†	†	†
Schizophrenia and other psychotic disorders	21.9	21.4	20.9	18.1	19.9	20.9
Alcohol or substance-related disorders	2.1	2.3	2.0	1.2	1.5	1.8
Other mental disorders²	3.2	3.1	3.4	3.6	5.8	6.3
No/deferred diagnosis³	12.6	14.3	13.3	24.2	15.4	11.3
† Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
³ No/deferred diagnosis includes unknown, not collected, missing, invalid, or other non-mental health diagnoses.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.8a. Individuals, by marital status and living arrangement: Number, 2013–2018
Marital status and living arrangement	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	5,576,659	5,818,881	5,311,897	5,813,339	5,934,383	6,213,791
Marital status
Total individuals aged 18 years and older	3,922,444	4,108,785	3,788,997	4,151,444	4,271,028	4,409,107
Never married	1,151,441	1,309,306	1,085,021	1,308,840	1,401,547	1,460,309
Currently married	360,996	382,420	343,635	365,641	355,269	360,589
Separated	139,869	164,834	134,090	153,837	147,973	146,589
Divorced	343,970	377,560	332,624	356,402	379,029	368,856
Widowed	65,792	71,529	62,120	69,912	68,006	77,430
Total	2,062,068	2,305,649	1,957,490	2,254,632	2,351,824	2,413,773
Living arrangement
Homeless	116,735	116,751	120,379	121,442	139,704	158,941
Foster home/foster care	57,624	60,545	49,442	42,927	50,753	51,597
Residential care	115,787	124,623	121,488	114,333	132,081	131,152
Institutional setting	49,214	57,994	54,821	50,157	52,450	58,126
Jail/correctional facility	69,640	66,226	62,898	59,301	64,401	67,992
Private residence	2,845,956	2,768,395	2,783,266	2,710,042	2,846,909	3,024,152
Other	111,065	153,824	126,319	145,677	147,854	89,414
Total	3,366,021	3,348,358	3,318,613	3,243,879	3,434,152	3,581,374
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.8b. Individuals, by marital status and living arrangement: Column percent distribution, 2013–2018
Marital status and living arrangement	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	100.0	100.0	100.0	100.0	100.0	100.0
Marital status
Total individuals aged 18 years and older	100.0	100.0	100.0	100.0	100.0	100.0
Never married	55.8	56.8	55.4	58.1	59.6	60.5
Currently married	17.5	16.6	17.6	16.2	15.1	14.9
Separated	6.8	7.1	6.9	6.8	6.3	6.1
Divorced	16.7	16.4	17.0	15.8	16.1	15.3
Widowed	3.2	3.1	3.2	3.1	2.9	3.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Living arrangement
Homeless	3.5	3.5	3.6	3.7	4.1	4.4
Foster home/foster care	1.7	1.8	1.5	1.3	1.5	1.4
Residential care	3.4	3.7	3.7	3.5	3.8	3.7
Institutional setting	1.5	1.7	1.7	1.5	1.5	1.6
Jail/correctional facility	2.1	2.0	1.9	1.8	1.9	1.9
Private residence	84.5	82.7	83.9	83.5	82.9	84.4
Other	3.3	4.6	3.8	4.5	4.3	2.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.9a. Individuals, by SMI/SED status and co-occurring mental health and substance use disorder status: Number, 2013–2018
SMI/SED status and co-occurring mental health and substance use disorder status	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	5,576,659	5,818,881	5,311,897	5,813,339	5,934,383	6,213,791
SMI status (individuals aged 18 years and older)¹
SMI	2,345,633	2,482,833	2,297,480	2,392,154	2,617,478	2,884,305
Not SMI	899,626	942,735	862,460	792,535	826,034	812,698
Total	3,245,259	3,425,568	3,159,940	3,184,689	3,443,512	3,697,003
SED status (individuals aged 17 years and younger)¹
SED	993,409	1,121,791	951,957	990,041	1,044,419	1,174,041
Not SED	421,613	358,730	346,904	406,609	389,453	407,630
Total	1,415,022	1,480,521	1,298,861	1,396,650	1,433,872	1,581,671
Co-occurring mental health and substance use disorders (individuals aged 12 years and older)²
Yes	918,368	929,294	847,413	865,802	1,117,677	1,260,328
No	3,514,423	3,411,905	3,166,793	3,395,252	3,282,243	3,441,194
Total³	4,432,791	4,341,199	4,014,206	4,261,054	4,399,920	4,701,522
SED = serious emotional disturbance; SMI = serious mental illness.
¹ The federal definitions for SED and SMI status can be found in Appendix D.
² Co-occurring mental health and substance use disorders are only presented for individuals aged 12 years and older.
³ Total number of individuals aged 12 years and older for whom co-occurring mental health and substance use disorders were reported.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.9b. Individuals, by SMI/SED status and co-occurring mental health and substance use disorder status: Column percent distribution, 2013–2018
SMI/SED status and co-occurring mental health and substance use disorder status	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	100.0	100.0	100.0	100.0	100.0	100.0
SMI status (individuals aged 18 years and older)¹
SMI	72.3	72.5	72.7	75.1	76.0	78.0
Not SMI	27.7	27.5	27.3	24.9	24.0	22.0
Total	100.0	100.0	100.0	100.0	100.0	100.0
SED status (individuals aged 17 years and younger)¹
SED	70.2	75.8	73.3	70.9	72.8	74.2
Not SED	29.8	24.2	26.7	29.1	27.2	25.8
Total	100.0	100.0	100.0	100.0	100.0	100.0
Co-occurring mental health and substance use disorders (individuals aged 12 years and older)²
Yes	20.7	21.4	21.1	20.3	25.4	26.8
No	79.3	78.6	78.9	79.7	74.6	73.2
Total³	100.0	100.0	100.0	100.0	100.0	100.0
SED = serious emotional disturbance; SMI = serious mental illness.
¹ The federal definitions for SED and SMI status can be found in Appendix D.
² Co-occurring mental health and substance use disorders are only presented for individuals aged 12 years and older.
³ Total percentage of individuals aged 12 years and older for whom co-occurring mental health and substance use disorders were reported.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.10a. Individuals aged 18 years and older, by employment status, ‘detailed not in labor force,’ education, and veteran status: Number, 2013–2018
Employment status, ‘detailed not in labor force,’ education, and veteran status	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 18 years and older	3,922,444	4,108,785	3,788,997	4,151,444	4,271,028	4,409,107
Employment status
Employed	334,469	411,923	422,812	422,244	482,087	530,803
Full time	146,315	205,018	211,222	216,618	242,892	268,250
Part time	126,285	136,512	145,495	140,807	168,149	180,041
Unemployed	601,533	593,550	582,538	515,856	649,126	643,175
Not in labor force (see detail below)	1,025,423	1,100,959	1,041,928	984,140	1,069,552	1,102,235
Total	1,961,425	2,106,432	2,047,278	1,922,240	2,200,765	2,276,213
Detailed not in labor force
Total individuals aged 18 years and older not in labor force	1,025,423	1,100,959	1,041,928	984,140	1,069,552	1,102,235
Disabled	382,004	438,537	442,592	445,055	505,381	537,604
Retired	29,624	34,320	38,514	40,119	47,770	50,054
Student	105,604	95,331	80,558	76,447	86,261	87,836
Homemaker	44,771	47,810	48,334	48,574	51,315	44,872
Sheltered/non-competitive   employment	8,564	13,826	11,760	9,833	13,690	13,629
Other	454,856	471,135	420,170	364,112	365,135	368,240
Total	1,025,423	1,100,959	1,041,928	984,140	1,069,552	1,102,235
Highest school grade completed
0 to 8	201,729	215,153	222,981	227,302	197,102	187,072
9 to 11	317,008	325,958	329,782	332,483	337,189	349,251
12 (or GED)	680,587	774,709	803,771	839,793	851,624	961,697
More than 12	278,891	326,127	342,885	367,417	432,449	479,701
Total	1,478,215	1,641,947	1,699,419	1,766,995	1,818,364	1,977,721
Veteran status
Veteran	n/c	n/c	n/c	n/c	50,439	46,860
Not a veteran	n/c	n/c	n/c	n/c	1,486,721	1,519,278
Total	n/c	n/c	n/c	n/c	1,537,160	1,566,138
n/c Not collected.
GED = general equivalency diploma.
NOTES: Total number of client characteristics may not equal the total number of clients due to missing values. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.10b. Individuals aged 18 years and older, by employment status, ‘detailed not in labor force,’ education, and veteran status: Column percent distribution, 2013–2018
Employment status, ‘detailed not in labor force,’ education, and veteran status	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 18 years and older	100.0	100.0	100.0	100.0	100.0	100.0
Employment status
Employed	17.1	19.6	20.7	22.0	21.9	23.3
Full time	7.5	9.7	10.3	11.3	11.0	11.8
Part time	6.4	6.5	7.1	7.3	7.6	7.9
Unemployed	30.7	28.2	28.5	26.8	29.5	28.3
Not in labor force (see detail below)	52.3	52.3	50.9	51.2	48.6	48.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Detailed not in labor force
Total individuals aged 18 years and older not in labor force	100.0	100.0	100.0	100.0	100.0	100.0
Disabled	37.3	39.8	42.5	45.2	47.3	48.8
Retired	2.9	3.1	3.7	4.1	4.5	4.5
Student	10.3	8.7	7.7	7.8	8.1	8.0
Homemaker	4.4	4.3	4.6	4.9	4.8	4.1
Sheltered/non-competitive   employment	†	1.3	1.1	†	1.3	1.2
Other	44.4	42.8	40.3	37.0	34.1	33.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	13.6	13.1	13.1	12.9	10.8	9.5
9 to 11	21.4	19.9	19.4	18.8	18.5	17.7
12 (or GED)	46.0	47.2	47.3	47.5	46.8	48.6
More than 12	18.9	19.9	20.2	20.8	23.8	24.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	n/c	n/c	n/c	n/c	3.3	3.0
Not a veteran	n/c	n/c	n/c	n/c	96.7	97.0
Total	n/c	n/c	n/c	n/c	100.0	100.0
† Less than 1 percent of individuals; n/c Not collected.
GED = general equivalency diploma.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.11a. Individuals, by timing of admission and mental health service setting: Number, 2013–2018
Timing of admission and mental health service setting	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Timing of admission
New individuals	2,686,660	2,677,733	2,592,375	3,143,256	3,177,990	3,329,865
Continuing individuals	2,889,999	3,141,148	2,719,522	2,670,083	2,756,393	2,883,926
Total	5,576,659	5,818,881	5,311,897	5,813,339	5,934,383	6,213,791
Mental health service setting¹,²
State psychiatric hospital	118,761	129,391	119,336	126,139	120,797	119,126
Community-based program	5,474,015	5,695,871	5,183,290	5,665,264	5,788,778	6,081,713
Residential treatment center	49,109	47,615	43,202	56,415	60,154	60,657
Other psychiatric inpatient	148,961	157,679	177,132	234,056	233,774	248,065
Institutions under the justice system	48,724	67,231	70,512	69,039	70,735	69,113
Total	5,576,659	5,818,881	5,311,897	5,813,338	5,934,383	6,213,791
¹ Numbers may not sum to total, because individuals could receive services in more than one service setting during the reporting period.
² Mental health service setting category definitions can be found in Appendix C.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.11b. Individuals, by timing of admission and mental health service setting: Column percent, 2013–2018
Timing of admission and mental health service setting	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Timing of admission
New individuals	48.2	46.0	48.8	54.1	53.6	53.6
Continuing individuals	51.8	54.0	51.2	45.9	46.4	46.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Mental health service setting¹,²
State psychiatric hospital	2.1	2.2	2.2	2.2	2.0	1.9
Community-based program	98.2	97.9	97.6	97.5	97.5	97.9
Residential treatment center	†	†	†	†	1.0	†
Other psychiatric inpatient	2.7	2.7	3.3	4.0	3.9	4.0
Institutions under the justice system	†	1.2	1.3	1.2	1.2	1.1
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ Percentages may not sum to 100 percent, because individuals could receive services in more than one service setting during the reporting period.
² Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.12a. Individuals, by number of mental health diagnoses and any mention of mental health diagnosis: Number, 2013–2018
Number of diagnoses and any mention of mental health diagnosis	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	5,576,659	5,818,881	5,311,897	5,813,339	5,934,383	6,213,791
Number of mental health diagnoses
None	627,663	694,110	663,139	1,032,878	825,575	719,779
1	2,823,691	2,933,818	2,523,146	3,017,455	3,441,870	3,535,468
2	1,567,462	1,578,192	1,501,638	1,227,814	1,207,297	1,373,094
3	557,843	612,761	623,974	535,192	459,641	585,450
Any mention of Mental health diagnosis¹,²
Trauma- and stressor-related disorders	853,416	904,066	888,806	915,822	1,024,429	1,145,889
Anxiety disorders	680,938	761,164	797,941	888,831	1,085,457	1,266,831
Attention deficit/hyperactivity disorder	609,826	611,789	534,056	584,682	625,134	693,471
Conduct disorder	177,055	175,986	152,736	142,337	134,277	131,077
Mood disorders	2,374,017	2,485,295	2,301,620	2,206,154	2,243,965	2,394,353
Bipolar disorders	971,605	998,673	874,681	759,967	704,533	713,319
Depressive disorders	1,452,613	1,546,242	1,487,935	1,494,381	1,584,468	1,734,691
Oppositional defiant disorder	200,431	193,031	168,355	170,161	184,070	196,012
Pervasive developmental disorders	83,515	94,564	71,302	96,830	96,651	105,479
Schizophrenia and other psychotic   disorders	676,837	707,491	644,141	625,605	692,868	735,029
Personality disorders	178,540	186,681	170,276	147,202	159,207	168,380
Alcohol or substance-related disorders	326,369	350,750	270,757	238,747	214,613	239,033
Delirium/dementia	38,514	42,024	35,059	25,569	18,412	20,442
Other mental disorders³	1,288,282	1,251,922	1,201,118	866,039	609,623	749,130
No/deferred diagnosis	627,663	694,110	663,139	1,032,878	825,575	719,779
¹ Numbers may not sum to the total, because up to three diagnoses may be reported for an individual.
² Up to three diagnoses can be reported for each individual; “any mention” includes all diagnoses reported. For this reason, the sum of any mention of bipolar and depressive disorders may be larger than any mention of mood disorders. Mental health diagnostic category definitions can be found in Appendix E.
³ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.12b. Individuals, by number of mental health diagnoses and any mention of mental health diagnosis: Column percent, 2013–2018
Number of diagnoses and any mention of mental health diagnosis	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	100.0	100.0	100.0	100.0	100.0	100.0
Number of mental health diagnoses
None	11.3	11.9	12.5	17.8	13.9	11.6
1	50.6	50.4	47.5	51.9	58.0	56.9
2	28.1	27.1	28.3	21.1	20.3	22.1
3	10.0	10.5	11.7	9.2	7.7	9.4
Any mention of Mental health diagnosis¹,²
Trauma- and stressor-related disorders	15.3	15.5	16.7	15.8	17.3	18.4
Anxiety disorders	12.2	13.1	15.0	15.3	18.3	20.4
Attention deficit/hyperactivity disorder	10.9	10.5	10.1	10.1	10.5	11.2
Conduct disorder	3.2	3.0	2.9	2.4	2.3	2.1
Mood disorders	42.6	42.7	43.3	37.9	37.8	38.5
Bipolar disorders	17.4	17.2	16.5	13.1	11.9	11.5
Depressive disorders	26.0	26.6	28.0	25.7	26.7	27.9
Oppositional defiant disorder	3.6	3.3	3.2	2.9	3.1	3.2
Pervasive developmental disorders	1.5	1.6	1.3	1.7	1.6	1.7
Schizophrenia and other psychotic   disorders	12.1	12.2	12.1	10.8	11.7	11.8
Personality disorders	3.2	3.2	3.2	2.5	2.7	2.7
Alcohol or substance-related disorders	5.9	6.0	5.1	4.1	3.6	3.8
Delirium/dementia	†	†	†	†	†	†
Other mental disorders³	23.1	21.5	22.6	14.9	10.3	12.1
No/deferred diagnosis	11.3	11.9	12.5	17.8	13.9	11.6
† Less than 1 percent of individuals.
¹ Percentages may not sum to 100 percent, because up to three diagnoses may be reported for an individual.
² Up to three diagnoses can be reported for each individual; “any mention” includes all diagnoses reported. For this reason, the sum of any mention of bipolar and depressive disorders may be larger than any mention of mood disorders. Mental health diagnostic category definitions can be found in Appendix E.
³ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol- and substance-related diagnoses. See Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.13a. Individuals, by Census region and division: Number, 2013–2018
Census region and Census division	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	5,576,453	5,797,312	5,288,528	5,795,396	5,908,465	6,210,481
Region¹
Northeast	1,270,672	1,173,111	560,450	1,115,347	871,878	801,388
Midwest	1,005,850	1,267,305	1,220,167	1,223,143	1,484,457	1,654,571
South	1,786,971	1,814,022	1,882,068	1,831,834	1,854,663	1,928,812
West	1,512,960	1,542,874	1,625,843	1,625,072	1,697,467	1,825,710
Division¹
New England	246,846	179,096	180,824	191,369	240,399	178,047
Middle Atlantic	1,023,826	994,015	379,626	923,978	631,479	623,341
East North Central	687,866	742,524	752,154	721,586	982,915	1,045,726
West North Central	317,984	524,781	468,013	501,557	501,542	608,845
South Atlantic	835,400	847,031	878,731	800,461	812,765	849,366
East South Central	441,818	449,787	467,125	461,375	441,287	463,160
West South Central	509,753	517,204	536,212	569,998	600,611	616,286
Mountain	520,428	520,164	565,460	592,591	650,505	696,587
Pacific	992,532	1,022,710	1,060,383	1,032,481	1,046,962	1,129,123
¹ The Commonwealth of the Northern Mariana Islands, the Republic of Palau, and the Commonwealth of Puerto Rico are not included in any Census region or division.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.13b. Individuals, by Census region and division: Column percent distribution, 2013–2018
Census region and Census division	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total	100.0	100.0	100.0	100.0	100.0	100.0
Region¹
Northeast	22.8	20.2	10.6	19.2	14.8	12.9
Midwest	18.0	21.9	23.1	21.1	25.1	26.6
South	32.0	31.3	35.6	31.6	31.4	31.1
West	27.1	26.6	30.7	28.0	28.7	29.4
Division¹	4.4	3.1	3.4	3.3	4.1	2.9
Middle Atlantic	18.4	17.1	7.2	15.9	10.7	10.0
East North Central	12.3	12.8	14.2	12.5	16.6	16.8
West North Central	5.7	9.1	8.8	8.7	8.5	9.8
South Atlantic	15.0	14.6	16.6	13.8	13.8	13.7
East South Central	7.9	7.8	8.8	8.0	7.5	7.5
West South Central	9.1	8.9	10.1	9.8	10.2	9.9
Mountain	9.3	9.0	10.7	10.2	11.0	11.2
Pacific	17.8	17.6	20.1	17.8	17.7	18.2
¹ The Commonwealth of the Northern Mariana Islands, the Republic of Palau, and the Commonwealth of Puerto Rico are not included in any Census region or division.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.14a. Individuals with primary diagnosis of trauma- and stressor-related disorders, by gender, age, race, and ethnicity: Number, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals with primary diagnosis of trauma- and stressor-related disorders	645,568	660,241	637,555	664,355	734,330	793,054
Gender
Male	268,543	275,355	266,187	278,916	312,326	340,879
Female	376,237	383,945	370,248	384,020	419,667	450,131
Total	644,780	659,300	636,435	662,936	731,993	791,010
Age¹
0 to 11 years	186,479	193,741	173,421	190,198	200,730	227,728
12 to 14 years	73,090	73,966	67,643	71,585	75,072	85,042
15 to 17 years	64,604	61,990	58,979	63,918	67,246	73,565
18 to 20 years	30,443	27,762	26,897	28,011	30,967	33,991
21 to 24 years	32,288	31,768	31,299	31,416	35,490	36,173
25 to 29 years	42,549	43,890	45,407	47,363	55,270	57,846
30 to 34 years	42,515	44,281	45,353	47,131	53,727	56,434
35 to 39 years	34,711	37,027	39,535	41,303	47,726	51,277
40 to 44 years	33,698	34,252	34,153	33,811	37,564	39,710
45 to 49 years	31,812	32,556	32,623	32,449	35,863	36,910
50 to 54 years	28,363	30,210	31,225	30,470	33,526	34,062
55 to 59 years	19,797	21,340	22,793	22,818	26,667	27,990
60 to 64 years	11,523	12,475	13,435	12,946	15,697	17,042
65 years and older	13,477	14,781	14,561	10,596	18,067	14,925
Total	645,349	660,039	637,324	664,015	733,612	792,695
Race
American Indian or Alaska Native	10,474	12,662	13,033	14,399	15,095	15,951
Asian²	7,080	8,008	7,794	9,398	9,811	10,242
Black or African American	101,401	107,328	100,392	99,418	118,467	126,593
Native Hawaiian or Other Pacific Islander	1,559	1,629	1,828	2,075	2,013	2,668
White	401,023	409,678	392,734	418,045	453,204	482,619
Other	64,007	63,235	58,711	62,225	73,156	82,317
Total	585,544	602,540	574,492	605,560	671,746	720,390
Ethnicity
Not of Hispanic or Latino origin	419,387	422,278	418,316	451,153	552,535	573,300
Hispanic or Latino origin	98,823	102,236	99,768	111,576	119,793	124,482
Total	518,210	524,514	518,084	562,729	672,328	697,782
Specific Hispanic or Latino origin
Mexican	5,790	9,036	9,534	7,292	12,405	11,814
Puerto Rican	3,822	3,656	3,580	2,989	3,382	2,998
Cuban	623	613	692	692	903	789
Other specific	5,840	8,901	7,466	7,081	11,125	10,658
Total	16,075	22,206	21,272	18,054	27,815	26,259
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Total number of client characteristics may not equal the total number of clients due to missing values. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.14b. Individuals with primary diagnosis of trauma- and stressor-related disorders, by gender, age, race, and ethnicity: Column percent distribution, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals with primary diagnosis of trauma- and stressor-related disorders	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	41.6	41.8	41.8	42.1	42.7	43.1
Female	58.4	58.2	58.2	57.9	57.3	56.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
0 to 11 years	28.9	29.4	27.2	28.6	27.4	28.7
12 to 14 years	11.3	11.2	10.6	10.8	10.2	10.7
15 to 17 years	10.0	9.4	9.3	9.6	9.2	9.3
18 to 20 years	4.7	4.2	4.2	4.2	4.2	4.3
21 to 24 years	5.0	4.8	4.9	4.7	4.8	4.6
25 to 29 years	6.6	6.6	7.1	7.1	7.5	7.3
30 to 34 years	6.6	6.7	7.1	7.1	7.3	7.1
35 to 39 years	5.4	5.6	6.2	6.2	6.5	6.5
40 to 44 years	5.2	5.2	5.4	5.1	5.1	5.0
45 to 49 years	4.9	4.9	5.1	4.9	4.9	4.7
50 to 54 years	4.4	4.6	4.9	4.6	4.6	4.3
55 to 59 years	3.1	3.2	3.6	3.4	3.6	3.5
60 to 64 years	1.8	1.9	2.1	1.9	2.1	2.1
65 years and older	2.1	2.2	2.3	1.6	2.5	1.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.8	2.1	2.3	2.4	2.2	2.2
Asian²	1.2	1.3	1.4	1.6	1.5	1.4
Black or African American	17.3	17.8	17.5	16.4	17.6	17.6
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	68.5	68.0	68.4	69.0	67.5	67.0
Other	10.9	10.5	10.2	10.3	10.9	11.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	80.9	80.5	80.7	80.2	82.2	82.2
Hispanic or Latino origin	19.1	19.5	19.3	19.8	17.8	17.8
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	36.0	40.7	44.8	40.4	44.6	45.0
Puerto Rican	23.8	16.5	16.8	16.6	12.2	11.4
Cuban	3.9	2.8	3.3	3.8	3.2	3.0
Other specific	36.3	40.1	35.1	39.2	40.0	40.6
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Percentages may not sum to 100 percent because of rounding. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.15a. Individuals with primary diagnosis of anxiety disorders, by gender, age, race, and ethnicity: Number, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	46	48	48
Total individuals with primary diagnosis of  anxiety disorders	376,408	409,035	427,333	493,641	579,070	654,028
Gender
Male	152,340	167,615	176,308	196,875	229,128	254,741
Female	223,852	241,113	250,591	288,233	348,550	398,151
Total	376,192	408,728	426,899	485,108	577,678	652,892
Age¹
0 to 11 years	57,145	63,171	62,006	68,419	75,555	84,127
12 to 14 years	26,061	29,832	31,162	35,999	40,597	47,217
15 to 17 years	27,497	31,462	34,300	41,980	47,355	54,714
18 to 20 years	19,493	20,374	21,491	26,066	30,565	36,802
21 to 24 years	24,803	26,071	27,839	32,618	38,489	43,510
25 to 29 years	37,044	39,599	42,377	50,530	61,334	69,649
30 to 34 years	36,488	39,411	41,937	48,799	58,661	66,030
35 to 39 years	28,830	31,401	33,796	40,663	49,594	56,685
40 to 44 years	26,961	28,309	28,879	32,459	37,479	42,253
45 to 49 years	25,699	26,741	27,159	30,737	35,662	39,444
50 to 54 years	24,011	26,231	27,132	30,369	34,888	37,340
55 to 59 years	17,957	19,765	21,154	24,560	29,207	33,172
60 to 64 years	10,978	12,327	13,393	15,740	18,943	22,334
65 years and older	13,313	14,094	14,425	14,186	20,179	20,540
Total	376,280	408,788	427,050	493,125	578,508	653,817
Race
American Indian or Alaska Native	4,524	5,780	6,651	7,541	9,665	11,316
Asian²	3,013	4,035	4,637	6,119	7,664	8,336
Black or African American	36,279	41,039	42,759	46,901	57,810	64,167
Native Hawaiian or Other Pacific Islander	839	986	1,243	1,677	1,392	1,959
White	272,565	290,326	298,679	344,367	408,660	455,853
Other	31,897	37,640	38,046	43,890	48,537	58,146
Total	349,117	379,806	392,015	450,495	533,728	599,777
Ethnicity
Not of Hispanic or Latino origin	265,784	281,602	298,441	348,928	452,986	474,463
Hispanic or Latino origin	48,995	56,346	61,375	72,561	80,841	90,629
Total	314,779	337,948	359,816	421,489	533,827	565,092
Specific Hispanic or Latino origin
Mexican	2,619	3,862	5,033	3,872	6,018	5,639
Puerto Rican	1,790	1,648	1,736	1,786	1,897	1,990
Cuban	593	638	720	762	745	712
Other specific	3,107	4,396	4,278	4,399	5,656	5,836
Total	8,109	10,544	11,767	10,819	14,316	14,177
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Total number of client characteristics may not equal the total number of clients due to missing values. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.15b. Individuals with primary diagnosis of anxiety disorders, by gender, age, race, and ethnicity: Column percent distribution, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	46	48	48
Total individuals with primary diagnosis of  anxiety disorders	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	40.5	41.0	41.3	40.6	39.7	39.0
Female	59.5	59.0	58.7	59.4	60.3	61.0
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
0 to 11 years	15.2	15.5	14.5	13.9	13.1	12.9
12 to 14 years	6.9	7.3	7.3	7.3	7.0	7.2
15 to 17 years	7.3	7.7	8.0	8.5	8.2	8.4
18 to 20 years	5.2	5.0	5.0	5.3	5.3	5.6
21 to 24 years	6.6	6.4	6.5	6.6	6.7	6.7
25 to 29 years	9.8	9.7	9.9	10.2	10.6	10.7
30 to 34 years	9.7	9.6	9.8	9.9	10.1	10.1
35 to 39 years	7.7	7.7	7.9	8.2	8.6	8.7
40 to 44 years	7.2	6.9	6.8	6.6	6.5	6.5
45 to 49 years	6.8	6.5	6.4	6.2	6.2	6.0
50 to 54 years	6.4	6.4	6.4	6.2	6.0	5.7
55 to 59 years	4.8	4.8	5.0	5.0	5.0	5.1
60 to 64 years	2.9	3.0	3.1	3.2	3.3	3.4
65 years and older	3.5	3.4	3.4	2.9	3.5	3.1
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.3	1.5	1.7	1.7	1.8	1.9
Asian²	†	1.1	1.2	1.4	1.4	1.4
Black or African American	10.4	10.8	10.9	10.4	10.8	10.7
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	78.1	76.4	76.2	76.4	76.6	76.0
Other	9.1	9.9	9.7	9.7	9.1	9.7
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	84.4	83.3	82.9	82.8	84.9	84.0
Hispanic or Latino origin	15.6	16.7	17.1	17.2	15.1	16.0
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	32.3	36.6	42.8	35.8	42.0	39.8
Puerto Rican	22.1	15.6	14.8	16.5	13.3	14.0
Cuban	7.3	6.1	6.1	7.0	5.2	5.0
Other specific	38.3	41.7	36.4	40.7	39.5	41.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Percentages may not sum to 100 percent because of rounding. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.16a. Individuals with primary diagnosis of attention deficit/hyperactivity disorder, by gender, age, race, and ethnicity: Number, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	46	47	48
Total individuals with primary diagnosis of  attention deficit/hyperactivity disorder	442,351	420,745	351,786	406,362	429,499	461,444
Gender
Male	316,134	298,232	248,457	284,399	301,185	325,382
Female	125,645	121,791	102,403	120,934	126,826	134,576
Total	441,779	420,023	350,860	405,333	428,011	459,958
Age¹
0 to 11 years	234,350	224,878	175,823	204,785	215,412	232,353
12 to 14 years	91,750	83,526	71,694	82,395	85,927	93,125
15 to 17 years	57,740	52,044	46,296	53,414	56,310	58,851
18 to 20 years	20,592	17,857	16,331	18,403	19,397	20,333
21 to 24 years	10,306	10,628	9,862	10,132	10,806	11,217
25 to 29 years	8,776	9,945	10,272	10,929	12,038	13,428
30 to 34 years	6,076	7,238	7,385	8,323	9,111	10,184
35 to 39 years	3,836	4,404	4,558	5,690	6,513	7,306
40 to 44 years	2,859	3,218	3,048	3,837	4,097	4,570
45 to 49 years	2,081	2,434	2,330	2,955	3,264	3,597
50 to 54 years	1,602	1,865	1,900	2,371	2,488	2,577
55 to 59 years	928	1,173	1,191	1,586	1,807	2,007
60 to 64 years	468	607	696	935	1,057	1,230
65 years and older	906	875	361	565	1,147	648
Total	442,270	420,692	351,747	406,320	429,374	461,426
Race
American Indian or Alaska Native	4,345	4,829	4,307	4,244	4,134	4,702
Asian²	1,828	1,871	1,706	2,265	2,335	3,025
Black or African American	107,683	99,897	88,294	96,287	103,260	105,300
Native Hawaiian or Other Pacific Islander	617	662	653	773	633	851
White	256,925	250,570	204,688	240,648	252,104	270,418
Other	42,746	37,424	27,907	38,653	46,040	47,784
Total	414,144	395,253	327,555	382,870	408,506	432,080
Ethnicity
Not of Hispanic or Latino origin	316,080	298,095	249,365	292,329	335,168	338,159
Hispanic or Latino origin	67,463	60,920	46,557	62,876	71,199	72,374
Total	383,543	359,015	295,922	355,205	406,367	410,533
Specific Hispanic or Latino origin
Mexican	3,743	4,448	4,724	3,047	3,836	4,000
Puerto Rican	2,679	2,045	1,931	1,585	2,290	2,004
Cuban	572	396	393	369	385	392
Other specific	4,278	4,479	3,887	3,615	4,221	4,175
Total	11,272	11,368	10,935	8,616	10,732	10,571
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Total number of client characteristics may not equal the total number of clients due to missing values. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.16b. Individuals with primary diagnosis of attention deficit/hyperactivity disorder, by gender, age, race, and ethnicity: Column percent distribution, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	46	47	48
Total individuals with primary diagnosis of  attention deficit/hyperactivity disorder	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	71.6	71.0	70.8	70.2	70.4	70.7
Female	28.4	29.0	29.2	29.8	29.6	29.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
0 to 11 years	53.0	53.5	50.0	50.4	50.2	50.4
12 to 14 years	20.7	19.9	20.4	20.3	20.0	20.2
15 to 17 years	13.1	12.4	13.2	13.1	13.1	12.8
18 to 20 years	4.7	4.2	4.6	4.5	4.5	4.4
21 to 24 years	2.3	2.5	2.8	2.5	2.5	2.4
25 to 29 years	2.0	2.4	2.9	2.7	2.8	2.9
30 to 34 years	1.4	1.7	2.1	2.0	2.1	2.2
35 to 39 years	†	1.0	1.3	1.4	1.5	1.6
40 to 44 years	†	†	†	†	†	†
45 to 49 years	†	†	†	†	†	†
50 to 54 years	†	†	†	†	†	†
55 to 59 years	†	†	†	†	†	†
60 to 64 years	†	†	†	†	†	†
65 years and older	†	†	†	†	†	†
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.0	1.2	1.3	1.1	1.0	1.1
Asian²	†	†	†	†	†	†
Black or African American	26.0	25.3	27.0	25.1	25.3	24.4
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	62.0	63.4	62.5	62.9	61.7	62.6
Other	10.3	9.5	8.5	10.1	11.3	11.1
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	82.4	83.0	84.3	82.3	82.5	82.4
Hispanic or Latino origin	17.6	17.0	15.7	17.7	17.5	17.6
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	33.2	39.1	43.2	35.4	35.7	37.8
Puerto Rican	23.8	18.0	17.7	18.4	21.3	19.0
Cuban	5.1	3.5	3.6	4.3	3.6	3.7
Other specific	38.0	39.4	35.5	42.0	39.3	39.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Percentages may not sum to 100 percent because of rounding. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.17a. Individuals with primary diagnosis of bipolar disorders, by gender, age, race, and ethnicity: Number, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	46	45	46	47	48
Total individuals with primary diagnosis of  bipolar disorders	854,076	880,161	758,549	663,415	607,293	601,023
Gender
Male	357,922	372,043	322,508	273,345	240,041	235,506
Female	495,459	506,778	434,726	388,706	366,061	364,430
Total	853,381	878,821	757,234	662,051	606,102	599,936
Age¹
0 to 11 years	35,526	36,678	28,906	16,730	6,380	4,045
12 to 14 years	38,773	39,965	31,108	19,287	8,975	6,966
15 to 17 years	55,116	55,761	45,078	31,499	17,866	15,203
18 to 20 years	46,470	44,454	36,556	29,559	22,946	22,589
21 to 24 years	64,392	65,062	54,628	45,323	40,004	39,014
25 to 29 years	87,928	91,116	79,428	71,469	68,109	67,763
30 to 34 years	92,271	94,869	81,734	74,269	70,739	70,656
35 to 39 years	80,701	83,970	74,826	70,768	70,321	70,976
40 to 44 years	84,373	85,340	71,839	64,517	61,945	61,056
45 to 49 years	84,005	85,507	72,580	67,812	65,303	64,113
50 to 54 years	78,076	82,816	73,254	67,822	65,491	63,486
55 to 59 years	52,865	57,014	52,852	51,406	52,770	55,072
60 to 64 years	29,221	31,651	30,753	30,195	31,318	33,997
65 years and older	24,153	25,742	24,756	22,408	24,816	25,973
Total	853,870	879,945	758,298	663,064	606,983	600,909
Race
American Indian or Alaska Native	8,009	9,181	8,392	6,518	5,853	5,800
Asian²	5,852	6,522	5,939	5,539	5,201	5,607
Black or African American	134,677	143,798	124,360	106,639	99,024	99,061
Native Hawaiian or Other Pacific Islander	1,989	2,089	2,071	1,737	960	1,065
White	597,036	608,576	518,366	462,005	433,581	427,450
Other	52,484	54,254	46,884	44,251	33,327	37,235
Total	800,047	824,420	706,012	626,689	577,946	576,218
Ethnicity
Not of Hispanic or Latino origin	651,506	662,812	566,995	506,262	496,797	490,968
Hispanic or Latino origin	87,620	89,909	76,090	72,616	56,517	57,112
Total	739,126	752,721	643,085	578,878	553,314	548,080
Specific Hispanic or Latino origin
Mexican	3,498	5,391	4,795	2,587	3,242	2,974
Puerto Rican	5,027	4,677	4,369	3,175	3,206	2,989
Cuban	1,369	1,318	1,283	1,073	915	949
Other specific	6,304	8,010	6,177	4,503	4,698	4,858
Total	16,198	19,396	16,624	11,338	12,061	11,770
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Total number of client characteristics may not equal the total number of clients due to missing values. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.17b. Individuals with primary diagnosis of bipolar disorders, by gender, age, race, and ethnicity: Column percent distribution, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	46	45	46	47	48
Total individuals with primary diagnosis  of bipolar disorders	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	41.9	42.3	42.6	41.3	39.6	39.3
Female	58.1	57.7	57.4	58.7	60.4	60.7
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
0 to 11 years	4.2	4.2	3.8	2.5	1.1	†
12 to 14 years	4.5	4.5	4.1	2.9	1.5	1.2
15 to 17 years	6.5	6.3	5.9	4.8	2.9	2.5
18 to 20 years	5.4	5.1	4.8	4.5	3.8	3.8
21 to 24 years	7.5	7.4	7.2	6.8	6.6	6.5
25 to 29 years	10.3	10.4	10.5	10.8	11.2	11.3
30 to 34 years	10.8	10.8	10.8	11.2	11.7	11.8
35 to 39 years	9.5	9.5	9.9	10.7	11.6	11.8
40 to 44 years	9.9	9.7	9.5	9.7	10.2	10.2
45 to 49 years	9.8	9.7	9.6	10.2	10.8	10.7
50 to 54 years	9.1	9.4	9.7	10.2	10.8	10.6
55 to 59 years	6.2	6.5	7.0	7.8	8.7	9.2
60 to 64 years	3.4	3.6	4.1	4.6	5.2	5.7
65 years and older	2.8	2.9	3.3	3.4	4.1	4.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.0	1.1	1.2	1.0	1.0	1.0
Asian²	†	†	†	†	†	†
Black or African American	16.8	17.4	17.6	17.0	17.1	17.2
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	74.6	73.8	73.4	73.7	75.0	74.2
Other	6.6	6.6	6.6	7.1	5.8	6.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	88.1	88.1	88.2	87.5	89.8	89.6
Hispanic or Latino origin	11.9	11.9	11.8	12.5	10.2	10.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	21.6	27.8	28.8	22.8	26.9	25.3
Puerto Rican	31.0	24.1	26.3	28.0	26.6	25.4
Cuban	8.5	6.8	7.7	9.5	7.6	8.1
Other specific	38.9	41.3	37.2	39.7	39.0	41.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Percentages may not sum to 100 percent because of rounding. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.18a. Individuals with primary diagnosis of depressive disorders, by gender, age, race, and ethnicity: Number, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals with primary diagnosis of depressive disorders	1,267,441	1,327,354	1,255,030	1,257,761	1,315,673	1,410,277
Gender
Male	448,787	473,878	454,264	458,297	483,700	522,635
Female	817,585	851,797	799,005	797,366	829,651	885,445
Total	1,266,372	1,325,675	1,253,269	1,255,663	1,313,351	1,408,080
Age¹
0 to 11 years	33,134	34,526	31,092	30,111	30,555	33,950
12 to 14 years	58,869	66,493	64,146	63,407	64,445	73,268
15 to 17 years	91,226	97,878	97,813	101,954	104,792	116,839
18 to 20 years	59,889	59,676	57,705	61,641	66,889	76,711
21 to 24 years	74,407	76,409	72,815	75,361	80,971	88,548
25 to 29 years	105,402	109,754	105,550	110,660	120,788	131,091
30 to 34 years	110,001	115,140	108,854	110,687	117,433	124,637
35 to 39 years	101,918	106,305	101,583	104,264	111,333	118,321
40 to 44 years	115,230	116,610	104,037	100,216	100,297	104,196
45 to 49 years	130,451	132,587	117,431	114,934	115,726	118,304
50 to 54 years	140,197	147,855	136,176	132,784	131,275	132,507
55 to 59 years	111,740	120,611	115,869	116,267	119,779	128,185
60 to 64 years	68,419	73,733	73,486	74,116	78,313	87,352
65 years and older	66,176	69,479	68,161	60,867	72,188	75,796
Total	1,267,059	1,327,056	1,254,718	1,257,269	1,314,784	1,409,705
Race
American Indian or Alaska Native	13,869	16,973	17,523	16,982	18,047	19,312
Asian²	16,832	20,503	20,106	20,270	20,518	22,533
Black or African American	212,743	227,689	214,273	209,395	222,751	238,281
Native Hawaiian or Other Pacific Islander	3,218	3,593	4,039	4,325	3,015	3,609
White	820,377	852,465	798,234	814,506	852,467	901,982
Other	109,419	113,017	100,505	110,722	117,684	135,823
Total	1,176,458	1,234,240	1,154,680	1,176,200	1,234,482	1,321,540
Ethnicity
Not of Hispanic or Latino origin	899,265	926,552	881,406	893,898	1,005,219	1,053,960
Hispanic or Latino origin	171,882	179,341	164,383	185,380	191,368	204,991
Total	1,071,147	1,105,893	1,045,789	1,079,278	1,196,587	1,258,951
Specific Hispanic or Latino origin
Mexican	9,249	12,364	14,421	9,259	13,264	13,009
Puerto Rican	8,400	7,589	7,370	6,149	6,910	7,148
Cuban	3,541	3,297	3,156	2,989	2,776	2,743
Other specific	12,516	14,754	13,542	12,341	14,791	15,208
Total	33,706	38,004	38,489	30,738	37,741	38,108
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Total number of client characteristics may not equal the total number of clients due to missing values. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.18b. Individuals with primary diagnosis of depressive disorders, by gender, age, race, and ethnicity: Column percent distribution, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals with primary diagnosis of depressive disorders	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	35.4	35.7	36.2	36.5	36.8	37.1
Female	64.6	64.3	63.8	63.5	63.2	62.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
0 to 11 years	2.6	2.6	2.5	2.4	2.3	2.4
12 to 14 years	4.6	5.0	5.1	5.0	4.9	5.2
15 to 17 years	7.2	7.4	7.8	8.1	8.0	8.3
18 to 20 years	4.7	4.5	4.6	4.9	5.1	5.4
21 to 24 years	5.9	5.8	5.8	6.0	6.2	6.3
25 to 29 years	8.3	8.3	8.4	8.8	9.2	9.3
30 to 34 years	8.7	8.7	8.7	8.8	8.9	8.8
35 to 39 years	8.0	8.0	8.1	8.3	8.5	8.4
40 to 44 years	9.1	8.8	8.3	8.0	7.6	7.4
45 to 49 years	10.3	10.0	9.4	9.1	8.8	8.4
50 to 54 years	11.1	11.1	10.9	10.6	10.0	9.4
55 to 59 years	8.8	9.1	9.2	9.2	9.1	9.1
60 to 64 years	5.4	5.6	5.9	5.9	6.0	6.2
65 years and older	5.2	5.2	5.4	4.8	5.5	5.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.2	1.4	1.5	1.4	1.5	1.5
Asian²	1.4	1.7	1.7	1.7	1.7	1.7
Black or African American	18.1	18.4	18.6	17.8	18.0	18.0
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	69.7	69.1	69.1	69.2	69.1	68.3
Other	9.3	9.2	8.7	9.4	9.5	10.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	84.0	83.8	84.3	82.8	84.0	83.7
Hispanic or Latino origin	16.0	16.2	15.7	17.2	16.0	16.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	27.4	32.5	37.5	30.1	35.1	34.1
Puerto Rican	24.9	20.0	19.1	20.0	18.3	18.8
Cuban	10.5	8.7	8.2	9.7	7.4	7.2
Other specific	37.1	38.8	35.2	40.1	39.2	39.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Percentages may not sum to 100 percent because of rounding. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.19a. Individuals with primary diagnosis of schizophrenia and other psychotic disorders, by gender, age, race, and ethnicity: Number, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	46	47	48
Total individuals with primary diagnosis of schizophrenia and other psychotic disorders	630,500	656,286	593,824	576,500	626,384	660,521
Gender
Male	383,632	402,328	367,935	359,909	392,731	414,976
Female	246,365	252,549	224,958	215,651	232,794	244,877
Total	629,997	654,877	592,893	575,560	625,525	659,853
Age¹
0 to 11 years	2,056	2,139	1,746	1,587	1,707	1,445
12 to 14 years	2,520	2,656	2,118	2,026	2,127	2,088
15 to 17 years	5,754	5,810	5,040	4,849	5,058	5,088
18 to 20 years	15,644	15,809	13,575	13,000	13,971	14,165
21 to 24 years	34,416	36,701	33,869	33,390	35,518	36,825
25 to 29 years	53,851	56,582	52,662	53,263	59,867	64,675
30 to 34 years	60,578	64,902	59,800	58,976	64,220	68,071
35 to 39 years	55,652	58,887	55,895	57,034	64,257	70,024
40 to 44 years	63,219	63,610	55,432	53,041	56,727	60,432
45 to 49 years	77,522	76,398	65,090	61,500	64,490	66,022
50 to 54 years	90,289	92,240	80,171	75,236	76,585	76,202
55 to 59 years	74,752	79,370	72,439	70,758	76,715	80,504
60 to 64 years	46,585	50,736	48,151	47,902	53,920	59,181
65 years and older	47,395	50,131	47,511	43,475	50,537	55,258
Total	630,233	655,971	593,499	576,037	625,699	659,980
Race
American Indian or Alaska Native	5,491	6,191	5,840	5,868	6,234	6,711
Asian²	14,399	15,638	14,700	14,685	15,028	16,929
Black or African American	191,698	198,981	182,612	176,797	193,713	205,237
Native Hawaiian or Other Pacific Islander	2,728	2,801	2,770	2,840	1,765	1,958
White	323,116	335,206	295,827	296,143	322,396	334,030
Other	39,487	40,446	39,130	39,777	47,401	58,000
Total	576,919	599,263	540,879	536,110	586,537	622,865
Ethnicity
Not of Hispanic or Latino origin	455,984	470,108	419,138	430,365	481,585	511,034
Hispanic or Latino origin	64,601	65,807	60,082	65,343	69,746	78,311
Total	520,585	535,915	479,220	495,708	551,331	589,345
Specific Hispanic or Latino origin
Mexican	2,052	3,106	3,059	2,595	3,700	3,446
Puerto Rican	3,434	3,213	3,102	2,630	3,411	3,739
Cuban	2,123	1,413	1,380	1,343	1,436	1,414
Other specific	5,133	5,347	4,713	4,658	5,363	5,798
Total	12,742	13,079	12,254	11,226	13,910	14,397
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Total number of client characteristics may not equal the total number of clients due to missing values. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.19b. Individuals with primary diagnosis of schizophrenia and other psychotic disorders, by gender, age, race, and ethnicity: Column percent distribution, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	46	47	48
Total individuals with primary diagnosis of schizophrenia and other psychotic disorders	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	60.9	61.4	62.1	62.5	62.8	62.9
Female	39.1	38.6	37.9	37.5	37.2	37.1
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
0 to 11 years	†	†	†	†	†	†
12 to 14 years	†	†	†	†	†	†
15 to 17 years	†	†	†	†	†	†
18 to 20 years	2.5	2.4	2.3	2.3	2.2	2.1
21 to 24 years	5.5	5.6	5.7	5.8	5.7	5.6
25 to 29 years	8.5	8.6	8.9	9.2	9.6	9.8
30 to 34 years	9.6	9.9	10.1	10.2	10.3	10.3
35 to 39 years	8.8	9.0	9.4	9.9	10.3	10.6
40 to 44 years	10.0	9.7	9.3	9.2	9.1	9.2
45 to 49 years	12.3	11.6	11.0	10.7	10.3	10.0
50 to 54 years	14.3	14.1	13.5	13.1	12.2	11.5
55 to 59 years	11.9	12.1	12.2	12.3	12.3	12.2
60 to 64 years	7.4	7.7	8.1	8.3	8.6	9.0
65 years and older	7.5	7.6	8.0	7.5	8.1	8.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	†	1.0	1.1	1.1	1.1	1.1
Asian²	2.5	2.6	2.7	2.7	2.6	2.7
Black or African American	33.2	33.2	33.8	33.0	33.0	33.0
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	56.0	55.9	54.7	55.2	55.0	53.6
Other	6.8	6.7	7.2	7.4	8.1	9.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	87.6	87.7	87.5	86.8	87.3	86.7
Hispanic or Latino origin	12.4	12.3	12.5	13.2	12.7	13.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	16.1	23.7	25.0	23.1	26.6	23.9
Puerto Rican	27.0	24.6	25.3	23.4	24.5	26.0
Cuban	16.7	10.8	11.3	12.0	10.3	9.8
Other specific	40.3	40.9	38.5	41.5	38.6	40.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTES: Percentages may not sum to 100 percent because of rounding. This table refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.20a. Individuals with co-occurring mental health and substance use disorders, by gender, age, race, and ethnicity: Number, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	46	44	44	45	45
Total individuals with co-occurring mental health and substance use disorders¹	782,501	777,946	758,082	690,705	905,849	1,051,340
Gender
Male	435,055	432,519	421,047	380,465	482,415	560,368
Female	346,874	344,573	336,592	309,714	420,103	489,086
Total	781,929	777,092	757,639	690,179	902,518	1,049,454
Age²
0 to 11 years	6,121	3,697	2,024	1,999	22,887	23,623
12 to 14 years	11,944	10,332	8,185	7,686	19,366	18,691
15 to 17 years	47,758	42,145	36,170	33,985	46,671	49,196
18 to 20 years	37,008	33,790	31,459	28,832	36,981	42,764
21 to 24 years	61,377	59,646	57,960	51,362	64,208	73,139
25 to 29 years	93,623	91,810	91,808	85,553	111,611	133,007
30 to 34 years	96,545	96,053	96,626	89,039	113,299	134,479
35 to 39 years	78,764	79,878	81,582	78,199	102,536	123,782
40 to 44 years	83,691	80,715	75,723	66,148	80,857	94,824
45 to 49 years	89,350	86,840	81,933	71,483	85,767	97,095
50 to 54 years	85,375	89,034	86,199	75,850	89,182	99,167
55 to 59 years	52,925	59,017	60,008	56,210	71,686	86,024
60 to 64 years	23,990	27,981	30,161	28,747	38,208	47,587
65 years and older	13,480	16,295	17,413	14,731	21,062	26,971
Total	781,951	777,233	757,251	689,824	904,321	1,050,349
Race
American Indian or Alaska Native	12,184	13,610	14,290	13,774	15,647	19,130
Asian³	5,557	6,157	6,301	7,192	7,652	9,541
Black or African American	141,181	142,675	134,840	121,760	169,829	199,925
Native Hawaiian or Other Pacific Islander	2,042	2,279	2,264	1,811	1,798	2,215
White	509,870	501,387	489,318	449,537	586,527	672,893
Other	57,575	59,347	59,549	56,357	75,902	95,273
Total	728,409	725,455	706,562	650,431	857,355	998,977
Ethnicity
Not of Hispanic or Latino origin	585,348	580,194	570,041	541,710	743,946	849,744
Hispanic or Latino origin	95,393	97,213	93,600	92,863	101,805	112,120
Total	680,741	677,407	663,641	634,573	845,751	961,864
Specific Hispanic or Latino origin
Mexican	3,719	4,908	5,677	2,410	4,556	5,154
Puerto Rican	3,685	7,462	6,946	5,049	6,611	6,917
Cuban	1,279	843	830	618	877	931
Other specific	5,954	9,534	7,332	5,401	6,877	7,292
Total	14,637	22,747	20,785	13,478	18,921	20,294
¹ Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.20b. Individuals with co-occurring mental health and substance use disorders, by gender, age, race, and ethnicity: Column percent distribution, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	46	44	44	45	45
Total individuals with co-occurring mental health and substance use disorders¹	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	55.6	55.7	55.6	55.1	53.5	53.4
Female	44.4	44.3	44.4	44.9	46.5	46.6
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age²
0 to 11 years	†	†	†	†	2.5	2.2
12 to 14 years	1.5	1.3	1.1	1.1	2.1	1.8
15 to 17 years	6.1	5.4	4.8	4.9	5.2	4.7
18 to 20 years	4.7	4.3	4.2	4.2	4.1	4.1
21 to 24 years	7.8	7.7	7.7	7.4	7.1	7.0
25 to 29 years	12.0	11.8	12.1	12.4	12.3	12.7
30 to 34 years	12.3	12.4	12.8	12.9	12.5	12.8
35 to 39 years	10.1	10.3	10.8	11.3	11.3	11.8
40 to 44 years	10.7	10.4	10.0	9.6	8.9	9.0
45 to 49 years	11.4	11.2	10.8	10.4	9.5	9.2
50 to 54 years	10.9	11.5	11.4	11.0	9.9	9.4
55 to 59 years	6.8	7.6	7.9	8.1	7.9	8.2
60 to 64 years	3.1	3.6	4.0	4.2	4.2	4.5
65 years and older	1.7	2.1	2.3	2.1	2.3	2.6
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.7	1.9	2.0	2.1	1.8	1.9
Asian³	†	†	†	1.1	†	†
Black or African American	19.4	19.7	19.1	18.7	19.8	20.0
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	70.0	69.1	69.3	69.1	68.4	67.4
Other	7.9	8.2	8.4	8.7	8.9	9.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	86.0	85.6	85.9	85.4	88.0	88.3
Hispanic or Latino origin	14.0	14.4	14.1	14.6	12.0	11.7
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	25.4	21.6	27.3	17.9	24.1	25.4
Puerto Rican	25.2	32.8	33.4	37.5	34.9	34.1
Cuban	8.7	3.7	4.0	4.6	4.6	4.6
Other specific	40.7	41.9	35.3	40.1	36.3	35.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.21a. Individuals without co-occurring mental health and substance use disorders, by gender, age, race, and ethnicity: Number, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	46	44	43	45	45
Total individuals without co-occurring mental health and substance use disorders	3,891,997	3,849,896	3,466,494	3,563,762	3,641,596	3,897,679
Gender
Male	1,810,514	1,788,302	1,598,082	1,652,215	1,677,409	1,793,313
Female	2,077,439	2,055,895	1,861,506	1,903,078	1,955,509	2,095,698
Total	3,887,953	3,844,197	3,459,588	3,555,293	3,632,918	3,889,011
Age¹
0 to 11 years	724,293	722,033	609,207	664,155	646,508	725,022
12 to 14 years	343,135	338,428	299,439	315,770	312,921	350,089
15 to 17 years	324,154	316,308	292,189	314,115	313,584	339,749
18 to 20 years	180,514	165,974	151,934	161,427	167,616	185,694
21 to 24 years	196,729	192,953	178,782	180,851	187,370	198,958
25 to 29 years	260,796	262,288	247,118	256,895	272,328	290,383
30 to 34 years	266,824	269,239	248,429	254,181	261,923	273,414
35 to 39 years	237,507	238,994	225,245	233,190	244,321	258,125
40 to 44 years	252,935	245,892	216,290	212,050	211,901	219,788
45 to 49 years	272,107	262,863	227,757	225,873	226,825	231,482
50 to 54 years	285,329	282,806	252,744	247,049	245,126	245,105
55 to 59 years	230,040	231,793	215,695	216,172	224,699	237,545
60 to 64 years	146,594	148,951	143,212	143,969	154,551	171,075
65 years and older	169,291	169,759	156,961	135,998	168,788	169,960
Total	3,890,248	3,848,281	3,465,002	3,561,695	3,638,461	3,896,389
Race
American Indian or Alaska Native	40,618	48,741	48,596	46,135	49,619	54,207
Asian²	47,238	54,275	51,913	55,928	58,782	64,290
Black or African American	739,796	709,690	616,524	599,610	626,260	646,057
Native Hawaiian or Other Pacific Islander	9,980	10,462	11,744	14,254	8,843	11,154
White	2,386,578	2,368,939	2,100,581	2,219,422	2,285,242	2,408,643
Other	348,473	352,131	310,109	347,123	365,866	409,311
Total	3,572,683	3,544,238	3,139,467	3,282,472	3,394,612	3,593,662
Ethnicity
Not of Hispanic or Latino origin	2,700,658	2,641,448	2,348,812	2,485,821	2,785,447	2,834,871
Hispanic or Latino origin	521,073	518,320	474,815	553,332	558,425	602,231
Total	3,221,731	3,159,768	2,823,627	3,039,153	3,343,872	3,437,102
Specific Hispanic or Latino origin
Mexican	23,913	32,352	35,452	26,860	39,357	37,325
Puerto Rican	21,346	11,903	11,364	9,236	8,507	8,799
Cuban	5,495	1,502	1,565	1,374	1,766	1,561
Other specific	30,677	31,000	25,768	23,163	31,534	31,525
Total	81,431	76,757	74,149	60,633	81,164	79,210
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.21b. Individuals without co-occurring mental health and substance use disorders, by gender, age, race, and ethnicity: Column percent distribution, 2013–2018
Gender, age, race, and ethnicity	2013	2014	2015	2016	2017	2018
Number of states reporting	45	46	44	43	45	45
Total individuals without co-occurring mental health and substance use disorders	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	46.6	46.5	46.2	46.5	46.2	46.1
Female	53.4	53.5	53.8	53.5	53.8	53.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
0 to 11 years	18.6	18.8	17.6	18.6	17.8	18.6
12 to 14 years	8.8	8.8	8.6	8.9	8.6	9.0
15 to 17 years	8.3	8.2	8.4	8.8	8.6	8.7
18 to 20 years	4.6	4.3	4.4	4.5	4.6	4.8
21 to 24 years	5.1	5.0	5.2	5.1	5.1	5.1
25 to 29 years	6.7	6.8	7.1	7.2	7.5	7.5
30 to 34 years	6.9	7.0	7.2	7.1	7.2	7.0
35 to 39 years	6.1	6.2	6.5	6.5	6.7	6.6
40 to 44 years	6.5	6.4	6.2	6.0	5.8	5.6
45 to 49 years	7.0	6.8	6.6	6.3	6.2	5.9
50 to 54 years	7.3	7.3	7.3	6.9	6.7	6.3
55 to 59 years	5.9	6.0	6.2	6.1	6.2	6.1
60 to 64 years	3.8	3.9	4.1	4.0	4.2	4.4
65 years and older	4.4	4.4	4.5	3.8	4.6	4.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.1	1.4	1.5	1.4	1.5	1.5
Asian²	1.3	1.5	1.7	1.7	1.7	1.8
Black or African American	20.7	20.0	19.6	18.3	18.4	18.0
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	66.8	66.8	66.9	67.6	67.3	67.0
Other	9.8	9.9	9.9	10.6	10.8	11.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	83.8	83.6	83.2	81.8	83.3	82.5
Hispanic or Latino origin	16.2	16.4	16.8	18.2	16.7	17.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	29.4	42.1	47.8	44.3	48.5	47.1
Puerto Rican	26.2	15.5	15.3	15.2	10.5	11.1
Cuban	6.7	2.0	2.1	2.3	2.2	2.0
Other specific	37.7	40.4	34.8	38.2	38.9	39.8
Total	100.0	100.0	100.0	100.0	100.0	100.0
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 1.22a. Individuals who received mental health services and U.S. population, by gender, marital status, and age group: Number, 2018
Gender and marital status	Age group
	0–17 years	18–24 years	25–54 years	55 years and older	Total
	Individuals who received mental health services¹
Gender
Male	1,013,374	305,519	1,306,842	393,913	3,019,648
Female	781,621	337,271	1,518,595	537,368	3,174,855
Total	1,794,995	642,790	2,825,437	931,281	6,194,503
Marital status
Never married	1,214,487	322,108	931,694	206,507	2,674,796
Currently married	633	15,811	254,377	90,401	361,222
Separated	351	4,232	109,433	32,924	146,940
Divorced	184	2,548	225,515	140,793	369,040
Widowed	45	354	28,741	48,335	77,475
Total	1,215,700	345,053	1,549,760	518,960	3,629,473
	U.S. population
Gender
Male	37,490,849	15,592,638	64,339,511	43,705,681	161,128,679
Female	35,908,493	14,864,264	64,267,850	50,998,148	166,038,755
Total	73,399,342	30,456,902	128,607,361	94,703,829	327,167,434
Marital status
Never married	n/a	26,449,000	38,060,000	7,295,000	71,804,000
Currently married	n/a	2,424,000	72,004,000	56,869,000	131,297,000
Separated	n/a	268,000	3,191,000	1,570,000	5,029,000
Divorced	n/a	170,000	12,290,000	13,408,000	25,868,000
Widowed	n/a	36,000	1,460,000	13,581,000	15,077,000
Total	n/a	29,347,000	127,005,000	92,723,000	249,075,000
n/a Population detail required for marital status was not available.
¹ Age is based on the age of the individual who received mental health services at the midpoint of the reporting period.
SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019; U.S. population: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement (ASEC), March 2018, Table A1. https://www.census.gov/data/tables/2018/demo/families/cps-2018.html; Population: U.S. Census Bureau, Population Estimates Program, SC-EST2018-alldata6: “Annual State Resident Population Estimates for 6 Race Groups (5 Race Alone Groups and Two or More Races) by Age, Sex, and Hispanic Origin: April 1, 2010 to July 1, 2018.”

Table 1.22b. Individuals who received mental health services and U.S. population, by gender, marital status, and age group: Column percent distribution, 2018
Gender and marital status	Age group
	0–17 years	18–24 years	25–54 years	55 years and older	Total
	Individuals who received mental health services¹
Gender
Male	56.5	47.5	46.3	42.3	48.7
Female	43.5	52.5	53.7	57.7	51.3
Total	100.0	100.0	100.0	100.0	100.0
Marital status
Never married	99.9	93.4	60.1	39.8	73.7
Currently married	†	4.6	16.4	17.4	10.0
Separated	†	1.2	7.1	6.3	4.0
Divorced	†	†	14.6	27.1	10.2
Widowed	†	†	1.9	9.3	2.1
Total	100.0	100.0	100.0	100.0	100.0
	U.S. population
Gender
Male	51.1	51.2	50.0	46.1	49.2
Female	48.9	48.8	50.0	53.9	50.8
Total	100.0	100.0	100.0	100.0	100.0
Marital status
Never married	n/a	90.1	30.0	7.9	28.8
Currently married	n/a	8.3	56.7	61.3	52.7
Separated	n/a	†	2.5	1.7	2.0
Divorced	n/a	†	9.7	14.5	10.4
Widowed	n/a	†	1.1	14.6	6.1
Total	n/a	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals; n/a Population detail required for marital status was not available.
¹ Age is based on the age of the individual who received mental health services at the midpoint of the reporting period.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019; U.S. population: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement (ASEC), March 2018, Table A1. https://www.census.gov/data/tables/2018/demo/families/cps-2018.html; Population: U.S. Census Bureau, Population Estimates Program, SC-EST2018-alldata6: “Annual State Resident Population Estimates for 6 Race Groups (5 Race Alone Groups and Two or More Races) by Age, Sex, and Hispanic Origin: April 1, 2010 to July 1, 2018.”

Table 1.22c. Individuals who received mental health services and U.S. population, by gender, marital status, and age group: Row percent distribution, 2018
Gender and marital status	Age group
	0–17 years	18–24 years	25–54 years	55 years and older	Total
	Individuals who received mental health services¹
Gender
Male	33.6	10.1	43.3	13.0	100.0
Female	24.6	10.6	47.8	16.9	100.0
Total	29.0	10.4	45.6	15.0	100.0
Marital status
Never married	45.4	12.0	34.8	7.7	100.0
Currently married	†	4.4	70.4	25.0	100.0
Separated	†	2.9	74.5	22.4	100.0
Divorced	†	†	61.1	38.2	100.0
Widowed	†	†	37.1	62.4	100.0
Total	33.5	9.5	42.7	14.3	100.0
	U.S. population
Gender
Male	23.3	9.7	39.9	27.1	100.0
Female	21.6	9.0	38.7	30.7	100.0
Total	22.4	9.3	39.3	28.9	100.0
Marital status
Never married	n/a	36.8	53.0	10.2	100.0
Currently married	n/a	1.8	54.8	43.3	100.0
Separated	n/a	5.3	63.5	31.2	100.0
Divorced	n/a	†	47.5	51.8	100.0
Widowed	n/a	†	9.7	90.1	100.0
Total	n/a	11.8	51.0	37.2	100.0
† Less than 1 percent of individuals; n/a Population detail required for marital status was not available.
¹ Age is based on the age of the individual who received mental health services at the midpoint of the reporting period.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019; U.S. population: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement (ASEC), March 2018, Table A1. https://www.census.gov/data/tables/2018/demo/families/cps-2018.html; Population: U.S. Census Bureau, Population Estimates Program, SC-EST2018-alldata6: “Annual State Resident Population Estimates for 6 Race Groups (5 Race Alone Groups and Two or More Races) by Age, Sex, and Hispanic Origin: April 1, 2010 to July 1, 2018.”

Table 1.23a. Individuals who received mental health services and U.S. population, by race, ethnicity, and age group: Number, 2018
Race and ethnicity	Age group
	0–17 years	18–24 years	25–54 years	55 years and older	Total
	Individuals who received mental health services¹
Race
American Indian or Alaska Native	28,223	10,042	42,440	8,849	89,554
Asian²	18,667	9,542	43,607	19,385	91,201
Black or African American	322,049	119,419	521,214	175,479	1,138,161
Native Hawaiian or Other Pacific Islander	4,427	1,908	7,178	1,776	15,289
White	1,017,941	387,978	1,824,351	613,288	3,843,558
Other	249,786	67,959	206,253	54,359	578,357
Total	1,641,093	596,848	2,645,043	873,136	5,756,120
Ethnicity
Not of Hispanic or Latino origin	1,213,304	465,569	2,184,247	738,800	4,601,920
Hispanic or Latino origin	383,530	103,558	322,753	82,984	892,825
Total	1,596,834	569,127	2,507,000	821,784	5,494,745
	U.S. population
Race
American Indian or Alaska Native	1,166,440	456,752	1,709,898	814,431	4,147,521
Asian	3,933,986	1,811,082	9,059,773	4,525,759	19,330,600
Black or African American	11,075,827	4,673,598	18,011,391	10,043,503	43,804,319
Native Hawaiian or Other Pacific Islander	218,738	83,988	354,783	141,909	799,418
White	53,006,956	22,257,040	96,696,261	78,178,839	250,139,096
Other	3,997,395	1,174,442	2,775,255	999,388	8,946,480
Total	73,399,342	30,456,902	128,607,361	94,703,829	327,167,434
Ethnicity
Not of Hispanic or Latino origin	54,698,158	23,636,702	103,565,518	85,395,310	267,295,688
Hispanic or Latino origin	18,701,184	6,820,200	25,041,843	9,308,519	59,871,746
Total	73,399,342	30,456,902	128,607,361	94,703,829	327,167,434
¹ Age is based on the age of the individual who received mental health services at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019; Population: U.S. Census Bureau, Population Estimates Program, SC-EST2018-alldata6: “Annual State Resident Population Estimates for 6 Race Groups (5 Race Alone Groups and Two or More Races) by Age, Sex, and Hispanic Origin: April 1, 2010 to July 1, 2018.”

Table 1.23b. Individuals who received mental health services and U.S. population, by race, ethnicity, and age group: Column percent distribution, 2018
Race and ethnicity	Age group
	0–17 years	18–24 years	25–54 years	55 years and older	Total
	Individuals who received mental health services¹
Race
American Indian or Alaska Native	1.7	1.7	1.6	1.0	1.6
Asian²	1.1	1.6	1.6	2.2	1.6
Black or African American	19.6	20.0	19.7	20.1	19.8
Native Hawaiian or Other Pacific Islander	†	†	†	†	†
White	62.0	65.0	69.0	70.2	66.8
Other	15.2	11.4	7.8	6.2	10.0
Total	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	76.0	81.8	87.1	89.9	83.8
Hispanic or Latino origin	24.0	18.2	12.9	10.1	16.2
Total	100.0	100.0	100.0	100.0	100.0
	U.S. population
Race
American Indian or Alaska Native	1.6	1.5	1.3	†	1.3
Asian	5.4	5.9	7.0	4.8	5.9
Black or African American	15.1	15.3	14.0	10.6	13.4
Native Hawaiian or Other Pacific Islander	†	†	†	†	†
White	72.2	73.1	75.2	82.6	76.5
Other	5.4	3.9	2.2	1.1	2.7
Total	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	74.5	77.6	80.5	90.2	81.7
Hispanic or Latino origin	25.5	22.4	19.5	9.8	18.3
Total	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ Age is based on the age of the individual who received mental health services at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019; Population: U.S. Census Bureau, Population Estimates Program, SC-EST2018-alldata6: “Annual State Resident Population Estimates for 6 Race Groups (5 Race Alone Groups and Two or More Races) by Age, Sex, and Hispanic Origin: April 1, 2010 to July 1, 2018.”

Table 1.23c. Individuals who received mental health services and U.S. population, by race, ethnicity, and age group: Row percent distribution, 2018
Race and ethnicity	Age group
	0–17 years	18–24 years	25–54 years	55 years and older	Total
	Individuals who received mental health services¹
Race
American Indian or Alaska Native	31.5	11.2	47.4	9.9	100.0
Asian²	20.5	10.5	47.8	21.3	100.0
Black or African American	28.3	10.5	45.8	15.4	100.0
Native Hawaiian or Other Pacific Islander	29.0	12.5	46.9	11.6	100.0
White	26.5	10.1	47.5	16.0	100.0
Other	43.2	11.8	35.7	9.4	100.0
Total	28.5	10.4	46.0	15.2	100.0
Ethnicity
Not of Hispanic or Latino origin	26.4	10.1	47.5	16.1	100.0
Hispanic or Latino origin	43.0	11.6	36.1	9.3	100.0
Total	29.1	10.4	45.6	15.0	100.0
	U.S. population
Race
American Indian or Alaska Native	28.1	11.0	41.2	19.6	100.0
Asian	20.4	9.4	46.9	23.4	100.0
Black or African American	25.3	10.7	41.1	22.9	100.0
Native Hawaiian or Other Pacific Islander	27.4	10.5	44.4	17.8	100.0
White	21.2	8.9	38.7	31.3	100.0
Other	44.7	13.1	31.0	11.2	100.0
Total	22.4	9.3	39.3	28.9	100.0
Ethnicity
Not of Hispanic or Latino origin	20.5	8.8	38.7	31.9	100.0
Hispanic or Latino origin	31.2	11.4	41.8	15.5	100.0
Total	22.4	9.3	39.3	28.9	100.0
¹ Age is based on the age of the individual who received mental health services at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019; Population: U.S. Census Bureau, Population Estimates Program, SC-EST2018-alldata6: “Annual State Resident Population Estimates for 6 Race Groups (5 Race Alone Groups and Two or More Races) by Age, Sex, and Hispanic Origin: April 1, 2010 to July 1, 2018.”

Table 2.1a. Individuals aged 17 years and younger, by gender, age, race, ethnicity, and SED status: Number, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 0 to 17 years	1,650,728	1,706,582	1,519,237	1,658,008	1,657,084	1,800,613
Gender
Male	970,220	989,646	862,910	941,055	933,267	1,013,374
Female	678,593	714,820	653,697	710,853	719,071	781,621
Total	1,648,813	1,704,466	1,516,607	1,651,908	1,652,338	1,794,995
Age¹
0 to 5 years	168,748	186,262	147,180	165,445	164,824	180,312
6 to 11 years	643,371	663,645	584,171	645,959	647,335	712,172
12 to 14 years	403,736	417,244	376,750	401,746	401,160	438,967
15 to 17 years	434,873	439,431	411,136	444,858	443,765	469,162
Total	1,650,728	1,706,582	1,519,237	1,658,008	1,657,084	1,800,613
Race
American Indian or Alaska Native	20,981	24,785	23,689	23,759	24,849	28,223
Asian²	11,659	13,434	12,460	15,436	17,131	18,667
Black or African American	329,634	339,316	296,493	307,222	311,754	322,049
Native Hawaiian or Other Pacific Islander	3,540	3,883	4,382	5,077	3,564	4,427
White	924,813	955,187	826,003	925,604	944,085	1,017,941
Other	221,144	230,267	210,638	226,469	238,763	249,786
Total	1,511,771	1,566,872	1,373,665	1,503,567	1,540,146	1,641,093
Ethnicity
Not of Hispanic or Latino origin	1,071,376	1,080,124	944,777	1,034,716	1,177,242	1,213,304
Hispanic or Latino origin	318,053	337,472	321,093	345,317	362,162	383,530
Total	1,389,429	1,417,596	1,265,870	1,380,033	1,539,404	1,596,834
Specific Hispanic or Latino origin
Mexican	17,640	24,177	27,100	19,982	25,095	24,239
Puerto Rican	10,541	11,757	12,892	10,418	9,602	6,342
Cuban	1,731	1,360	1,329	1,221	1,327	1,364
Other specific	16,778	21,950	19,108	17,820	20,644	20,911
Total	46,690	59,244	60,429	49,441	56,668	52,856
SED status³
SED	1,058,643	1,188,108	1,030,923	1,064,195	1,119,810	1,241,052
Not SED	443,847	384,801	387,164	476,599	458,841	481,155
Total	1,502,490	1,572,909	1,418,087	1,540,794	1,578,651	1,722,207
SED = serious emotional disturbance.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
³ The federal definition for SED status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 2.1b. Individuals aged 17 years and younger, by gender, age, race, ethnicity, and SED status: Column percent distribution, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 0 to 17 years	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	58.8	58.1	56.9	57.0	56.5	56.5
Female	41.2	41.9	43.1	43.0	43.5	43.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
0 to 5 years	10.2	10.9	9.7	10.0	9.9	10.0
6 to 11 years	39.0	38.9	38.5	39.0	39.1	39.6
12 to 14 years	24.5	24.4	24.8	24.2	24.2	24.4
15 to 17 years	26.3	25.7	27.1	26.8	26.8	26.1
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.4	1.6	1.7	1.6	1.6	1.7
Asian²	†	†	†	1.0	1.1	1.1
Black or African American	21.8	21.7	21.6	20.4	20.2	19.6
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	61.2	61.0	60.1	61.6	61.3	62.0
Other	14.6	14.7	15.3	15.1	15.5	15.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	77.1	76.2	74.6	75.0	76.5	76.0
Hispanic or Latino origin	22.9	23.8	25.4	25.0	23.5	24.0
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	37.8	40.8	44.8	40.4	44.3	45.9
Puerto Rican	22.6	19.8	21.3	21.1	16.9	12.0
Cuban	3.7	2.3	2.2	2.5	2.3	2.6
Other specific	35.9	37.1	31.6	36.0	36.4	39.6
Total	100.0	100.0	100.0	100.0	100.0	100.0
SED status³
SED	70.5	75.5	72.7	69.1	70.9	72.1
Not SED	29.5	24.5	27.3	30.9	29.1	27.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
SED = serious emotional disturbance.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
³ The federal definition for SED status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 2.2a. Individuals aged 17 years and younger with SED, by gender, age, race, and ethnicity: Number, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	44	47	45	47	47	48
Total individuals with SED aged 0 to 17 years¹	1,058,643	1,188,108	1,030,923	1,064,195	1,119,810	1,241,052
Gender
Male	637,507	698,562	591,747	616,275	635,806	697,259
Female	419,818	488,060	437,304	445,786	481,118	541,077
Total	1,057,325	1,186,622	1,029,051	1,062,061	1,116,924	1,238,336
Age²
0 to 5 years	97,016	119,083	83,798	83,303	92,458	100,026
6 to 11 years	420,809	468,316	402,002	419,302	442,550	494,112
12 to 14 years	264,485	294,452	260,949	266,144	277,655	311,360
15 to 17 years	276,333	306,257	284,174	295,446	307,147	335,554
Total	1,058,643	1,188,108	1,030,923	1,064,195	1,119,810	1,241,052
Race
American Indian or Alaska Native	10,293	13,013	12,997	12,865	15,122	17,592
Asian³	7,674	9,416	8,354	10,096	11,052	12,658
Black or African American	231,703	251,258	220,655	208,697	212,951	228,662
Native Hawaiian or Other Pacific Islander	2,439	2,860	3,134	3,542	2,471	3,267
White	573,901	652,532	544,553	583,111	606,818	656,551
Other	159,195	180,985	162,024	169,125	196,396	204,991
Total	985,205	1,110,064	951,717	987,436	1,044,810	1,123,721
Ethnicity
Not of Hispanic or Latino origin	699,459	770,640	649,792	679,721	763,785	797,327
Hispanic or Latino origin	214,012	245,809	228,406	246,301	270,641	279,667
Total	913,471	1,016,449	878,198	926,022	1,034,426	1,076,994
Specific Hispanic or Latino origin
Mexican	9,321	13,470	16,076	12,851	17,496	16,681
Puerto Rican	8,187	7,486	7,962	7,095	5,713	5,013
Cuban	1,426	1,122	1,147	1,059	1,159	1,204
Other specific	12,422	15,238	14,138	13,169	15,227	15,538
Total	31,356	37,316	39,323	34,174	39,595	38,436
SED = serious emotional disturbance.
¹ The federal definition for SED status can be found in Appendix D.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 2.2b. Individuals aged 17 years and younger with SED, by gender, age, race, and ethnicity: Column percent distribution, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	44	47	45	47	47	48
Total individuals with SED aged 0 to 17 years¹	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	60.3	58.9	57.5	58.0	56.9	56.3
Female	39.7	41.1	42.5	42.0	43.1	43.7
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age²
0 to 5 years	9.2	10.0	8.1	7.8	8.3	8.1
6 to 11 years	39.7	39.4	39.0	39.4	39.5	39.8
12 to 14 years	25.0	24.8	25.3	25.0	24.8	25.1
15 to 17 years	26.1	25.8	27.6	27.8	27.4	27.0
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.0	1.2	1.4	1.3	1.4	1.6
Asian³	†	†	†	1.0	1.1	1.1
Black or African American	23.5	22.6	23.2	21.1	20.4	20.3
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	58.3	58.8	57.2	59.1	58.1	58.4
Other	16.2	16.3	17.0	17.1	18.8	18.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	76.6	75.8	74.0	73.4	73.8	74.0
Hispanic or Latino origin	23.4	24.2	26.0	26.6	26.2	26.0
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	29.7	36.1	40.9	37.6	44.2	43.4
Puerto Rican	26.1	20.1	20.2	20.8	14.4	13.0
Cuban	4.5	3.0	2.9	3.1	2.9	3.1
Other specific	39.6	40.8	36.0	38.5	38.5	40.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
SED = serious emotional disturbance.
¹ The federal definition for SED status can be found in Appendix D.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 2.3a. Individuals aged 17 years and younger, by mental health diagnosis, gender, race, and ethnicity: Number, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals aged 0 to 17 years	1,630,278	386,335	186,058	384,329	75,786	26,214	224,057	98,418	46,303	202,778
Gender
Male	919,754	188,407	84,280	281,784	53,848	12,744	79,703	66,138	37,455	115,395
Female	705,984	196,771	101,365	101,280	21,675	13,420	143,975	31,945	8,757	86,796
Total	1,625,738	385,178	185,645	383,064	75,523	26,164	223,678	98,083	46,212	202,191
Race
American Indian or Alaska Native	25,435	7,622	3,240	3,754	751	234	3,613	1,181	428	4,612
Asian²	15,302	3,469	2,090	2,225	528	211	3,043	441	857	2,438
Black or African American	293,417	60,382	17,855	95,254	20,813	5,021	29,852	26,068	5,852	32,320
Native Hawaiian or Other Pacific   Islander	3,997	1,098	622	684	178	34	684	148	89	460
White	914,346	220,941	114,591	214,802	35,114	16,633	126,544	50,150	30,408	105,163
Other	233,318	52,924	28,063	43,443	11,475	2,922	40,071	13,603	5,726	35,091
Total	1,485,815	346,436	166,461	360,162	68,859	25,055	203,807	91,591	43,360	180,084
Ethnicity
Not of Hispanic or Latino origin	1,106,883	258,876	123,263	278,417	52,227	20,239	141,906	72,025	36,124	123,806
Hispanic or Latino origin	338,031	78,263	40,323	66,238	14,915	4,231	58,094	16,550	7,023	52,394
Total	1,444,914	337,139	163,586	344,655	67,142	24,470	200,000	88,575	43,147	176,200
Specific Hispanic or Latino origin
Mexican	23,689	7,453	2,663	3,674	928	191	4,948	1,215	346	2,271
Puerto Rican	5,759	1,085	446	1,748	379	91	885	318	142	665
Cuban	1,319	291	116	303	51	15	200	48	34	261
Other specific	19,970	5,518	2,022	3,615	1,061	219	3,787	1,184	278	2,286
Total	50,737	14,347	5,247	9,340	2,419	516	9,820	2,765	800	5,483
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes substance use diagnoses. See Appendix E. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.3b. Individuals aged 17 years and younger, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals aged 0 to 17 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	56.6	48.9	45.4	73.6	71.3	48.7	35.6	67.4	81.1	57.1
Female	43.4	51.1	54.6	26.4	28.7	51.3	64.4	32.6	18.9	42.9
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.7	2.2	1.9	1.0	1.1	†	1.8	1.3	†	2.6
Asian²	1.0	1.0	1.3	†	†	†	1.5	†	2.0	1.4
Black or African American	19.7	17.4	10.7	26.4	30.2	20.0	14.6	28.5	13.5	17.9
Native Hawaiian or Other Pacific   Islander	†	†	†	†	†	†	†	†	†	†
White	61.5	63.8	68.8	59.6	51.0	66.4	62.1	54.8	70.1	58.4
Other	15.7	15.3	16.9	12.1	16.7	11.7	19.7	14.9	13.2	19.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	76.6	76.8	75.4	80.8	77.8	82.7	71.0	81.3	83.7	70.3
Hispanic or Latino origin	23.4	23.2	24.6	19.2	22.2	17.3	29.0	18.7	16.3	29.7
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	46.7	51.9	50.8	39.3	38.4	37.0	50.4	43.9	43.3	41.4
Puerto Rican	11.4	7.6	8.5	18.7	15.7	17.6	9.0	11.5	17.8	12.1
Cuban	2.6	2.0	2.2	3.2	2.1	2.9	2.0	1.7	4.3	4.8
Other specific	39.4	38.5	38.5	38.7	43.9	42.4	38.6	42.8	34.8	41.7
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes substance use diagnoses. See Appendix E. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.3c. Individuals aged 17 years and younger, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals aged 0 to 17 years	100.0	23.7	11.4	23.6	4.6	1.6	13.7	6.0	2.8	12.4
Gender
Male	100.0	20.5	9.2	30.6	5.9	1.4	8.7	7.2	4.1	12.5
Female	100.0	27.9	14.4	14.3	3.1	1.9	20.4	4.5	1.2	12.3
Total	100.0	23.7	11.4	23.6	4.6	1.6	13.8	6.0	2.8	12.4
Race
American Indian or Alaska Native	100.0	30.0	12.7	14.8	3.0	†	14.2	4.6	1.7	18.1
Asian²	100.0	22.7	13.7	14.5	3.5	1.4	19.9	2.9	5.6	15.9
Black or African American	100.0	20.6	6.1	32.5	7.1	1.7	10.2	8.9	2.0	11.0
Native Hawaiian or Other Pacific   Islander	100.0	27.5	15.6	17.1	4.5	†	17.1	3.7	2.2	11.5
White	100.0	24.2	12.5	23.5	3.8	1.8	13.8	5.5	3.3	11.5
Other	100.0	22.7	12.0	18.6	4.9	1.3	17.2	5.8	2.5	15.0
Total	100.0	23.3	11.2	24.2	4.6	1.7	13.7	6.2	2.9	12.1
Ethnicity
Not of Hispanic or Latino origin	100.0	23.4	11.1	25.2	4.7	1.8	12.8	6.5	3.3	11.2
Hispanic or Latino origin	100.0	23.2	11.9	19.6	4.4	1.3	17.2	4.9	2.1	15.5
Total	100.0	23.3	11.3	23.9	4.6	1.7	13.8	6.1	3.0	12.2
Specific Hispanic or Latino origin
Mexican	100.0	31.5	11.2	15.5	3.9	†	20.9	5.1	1.5	9.6
Puerto Rican	100.0	18.8	7.7	30.4	6.6	1.6	15.4	5.5	2.5	11.5
Cuban	100.0	22.1	8.8	23.0	3.9	1.1	15.2	3.6	2.6	19.8
Other specific	100.0	27.6	10.1	18.1	5.3	1.1	19.0	5.9	1.4	11.4
Total	100.0	28.3	10.3	18.4	4.8	1.0	19.4	5.4	1.6	10.8
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes substance use diagnoses. See Appendix E. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.4a. Individuals aged 17 years and younger with SED, by mental health diagnosis, gender, race, and ethnicity: Number, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals with SED aged 0 to 17 years²	1,174,041	263,176	141,028	274,171	53,403	21,667	184,567	70,420	29,603	136,006
Gender
Male	658,175	129,109	64,806	201,620	38,073	10,498	65,856	47,462	24,181	76,570
Female	513,246	133,517	76,001	71,760	15,197	11,125	118,492	22,748	5,370	59,036
Total	1,171,421	262,626	140,807	273,380	53,270	21,623	184,348	70,210	29,551	135,606
Race
American Indian or Alaska Native	17,050	5,674	2,349	2,582	512	179	2,684	919	288	1,863
Asian³	11,834	2,429	1,708	1,714	422	189	2,694	353	600	1,725
Black or African American	216,736	39,708	13,858	72,617	14,770	4,286	25,276	18,217	3,654	24,350
Native Hawaiian or Other Pacific   Islander	3,044	849	461	487	146	28	563	129	40	341
White	619,027	140,405	82,021	145,211	22,442	13,281	99,282	34,033	19,314	63,038
Other	194,307	42,942	24,975	31,710	9,630	2,709	37,073	11,071	3,603	30,594
Total	1,061,998	232,007	125,372	254,321	47,922	20,672	167,572	64,722	27,499	121,911
Ethnicity
Not of Hispanic or Latino origin	756,581	159,127	88,892	191,266	33,968	16,647	112,494	48,680	23,136	82,371
Hispanic or Latino origin	259,019	61,199	32,740	46,047	11,745	3,509	50,449	12,689	4,441	36,200
Total	1,015,600	220,326	121,632	237,313	45,713	20,156	162,943	61,369	27,577	118,571
Specific Hispanic or Latino origin
Mexican	16,498	5,052	1,714	2,797	710	153	3,474	914	163	1,521
Puerto Rican	4,593	786	346	1,564	285	84	731	203	74	520
Cuban	1,162	250	100	280	46	14	180	39	19	234
Other specific	15,010	3,827	1,441	3,003	786	188	2,981	868	158	1,758
Total	37,263	9,915	3,601	7,644	1,827	439	7,366	2,024	414	4,033
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.4b. Individuals aged 17 years and younger with SED, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals with SED aged 0 to 17 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	56.2	49.2	46.0	73.8	71.5	48.6	35.7	67.6	81.8	56.5
Female	43.8	50.8	54.0	26.2	28.5	51.4	64.3	32.4	18.2	43.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.6	2.4	1.9	1.0	1.1	†	1.6	1.4	1.0	1.5
Asian³	1.1	1.0	1.4	†	†	†	1.6	†	2.2	1.4
Black or African American	20.4	17.1	11.1	28.6	30.8	20.7	15.1	28.1	13.3	20.0
Native Hawaiian or Other Pacific   Islander	†	†	†	†	†	†	†	†	†	†
White	58.3	60.5	65.4	57.1	46.8	64.2	59.2	52.6	70.2	51.7
Other	18.3	18.5	19.9	12.5	20.1	13.1	22.1	17.1	13.1	25.1
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	74.5	72.2	73.1	80.6	74.3	82.6	69.0	79.3	83.9	69.5
Hispanic or Latino origin	25.5	27.8	26.9	19.4	25.7	17.4	31.0	20.7	16.1	30.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	44.3	51.0	47.6	36.6	38.9	34.9	47.2	45.2	39.4	37.7
Puerto Rican	12.3	7.9	9.6	20.5	15.6	19.1	9.9	10.0	17.9	12.9
Cuban	3.1	2.5	2.8	3.7	2.5	3.2	2.4	1.9	4.6	5.8
Other specific	40.3	38.6	40.0	39.3	43.0	42.8	40.5	42.9	38.2	43.6
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.4c. Individuals aged 17 years and younger with SED, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals with SED aged 0 to 17 years²	100.0	22.4	12.0	23.4	4.5	1.8	15.7	6.0	2.5	11.6
Gender
Male	100.0	19.6	9.8	30.6	5.8	1.6	10.0	7.2	3.7	11.6
Female	100.0	26.0	14.8	14.0	3.0	2.2	23.1	4.4	1.0	11.5
Total	100.0	22.4	12.0	23.3	4.5	1.8	15.7	6.0	2.5	11.6
Race
American Indian or Alaska Native	100.0	33.3	13.8	15.1	3.0	1.0	15.7	5.4	1.7	10.9
Asian³	100.0	20.5	14.4	14.5	3.6	1.6	22.8	3.0	5.1	14.6
Black or African American	100.0	18.3	6.4	33.5	6.8	2.0	11.7	8.4	1.7	11.2
Native Hawaiian or Other Pacific Islander	100.0	27.9	15.1	16.0	4.8	†	18.5	4.2	1.3	11.2
White	100.0	22.7	13.2	23.5	3.6	2.1	16.0	5.5	3.1	10.2
Other	100.0	22.1	12.9	16.3	5.0	1.4	19.1	5.7	1.9	15.7
Total	100.0	21.8	11.8	23.9	4.5	1.9	15.8	6.1	2.6	11.5
Ethnicity
Not of Hispanic or Latino origin	100.0	21.0	11.7	25.3	4.5	2.2	14.9	6.4	3.1	10.9
Hispanic or Latino origin	100.0	23.6	12.6	17.8	4.5	1.4	19.5	4.9	1.7	14.0
Total	100.0	21.7	12.0	23.4	4.5	2.0	16.0	6.0	2.7	11.7
Specific Hispanic or Latino origin
Mexican	100.0	30.6	10.4	17.0	4.3	†	21.1	5.5	†	9.2
Puerto Rican	100.0	17.1	7.5	34.1	6.2	1.8	15.9	4.4	1.6	11.3
Cuban	100.0	21.5	8.6	24.1	4.0	1.2	15.5	3.4	1.6	20.1
Other specific	100.0	25.5	9.6	20.0	5.2	1.3	19.9	5.8	1.1	11.7
Total	100.0	26.6	9.7	20.5	4.9	1.2	19.8	5.4	1.1	10.8
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.5a. Individuals aged 17 years and younger, by mental health diagnosis, living arrangement, and SED status: Number, 2018
Living arrangement and SED status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals aged 0 to 17 years	1,630,278	386,335	186,058	384,329	75,786	26,214	224,057	98,418	46,303	202,778
Living arrangement
Homeless	4,780	1,877	439	656	182	77	669	250	40	590
Foster home/foster care	35,535	16,696	3,290	4,609	1,137	436	3,015	1,598	374	4,380
Residential care	14,163	3,045	1,038	2,088	991	610	2,394	957	199	2,841
Private residence	850,319	195,868	101,405	200,789	38,148	14,570	129,536	52,955	21,286	95,762
Other	20,483	5,084	2,087	2,480	1,591	537	3,743	1,136	213	3,612
Total	925,280	222,570	108,259	210,622	42,049	16,230	139,357	56,896	22,112	107,185
SED status²
SED	1,174,041	263,176	141,028	274,171	53,403	21,667	184,567	70,420	29,603	136,006
Not SED	407,630	110,549	38,581	98,189	20,818	3,947	33,970	26,551	13,296	61,729
Total	1,581,671	373,725	179,609	372,360	74,221	25,614	218,537	96,971	42,899	197,735
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.5b. Individuals aged 17 years and younger, by mental health diagnosis, living arrangement, and SED status: Column percent distribution, 2018
Living arrangement and SED status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals aged 0 to 17 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Living arrangement
Homeless	†	†	†	†	†	†	†	†	†	†
Foster home/foster care	3.8	7.5	3.0	2.2	2.7	2.7	2.2	2.8	1.7	4.1
Residential care	1.5	1.4	†	†	2.4	3.8	1.7	1.7	†	2.7
Private residence	91.9	88.0	93.7	95.3	90.7	89.8	93.0	93.1	96.3	89.3
Other	2.2	2.3	1.9	1.2	3.8	3.3	2.7	2.0	†	3.4
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
SED status²
SED	74.2	70.4	78.5	73.6	72.0	84.6	84.5	72.6	69.0	68.8
Not SED	25.8	29.6	21.5	26.4	28.0	15.4	15.5	27.4	31.0	31.2
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.5c. Individuals aged 17 years and younger, by mental health diagnosis, living arrangement, and SED status: Row percent distribution, 2018
Living arrangement and SED status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals aged 0 to 17 years	100.0	23.7	11.4	23.6	4.6	1.6	13.7	6.0	2.8	12.4
Living arrangement
Homeless	100.0	39.3	9.2	13.7	3.8	1.6	14.0	5.2	†	12.3
Foster home/foster care	100.0	47.0	9.3	13.0	3.2	1.2	8.5	4.5	1.1	12.3
Residential care	100.0	21.5	7.3	14.7	7.0	4.3	16.9	6.8	1.4	20.1
Private residence	100.0	23.0	11.9	23.6	4.5	1.7	15.2	6.2	2.5	11.3
Other	100.0	24.8	10.2	12.1	7.8	2.6	18.3	5.5	1.0	17.6
Total	100.0	24.1	11.7	22.8	4.5	1.8	15.1	6.1	2.4	11.6
SED status²
SED	100.0	22.4	12.0	23.4	4.5	1.8	15.7	6.0	2.5	11.6
Not SED	100.0	27.1	9.5	24.1	5.1	†	8.3	6.5	3.3	15.1
Total	100.0	23.6	11.4	23.5	4.7	1.6	13.8	6.1	2.7	12.5
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.6a. Individuals aged 17 years and younger with SED, by mental health diagnosis and living arrangement: Number, 2018
Living arrangement	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals with SED aged 0 to 17 years²	1,174,041	263,176	141,028	274,171	53,403	21,667	184,567	70,420	29,603	136,006
Living arrangement
Homeless	3,966	1,557	355	589	156	60	567	205	23	454
Foster home/foster care	32,249	15,112	3,100	4,254	1,043	387	2,808	1,413	273	3,859
Residential care	13,041	2,755	954	1,969	929	587	2,282	867	148	2,550
Private residence	701,104	154,768	81,803	175,796	32,377	12,913	110,948	44,374	11,658	76,467
Other	18,104	4,411	1,872	2,189	1,360	469	3,401	970	177	3,255
Total	768,464	178,603	88,084	184,797	35,865	14,416	120,006	47,829	12,279	86,585
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.6b. Individuals aged 17 years and younger with SED, by mental health diagnosis and living arrangement: Column percent distribution, 2018
Living arrangement	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals with SED aged 0 to 17 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Living arrangement
Homeless	†	†	†	†	†	†	†	†	†	†
Foster home/foster care	4.2	8.5	3.5	2.3	2.9	2.7	2.3	3.0	2.2	4.5
Residential care	1.7	1.5	1.1	1.1	2.6	4.1	1.9	1.8	1.2	2.9
Private residence	91.2	86.7	92.9	95.1	90.3	89.6	92.5	92.8	94.9	88.3
Other	2.4	2.5	2.1	1.2	3.8	3.3	2.8	2.0	1.4	3.8
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.6c. Individuals aged 17 years and younger with SED, by mental health diagnosis and living arrangement: Row percent distribution, 2018
Living arrangement	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals with SED aged 0 to 17 years²	100.0	22.4	12.0	23.4	4.5	1.8	15.7	6.0	2.5	11.6
Living arrangement
Homeless	100.0	39.3	9.0	14.9	3.9	1.5	14.3	5.2	†	11.4
Foster home/foster care	100.0	46.9	9.6	13.2	3.2	1.2	8.7	4.4	†	12.0
Residential care	100.0	21.1	7.3	15.1	7.1	4.5	17.5	6.6	1.1	19.6
Private residence	100.0	22.1	11.7	25.1	4.6	1.8	15.8	6.3	1.7	10.9
Other	100.0	24.4	10.3	12.1	7.5	2.6	18.8	5.4	†	18.0
Total	100.0	23.2	11.5	24.0	4.7	1.9	15.6	6.2	1.6	11.3
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.7a. Individuals aged 17 years and younger, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorder	Depressive disorder
Total individuals aged 0 to 17 years	1,630,278	386,335	186,058	384,329	75,786	26,214	224,057	98,418	46,303	202,778
Timing of admission
New individuals	899,736	247,043	102,958	172,281	42,103	10,427	136,844	49,418	16,217	122,445
Continuing individuals	730,542	139,292	83,100	212,048	33,683	15,787	87,213	49,000	30,086	80,333
Mental health service setting²,³
State psychiatric hospital	7,793	892	459	758	360	601	2,213	333	102	2,075
Community-based program	1,617,278	383,401	185,415	383,248	74,790	25,585	220,888	97,621	46,178	200,152
Residential treatment center	17,760	3,685	1,061	2,368	1,244	1,079	3,516	1,418	223	3,166
Other psychiatric inpatient	33,811	4,750	2,890	4,343	847	1,988	10,592	1,836	498	6,067
Institutions under the justice system	5,062	914	313	427	518	174	829	323	15	1,549
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.7b. Individuals aged 17 years and younger, by mental health diagnosis, timing of admission, and mental health service setting: Column percent, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals aged 0 to 17 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Timing of admission
New individuals	55.2	63.9	55.3	44.8	55.6	39.8	61.1	50.2	35.0	60.4
Continuing individuals	44.8	36.1	44.7	55.2	44.4	60.2	38.9	49.8	65.0	39.6
Mental health service setting²,³
State psychiatric hospital	†	†	†	†	†	2.3	†	†	†	1.0
Community-based program	99.2	99.2	99.7	99.7	98.7	97.6	98.6	99.2	99.7	98.7
Residential treatment center	1.1	†	†	†	1.6	4.1	1.6	1.4	†	1.6
Other psychiatric inpatient	2.1	1.2	1.6	1.1	1.1	7.6	4.7	1.9	1.1	3.0
Institutions under the justice system	†	†	†	†	†	†	†	†	†	†
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Percentages may not sum to 100 percent, because individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.7c. Individuals aged 17 years and younger, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals aged 0 to 17 years	100.0	23.7	11.4	23.6	4.6	1.6	13.7	6.0	2.8	12.4
Timing of admission
New individuals	100.0	27.5	11.4	19.1	4.7	1.2	15.2	5.5	1.8	13.6
Continuing individuals	100.0	19.1	11.4	29.0	4.6	2.2	11.9	6.7	4.1	11.0
Mental health service setting²,³
State psychiatric hospital	100.0	11.4	5.9	9.7	4.6	7.7	28.4	4.3	1.3	26.6
Community-based program	100.0	23.7	11.5	23.7	4.6	1.6	13.7	6.0	2.9	12.4
Residential treatment center	100.0	20.7	6.0	13.3	7.0	6.1	19.8	8.0	1.3	17.8
Other psychiatric inpatient	100.0	14.0	8.5	12.8	2.5	5.9	31.3	5.4	1.5	17.9
Institutions under the justice system	100.0	18.1	6.2	8.4	10.2	3.4	16.4	6.4	†	30.6
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.8a. Individuals aged 17 years and younger with SED, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals with SED aged 0 to 17 years²	1,174,041	263,176	141,028	274,171	53,403	21,667	184,567	70,420	29,603	136,006
Timing of admission
New individuals	621,983	164,205	75,013	120,567	28,516	8,528	110,190	34,273	8,748	71,943
Continuing individuals	552,058	98,971	66,015	153,604	24,887	13,139	74,377	36,147	20,855	64,063
Mental health service setting³,⁴
State psychiatric hospital	6,789	740	386	670	281	575	1,998	221	91	1,827
Community-based program	1,163,934	261,006	140,506	273,490	52,591	21,176	181,898	69,952	29,519	133,796
Residential treatment center	13,592	2,679	866	1,660	984	792	3,027	954	181	2,449
Other psychiatric inpatient	25,356	3,168	2,238	2,882	534	1,458	9,091	1,143	324	4,518
Institutions under the justice system	4,979	884	308	425	508	171	812	320	13	1,538
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
³ Individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.8b. Individuals aged 17 years and younger with SED, by mental health diagnosis, timing of admission, and mental health service setting: Column percent, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals with SED aged 0 to 17 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Timing of admission
New individuals	53.0	62.4	53.2	44.0	53.4	39.4	59.7	48.7	29.6	52.9
Continuing individuals	47.0	37.6	46.8	56.0	46.6	60.6	40.3	51.3	70.4	47.1
Mental health service setting³,⁴
State psychiatric hospital	†	†	†	†	†	2.7	1.1	†	†	1.3
Community-based program	99.1	99.2	99.6	99.8	98.5	97.7	98.6	99.3	99.7	98.4
Residential treatment center	1.2	1.0	†	†	1.8	3.7	1.6	1.4	†	1.8
Other psychiatric inpatient	2.2	1.2	1.6	1.1	†	6.7	4.9	1.6	1.1	3.3
Institutions under the justice system	†	†	†	†	†	†	†	†	†	1.1
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
3 Percentages may not sum to 100 percent, because individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.8c. Individuals aged 17 years and younger with SED, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Conduct disorder	Mood disorders		ODD	PDD	Other mental disorders¹
						Bipolar disorders	Depressive disorders
Total individuals with SED aged 0 to 17 years²	100.0	22.4	12.0	23.4	4.5	1.8	15.7	6.0	2.5	11.6
Timing of admission
New individuals	100.0	26.4	12.1	19.4	4.6	1.4	17.7	5.5	1.4	11.6
Continuing individuals	100.0	17.9	12.0	27.8	4.5	2.4	13.5	6.5	3.8	11.6
Mental health service setting³,⁴
State psychiatric hospital	100.0	10.9	5.7	9.9	4.1	8.5	29.4	3.3	1.3	26.9
Community-based program	100.0	22.4	12.1	23.5	4.5	1.8	15.6	6.0	2.5	11.5
Residential treatment center	100.0	19.7	6.4	12.2	7.2	5.8	22.3	7.0	1.3	18.0
Other psychiatric inpatient	100.0	12.5	8.8	11.4	2.1	5.8	35.9	4.5	1.3	17.8
Institutions under the justice system	100.0	17.8	6.2	8.5	10.2	3.4	16.3	6.4	†	30.9
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SED status can be found in Appendix D.
³ Individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 2.9. Individuals aged 17 years and younger, by mental health service setting and SED status: Number and percent distribution, 2018
Mental health service setting	SED status¹
	Number of individuals			Column percent of individuals			Row percent distribution of individuals
	Total	SED	Not SED	Total	SED	Not SED	Total	SED	Not SED
Total individuals aged 0 to 17 years	1,722,207	1,241,052	481,155	100.0	100.0	100.0	100.0	72.1	27.9
Mental health service setting²,³
State psychiatric hospital	8,036	7,108	928	†	†	†	100.0	88.5	11.5
Community-based program	1,708,661	1,230,049	478,612	99.2	99.1	99.5	100.0	72.0	28.0
Residential treatment center	17,499	13,772	3,727	1.0	1.1	†	100.0	78.7	21.3
Other psychiatric inpatient	35,754	26,130	9,624	2.1	2.1	2.0	100.0	73.1	26.9
Institutions under the justice system	5,986	5,888	98	†	†	†	100.0	98.4	1.6
† Less than 1 percent of individuals.
SED = serious emotional disturbance.
¹ The federal definition for SED status can be found in Appendix D.
² Individuals could receive services in more than one mental health service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.1a. Individuals aged 18 to 24 years, by gender, age, race, ethnicity, education, veteran status, and SMI status: Number, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 18 to 24 years	594,733	596,043	539,439	593,875	613,385	645,452
Gender
Male	292,762	294,354	268,232	286,861	295,369	305,519
Female	301,153	300,224	269,807	304,277	315,454	337,271
Total	593,915	594,578	538,039	591,138	610,823	642,790
Age¹
18 to 20 years	268,477	259,939	234,919	260,296	268,132	288,195
21 to 24 years	326,256	336,104	304,520	333,579	345,253	357,257
Total	594,733	596,043	539,439	593,875	613,385	645,452
Race
American Indian or Alaska Native	7,250	8,304	8,332	8,705	8,891	10,042
Asian²	5,719	6,366	6,580	7,814	8,641	9,542
Black or African American	117,471	118,834	106,406	114,641	116,267	119,419
Native Hawaiian or Other Pacific Islander	1,272	1,366	1,530	1,746	1,596	1,908
White	363,434	362,010	319,329	354,346	368,443	387,978
Other	53,456	54,166	49,945	57,120	61,412	67,959
Total	548,602	551,046	492,122	544,372	565,250	596,848
Ethnicity
Not of Hispanic or Latino origin	415,140	410,879	364,574	395,350	453,185	465,569
Hispanic or Latino origin	77,857	80,979	80,301	90,885	98,132	103,558
Total	492,997	491,858	444,875	486,235	551,317	569,127
Specific Hispanic or Latino origin
Mexican	3,324	4,731	6,097	5,098	6,489	6,383
Puerto Rican	2,823	4,302	4,563	4,017	4,787	2,764
Cuban	558	589	614	605	645	680
Other specific	4,876	6,504	5,986	6,054	7,208	7,204
Total	11,581	16,126	17,260	15,774	19,129	17,031
Highest school grade completed
0 to 8	31,400	31,182	32,851	31,666	27,800	25,707
9 to 11	67,877	66,687	66,177	65,693	71,659	76,769
12 (or GED)	85,242	97,470	98,554	101,779	114,033	134,201
More than 12	21,703	25,157	26,336	28,004	34,079	39,919
Total	206,222	220,496	223,918	227,142	247,571	276,596
Veteran status
Veteran	n/c	n/c	n/c	n/c	2,483	2,114
Not a veteran	n/c	n/c	n/c	n/c	211,336	219,814
Total	n/c	n/c	n/c	n/c	213,819	221,928
SMI status³
SMI	336,335	357,509	318,241	351,981	375,498	412,774
Not SMI	180,265	174,672	163,636	177,970	179,004	176,025
Total	516,600	532,181	481,877	529,951	554,502	588,799
n/c Not collected.
SMI = serious mental illness; GED = general equivalency diploma.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
³ The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 3.1b. Individuals aged 18 to 24 years, by gender, age, race, ethnicity, education, veteran status, and SMI status: Column percent distribution, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 18 to 24 years	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	49.3	49.5	49.9	48.5	48.4	47.5
Female	50.7	50.5	50.1	51.5	51.6	52.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
18 to 20 years	45.1	43.6	43.5	43.8	43.7	44.7
21 to 24 years	54.9	56.4	56.5	56.2	56.3	55.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.3	1.5	1.7	1.6	1.6	1.7
Asian²	1.0	1.2	1.3	1.4	1.5	1.6
Black or African American	21.4	21.6	21.6	21.1	20.6	20.0
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	66.2	65.7	64.9	65.1	65.2	65.0
Other	9.7	9.8	10.1	10.5	10.9	11.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	84.2	83.5	81.9	81.3	82.2	81.8
Hispanic or Latino origin	15.8	16.5	18.1	18.7	17.8	18.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	28.7	29.3	35.3	32.3	33.9	37.5
Puerto Rican	24.4	26.7	26.4	25.5	25.0	16.2
Cuban	4.8	3.7	3.6	3.8	3.4	4.0
Other specific	42.1	40.3	34.7	38.4	37.7	42.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	15.2	14.1	14.7	13.9	11.2	9.3
9 to 11	32.9	30.2	29.6	28.9	28.9	27.8
12 (or GED)	41.3	44.2	44.0	44.8	46.1	48.5
More than 12	10.5	11.4	11.8	12.3	13.8	14.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	n/c	n/c	n/c	n/c	1.2	†
Not a veteran	n/c	n/c	n/c	n/c	98.8	99.0
Total	n/c	n/c	n/c	n/c	100.0	100.0
SMI status³
SMI	65.1	67.2	66.0	66.4	67.7	70.1
Not SMI	34.9	32.8	34.0	33.6	32.3	29.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals; n/c Not collected.
SMI = serious mental illness; GED = general equivalency diploma.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
³ The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 3.2a. Individuals aged 18 to 24 years with SMI, by gender, age, race, ethnicity, education, and veteran status: Number, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	44	47	45	46	46	47
Total individuals with SMI aged 18 to 24 years¹	336,335	357,509	318,241	351,981	375,498	412,774
Gender
Male	164,928	176,593	159,011	174,320	182,370	194,162
Female	170,830	180,105	158,496	176,532	192,079	217,643
Total	335,758	356,698	317,507	350,852	374,449	411,805
Age²
18 to 20 years	142,538	149,085	130,146	149,760	160,666	182,989
21 to 24 years	193,797	208,424	188,095	202,221	214,832	229,785
Total	336,335	357,509	318,241	351,981	375,498	412,774
Race
American Indian or Alaska Native	2,919	4,197	4,212	4,434	5,048	5,615
Asian³	3,579	4,245	4,184	4,754	5,803	6,427
Black or African American	70,715	74,925	66,542	69,768	71,207	77,456
Native Hawaiian or Other Pacific Islander	809	896	992	1,135	1,000	1,179
White	200,362	210,001	182,265	208,494	219,348	239,691
Other	33,374	36,276	33,548	36,941	46,521	52,417
Total	311,758	330,540	291,743	325,526	348,927	382,785
Ethnicity
Not of Hispanic or Latino origin	228,879	242,690	211,638	233,056	263,334	282,615
Hispanic or Latino origin	48,707	54,702	53,255	60,300	70,424	75,938
Total	277,586	297,392	264,893	293,356	333,758	358,553
Specific Hispanic or Latino origin
Mexican	1,795	2,783	3,540	2,955	4,065	4,118
Puerto Rican	1,745	2,004	2,100	2,162	2,409	1,941
Cuban	424	406	418	521	556	615
Other specific	3,353	4,055	3,758	4,163	4,949	5,303
Total	7,317	9,248	9,816	9,801	11,979	11,977
Highest school grade completed
0 to 8	12,970	15,426	14,598	14,476	15,012	15,944
9 to 11	35,728	41,499	39,881	42,971	49,124	55,832
12 (or GED)	50,045	63,927	64,504	70,314	80,283	96,856
More than 12	12,564	16,610	17,335	19,534	24,162	28,742
Total	111,307	137,462	136,318	147,295	168,581	197,374
Veteran status
Veteran	n/c	n/c	n/c	n/c	1,694	1,498
Not a veteran	n/c	n/c	n/c	n/c	116,037	144,204
Total	n/c	n/c	n/c	n/c	117,731	145,702
n/c Not collected.
SMI = serious mental illness; GED = general equivalency diploma.
¹ The federal definition for SMI status can be found in Appendix D.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 3.2b. Individuals aged 18 to 24 years with SMI, by gender, age, race, ethnicity, education, and veteran status: Column percent distribution, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	44	47	45	46	46	47
Total individuals with SMI aged 18 to 24 years¹	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	49.1	49.5	50.1	49.7	48.7	47.1
Female	50.9	50.5	49.9	50.3	51.3	52.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age²
18 to 20 years	42.4	41.7	40.9	42.5	42.8	44.3
21 to 24 years	57.6	58.3	59.1	57.5	57.2	55.7
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	†	1.3	1.4	1.4	1.4	1.5
Asian³	1.1	1.3	1.4	1.5	1.7	1.7
Black or African American	22.7	22.7	22.8	21.4	20.4	20.2
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	64.3	63.5	62.5	64.0	62.9	62.6
Other	10.7	11.0	11.5	11.3	13.3	13.7
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	82.5	81.6	79.9	79.4	78.9	78.8
Hispanic or Latino origin	17.5	18.4	20.1	20.6	21.1	21.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	24.5	30.1	36.1	30.1	33.9	34.4
Puerto Rican	23.8	21.7	21.4	22.1	20.1	16.2
Cuban	5.8	4.4	4.3	5.3	4.6	5.1
Other specific	45.8	43.8	38.3	42.5	41.3	44.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	11.7	11.2	10.7	9.8	8.9	8.1
9 to 11	32.1	30.2	29.3	29.2	29.1	28.3
12 (or GED)	45.0	46.5	47.3	47.7	47.6	49.1
More than 12	11.3	12.1	12.7	13.3	14.3	14.6
Total	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	n/c	n/c	n/c	n/c	1.4	1.0
Not a veteran	n/c	n/c	n/c	n/c	98.6	99.0
Total	n/c	n/c	n/c	n/c	100.0	100.0
† Less than 1 percent of individuals; n/c Not collected.
SMI = serious mental illness; GED = general equivalency diploma.
¹ The federal definition for SMI status can be found in Appendix D.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 3.3a. Individuals aged 18 to 24 years, by mental health diagnosis, gender, race, and ethnicity: Number, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	557,478	70,164	80,312	31,550	61,603	165,259	6,454	50,990	91,146
Gender
Male	257,941	26,546	29,451	21,021	27,095	60,682	2,746	37,137	53,263
Female	297,454	43,279	50,647	10,383	34,185	104,052	3,672	13,718	37,518
Total	555,395	69,825	80,098	31,404	61,280	164,734	6,418	50,855	90,781
Race
American Indian or Alaska Native	8,905	1,511	1,397	353	615	2,675	88	687	1,579
Asian²	8,082	1,005	1,189	283	630	2,415	105	1,164	1,291
Black or African American	101,874	12,947	8,082	6,500	12,275	27,961	1,374	16,493	16,242
Native Hawaiian or Other Pacific Islander	1,736	301	288	59	120	539	21	198	210
White	335,230	41,073	55,485	19,942	39,947	102,804	3,957	21,111	50,911
Other	61,670	7,240	7,376	2,471	5,278	17,927	543	7,575	13,260
Total	517,497	64,077	73,817	29,608	58,865	154,321	6,088	47,228	83,493
Ethnicity
Not of Hispanic or Latino origin	403,478	51,015	57,128	23,800	48,287	119,402	5,045	35,455	63,346
Hispanic or Latino origin	89,110	10,980	11,850	3,345	8,053	27,852	683	10,337	16,010
Total	492,588	61,995	68,978	27,145	56,340	147,254	5,728	45,792	79,356
Specific Hispanic or Latino origin
Mexican	6,050	1,120	843	164	461	2,088	45	578	751
Puerto Rican	2,438	351	230	156	272	692	16	307	414
Cuban	633	68	70	44	74	156	2	79	140
Other specific	6,605	1,114	711	274	680	2,082	56	708	980
Total	15,726	2,653	1,854	638	1,487	5,018	119	1,672	2,285
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.3b. Individuals aged 18 to 24 years, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	46.4	38.0	36.8	66.9	44.2	36.8	42.8	73.0	58.7
Female	53.6	62.0	63.2	33.1	55.8	63.2	57.2	27.0	41.3
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.7	2.4	1.9	1.2	1.0	1.7	1.4	1.5	1.9
Asian²	1.6	1.6	1.6	†	1.1	1.6	1.7	2.5	1.5
Black or African American	19.7	20.2	10.9	22.0	20.9	18.1	22.6	34.9	19.5
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†	†	†	†
White	64.8	64.1	75.2	67.4	67.9	66.6	65.0	44.7	61.0
Other	11.9	11.3	10.0	8.3	9.0	11.6	8.9	16.0	15.9
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	81.9	82.3	82.8	87.7	85.7	81.1	88.1	77.4	79.8
Hispanic or Latino origin	18.1	17.7	17.2	12.3	14.3	18.9	11.9	22.6	20.2
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	38.5	42.2	45.5	25.7	31.0	41.6	37.8	34.6	32.9
Puerto Rican	15.5	13.2	12.4	24.5	18.3	13.8	13.4	18.4	18.1
Cuban	4.0	2.6	3.8	6.9	5.0	3.1	1.7	4.7	6.1
Other specific	42.0	42.0	38.3	42.9	45.7	41.5	47.1	42.3	42.9
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.3c. Individuals aged 18 to 24 years, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	100.0	12.6	14.4	5.7	11.1	29.6	1.2	9.1	16.3
Gender
Male	100.0	10.3	11.4	8.1	10.5	23.5	1.1	14.4	20.6
Female	100.0	14.5	17.0	3.5	11.5	35.0	1.2	4.6	12.6
Total	100.0	12.6	14.4	5.7	11.0	29.7	1.2	9.2	16.3
Race
American Indian or Alaska Native	100.0	17.0	15.7	4.0	6.9	30.0	†	7.7	17.7
Asian²	100.0	12.4	14.7	3.5	7.8	29.9	1.3	14.4	16.0
Black or African American	100.0	12.7	7.9	6.4	12.0	27.4	1.3	16.2	15.9
Native Hawaiian or Other Pacific Islander	100.0	17.3	16.6	3.4	6.9	31.0	1.2	11.4	12.1
White	100.0	12.3	16.6	5.9	11.9	30.7	1.2	6.3	15.2
Other	100.0	11.7	12.0	4.0	8.6	29.1	†	12.3	21.5
Total	100.0	12.4	14.3	5.7	11.4	29.8	1.2	9.1	16.1
Ethnicity
Not of Hispanic or Latino origin	100.0	12.6	14.2	5.9	12.0	29.6	1.3	8.8	15.7
Hispanic or Latino origin	100.0	12.3	13.3	3.8	9.0	31.3	†	11.6	18.0
Total	100.0	12.6	14.0	5.5	11.4	29.9	1.2	9.3	16.1
Specific Hispanic or Latino origin
Mexican	100.0	18.5	13.9	2.7	7.6	34.5	†	9.6	12.4
Puerto Rican	100.0	14.4	9.4	6.4	11.2	28.4	†	12.6	17.0
Cuban	100.0	10.7	11.1	7.0	11.7	24.6	†	12.5	22.1
Other specific	100.0	16.9	10.8	4.1	10.3	31.5	†	10.7	14.8
Total	100.0	16.9	11.8	4.1	9.5	31.9	†	10.6	14.5
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.4a. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, gender, race, and ethnicity: Number, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	380,549	37,179	47,073	14,853	50,397	129,048	4,333	45,676	51,990
Gender
Male	176,785	13,849	17,359	9,938	22,365	47,804	1,808	33,327	30,335
Female	202,865	23,243	29,643	4,853	27,865	81,009	2,511	12,259	21,482
Total	379,650	37,092	47,002	14,791	50,230	128,813	4,319	45,586	51,817
Race
American Indian or Alaska Native	5,378	798	759	157	452	1,863	53	553	743
Asian³	6,055	582	757	132	561	1,989	53	1,077	904
Black or African American	71,731	5,861	4,487	3,059	10,501	23,054	1,024	14,752	8,993
Native Hawaiian or Other Pacific Islander	1,116	170	152	29	93	370	8	165	129
White	219,331	21,231	31,396	9,014	32,015	77,847	2,566	18,591	26,671
Other	49,467	4,943	5,279	1,286	4,676	15,617	395	7,197	10,074
Total	353,078	33,585	42,830	13,677	48,298	120,740	4,099	42,335	47,514
Ethnicity
Not of Hispanic or Latino origin	262,631	24,528	31,098	9,819	39,012	90,422	3,415	31,355	32,982
Hispanic or Latino origin	67,763	6,971	7,148	1,506	6,960	23,285	459	9,655	11,779
Total	330,394	31,499	38,246	11,325	45,972	113,707	3,874	41,010	44,761
Specific Hispanic or Latino origin
Mexican	4,062	614	375	80	394	1,779	33	514	273
Puerto Rican	1,836	215	162	99	244	604	11	291	210
Cuban	576	53	55	40	70	154	2	79	123
Other specific	5,045	714	412	166	623	1,812	37	663	618
Total	11,519	1,596	1,004	385	1,331	4,349	83	1,547	1,224
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.4b. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	46.6	37.3	36.9	67.2	44.5	37.1	41.9	73.1	58.5
Female	53.4	62.7	63.1	32.8	55.5	62.9	58.1	26.9	41.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.5	2.4	1.8	1.1	†	1.5	1.3	1.3	1.6
Asian³	1.7	1.7	1.8	†	1.2	1.6	1.3	2.5	1.9
Black or African American	20.3	17.5	10.5	22.4	21.7	19.1	25.0	34.8	18.9
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†	†	†	†
White	62.1	63.2	73.3	65.9	66.3	64.5	62.6	43.9	56.1
Other	14.0	14.7	12.3	9.4	9.7	12.9	9.6	17.0	21.2
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	79.5	77.9	81.3	86.7	84.9	79.5	88.2	76.5	73.7
Hispanic or Latino origin	20.5	22.1	18.7	13.3	15.1	20.5	11.8	23.5	26.3
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	35.3	38.5	37.4	20.8	29.6	40.9	39.8	33.2	22.3
Puerto Rican	15.9	13.5	16.1	25.7	18.3	13.9	13.3	18.8	17.2
Cuban	5.0	3.3	5.5	10.4	5.3	3.5	2.4	5.1	10.0
Other specific	43.8	44.7	41.0	43.1	46.8	41.7	44.6	42.9	50.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.4c. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	100.0	9.8	12.4	3.9	13.2	33.9	1.1	12.0	13.7
Gender
Male	100.0	7.8	9.8	5.6	12.7	27.0	1.0	18.9	17.2
Female	100.0	11.5	14.6	2.4	13.7	39.9	1.2	6.0	10.6
Total	100.0	9.8	12.4	3.9	13.2	33.9	1.1	12.0	13.6
Race
American Indian or Alaska Native	100.0	14.8	14.1	2.9	8.4	34.6	†	10.3	13.8
Asian³	100.0	9.6	12.5	2.2	9.3	32.8	†	17.8	14.9
Black or African American	100.0	8.2	6.3	4.3	14.6	32.1	1.4	20.6	12.5
Native Hawaiian or Other Pacific Islander	100.0	15.2	13.6	2.6	8.3	33.2	†	14.8	11.6
White	100.0	9.7	14.3	4.1	14.6	35.5	1.2	8.5	12.2
Other	100.0	10.0	10.7	2.6	9.5	31.6	†	14.5	20.4
Total	100.0	9.5	12.1	3.9	13.7	34.2	1.2	12.0	13.5
Ethnicity
Not of Hispanic or Latino origin	100.0	9.3	11.8	3.7	14.9	34.4	1.3	11.9	12.6
Hispanic or Latino origin	100.0	10.3	10.5	2.2	10.3	34.4	†	14.2	17.4
Total	100.0	9.5	11.6	3.4	13.9	34.4	1.2	12.4	13.5
Specific Hispanic or Latino origin
Mexican	100.0	15.1	9.2	2.0	9.7	43.8	†	12.7	6.7
Puerto Rican	100.0	11.7	8.8	5.4	13.3	32.9	†	15.8	11.4
Cuban	100.0	9.2	9.5	6.9	12.2	26.7	†	13.7	21.4
Other specific	100.0	14.2	8.2	3.3	12.3	35.9	†	13.1	12.2
Total	100.0	13.9	8.7	3.3	11.6	37.8	†	13.4	10.6
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.5a. Individuals aged 18 to 24 years, by mental health diagnosis, education, and marital status: Number, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	557,478	70,164	80,312	31,550	61,603	165,259	6,454	50,990	91,146
Highest school grade completed
0 to 8	24,286	3,407	4,389	2,403	2,095	5,710	252	1,628	4,402
9 to 11	71,170	10,027	8,556	4,709	8,209	21,325	845	6,807	10,692
12 (or GED)	123,564	15,307	15,523	5,528	16,502	40,343	1,520	12,608	16,233
More than 12	36,787	4,559	5,608	1,172	4,813	14,107	421	3,006	3,101
Total	255,807	33,300	34,076	13,812	31,619	81,485	3,038	24,049	34,428
Marital status
Never married	281,209	33,973	33,534	16,575	36,107	88,086	2,726	27,281	42,927
Currently married	13,596	2,287	1,940	343	1,882	4,977	167	563	1,437
Separated	3,501	598	351	50	583	1,323	44	189	363
Divorced	2,234	377	218	38	354	820	40	130	257
Widowed	317	68	35	6	46	92	3	30	37
Total	300,857	37,303	36,078	17,012	38,972	95,298	2,980	28,193	45,021
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.5b. Individuals aged 18 to 24 years, by mental health diagnosis, education, and marital status: Column percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	9.5	10.2	12.9	17.4	6.6	7.0	8.3	6.8	12.8
9 to 11	27.8	30.1	25.1	34.1	26.0	26.2	27.8	28.3	31.1
12 (or GED)	48.3	46.0	45.6	40.0	52.2	49.5	50.0	52.4	47.2
More than 12	14.4	13.7	16.5	8.5	15.2	17.3	13.9	12.5	9.0
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Marital status
Never married	93.5	91.1	92.9	97.4	92.6	92.4	91.5	96.8	95.3
Currently married	4.5	6.1	5.4	2.0	4.8	5.2	5.6	2.0	3.2
Separated	1.2	1.6	†	†	1.5	1.4	1.5	†	†
Divorced	†	1.0	†	†	†	†	1.3	†	†
Widowed	†	†	†	†	†	†	†	†	†
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.5c. Individuals aged 18 to 24 years, by mental health diagnosis, education, and marital status: Row percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	100.0	12.6	14.4	5.7	11.1	29.6	1.2	9.1	16.3
Highest school grade completed
0 to 8	100.0	14.0	18.1	9.9	8.6	23.5	1.0	6.7	18.1
9 to 11	100.0	14.1	12.0	6.6	11.5	30.0	1.2	9.6	15.0
12 (or GED)	100.0	12.4	12.6	4.5	13.4	32.6	1.2	10.2	13.1
More than 12	100.0	12.4	15.2	3.2	13.1	38.3	1.1	8.2	8.4
Total	100.0	13.0	13.3	5.4	12.4	31.9	1.2	9.4	13.5
Marital status
Never married	100.0	12.1	11.9	5.9	12.8	31.3	†	9.7	15.3
Currently married	100.0	16.8	14.3	2.5	13.8	36.6	1.2	4.1	10.6
Separated	100.0	17.1	10.0	1.4	16.7	37.8	1.3	5.4	10.4
Divorced	100.0	16.9	9.8	1.7	15.8	36.7	1.8	5.8	11.5
Widowed	100.0	21.5	11.0	1.9	14.5	29.0	†	9.5	11.7
Total	100.0	12.4	12.0	5.7	13.0	31.7	†	9.4	15.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.6a. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, education, and marital status: Number, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	380,549	37,179	47,073	14,853	50,397	129,048	4,333	45,676	51,990
Highest school grade completed
0 to 8	15,487	2,186	2,603	1,267	1,634	4,150	197	1,437	2,013
9 to 11	53,300	6,650	5,741	2,883	7,219	17,837	717	6,288	5,965
12 (or GED)	92,377	9,519	9,774	2,833	14,740	34,741	1,238	11,595	7,937
More than 12	27,692	2,621	3,311	540	4,359	12,162	327	2,765	1,607
Total	188,856	20,976	21,429	7,523	27,952	68,890	2,479	22,085	17,522
Marital status
Never married	193,169	16,187	19,863	6,914	30,946	73,069	2,072	24,410	19,708
Currently married	9,593	1,311	1,173	171	1,621	4,043	125	499	650
Separated	2,642	332	226	23	535	1,143	29	175	179
Divorced	1,655	228	131	22	309	692	29	118	126
Widowed	217	52	14	4	37	68	3	25	14
Total	207,276	18,110	21,407	7,134	33,448	79,015	2,258	25,227	20,677
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.6b. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, education, and marital status: Column percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	8.2	10.4	12.1	16.8	5.8	6.0	7.9	6.5	11.5
9 to 11	28.2	31.7	26.8	38.3	25.8	25.9	28.9	28.5	34.0
12 (or GED)	48.9	45.4	45.6	37.7	52.7	50.4	49.9	52.5	45.3
More than 12	14.7	12.5	15.5	7.2	15.6	17.7	13.2	12.5	9.2
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Marital status
Never married	93.2	89.4	92.8	96.9	92.5	92.5	91.8	96.8	95.3
Currently married	4.6	7.2	5.5	2.4	4.8	5.1	5.5	2.0	3.1
Separated	1.3	1.8	1.1	†	1.6	1.4	1.3	†	†
Divorced	†	1.3	†	†	†	†	1.3	†	†
Widowed	†	†	†	†	†	†	†	†	†
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.6c. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, education, marital status: Row percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	100.0	9.8	12.4	3.9	13.2	33.9	1.1	12.0	13.7
Highest school grade completed
0 to 8	100.0	14.1	16.8	8.2	10.6	26.8	1.3	9.3	13.0
9 to 11	100.0	12.5	10.8	5.4	13.5	33.5	1.3	11.8	11.2
12 (or GED)	100.0	10.3	10.6	3.1	16.0	37.6	1.3	12.6	8.6
More than 12	100.0	9.5	12.0	2.0	15.7	43.9	1.2	10.0	5.8
Total	100.0	11.1	11.3	4.0	14.8	36.5	1.3	11.7	9.3
Marital status
Never married	100.0	8.4	10.3	3.6	16.0	37.8	1.1	12.6	10.2
Currently married	100.0	13.7	12.2	1.8	16.9	42.1	1.3	5.2	6.8
Separated	100.0	12.6	8.6	†	20.2	43.3	1.1	6.6	6.8
Divorced	100.0	13.8	7.9	1.3	18.7	41.8	1.8	7.1	7.6
Widowed	100.0	24.0	6.5	1.8	17.1	31.3	1.4	11.5	6.5
Total	100.0	8.7	10.3	3.4	16.1	38.1	1.1	12.2	10.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma; SMI = serious mental illness
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.7a. Individuals aged 18 to 24 years, by mental health diagnosis, living arrangement, SMI status, and veteran status: Number, 2018
Living arrangement, SMI status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	557,478	70,164	80,312	31,550	61,603	165,259	6,454	50,990	91,146
Living arrangement
Homeless	12,875	1,543	937	190	1,781	3,533	181	2,279	2,431
Foster home/foster care	3,180	660	328	264	261	666	27	215	759
Residential care	9,509	955	744	386	1,403	1,882	110	1,732	2,297
Institutional setting	3,292	225	201	73	371	620	124	1,065	613
Jail/correctional facility	8,851	1,946	640	235	698	1,441	570	1,171	2,150
Private residence	285,143	34,139	37,618	14,784	33,735	90,351	3,019	27,092	44,405
Other	10,965	1,897	1,893	425	983	3,146	72	846	1,703
Total	333,815	41,365	42,361	16,357	39,232	101,639	4,103	34,400	54,358
SMI status²
SMI	380,549	37,179	47,073	14,853	50,397	129,048	4,333	45,676	51,990
Not SMI	141,746	28,342	25,731	13,943	9,024	27,217	1,731	3,981	31,777
Total	522,295	65,521	72,804	28,796	59,421	156,265	6,064	49,657	83,767
Veteran status
Veteran	1,849	266	226	69	232	681	7	196	172
Not a veteran	200,732	27,198	25,882	10,413	22,681	60,173	1,663	18,386	34,336
Total	202,581	27,464	26,108	10,482	22,913	60,854	1,670	18,582	34,508
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.7b. Individuals aged 18 to 24 years, by mental health diagnosis, living arrangement, SMI status, and veteran status: Column percent distribution, 2018
Living arrangement, SMI status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Living arrangement
Homeless	3.9	3.7	2.2	1.2	4.5	3.5	4.4	6.6	4.5
Foster home/foster care	†	1.6	†	1.6	†	†	†	†	1.4
Residential care	2.8	2.3	1.8	2.4	3.6	1.9	2.7	5.0	4.2
Institutional setting	†	†	†	†	†	†	3.0	3.1	1.1
Jail/correctional facility	2.7	4.7	1.5	1.4	1.8	1.4	13.9	3.4	4.0
Private residence	85.4	82.5	88.8	90.4	86.0	88.9	73.6	78.8	81.7
Other	3.3	4.6	4.5	2.6	2.5	3.1	1.8	2.5	3.1
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
SMI status²
SMI	72.9	56.7	64.7	51.6	84.8	82.6	71.5	92.0	62.1
Not SMI	27.1	43.3	35.3	48.4	15.2	17.4	28.5	8.0	37.9
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	†	†	†	†	1.0	1.1	†	1.1	†
Not a veteran	99.1	99.0	99.1	99.3	99.0	98.9	99.6	98.9	99.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.7c. Individuals aged 18 to 24 years, by mental health diagnosis, living arrangement, SMI status, and veteran status: Row percent distribution, 2018
Living arrangement, SMI status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	100.0	12.6	14.4	5.7	11.1	29.6	1.2	9.1	16.3
Living arrangement
Homeless	100.0	12.0	7.3	1.5	13.8	27.4	1.4	17.7	18.9
Foster home/foster care	100.0	20.8	10.3	8.3	8.2	20.9	†	6.8	23.9
Residential care	100.0	10.0	7.8	4.1	14.8	19.8	1.2	18.2	24.2
Institutional setting	100.0	6.8	6.1	2.2	11.3	18.8	3.8	32.4	18.6
Jail/correctional facility	100.0	22.0	7.2	2.7	7.9	16.3	6.4	13.2	24.3
Private residence	100.0	12.0	13.2	5.2	11.8	31.7	1.1	9.5	15.6
Other	100.0	17.3	17.3	3.9	9.0	28.7	†	7.7	15.5
Total	100.0	12.4	12.7	4.9	11.8	30.4	1.2	10.3	16.3
SMI status²
SMI	100.0	9.8	12.4	3.9	13.2	33.9	1.1	12.0	13.7
Not SMI	100.0	20.0	18.2	9.8	6.4	19.2	1.2	2.8	22.4
Total	100.0	12.5	13.9	5.5	11.4	29.9	1.2	9.5	16.0
Veteran status
Veteran	100.0	14.4	12.2	3.7	12.5	36.8	†	10.6	9.3
Not a veteran	100.0	13.5	12.9	5.2	11.3	30.0	†	9.2	17.1
Total	100.0	13.6	12.9	5.2	11.3	30.0	†	9.2	17.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.8a. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, living arrangement and veteran status: Number, 2018
Living arrangement and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	380,549	37,179	47,073	14,853	50,397	129,048	4,333	45,676	51,990
Living arrangement
Homeless	10,602	1,140	635	119	1,587	3,103	157	2,121	1,740
Foster home/foster care	2,414	470	270	151	226	568	23	201	505
Residential care	7,358	631	500	173	1,297	1,666	97	1,642	1,352
Institutional setting	2,234	127	138	43	276	401	59	889	301
Jail/correctional facility	6,266	971	449	122	561	1,183	522	1,046	1,412
Private residence	212,945	21,828	23,796	8,040	29,742	76,180	2,429	25,115	25,815
Other	8,330	961	1,591	138	899	2,843	64	795	1,039
Total	250,149	26,128	27,379	8,786	34,588	85,944	3,351	31,809	32,164
Veteran status
Veteran	1,472	182	147	34	215	620	5	177	92
Not a veteran	140,850	16,883	15,103	5,175	19,520	50,672	1,248	16,438	15,811
Total	142,322	17,065	15,250	5,209	19,735	51,292	1,253	16,615	15,903
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.8b. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, living arrangement and veteran status: Column percent distribution, 2018
Living arrangement and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Living arrangement
Homeless	4.2	4.4	2.3	1.4	4.6	3.6	4.7	6.7	5.4
Foster home/foster care	†	1.8	†	1.7	†	†	†	†	1.6
Residential care	2.9	2.4	1.8	2.0	3.7	1.9	2.9	5.2	4.2
Institutional setting	†	†	†	†	†	†	1.8	2.8	†
Jail/correctional facility	2.5	3.7	1.6	1.4	1.6	1.4	15.6	3.3	4.4
Private residence	85.1	83.5	86.9	91.5	86.0	88.6	72.5	79.0	80.3
Other	3.3	3.7	5.8	1.6	2.6	3.3	1.9	2.5	3.2
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	1.0	1.1	†	†	1.1	1.2	†	1.1	†
Not a veteran	99.0	98.9	99.0	99.3	98.9	98.8	99.6	98.9	99.4
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.8c. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, living arrangement and veteran status: Row percent distribution, 2018
Living arrangement and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	100.0	9.8	12.4	3.9	13.2	33.9	1.1	12.0	13.7
Living arrangement
Homeless	100.0	10.8	6.0	1.1	15.0	29.3	1.5	20.0	16.4
Foster home/foster care	100.0	19.5	11.2	6.3	9.4	23.5	†	8.3	20.9
Residential care	100.0	8.6	6.8	2.4	17.6	22.6	1.3	22.3	18.4
Institutional setting	100.0	5.7	6.2	1.9	12.4	17.9	2.6	39.8	13.5
Jail/correctional facility	100.0	15.5	7.2	1.9	9.0	18.9	8.3	16.7	22.5
Private residence	100.0	10.3	11.2	3.8	14.0	35.8	1.1	11.8	12.1
Other	100.0	11.5	19.1	1.7	10.8	34.1	†	9.5	12.5
Total	100.0	10.4	10.9	3.5	13.8	34.4	1.3	12.7	12.9
Veteran status
Veteran	100.0	12.4	10.0	2.3	14.6	42.1	†	12.0	6.3
Not a veteran	100.0	12.0	10.7	3.7	13.9	36.0	†	11.7	11.2
Total	100.0	12.0	10.7	3.7	13.9	36.0	†	11.7	11.2
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.9a. Individuals aged 18 to 24 years, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Number, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	557,478	70,164	80,312	31,550	61,603	165,259	6,454	50,990	91,146
Employment status
Employed	81,616	11,605	12,269	3,371	9,585	29,981	1,115	4,153	9,537
Full time	35,400	5,824	6,188	1,528	3,273	11,957	582	1,425	4,623
Part time	34,571	4,906	5,129	1,555	3,636	12,542	450	1,895	4,458
Unemployed	82,674	9,233	8,689	2,430	11,881	27,789	890	10,108	11,654
Not in labor force (see detail below)	136,320	15,937	17,983	9,080	15,088	37,581	1,229	13,824	25,598
Total	300,610	36,775	38,941	14,881	36,554	95,351	3,234	28,085	46,789
Detailed not in labor force
Total individuals aged 18 to 24 years  not in labor force	136,320	15,937	17,983	9,080	15,088	37,581	1,229	13,824	25,598
Disabled	22,901	1,429	1,862	1,039	3,758	4,279	336	4,693	5,505
Retired	173	19	12	5	19	49	6	28	35
Student	61,512	7,973	7,853	5,306	4,655	17,710	303	3,800	13,912
Homemaker	3,336	578	511	48	379	1,326	43	96	355
Sheltered/non-competitive employment	1,291	167	124	44	147	335	5	157	312
Other	47,107	5,771	7,621	2,638	6,130	13,882	536	5,050	5,479
Total	.	.	.	.	.	.	.	.	.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTES: Employed includes “full-time/part-time not differentiated,” which is not presented separately; total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.9b. Individuals aged 18 to 24 years, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Column percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Employment status
Employed	27.2	31.6	31.5	22.7	26.2	31.4	34.5	14.8	20.4
Full time	11.8	15.8	15.9	10.3	9.0	12.5	18.0	5.1	9.9
Part time	11.5	13.3	13.2	10.4	9.9	13.2	13.9	6.7	9.5
Unemployed	27.5	25.1	22.3	16.3	32.5	29.1	27.5	36.0	24.9
Not in labor force (see detail below)	45.3	43.3	46.2	61.0	41.3	39.4	38.0	49.2	54.7
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Detailed not in labor force
Total individuals aged 18 to 24 years  not in labor force	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Disabled	16.8	9.0	10.4	11.4	24.9	11.4	27.3	33.9	21.5
Retired	†	†	†	†	†	†	†	†	†
Student	45.1	50.0	43.7	58.4	30.9	47.1	24.7	27.5	54.3
Homemaker	2.4	3.6	2.8	†	2.5	3.5	3.5	†	1.4
Sheltered/non-competitive employment	†	1.0	†	†	†	†	†	1.1	1.2
Other	34.6	36.2	42.4	29.1	40.6	36.9	43.6	36.5	21.4
Total	100.0	12.4	12.7	4.9	11.8	30.4	1.2	10.3	16.3
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.9c. Individuals aged 18 to 24 years, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Row percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	100.0	12.6	14.4	5.7	11.1	29.6	1.2	9.1	16.3
Employment status
Employed	100.0	14.2	15.0	4.1	11.7	36.7	1.4	5.1	11.7
Full time	100.0	16.5	17.5	4.3	9.2	33.8	1.6	4.0	13.1
Part time	100.0	14.2	14.8	4.5	10.5	36.3	1.3	5.5	12.9
Unemployed	100.0	11.2	10.5	2.9	14.4	33.6	1.1	12.2	14.1
Not in labor force (see detail below)	100.0	11.7	13.2	6.7	11.1	27.6	†	10.1	18.8
Total	100.0	12.2	13.0	5.0	12.2	31.7	1.1	9.3	15.6
Detailed not in labor force
Total individuals aged 18 to 24 years  not in labor force	100.0	11.7	13.2	6.7	11.1	27.6	†	10.1	18.8
Disabled	100.0	6.2	8.1	4.5	16.4	18.7	1.5	20.5	24.0
Retired	100.0	11.0	6.9	2.9	11.0	28.3	3.5	16.2	20.2
Student	100.0	13.0	12.8	8.6	7.6	28.8	†	6.2	22.6
Homemaker	100.0	17.3	15.3	1.4	11.4	39.7	1.3	2.9	10.6
Sheltered/non-competitive employment	100.0	12.9	9.6	3.4	11.4	25.9	†	12.2	24.2
Other	100.0	12.3	16.2	5.6	13.0	29.5	1.1	10.7	11.6
Total	8330.0	961.0	1591.0	138.0	899.0	2843.0	64.0	795.0	1039.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.10a. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Number, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	380,549	37,179	47,073	14,853	50,397	129,048	4,333	45,676	51,990
Employment status
Employed	60,576	7,274	7,758	1,852	8,391	25,230	891	3,809	5,371
Full time	24,743	3,659	3,890	790	2,680	9,535	464	1,261	2,464
Part time	25,954	3,220	3,462	942	3,091	10,503	352	1,727	2,657
Unemployed	63,480	5,769	5,634	1,231	10,612	24,029	699	9,355	6,151
Not in labor force (see detail below)	100,308	10,339	11,878	5,104	13,180	31,312	986	12,846	14,663
Total	224,364	23,382	25,270	8,187	32,183	80,571	2,576	26,010	26,185
Detailed not in labor force
Total individuals with SMI aged 18 to 24 years  not in labor force	100,308	10,339	11,878	5,104	13,180	31,312	986	12,846	14,663
Disabled	17,367	1,077	1,324	667	3,336	3,703	304	4,437	2,519
Retired	131	13	6	2	18	39	6	24	23
Student	45,372	5,204	5,440	3,164	3,971	14,934	229	3,555	8,875
Homemaker	2,462	373	327	23	329	1,079	33	89	209
Sheltered/non-competitive employment	1,094	154	101	20	139	317	5	150	208
Other	33,882	3,518	4,680	1,228	5,387	11,240	409	4,591	2,829
Total	^	^	^	^	^	^	^	^	^
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTES: Employed includes “full-time/part-time not differentiated,” which is not presented separately; total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.10b. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Column percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Employment status
Employed	27.0	31.1	30.7	22.6	26.1	31.3	34.6	14.6	20.5
Full time	11.0	15.6	15.4	9.6	8.3	11.8	18.0	4.8	9.4
Part time	11.6	13.8	13.7	11.5	9.6	13.0	13.7	6.6	10.1
Unemployed	28.3	24.7	22.3	15.0	33.0	29.8	27.1	36.0	23.5
Not in labor force (see detail below)	44.7	44.2	47.0	62.3	41.0	38.9	38.3	49.4	56.0
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Detailed not in labor force
Total individuals with SMI aged 18 to 24 years  not in labor force	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Disabled	17.3	10.4	11.1	13.1	25.3	11.8	30.8	34.5	17.2
Retired	†	†	†	†	†	†	†	†	†
Student	45.2	50.3	45.8	62.0	30.1	47.7	23.2	27.7	60.5
Homemaker	2.5	3.6	2.8	†	2.5	3.4	3.3	†	1.4
Sheltered/non-competitive employment	1.1	1.5	†	†	1.1	1.0	†	1.2	1.4
Other	33.8	34.0	39.4	24.1	40.9	35.9	41.5	35.7	19.3
Total	†	†	†	†	†	†	†	†	†
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.10c. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Row percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	100.0	9.8	12.4	3.9	13.2	33.9	1.1	12.0	13.7
Employment status
Employed	100.0	12.0	12.8	3.1	13.9	41.7	1.5	6.3	8.9
Full time	100.0	14.8	15.7	3.2	10.8	38.5	1.9	5.1	10.0
Part time	100.0	12.4	13.3	3.6	11.9	40.5	1.4	6.7	10.2
Unemployed	100.0	9.1	8.9	1.9	16.7	37.9	1.1	14.7	9.7
Not in labor force (see detail below)	100.0	10.3	11.8	5.1	13.1	31.2	†	12.8	14.6
Total	100.0	10.4	11.3	3.6	14.3	35.9	1.1	11.6	11.7
Detailed not in labor force
Total individuals with SMI aged 18 to 24 years  not in labor force	100.0	10.3	11.8	5.1	13.1	31.2	†	12.8	14.6
Disabled	100.0	6.2	7.6	3.8	19.2	21.3	1.8	25.5	14.5
Retired	100.0	9.9	4.6	1.5	13.7	29.8	4.6	18.3	17.6
Student	100.0	11.5	12.0	7.0	8.8	32.9	†	7.8	19.6
Homemaker	100.0	15.2	13.3	†	13.4	43.8	1.3	3.6	8.5
Sheltered/non-competitive employment	100.0	14.1	9.2	1.8	12.7	29.0	†	13.7	19.0
Other	100.0	10.4	13.8	3.6	15.9	33.2	1.2	13.5	8.3
Total	†	†	†	†	†	†	†	†	†
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.11a. Individuals aged 18 to 24 years, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	557,478	70,164	80,312	31,550	61,603	165,259	6,454	50,990	91,146
Timing of admission
New individuals	329,494	46,474	50,476	13,593	32,968	105,801	4,037	25,635	50,510
Continuing individuals	227,984	23,690	29,836	17,957	28,635	59,458	2,417	25,355	40,636
Mental health service setting²,³
State psychiatric hospital	12,867	666	272	140	2,080	2,258	436	5,234	1,781
Community-based program	542,513	68,196	79,817	31,326	60,016	162,010	6,199	47,614	87,335
Residential treatment center	5,971	595	285	225	782	1,221	75	1,376	1,412
Other psychiatric inpatient	32,465	2,660	2,364	588	5,376	10,206	415	6,849	4,007
Institutions under the justice system	9,038	2,213	441	118	436	1,090	573	1,223	2,944
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.11b. Individuals aged 18 to 24 years, by mental health diagnosis, timing of admission, and mental health service setting: Column percent, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Timing of admission
New individuals	59.1	66.2	62.8	43.1	53.5	64.0	62.6	50.3	55.4
Continuing individuals	40.9	33.8	37.2	56.9	46.5	36.0	37.4	49.7	44.6
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Mental health service setting²,³
State psychiatric hospital	2.3	†	†	†	3.4	1.4	6.8	10.3	2.0
Community-based program	97.3	97.2	99.4	99.3	97.4	98.0	96.0	93.4	95.8
Residential treatment center	1.1	†	†	†	1.3	†	1.2	2.7	1.5
Other psychiatric inpatient	5.8	3.8	2.9	1.9	8.7	6.2	6.4	13.4	4.4
Institutions under the justice system	1.6	3.2	†	†	†	†	8.9	2.4	3.2
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Percentages may not sum to 100 percent, because individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.11c. Individuals aged 18 to 24 years, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 18 to 24 years	100.0	12.6	14.4	5.7	11.1	29.6	1.2	9.1	16.3
Timing of admission
New individuals	100.0	14.1	15.3	4.1	10.0	32.1	1.2	7.8	15.3
Continuing individuals	100.0	10.4	13.1	7.9	12.6	26.1	1.1	11.1	17.8
Mental health service setting²,³
State psychiatric hospital	100.0	5.2	2.1	1.1	16.2	17.5	3.4	40.7	13.8
Community-based program	100.0	12.6	14.7	5.8	11.1	29.9	1.1	8.8	16.1
Residential treatment center	100.0	10.0	4.8	3.8	13.1	20.4	1.3	23.0	23.6
Other psychiatric inpatient	100.0	8.2	7.3	1.8	16.6	31.4	1.3	21.1	12.3
Institutions under the justice system	100.0	24.5	4.9	1.3	4.8	12.1	6.3	13.5	32.6
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.12a. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	380,549	37,179	47,073	14,853	50,397	129,048	4,333	45,676	51,990
Timing of admission
New individuals	220,856	24,552	29,541	6,519	26,763	81,262	2,453	22,341	27,425
Continuing individuals	159,693	12,627	17,532	8,334	23,634	47,786	1,880	23,335	24,565
Mental health service setting³,⁴
State psychiatric hospital	10,093	440	189	97	1,729	1,792	313	4,588	945
Community-based program	368,867	35,719	46,694	14,720	49,172	126,413	4,171	42,833	49,145
Residential treatment center	4,737	405	200	113	693	1,070	63	1,339	854
Other psychiatric inpatient	25,633	1,474	1,498	374	4,543	8,506	339	6,242	2,657
Institutions under the justice system	7,865	1,497	394	103	400	1,013	563	1,204	2,691
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ Individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.12b. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Column percent, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Timing of admission
New individuals	58.0	66.0	62.8	43.9	53.1	63.0	56.6	48.9	52.8
Continuing individuals	42.0	34.0	37.2	56.1	46.9	37.0	43.4	51.1	47.2
Mental health service setting³,⁴
State psychiatric hospital	2.7	1.2	†	†	3.4	1.4	7.2	10.0	1.8
Community-based program	96.9	96.1	99.2	99.1	97.6	98.0	96.3	93.8	94.5
Residential treatment center	1.2	1.1	†	†	1.4	†	1.5	2.9	1.6
Other psychiatric inpatient	6.7	4.0	3.2	2.5	9.0	6.6	7.8	13.7	5.1
Institutions under the justice system	2.1	4.0	†	†	†	†	13.0	2.6	5.2
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ Percentages may not sum to 100 percent, because individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.12c. Individuals aged 18 to 24 years with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 18 to 24 years²	100.0	9.8	12.4	3.9	13.2	33.9	1.1	12.0	13.7
Timing of admission
New individuals	100.0	11.1	13.4	3.0	12.1	36.8	1.1	10.1	12.4
Continuing individuals	100.0	7.9	11.0	5.2	14.8	29.9	1.2	14.6	15.4
Mental health service setting³,⁴
State psychiatric hospital	100.0	4.4	1.9	†	17.1	17.8	3.1	45.5	9.4
Community-based program	100.0	9.7	12.7	4.0	13.3	34.3	1.1	11.6	13.3
Residential treatment center	100.0	8.5	4.2	2.4	14.6	22.6	1.3	28.3	18.0
Other psychiatric inpatient	100.0	5.8	5.8	1.5	17.7	33.2	1.3	24.4	10.4
Institutions under the justice system	100.0	19.0	5.0	1.3	5.1	12.9	7.2	15.3	34.2
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ Individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 3.13. Individuals aged 18 to 24 years, by mental health service setting and SMI status: Number and percent distribution, 2018
Mental health service setting	SMI status¹
	Number of individuals			Column percent of individuals			Row percent distribution of individuals
	Total	SMI	Not SMI	Total	SMI	Not SMI	Total	SMI	Not SMI
Total individuals aged 18 to 24 years	588,799	412,774	176,025	100.0	100.0	100.0	100.0	70.1	29.9
Mental health service setting²,³
State psychiatric hospital	12,615	11,189	1,426	2.1	2.7	†	100.0	88.7	11.3
Community-based program	573,158	399,615	173,543	97.3	96.8	98.6	100.0	69.7	30.3
Residential treatment center	6,158	4,973	1,185	1.0	1.2	†	100.0	80.8	19.2
Other psychiatric inpatient	34,186	26,780	7,406	5.8	6.5	4.2	100.0	78.3	21.7
Institutions under the justice system	9,796	8,596	1,200	1.7	2.1	†	100.0	87.8	12.2
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ The federal definition for SMI status can be found in Appendix D.
² Individuals could receive services in more than one mental health service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.1a. Individuals aged 25 to 54 years, by gender, age, race, ethnicity, education, veteran status, and SMI status: Number, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 25 to 54 years	2,558,630	2,668,971	2,447,157	2,662,746	2,748,726	2,831,082
Gender
Male	1,140,092	1,198,924	1,108,380	1,201,253	1,260,733	1,306,842
Female	1,416,613	1,466,001	1,335,446	1,454,755	1,479,627	1,518,595
Total	2,556,705	2,664,925	2,443,826	2,656,008	2,740,360	2,825,437
Age¹
25 to 34 years	888,048	934,775	870,301	970,525	1,039,064	1,091,760
35 to 39 years	383,178	406,379	388,512	435,995	467,430	494,186
40 to 49 years	843,251	857,903	759,874	803,374	803,331	815,101
50 to 54 years	444,153	469,914	428,470	452,852	438,901	430,035
Total	2,558,630	2,668,971	2,447,157	2,662,746	2,748,726	2,831,082
Race
American Indian or Alaska Native	27,952	32,991	33,940	35,422	37,927	42,440
Asian²	29,501	34,000	32,967	37,817	39,415	43,607
Black or African American	475,872	502,942	451,937	491,525	498,813	521,214
Native Hawaiian or Other Pacific Islander	6,407	6,852	7,444	8,348	5,935	7,178
White	1,679,857	1,736,676	1,577,075	1,721,495	1,763,177	1,824,351
Other	157,096	162,284	141,843	163,405	185,930	206,253
Total	2,376,685	2,475,745	2,245,206	2,458,012	2,531,197	2,645,043
Ethnicity
Not of Hispanic or Latino origin	1,864,413	1,918,453	1,739,420	1,873,069	2,122,681	2,184,247
Hispanic or Latino origin	250,298	265,246	257,265	289,042	312,087	322,753
Total	2,114,711	2,183,699	1,996,685	2,162,111	2,434,768	2,507,000
Specific Hispanic or Latino origin
Mexican	10,123	14,543	18,017	15,014	17,528	16,358
Puerto Rican	12,917	22,841	23,314	19,870	23,920	13,600
Cuban	4,420	4,243	4,257	3,869	3,773	3,716
Other specific	18,736	22,654	20,814	20,990	24,285	24,517
Total	46,196	64,281	66,402	59,743	69,506	58,191
Highest school grade completed
0 to 8	116,667	122,035	125,806	128,928	113,798	107,573
9 to 11	200,789	206,519	206,850	206,338	206,819	210,449
12 (or GED)	453,633	511,403	524,167	541,308	560,871	628,911
More than 12	197,179	229,392	239,127	252,844	297,725	329,891
Total	968,268	1,069,349	1,095,950	1,129,418	1,179,213	1,276,824
Veteran status
Veteran	n/c	n/c	n/c	n/c	29,928	26,951
Not a veteran	n/c	n/c	n/c	n/c	971,795	986,258
Total	n/c	n/c	n/c	n/c	1,001,723	1,013,209
SMI status³
SMI	1,695,602	1,802,197	1,658,579	1,767,390	1,861,640	1,973,914
Not SMI	659,682	683,562	638,759	697,206	679,194	681,038
Total	2,355,284	2,485,759	2,297,338	2,464,596	2,540,834	2,654,952
n/c Not collected.
GED = general equivalency diploma; SMI = serious mental illness.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
³ The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 4.1b. Individuals aged 25 to 54 years, by gender, age, race, ethnicity, education, veteran status, and SMI status: Column percent distribution, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 25 to 54 years	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	44.6	45.0	45.4	45.2	46.0	46.3
Female	55.4	55.0	54.6	54.8	54.0	53.7
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
25 to 34 years	34.7	35.0	35.6	36.4	37.8	38.6
35 to 39 years	15.0	15.2	15.9	16.4	17.0	17.5
40 to 49 years	33.0	32.1	31.1	30.2	29.2	28.8
50 to 54 years	17.4	17.6	17.5	17.0	16.0	15.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.2	1.3	1.5	1.4	1.5	1.6
Asian²	1.2	1.4	1.5	1.5	1.6	1.6
Black or African American	20.0	20.3	20.1	20.0	19.7	19.7
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	70.7	70.1	70.2	70.0	69.7	69.0
Other	6.6	6.6	6.3	6.6	7.3	7.8
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	88.2	87.9	87.1	86.6	87.2	87.1
Hispanic or Latino origin	11.8	12.1	12.9	13.4	12.8	12.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	21.9	22.6	27.1	25.1	25.2	28.1
Puerto Rican	28.0	35.5	35.1	33.3	34.4	23.4
Cuban	9.6	6.6	6.4	6.5	5.4	6.4
Other specific	40.6	35.2	31.3	35.1	34.9	42.1
Total	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	12.0	11.4	11.5	11.4	9.7	8.4
9 to 11	20.7	19.3	18.9	18.3	17.5	16.5
12 (or GED)	46.8	47.8	47.8	47.9	47.6	49.3
More than 12	20.4	21.5	21.8	22.4	25.2	25.8
Total	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	n/c	n/c	n/c	n/c	3.0	2.7
Not a veteran	n/c	n/c	n/c	n/c	97.0	97.3
Total	n/c	n/c	n/c	n/c	100.0	100.0
SMI status³
SMI	72.0	72.5	72.2	71.7	73.3	74.3
Not SMI	28.0	27.5	27.8	28.3	26.7	25.7
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals; n/c Not collected.
GED = general equivalency diploma; SMI = serious mental illness.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
³ The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 4.2a. Individuals aged 25 to 54 years with SMI, by gender, age, race, ethnicity, education, and veteran status: Number, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	44	47	45	46	46	47
Total individuals with SMI aged 25 to 54 years¹	1,695,602	1,802,197	1,658,579	1,767,390	1,861,640	1,973,914
Gender
Male	752,268	807,204	751,951	801,862	853,831	902,699
Female	942,396	992,790	904,921	963,473	1,005,824	1,069,201
Total	1,694,664	1,799,994	1,656,872	1,765,335	1,859,655	1,971,900
Age²
25 to 34 years	555,231	597,091	559,282	609,819	662,797	719,342
35 to 39 years	251,534	271,244	260,029	286,629	311,879	339,671
40 to 49 years	574,596	596,373	530,058	550,404	565,575	590,231
50 to 54 years	314,241	337,489	309,210	320,538	321,389	324,670
Total	1,695,602	1,802,197	1,658,579	1,767,390	1,861,640	1,973,914
Race
American Indian or Alaska Native	14,884	19,454	19,588	20,237	23,832	25,869
Asian³	21,725	25,822	24,596	26,567	29,440	32,823
Black or African American	338,659	358,061	330,499	344,882	357,445	384,904
Native Hawaiian or Other Pacific Islander	5,040	5,568	5,832	6,238	4,163	4,992
White	1,095,790	1,147,831	1,044,245	1,132,943	1,182,336	1,240,710
Other	110,467	119,873	106,572	117,635	147,698	166,823
Total	1,586,565	1,676,609	1,531,332	1,648,502	1,744,914	1,856,121
Ethnicity
Not of Hispanic or Latino origin	1,248,071	1,303,957	1,192,596	1,271,404	1,406,931	1,481,783
Hispanic or Latino origin	179,132	198,462	187,416	211,459	239,407	253,621
Total	1,427,203	1,502,419	1,380,012	1,482,863	1,646,338	1,735,404
Specific Hispanic or Latino origin
Mexican	6,688	10,186	12,705	10,396	12,488	11,937
Puerto Rican	9,824	15,876	15,893	13,969	15,855	11,013
Cuban	3,898	3,952	3,981	3,621	3,463	3,503
Other specific	14,404	17,661	16,315	16,066	18,751	19,519
Total	34,814	47,675	48,894	44,052	50,557	45,972
Highest school grade completed
0 to 8	68,957	73,791	72,283	76,393	79,665	76,695
9 to 11	138,507	150,991	148,858	155,151	165,255	170,168
12 (or GED)	297,602	356,801	363,653	393,499	429,055	490,256
More than 12	132,569	170,124	175,902	194,205	231,575	257,668
Total	637,635	751,707	760,696	819,248	905,550	994,787
Veteran status
Veteran	n/c	n/c	n/c	n/c	20,908	20,351
Not a veteran	n/c	n/c	n/c	n/c	641,461	724,366
Total	n/c	n/c	n/c	n/c	662,369	744,717
n/c Not collected.
GED = general equivalency diploma; SMI = serious mental illness.
¹ The federal definition for SMI status can be found in Appendix D.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 4.2b. Individuals aged 25 to 54 years with SMI, by gender, age, race, ethnicity, education, and veteran status: Column percent distribution, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	44	47	45	46	46	47
Total individuals with SMI aged 25 to 54 years¹	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	44.4	44.8	45.4	45.4	45.9	45.8
Female	55.6	55.2	54.6	54.6	54.1	54.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age²
25 to 34 years	32.7	33.1	33.7	34.5	35.6	36.4
35 to 39 years	14.8	15.1	15.7	16.2	16.8	17.2
40 to 49 years	33.9	33.1	32.0	31.1	30.4	29.9
50 to 54 years	18.5	18.7	18.6	18.1	17.3	16.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	†	1.2	1.3	1.2	1.4	1.4
Asian³	1.4	1.5	1.6	1.6	1.7	1.8
Black or African American	21.3	21.4	21.6	20.9	20.5	20.7
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	69.1	68.5	68.2	68.7	67.8	66.8
Other	7.0	7.1	7.0	7.1	8.5	9.0
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	87.4	86.8	86.4	85.7	85.5	85.4
Hispanic or Latino origin	12.6	13.2	13.6	14.3	14.5	14.6
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	19.2	21.4	26.0	23.6	24.7	26.0
Puerto Rican	28.2	33.3	32.5	31.7	31.4	24.0
Cuban	11.2	8.3	8.1	8.2	6.8	7.6
Other specific	41.4	37.0	33.4	36.5	37.1	42.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	10.8	9.8	9.5	9.3	8.8	7.7
9 to 11	21.7	20.1	19.6	18.9	18.2	17.1
12 (or GED)	46.7	47.5	47.8	48.0	47.4	49.3
More than 12	20.8	22.6	23.1	23.7	25.6	25.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	n/c	n/c	n/c	n/c	3.2	2.7
Not a veteran	n/c	n/c	n/c	n/c	96.8	97.3
Total	n/c	n/c	n/c	n/c	100.0	100.0
† Less than 1 percent of individuals; n/c Not collected.
GED = general equivalency diploma; SMI = serious mental illness.
¹ The federal definition for SMI status can be found in Appendix D.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 4.3a. Individuals aged 25 to 54 years, by mental health diagnosis, gender, race, and ethnicity: Number, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	2,476,907	276,239	311,401	41,662	398,050	729,056	30,448	405,426	284,625
Gender
Male	1,113,169	102,542	114,675	20,851	155,689	279,108	14,559	268,615	157,130
Female	1,360,144	173,225	196,315	20,746	241,745	448,982	15,849	136,410	126,872
Total	2,473,313	275,767	310,990	41,597	397,434	728,090	30,408	405,025	284,002
Race
American Indian or Alaska Native	37,873	5,858	5,723	553	4,064	10,274	451	4,533	6,417
Asian²	37,788	3,976	3,787	503	3,754	10,170	330	11,380	3,888
Black or African American	451,298	43,770	30,528	3,290	65,671	131,950	6,207	128,184	41,698
Native Hawaiian or Other Pacific Islander	6,618	1,092	909	103	755	1,797	66	1,297	599
White	1,599,860	180,863	229,170	32,491	284,062	478,100	19,884	199,345	175,945
Other	189,023	18,956	18,867	1,757	23,738	56,952	1,803	37,175	29,775
Total	2,322,460	254,515	288,984	38,697	382,044	689,243	28,741	381,914	258,322
Ethnicity
Not of Hispanic or Latino origin	1,911,723	214,814	235,084	32,752	325,832	564,706	24,952	312,064	201,519
Hispanic or Latino origin	283,126	30,439	32,033	2,602	36,867	87,583	2,505	50,283	40,814
Total	2,194,849	245,253	267,117	35,354	362,699	652,289	27,457	362,347	242,333
Specific Hispanic or Latino origin
Mexican	15,702	2,912	1,869	146	1,994	4,879	125	2,134	1,643
Puerto Rican	11,747	1,297	998	94	2,027	3,716	108	2,429	1,078
Cuban	3,359	296	294	35	543	994	14	713	470
Other specific	22,415	3,445	2,475	247	3,164	6,764	175	3,784	2,361
Total	53,223	7,950	5,636	522	7,728	16,353	422	9,060	5,552
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.3b. Individuals aged 25 to 54 years, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	45.0	37.2	36.9	50.1	39.2	38.3	47.9	66.3	55.3
Female	55.0	62.8	63.1	49.9	60.8	61.7	52.1	33.7	44.7
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.6	2.3	2.0	1.4	1.1	1.5	1.6	1.2	2.5
Asian²	1.6	1.6	1.3	1.3	†	1.5	1.1	3.0	1.5
Black or African American	19.4	17.2	10.6	8.5	17.2	19.1	21.6	33.6	16.1
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†	†	†	†
White	68.9	71.1	79.3	84.0	74.4	69.4	69.2	52.2	68.1
Other	8.1	7.4	6.5	4.5	6.2	8.3	6.3	9.7	11.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	87.1	87.6	88.0	92.6	89.8	86.6	90.9	86.1	83.2
Hispanic or Latino origin	12.9	12.4	12.0	7.4	10.2	13.4	9.1	13.9	16.8
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	29.5	36.6	33.2	28.0	25.8	29.8	29.6	23.6	29.6
Puerto Rican	22.1	16.3	17.7	18.0	26.2	22.7	25.6	26.8	19.4
Cuban	6.3	3.7	5.2	6.7	7.0	6.1	3.3	7.9	8.5
Other specific	42.1	43.3	43.9	47.3	40.9	41.4	41.5	41.8	42.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.3c. Individuals aged 25 to 54 years, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	100.0	11.2	12.6	1.7	16.1	29.4	1.2	16.4	11.5
Gender
Male	100.0	9.2	10.3	1.9	14.0	25.1	1.3	24.1	14.1
Female	100.0	12.7	14.4	1.5	17.8	33.0	1.2	10.0	9.3
Total	100.0	11.1	12.6	1.7	16.1	29.4	1.2	16.4	11.5
Race
American Indian or Alaska Native	100.0	15.5	15.1	1.5	10.7	27.1	1.2	12.0	16.9
Asian²	100.0	10.5	10.0	1.3	9.9	26.9	†	30.1	10.3
Black or African American	100.0	9.7	6.8	†	14.6	29.2	1.4	28.4	9.2
Native Hawaiian or Other Pacific Islander	100.0	16.5	13.7	1.6	11.4	27.2	†	19.6	9.1
White	100.0	11.3	14.3	2.0	17.8	29.9	1.2	12.5	11.0
Other	100.0	10.0	10.0	†	12.6	30.1	†	19.7	15.8
Total	100.0	11.0	12.4	1.7	16.4	29.7	1.2	16.4	11.1
Ethnicity
Not of Hispanic or Latino origin	100.0	11.2	12.3	1.7	17.0	29.5	1.3	16.3	10.5
Hispanic or Latino origin	100.0	10.8	11.3	†	13.0	30.9	†	17.8	14.4
Total	100.0	11.2	12.2	1.6	16.5	29.7	1.3	16.5	11.0
Specific Hispanic or Latino origin
Mexican	100.0	18.5	11.9	†	12.7	31.1	†	13.6	10.5
Puerto Rican	100.0	11.0	8.5	†	17.3	31.6	†	20.7	9.2
Cuban	100.0	8.8	8.8	1.0	16.2	29.6	†	21.2	14.0
Other specific	100.0	15.4	11.0	1.1	14.1	30.2	†	16.9	10.5
Total	100.0	14.9	10.6	†	14.5	30.7	†	17.0	10.4
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.4a. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, gender, race, and ethnicity: Number, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	1,848,515	152,970	186,603	17,206	338,814	592,722	21,997	370,975	167,228
Gender
Male	837,084	54,671	68,005	8,577	132,135	225,624	10,364	246,050	91,658
Female	1,009,582	98,164	118,481	8,611	206,336	366,593	11,623	124,616	75,158
Total	1,846,666	152,835	186,486	17,188	338,471	592,217	21,987	370,666	166,816
Race
American Indian or Alaska Native	24,779	3,403	3,227	233	3,276	7,313	292	3,890	3,145
Asian³	31,346	2,526	2,516	220	3,451	8,651	222	10,878	2,882
Black or African American	359,915	21,461	17,929	1,289	58,276	113,494	4,947	118,121	24,398
Native Hawaiian or Other Pacific Islander	4,763	646	465	41	617	1,348	40	1,217	389
White	1,158,357	99,506	134,345	13,150	239,265	380,272	13,970	180,299	97,550
Other	158,811	12,804	13,663	790	21,319	50,707	1,455	35,286	22,787
Total	1,737,971	140,346	172,145	15,723	326,204	561,785	20,926	349,691	151,151
Ethnicity
Not of Hispanic or Latino origin	1,391,995	111,222	132,225	11,668	275,238	449,512	18,056	283,524	110,550
Hispanic or Latino origin	231,633	20,032	20,386	1,102	33,148	76,477	1,950	47,664	30,874
Total	1,623,628	131,254	152,611	12,770	308,386	525,989	20,006	331,188	141,424
Specific Hispanic or Latino origin
Mexican	11,773	1,755	953	60	1,837	4,511	79	1,968	610
Puerto Rican	10,140	878	794	60	1,934	3,446	80	2,349	599
Cuban	3,179	256	260	29	533	964	10	700	427
Other specific	18,502	2,290	1,633	149	2,985	6,338	130	3,613	1,364
Total	43,594	5,179	3,640	298	7,289	15,259	299	8,630	3,000
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.4b. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	45.3	35.8	36.5	49.9	39.0	38.1	47.1	66.4	54.9
Female	54.7	64.2	63.5	50.1	61.0	61.9	52.9	33.6	45.1
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.4	2.4	1.9	1.5	1.0	1.3	1.4	1.1	2.1
Asian³	1.8	1.8	1.5	1.4	1.1	1.5	1.1	3.1	1.9
Black or African American	20.7	15.3	10.4	8.2	17.9	20.2	23.6	33.8	16.1
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†	†	†	†
White	66.6	70.9	78.0	83.6	73.3	67.7	66.8	51.6	64.5
Other	9.1	9.1	7.9	5.0	6.5	9.0	7.0	10.1	15.1
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	85.7	84.7	86.6	91.4	89.3	85.5	90.3	85.6	78.2
Hispanic or Latino origin	14.3	15.3	13.4	8.6	10.7	14.5	9.7	14.4	21.8
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	27.0	33.9	26.2	20.1	25.2	29.6	26.4	22.8	20.3
Puerto Rican	23.3	17.0	21.8	20.1	26.5	22.6	26.8	27.2	20.0
Cuban	7.3	4.9	7.1	9.7	7.3	6.3	3.3	8.1	14.2
Other specific	42.4	44.2	44.9	50.0	41.0	41.5	43.5	41.9	45.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.4c. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	100.0	8.3	10.1	†	18.3	32.1	1.2	20.1	9.0
Gender
Male	100.0	6.5	8.1	1.0	15.8	27.0	1.2	29.4	10.9
Female	100.0	9.7	11.7	†	20.4	36.3	1.2	12.3	7.4
Total	100.0	8.3	10.1	†	18.3	32.1	1.2	20.1	9.0
Race
American Indian or Alaska Native	100.0	13.7	13.0	†	13.2	29.5	1.2	15.7	12.7
Asian³	100.0	8.1	8.0	†	11.0	27.6	†	34.7	9.2
Black or African American	100.0	6.0	5.0	†	16.2	31.5	1.4	32.8	6.8
Native Hawaiian or Other Pacific Islander	100.0	13.6	9.8	†	13.0	28.3	†	25.6	8.2
White	100.0	8.6	11.6	1.1	20.7	32.8	1.2	15.6	8.4
Other	100.0	8.1	8.6	†	13.4	31.9	†	22.2	14.3
Total	100.0	8.1	9.9	†	18.8	32.3	1.2	20.1	8.7
Ethnicity
Not of Hispanic or Latino origin	100.0	8.0	9.5	†	19.8	32.3	1.3	20.4	7.9
Hispanic or Latino origin	100.0	8.6	8.8	†	14.3	33.0	†	20.6	13.3
Total	100.0	8.1	9.4	†	19.0	32.4	1.2	20.4	8.7
Specific Hispanic or Latino origin
Mexican	100.0	14.9	8.1	†	15.6	38.3	†	16.7	5.2
Puerto Rican	100.0	8.7	7.8	†	19.1	34.0	†	23.2	5.9
Cuban	100.0	8.1	8.2	†	16.8	30.3	†	22.0	13.4
Other specific	100.0	12.4	8.8	†	16.1	34.3	†	19.5	7.4
Total	100.0	11.9	8.3	†	16.7	35.0	†	19.8	6.9
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.5a. Individuals aged 25 to 54 years, by mental health diagnosis, education, and marital status: Number, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	2,476,907	276,239	311,401	41,662	398,050	729,056	30,448	405,426	284,625
Highest school grade completed
0 to 8	101,437	13,743	14,337	2,130	13,414	28,445	1,221	17,029	11,118
9 to 11	195,027	19,714	17,483	1,827	33,879	57,173	3,195	44,945	16,811
12 (or GED)	587,601	65,529	65,895	8,598	103,462	180,492	7,916	99,998	55,711
More than 12	312,084	39,689	39,679	5,452	60,454	99,679	4,072	39,300	23,759
Total	1,196,149	138,675	137,394	18,007	211,209	365,789	16,404	201,272	107,399
Marital status
Never married	824,352	75,910	80,419	12,671	140,516	233,858	8,855	182,491	89,632
Currently married	227,144	31,042	29,693	3,256	41,892	80,389	2,263	19,339	19,270
Separated	97,733	12,610	9,603	890	20,427	35,019	899	10,427	7,858
Divorced	204,661	24,524	19,829	2,006	44,828	70,756	2,170	24,285	16,263
Widowed	26,227	2,988	2,858	220	4,987	9,863	219	2,666	2,426
Total	1,380,117	147,074	142,402	19,043	252,650	429,885	14,406	239,208	135,449
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.5b. Individuals aged 25 to 54 years, by mental health diagnosis, education, and marital status: Column percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	8.5	9.9	10.4	11.8	6.4	7.8	7.4	8.5	10.4
9 to 11	16.3	14.2	12.7	10.1	16.0	15.6	19.5	22.3	15.7
12 (or GED)	49.1	47.3	48.0	47.7	49.0	49.3	48.3	49.7	51.9
More than 12	26.1	28.6	28.9	30.3	28.6	27.3	24.8	19.5	22.1
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Marital status
Never married	59.7	51.6	56.5	66.5	55.6	54.4	61.5	76.3	66.2
Currently married	16.5	21.1	20.9	17.1	16.6	18.7	15.7	8.1	14.2
Separated	7.1	8.6	6.7	4.7	8.1	8.1	6.2	4.4	5.8
Divorced	14.8	16.7	13.9	10.5	17.7	16.5	15.1	10.2	12.0
Widowed	1.9	2.0	2.0	1.2	2.0	2.3	1.5	1.1	1.8
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.5c. Individuals aged 25 to 54 years, by mental health diagnosis, education, and marital status: Row percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	100.0	11.2	12.6	1.7	16.1	29.4	1.2	16.4	11.5
Highest school grade completed
0 to 8	100.0	13.5	14.1	2.1	13.2	28.0	1.2	16.8	11.0
9 to 11	100.0	10.1	9.0	†	17.4	29.3	1.6	23.0	8.6
12 (or GED)	100.0	11.2	11.2	1.5	17.6	30.7	1.3	17.0	9.5
More than 12	100.0	12.7	12.7	1.7	19.4	31.9	1.3	12.6	7.6
Total	100.0	11.6	11.5	1.5	17.7	30.6	1.4	16.8	9.0
Marital status
Never married	100.0	9.2	9.8	1.5	17.0	28.4	1.1	22.1	10.9
Currently married	100.0	13.7	13.1	1.4	18.4	35.4	†	8.5	8.5
Separated	100.0	12.9	9.8	†	20.9	35.8	†	10.7	8.0
Divorced	100.0	12.0	9.7	†	21.9	34.6	1.1	11.9	7.9
Widowed	100.0	11.4	10.9	†	19.0	37.6	†	10.2	9.3
Total	100.0	10.7	10.3	1.4	18.3	31.1	1.0	17.3	9.8
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.6a. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, education, and marital status: Number, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	1,848,515	152,970	186,603	17,206	338,814	592,722	21,997	370,975	167,228
Highest school grade completed
0 to 8	73,890	9,200	8,435	835	11,511	22,397	944	15,621	4,947
9 to 11	162,279	13,730	11,767	937	30,970	50,480	2,803	42,463	9,129
12 (or GED)	469,342	43,334	41,885	4,066	94,376	157,792	6,653	93,817	27,419
More than 12	249,244	26,050	25,542	2,507	55,339	87,295	3,353	36,898	12,260
Total	954,755	92,314	87,629	8,345	192,196	317,964	13,753	188,799	53,755
Marital status
Never married	642,727	38,522	50,526	4,440	126,491	205,788	7,043	170,169	39,748
Currently married	169,815	16,599	18,424	1,280	36,918	68,062	1,813	17,636	9,083
Separated	78,460	7,011	6,745	334	18,757	31,395	705	9,776	3,737
Divorced	165,766	15,119	13,672	838	41,125	62,371	1,733	22,570	8,338
Widowed	19,344	1,842	1,526	73	4,089	8,313	158	2,428	915
Total	1,076,112	79,093	90,893	6,965	227,380	375,929	11,452	222,579	61,821
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.6b. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, education, and marital status: Column percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	7.7	10.0	9.6	10.0	6.0	7.0	6.9	8.3	9.2
9 to 11	17.0	14.9	13.4	11.2	16.1	15.9	20.4	22.5	17.0
12 (or GED)	49.2	46.9	47.8	48.7	49.1	49.6	48.4	49.7	51.0
More than 12	26.1	28.2	29.1	30.0	28.8	27.5	24.4	19.5	22.8
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Marital status
Never married	59.7	48.7	55.6	63.7	55.6	54.7	61.5	76.5	64.3
Currently married	15.8	21.0	20.3	18.4	16.2	18.1	15.8	7.9	14.7
Separated	7.3	8.9	7.4	4.8	8.2	8.4	6.2	4.4	6.0
Divorced	15.4	19.1	15.0	12.0	18.1	16.6	15.1	10.1	13.5
Widowed	1.8	2.3	1.7	1.0	1.8	2.2	1.4	1.1	1.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.6c. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, education, and marital status: Row percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	100.0	8.3	10.1	†	18.3	32.1	1.2	20.1	9.0
Highest school grade completed
0 to 8	100.0	12.5	11.4	1.1	15.6	30.3	1.3	21.1	6.7
9 to 11	100.0	8.5	7.3	†	19.1	31.1	1.7	26.2	5.6
12 (or GED)	100.0	9.2	8.9	†	20.1	33.6	1.4	20.0	5.8
More than 12	100.0	10.5	10.2	1.0	22.2	35.0	1.3	14.8	4.9
Total	100.0	9.7	9.2	†	20.1	33.3	1.4	19.8	5.6
Marital status
Never married	100.0	6.0	7.9	†	19.7	32.0	1.1	26.5	6.2
Currently married	100.0	9.8	10.8	†	21.7	40.1	1.1	10.4	5.3
Separated	100.0	8.9	8.6	†	23.9	40.0	†	12.5	4.8
Divorced	100.0	9.1	8.2	†	24.8	37.6	1.0	13.6	5.0
Widowed	100.0	9.5	7.9	†	21.1	43.0	†	12.6	4.7
Total	100.0	7.3	8.4	†	21.1	34.9	1.1	20.7	5.7
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.7a. Individuals aged 25 to 54 years, by mental health diagnosis, living arrangement, SMI status, and veteran status: Number, 2018
Living arrangement, SMI status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	2,476,907	276,239	311,401	41,662	398,050	729,056	30,448	405,426	284,625
Living arrangement
Homeless	103,214	10,677	6,654	571	16,483	28,713	1,236	22,855	16,025
Foster home/foster care	5,362	409	602	125	538	862	106	1,502	1,218
Residential care	60,916	2,885	3,080	468	8,582	10,434	621	24,450	10,396
Institutional setting	21,287	1,083	1,025	134	2,520	3,172	540	10,017	2,796
Jail/correctional facility	38,006	6,922	2,838	250	3,900	6,427	3,207	7,530	6,932
Private residence	1,244,616	135,442	145,140	19,227	217,113	383,601	14,690	200,993	128,410
Other	46,788	8,269	7,652	905	5,456	11,501	341	6,986	5,678
Total	1,520,189	165,687	166,991	21,680	254,592	444,710	20,741	274,333	171,455
SMI status²
SMI	1,848,515	152,970	186,603	17,206	338,814	592,722	21,997	370,975	167,228
Not SMI	525,651	109,826	102,406	21,339	49,999	110,035	7,164	27,003	97,879
Total	2,374,166	262,796	289,009	38,545	388,813	702,757	29,161	397,978	265,107
Veteran status
Veteran	24,580	3,938	2,343	335	3,935	7,218	208	4,483	2,120
Not a veteran	913,104	109,620	103,437	12,956	148,416	268,959	8,551	146,548	114,617
Total	937,684	113,558	105,780	13,291	152,351	276,177	8,759	151,031	116,737
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.7b. Individuals aged 25 to 54 years, by mental health diagnosis, living arrangement, SMI status, and veteran status: Column percent distribution, 2018
Living arrangement, SMI status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Living arrangement
Homeless	6.8	6.4	4.0	2.6	6.5	6.5	6.0	8.3	9.3
Foster home/foster care	†	†	†	†	†	†	†	†	†
Residential care	4.0	1.7	1.8	2.2	3.4	2.3	3.0	8.9	6.1
Institutional setting	1.4	†	†	†	†	†	2.6	3.7	1.6
Jail/correctional facility	2.5	4.2	1.7	1.2	1.5	1.4	15.5	2.7	4.0
Private residence	81.9	81.7	86.9	88.7	85.3	86.3	70.8	73.3	74.9
Other	3.1	5.0	4.6	4.2	2.1	2.6	1.6	2.5	3.3
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
SMI status²
SMI	77.9	58.2	64.6	44.6	87.1	84.3	75.4	93.2	63.1
Not SMI	22.1	41.8	35.4	55.4	12.9	15.7	24.6	6.8	36.9
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	2.6	3.5	2.2	2.5	2.6	2.6	2.4	3.0	1.8
Not a veteran	97.4	96.5	97.8	97.5	97.4	97.4	97.6	97.0	98.2
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.7c. Individuals aged 25 to 54 years, by mental health diagnosis, living arrangement, SMI status, and veteran status: Row percent distribution, 2018
Living arrangement, SMI status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	100.0	11.2	12.6	1.7	16.1	29.4	1.2	16.4	11.5
Living arrangement
Homeless	100.0	10.3	6.4	†	16.0	27.8	1.2	22.1	15.5
Foster home/foster care	100.0	7.6	11.2	2.3	10.0	16.1	2.0	28.0	22.7
Residential care	100.0	4.7	5.1	†	14.1	17.1	1.0	40.1	17.1
Institutional setting	100.0	5.1	4.8	†	11.8	14.9	2.5	47.1	13.1
Jail/correctional facility	100.0	18.2	7.5	†	10.3	16.9	8.4	19.8	18.2
Private residence	100.0	10.9	11.7	1.5	17.4	30.8	1.2	16.1	10.3
Other	100.0	17.7	16.4	1.9	11.7	24.6	†	14.9	12.1
Total	100.0	10.9	11.0	1.4	16.7	29.3	1.4	18.0	11.3
SMI status²
SMI	100.0	8.3	10.1	†	18.3	32.1	1.2	20.1	9.0
Not SMI	100.0	20.9	19.5	4.1	9.5	20.9	1.4	5.1	18.6
Total	100.0	11.1	12.2	1.6	16.4	29.6	1.2	16.8	11.2
Veteran status
Veteran	100.0	16.0	9.5	1.4	16.0	29.4	†	18.2	8.6
Not a veteran	100.0	12.0	11.3	1.4	16.3	29.5	†	16.0	12.6
Total	100.0	12.1	11.3	1.4	16.2	29.5	†	16.1	12.4
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.8a. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, living arrangement, and veteran status: Number, 2018
Living arrangement and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	1,848,515	152,970	186,603	17,206	338,814	592,722	21,997	370,975	167,228
Living arrangement
Homeless	87,984	8,104	4,681	295	15,057	25,724	1,001	21,480	11,642
Foster home/foster care	3,396	268	291	41	367	615	85	1,288	441
Residential care	51,762	2,003	2,093	225	8,035	9,414	542	23,586	5,864
Institutional setting	16,056	698	666	76	1,923	2,207	306	8,782	1,398
Jail/correctional facility	28,494	3,449	2,027	128	3,420	5,352	3,048	6,902	4,168
Private residence	1,000,892	90,672	93,090	9,012	197,605	333,077	11,932	189,605	75,899
Other	37,182	4,492	6,355	138	5,090	10,599	284	6,566	3,658
Total	1,225,766	109,686	109,203	9,915	231,497	386,988	17,198	258,209	103,070
Veteran status
Veteran	19,950	2,787	1,478	143	3,589	6,493	165	4,239	1,056
Not a veteran	705,573	72,882	62,330	5,384	132,629	234,169	6,750	134,722	56,707
Total	725,523	75,669	63,808	5,527	136,218	240,662	6,915	138,961	57,763
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.8b. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, living arrangement, and veteran status: Column percent distribution, 2018
Living arrangement and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Living arrangement
Homeless	7.2	7.4	4.3	3.0	6.5	6.6	5.8	8.3	11.3
Foster home/foster care	†	†	†	†	†	†	†	†	†
Residential care	4.2	1.8	1.9	2.3	3.5	2.4	3.2	9.1	5.7
Institutional setting	1.3	†	†	†	†	†	1.8	3.4	1.4
Jail/correctional facility	2.3	3.1	1.9	1.3	1.5	1.4	17.7	2.7	4.0
Private residence	81.7	82.7	85.2	90.9	85.4	86.1	69.4	73.4	73.6
Other	3.0	4.1	5.8	1.4	2.2	2.7	1.7	2.5	3.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	2.7	3.7	2.3	2.6	2.6	2.7	2.4	3.1	1.8
Not a veteran	97.3	96.3	97.7	97.4	97.4	97.3	97.6	96.9	98.2
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.8c. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, living arrangement, and veteran status: Row percent distribution, 2018
Living arrangement and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged  25 to 54 years²	100.0	8.3	10.1	†	18.3	32.1	1.2	20.1	9.0
Living arrangement
Homeless	100.0	9.2	5.3	†	17.1	29.2	1.1	24.4	13.2
Foster home/foster care	100.0	7.9	8.6	1.2	10.8	18.1	2.5	37.9	13.0
Residential care	100.0	3.9	4.0	†	15.5	18.2	1.0	45.6	11.3
Institutional setting	100.0	4.3	4.1	†	12.0	13.7	1.9	54.7	8.7
Jail/correctional facility	100.0	12.1	7.1	†	12.0	18.8	10.7	24.2	14.6
Private residence	100.0	9.1	9.3	†	19.7	33.3	1.2	18.9	7.6
Other	100.0	12.1	17.1	†	13.7	28.5	†	17.7	9.8
Total	100.0	8.9	8.9	†	18.9	31.6	1.4	21.1	8.4
Veteran status
Veteran	100.0	14.0	7.4	†	18.0	32.5	†	21.2	5.3
Not a veteran	100.0	10.3	8.8	†	18.8	33.2	†	19.1	8.0
Total	100.0	10.4	8.8	†	18.8	33.2	†	19.2	8.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.9a. Individuals aged 25 to 54 years, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Number, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	2,476,907	276,239	311,401	41,662	398,050	729,056	30,448	405,426	284,625
Employment status
Employed	348,291	50,051	53,252	8,219	54,593	114,711	4,397	27,904	35,164
Full time	183,124	31,503	33,627	5,401	22,137	57,218	2,744	9,979	20,515
Part time	113,256	14,803	15,480	2,176	18,166	35,944	1,417	12,319	12,951
Unemployed	420,435	45,974	41,679	4,632	75,253	140,141	4,160	62,575	46,021
Not in labor force (see detail below)	571,672	53,137	57,882	7,060	104,447	157,168	7,866	130,318	53,794
Total	1,340,398	149,162	152,813	19,911	234,293	412,020	16,423	220,797	134,979
Detailed not in labor force
Total individuals aged 25 to 54 years not in labor force	571,672	53,137	57,882	7,060	104,447	157,168	7,866	130,318	53,794
Disabled	293,779	21,594	22,979	2,258	56,976	73,030	4,559	85,665	26,718
Retired	3,300	401	270	17	491	958	36	714	413
Student	20,736	2,388	2,562	641	2,660	5,444	160	3,162	3,719
Homemaker	32,410	5,255	5,202	354	4,789	11,695	317	1,911	2,887
Sheltered/non-competitive employment	8,579	647	698	143	1,102	1,858	34	1,631	2,466
Other	212,868	22,852	26,171	3,647	38,429	64,183	2,760	37,235	17,591
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTES: Employed includes “full-time/part-time not differentiated,” which is not presented separately; total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.9b. Individuals aged 25 to 54 years, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Column percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Employment status
Employed	26.0	33.6	34.8	41.3	23.3	27.8	26.8	12.6	26.1
Full time	13.7	21.1	22.0	27.1	9.4	13.9	16.7	4.5	15.2
Part time	8.4	9.9	10.1	10.9	7.8	8.7	8.6	5.6	9.6
Unemployed	31.4	30.8	27.3	23.3	32.1	34.0	25.3	28.3	34.1
Not in labor force (see detail below)	42.6	35.6	37.9	35.5	44.6	38.1	47.9	59.0	39.9
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Detailed not in labor force
Total individuals aged 25 to 54 years not in labor force	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Disabled	51.4	40.6	39.7	32.0	54.6	46.5	58.0	65.7	49.7
Retired	†	†	†	†	†	†	†	†	†
Student	3.6	4.5	4.4	9.1	2.5	3.5	2.0	2.4	6.9
Homemaker	5.7	9.9	9.0	5.0	4.6	7.4	4.0	1.5	5.4
Sheltered/non-competitive employment	1.5	1.2	1.2	2.0	1.1	1.2	†	1.3	4.6
Other	37.2	43.0	45.2	51.7	36.8	40.8	35.1	28.6	32.7
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.9c. Individuals aged 25 to 54 years, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Row percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	100.0	11.2	12.6	1.7	16.1	29.4	1.2	16.4	11.5
Employment status
Employed	100.0	14.4	15.3	2.4	15.7	32.9	1.3	8.0	10.1
Full time	100.0	17.2	18.4	2.9	12.1	31.2	1.5	5.4	11.2
Part time	100.0	13.1	13.7	1.9	16.0	31.7	1.3	10.9	11.4
Unemployed	100.0	10.9	9.9	1.1	17.9	33.3	†	14.9	10.9
Not in labor force (see detail below)	100.0	9.3	10.1	1.2	18.3	27.5	1.4	22.8	9.4
Total	100.0	11.1	11.4	1.5	17.5	30.7	1.2	16.5	10.1
Detailed not in labor force
Total individuals aged 25 to 54 years not in labor force	100.0	9.3	10.1	1.2	18.3	27.5	1.4	22.8	9.4
Disabled	100.0	7.4	7.8	†	19.4	24.9	1.6	29.2	9.1
Retired	100.0	12.2	8.2	†	14.9	29.0	1.1	21.6	12.5
Student	100.0	11.5	12.4	3.1	12.8	26.3	†	15.2	17.9
Homemaker	100.0	16.2	16.1	1.1	14.8	36.1	†	5.9	8.9
Sheltered/non-competitive employment	100.0	7.5	8.1	1.7	12.8	21.7	†	19.0	28.7
Other	100.0	10.7	12.3	1.7	18.1	30.2	1.3	17.5	8.3
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.10a. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Number, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged  25 to 54 years²	1,848,515	152,970	186,603	17,206	338,814	592,722	21,997	370,975	167,228
Employment status
Employed	259,467	30,341	33,021	3,857	48,610	96,575	3,411	25,725	17,927
Full time	126,792	18,948	20,730	2,610	18,388	45,277	2,090	8,690	10,059
Part time	88,402	9,717	10,600	1,066	16,245	31,050	1,134	11,521	7,069
Unemployed	339,105	31,040	27,730	2,269	68,638	123,518	3,195	58,502	24,213
Not in labor force (see detail below)	469,077	37,902	38,609	3,445	94,993	136,256	6,628	122,783	28,461
Total	1,067,649	99,283	99,360	9,571	212,241	356,349	13,234	207,010	70,601
Detailed not in labor force
Total individuals with SMI aged 25 to 54 years not in labor force	469,077	37,902	38,609	3,445	94,993	136,256	6,628	122,783	28,461
Disabled	251,326	16,915	16,724	1,344	52,181	64,528	4,061	81,204	14,369
Retired	2,783	309	181	10	468	850	23	680	262
Student	17,047	1,656	1,730	318	2,453	4,944	137	3,053	2,756
Homemaker	25,443	3,497	3,604	198	4,342	9,938	268	1,792	1,804
Sheltered/non-competitive employment	6,303	539	481	65	1,009	1,682	26	1,498	1,003
Other	166,175	14,986	15,889	1,510	34,540	54,314	2,113	34,556	8,267
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTES: Employed includes “full-time/part-time not differentiated,” which is not presented separately; total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.10b. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Column percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Employment status
Employed	24.3	30.6	33.2	40.3	22.9	27.1	25.8	12.4	25.4
Full time	11.9	19.1	20.9	27.3	8.7	12.7	15.8	4.2	14.2
Part time	8.3	9.8	10.7	11.1	7.7	8.7	8.6	5.6	10.0
Unemployed	31.8	31.3	27.9	23.7	32.3	34.7	24.1	28.3	34.3
Not in labor force (see detail below)	43.9	38.2	38.9	36.0	44.8	38.2	50.1	59.3	40.3
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Detailed not in labor force
Total individuals with SMI aged 25 to 54 years  not in labor force	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Disabled	53.6	44.6	43.3	39.0	54.9	47.4	61.3	66.1	50.5
Retired	†	†	†	†	†	†	†	†	†
Student	3.6	4.4	4.5	9.2	2.6	3.6	2.1	2.5	9.7
Homemaker	5.4	9.2	9.3	5.7	4.6	7.3	4.0	1.5	6.3
Sheltered/non-competitive employment	1.3	1.4	1.2	1.9	1.1	1.2	†	1.2	3.5
Other	35.4	39.5	41.2	43.8	36.4	39.9	31.9	28.1	29.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.10c. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Row percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	100.0	8.3	10.1	†	18.3	32.1	1.2	20.1	9.0
Employment status
Employed	100.0	11.7	12.7	1.5	18.7	37.2	1.3	9.9	6.9
Full time	100.0	14.9	16.3	2.1	14.5	35.7	1.6	6.9	7.9
Part time	100.0	11.0	12.0	1.2	18.4	35.1	1.3	13.0	8.0
Unemployed	100.0	9.2	8.2	†	20.2	36.4	†	17.3	7.1
Not in labor force (see detail below)	100.0	8.1	8.2	†	20.3	29.0	1.4	26.2	6.1
Total	100.0	9.3	9.3	†	19.9	33.4	1.2	19.4	6.6
Detailed not in labor force
Total individuals with SMI aged 25 to 54 years  not in labor force	100.0	8.1	8.2	†	20.3	29.0	1.4	26.2	6.1
Disabled	100.0	6.7	6.7	†	20.8	25.7	1.6	32.3	5.7
Retired	100.0	11.1	6.5	†	16.8	30.5	†	24.4	9.4
Student	100.0	9.7	10.1	1.9	14.4	29.0	†	17.9	16.2
Homemaker	100.0	13.7	14.2	†	17.1	39.1	1.1	7.0	7.1
Sheltered/non-competitive employment	100.0	8.6	7.6	1.0	16.0	26.7	†	23.8	15.9
Other	100.0	9.0	9.6	†	20.8	32.7	1.3	20.8	5.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.11a. Individuals aged 25 to 54 years, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	2,476,907	276,239	311,401	41,662	398,050	729,056	30,448	405,426	284,625
Timing of admission
New individuals	1,271,179	172,666	181,656	21,660	173,495	395,846	14,750	144,101	167,005
Continuing individuals	1,205,728	103,573	129,745	20,002	224,555	333,210	15,698	261,325	117,620
Mental health service setting²,³
State psychiatric hospital	64,656	2,217	1,192	155	10,095	8,013	2,038	34,470	6,476
Community-based program	2,412,139	271,414	309,655	41,515	390,323	716,767	29,347	381,608	271,510
Residential treatment center	24,181	1,415	1,089	167	3,176	4,708	252	9,001	4,373
Other psychiatric inpatient	131,186	7,960	8,793	732	25,545	39,054	1,587	35,296	12,219
Institutions under the justice system	40,067	7,584	2,052	106	2,332	4,832	3,479	8,535	11,147
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.11b. Individuals aged 25 to 54 years, by mental health diagnosis, timing of admission, and mental health service setting: Column percent, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Timing of admission
New individuals	51.3	62.5	58.3	52.0	43.6	54.3	48.4	35.5	58.7
Continuing individuals	48.7	37.5	41.7	48.0	56.4	45.7	51.6	64.5	41.3
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Mental health service setting²,³
State psychiatric hospital	2.6	†	†	†	2.5	1.1	6.7	8.5	2.3
Community-based program	97.4	98.3	99.4	99.6	98.1	98.3	96.4	94.1	95.4
Residential treatment center	†	†	†	†	†	†	†	2.2	1.5
Other psychiatric inpatient	5.3	2.9	2.8	1.8	6.4	5.4	5.2	8.7	4.3
Institutions under the justice system	1.6	2.7	†	†	†	†	11.4	2.1	3.9
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Percentages may not sum to 100 percent, because individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.11c. Individuals aged 25 to 54 years, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 25 to 54 years	100.0	11.2	12.6	1.7	16.1	29.4	1.2	16.4	11.5
Timing of admission
New individuals	100.0	13.6	14.3	1.7	13.6	31.1	1.2	11.3	13.1
Continuing individuals	100.0	8.6	10.8	1.7	18.6	27.6	1.3	21.7	9.8
Mental health service setting²,³
State psychiatric hospital	100.0	3.4	1.8	†	15.6	12.4	3.2	53.3	10.0
Community-based program	100.0	11.3	12.8	1.7	16.2	29.7	1.2	15.8	11.3
Residential treatment center	100.0	5.9	4.5	†	13.1	19.5	1.0	37.2	18.1
Other psychiatric inpatient	100.0	6.1	6.7	†	19.5	29.8	1.2	26.9	9.3
Institutions under the justice system	100.0	18.9	5.1	†	5.8	12.1	8.7	21.3	27.8
†  Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.12a. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	1,848,515	152,970	186,603	17,206	338,814	592,722	21,997	370,975	167,228
Timing of admission
New individuals	903,036	94,498	110,554	9,490	143,894	314,359	9,186	126,443	94,612
Continuing individuals	945,479	58,472	76,049	7,716	194,920	278,363	12,811	244,532	72,616
Mental health service setting³,⁴
State psychiatric hospital	54,873	1,650	901	110	8,763	6,604	1,627	31,297	3,921
Community-based program	1,794,157	149,129	185,291	17,118	332,497	582,054	21,254	349,894	156,920
Residential treatment center	21,023	946	746	103	2,871	4,100	214	8,657	3,386
Other psychiatric inpatient	107,210	4,597	5,449	402	21,990	32,454	1,318	32,700	8,300
Institutions under the justice system	35,565	4,921	1,881	81	2,201	4,536	3,435	8,417	10,093
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ Individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.12b. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Column percent, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Timing of admission
New individuals	48.9	61.8	59.2	55.2	42.5	53.0	41.8	34.1	56.6
Continuing individuals	51.1	38.2	40.8	44.8	57.5	47.0	58.2	65.9	43.4
Mental health service setting³,⁴
State psychiatric hospital	3.0	1.1	†	†	2.6	1.1	7.4	8.4	2.3
Community-based program	97.1	97.5	99.3	99.5	98.1	98.2	96.6	94.3	93.8
Residential treatment center	1.1	†	†	†	†	†	†	2.3	2.0
Other psychiatric inpatient	5.8	3.0	2.9	2.3	6.5	5.5	6.0	8.8	5.0
Institutions under the justice system	1.9	3.2	1.0	†	†	†	15.6	2.3	6.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
3 Percentages may not sum to 100 percent, because individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.12c. Individuals aged 25 to 54 years with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 25 to 54 years²	100.0	8.3	10.1	†	18.3	32.1	1.2	20.1	9.0
Timing of admission
New individuals	100.0	10.5	12.2	1.1	15.9	34.8	1.0	14.0	10.5
Continuing individuals	100.0	6.2	8.0	†	20.6	29.4	1.4	25.9	7.7
Mental health service setting³,⁴
State psychiatric hospital	100.0	3.0	1.6	†	16.0	12.0	3.0	57.0	7.1
Community-based program	100.0	8.3	10.3	†	18.5	32.4	1.2	19.5	8.7
Residential treatment center	100.0	4.5	3.5	†	13.7	19.5	1.0	41.2	16.1
Other psychiatric inpatient	100.0	4.3	5.1	†	20.5	30.3	1.2	30.5	7.7
Institutions under the justice system	100.0	13.8	5.3	†	6.2	12.8	9.7	23.7	28.4
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ Individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 4.13. Individuals aged 25 to 54 years, by mental health service setting and SMI status: Number and percent distribution, 2018
Mental health service setting	SMI status¹
	Number of individuals			Column percent of individuals			Row percent distribution of individuals
	Total	SMI	Not SMI	Total	SMI	Not SMI	Total	SMI	Not SMI
Total individuals aged 25 to 54 years	2,654,952	1,973,914	681,038	100.0	100.0	100.0	100.0	74.3	25.7
Mental health service setting²,³
State psychiatric hospital	66,570	60,372	6,198	2.5	3.1	†	100.0	90.7	9.3
Community-based program	2,584,599	1,912,696	671,903	97.4	96.9	98.7	100.0	74.0	26.0
Residential treatment center	26,300	22,262	4,038	†	1.1	†	100.0	84.6	15.4
Other psychiatric inpatient	139,763	111,880	27,883	5.3	5.7	4.1	100.0	80.0	20.0
Institutions under the justice system	42,646	37,915	4,731	1.6	1.9	†	100.0	88.9	11.1
† Less than 1 percent of individuals.
SMI = serious emotional disturbance.
¹ The federal definition for SMI status can be found in Appendix D.
² Individuals could receive services in more than one mental health service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.1a. Individuals aged 55 years and older, by gender, age, race, ethnicity, education, veteran status, and SMI status: Number, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 55 years and older	769,081	843,771	802,401	894,823	908,917	932,573
Gender
Male	308,152	343,021	328,387	368,572	381,778	393,913
Female	460,273	499,360	472,697	523,535	523,113	537,368
Total	768,425	842,381	801,084	892,107	904,891	931,281
Age¹
55 to 59 years	337,373	368,375	350,060	385,959	389,871	402,710
60 to 64 years	203,503	225,348	220,758	249,173	255,186	273,170
65 years and older	228,205	250,048	231,583	259,691	263,860	256,693
Total	769,081	843,771	802,401	894,823	908,917	932,573
Race
American Indian or Alaska Native	5,883	7,066	7,502	8,336	8,065	8,849
Asian²	13,120	15,292	15,049	17,264	17,564	19,385
Black or African American	128,520	144,630	137,884	156,840	163,511	175,479
Native Hawaiian or Other Pacific Islander	1,904	2,049	2,222	2,515	1,545	1,776
White	524,168	566,342	532,049	594,172	590,317	613,288
Other	35,715	41,532	37,444	43,717	50,868	54,359
Total	709,310	776,911	732,150	822,844	831,870	873,136
Ethnicity
Not of Hispanic or Latino origin	539,090	584,680	542,769	608,005	709,514	738,800
Hispanic or Latino origin	56,716	65,860	65,796	74,605	83,462	82,984
Total	595,806	650,540	608,565	682,610	792,976	821,784
Specific Hispanic or Latino origin
Mexican	1,501	2,266	2,786	2,523	2,960	2,952
Puerto Rican	3,709	10,283	11,018	9,763	12,830	5,007
Cuban	3,242	3,131	3,303	3,155	3,071	3,729
Other specific	5,005	5,742	5,698	6,253	6,920	7,332
Total	13,457	21,422	22,805	21,694	25,781	19,020
Highest school grade completed
0 to 8	53,662	61,936	64,324	66,708	55,504	53,792
9 to 11	48,342	52,752	56,755	60,452	58,711	62,033
12 (or GED)	141,712	165,836	181,050	196,706	176,720	198,585
More than 12	60,009	71,578	77,422	86,569	100,645	109,891
Total	303,725	352,102	379,551	410,435	391,580	424,301
Veteran status
Veteran	n/c	n/c	n/c	n/c	18,028	17,795
Not a veteran	n/c	n/c	n/c	n/c	303,590	313,206
Total	n/c	n/c	n/c	n/c	321,618	331,001
SMI status³
SMI	530,075	586,398	564,150	613,978	651,764	697,908
Not SMI	176,258	197,894	194,518	223,840	195,277	187,208
Total	706,333	784,292	758,668	837,818	847,041	885,116
n/c Not collected.
GED = general equivalency diploma; SMI = serious mental illness.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
³ The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 5.1b. Individuals aged 55 years and older, by gender, age, race, ethnicity, education, veteran status, and SMI status: Column percent distribution, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	45	47	45	47	48	48
Total individuals aged 55 years and older	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	40.1	40.7	41.0	41.3	42.2	42.3
Female	59.9	59.3	59.0	58.7	57.8	57.7
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age¹
55 to 59 years	43.9	43.7	43.6	43.1	42.9	43.2
60 to 64 years	26.5	26.7	27.5	27.8	28.1	29.3
65 years and older	29.7	29.6	28.9	29.0	29.0	27.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	†	†	1.0	1.0	†	1.0
Asian²	1.8	2.0	2.1	2.1	2.1	2.2
Black or African American	18.1	18.6	18.8	19.1	19.7	20.1
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	73.9	72.9	72.7	72.2	71.0	70.2
Other	5.0	5.3	5.1	5.3	6.1	6.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	90.5	89.9	89.2	89.1	89.5	89.9
Hispanic or Latino origin	9.5	10.1	10.8	10.9	10.5	10.1
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	11.2	10.6	12.2	11.6	11.5	15.5
Puerto Rican	27.6	48.0	48.3	45.0	49.8	26.3
Cuban	24.1	14.6	14.5	14.5	11.9	19.6
Other specific	37.2	26.8	25.0	28.8	26.8	38.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	17.7	17.6	16.9	16.3	14.2	12.7
9 to 11	15.9	15.0	15.0	14.7	15.0	14.6
12 (or GED)	46.7	47.1	47.7	47.9	45.1	46.8
More than 12	19.8	20.3	20.4	21.1	25.7	25.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	n/c	n/c	n/c	n/c	5.6	5.4
Not a veteran	n/c	n/c	n/c	n/c	94.4	94.6
Total	n/c	n/c	n/c	n/c	100.0	100.0
SMI status³
SMI	75.0	74.8	74.4	73.3	76.9	78.8
Not SMI	25.0	25.2	25.6	26.7	23.1	21.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals; n/c Not collected.
GED = general equivalency diploma; SMI = serious mental illness.
¹ Age is based on the individual's age at the midpoint of the reporting period.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
³ The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 5.2a. Individuals aged 55 years and older with SMI, by gender, age, race, ethnicity, education, and veteran status: Number, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	44	47	45	46	46	47
Total individuals with SMI aged 55 years and older¹	530,075	586,398	564,150	613,978	651,764	697,908
Gender
Male	209,242	237,256	229,413	251,369	270,700	290,740
Female	320,485	348,381	334,090	361,892	380,520	406,723
Total	529,727	585,637	563,503	613,261	651,220	697,463
Age²
55 to 59 years	241,638	266,295	254,383	275,110	288,257	307,721
60 to 64 years	144,853	161,821	158,912	175,644	187,340	207,111
65 years and older	143,584	158,282	150,855	163,224	176,167	183,076
Total	530,075	586,398	564,150	613,978	651,764	697,908
Race
American Indian or Alaska Native	3,531	4,528	4,628	5,141	5,619	6,081
Asian³	9,861	11,889	11,825	12,294	13,134	14,603
Black or African American	95,387	105,161	105,151	114,705	123,068	136,346
Native Hawaiian or Other Pacific Islander	1,657	1,810	1,931	2,100	1,233	1,392
White	353,640	384,637	363,651	402,168	425,175	452,882
Other	26,207	31,998	29,378	32,523	40,886	44,828
Total	490,283	540,023	516,564	568,931	609,115	656,132
Ethnicity
Not of Hispanic or Latino origin	385,235	416,542	398,994	437,087	505,022	542,229
Hispanic or Latino origin	43,603	52,485	51,350	58,076	67,196	69,953
Total	428,838	469,027	450,344	495,163	572,218	612,182
Specific Hispanic or Latino origin
Mexican	1,110	1,774	2,222	1,952	2,359	2,357
Puerto Rican	3,097	7,780	8,380	7,529	9,388	4,164
Cuban	2,938	2,997	3,192	3,047	2,950	3,634
Other specific	4,206	4,800	4,872	5,268	5,745	6,281
Total	11,351	17,351	18,666	17,796	20,442	16,436
Highest school grade completed
0 to 8	33,170	39,900	40,315	42,471	40,705	40,092
9 to 11	35,356	40,017	42,770	46,767	49,618	52,752
12 (or GED)	92,752	112,510	122,290	137,810	143,206	163,928
More than 12	44,029	56,984	60,847	70,359	83,727	92,064
Total	205,307	249,411	266,222	297,407	317,256	348,836
Veteran status
Veteran	n/c	n/c	n/c	n/c	13,283	13,742
Not a veteran	n/c	n/c	n/c	n/c	226,296	248,449
Total	n/c	n/c	n/c	n/c	239,579	262,191
n/c Not collected.
GED = general equivalency diploma; SMI = serious mental illness.
¹ The federal definition for SMI status can be found in Appendix D.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 5.2b. Individuals aged 55 years and older with SMI, by gender, age, race, ethnicity, education, and veteran status: Column percent distribution, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	44	47	45	46	46	47
Total individuals with SMI aged 55 years and older¹	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	39.5	40.5	40.7	41.0	41.6	41.7
Female	60.5	59.5	59.3	59.0	58.4	58.3
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age²
55 to 59 years	45.6	45.4	45.1	44.8	44.2	44.1
60 to 64 years	27.3	27.6	28.2	28.6	28.7	29.7
65 years and older	27.1	27.0	26.7	26.6	27.0	26.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	†	†	†	†	†	†
Asian³	2.0	2.2	2.3	2.2	2.2	2.2
Black or African American	19.5	19.5	20.4	20.2	20.2	20.8
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	72.1	71.2	70.4	70.7	69.8	69.0
Other	5.3	5.9	5.7	5.7	6.7	6.8
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	89.8	88.8	88.6	88.3	88.3	88.6
Hispanic or Latino origin	10.2	11.2	11.4	11.7	11.7	11.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	9.8	10.2	11.9	11.0	11.5	14.3
Puerto Rican	27.3	44.8	44.9	42.3	45.9	25.3
Cuban	25.9	17.3	17.1	17.1	14.4	22.1
Other specific	37.1	27.7	26.1	29.6	28.1	38.2
Total	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	16.2	16.0	15.1	14.3	12.8	11.5
9 to 11	17.2	16.0	16.1	15.7	15.6	15.1
12 (or GED)	45.2	45.1	45.9	46.3	45.1	47.0
More than 12	21.4	22.8	22.9	23.7	26.4	26.4
Total	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	n/c	n/c	n/c	n/c	5.5	5.2
Not a veteran	n/c	n/c	n/c	n/c	94.5	94.8
Total	n/c	n/c	n/c	n/c	100.0	100.0
† Less than 1 percent of individuals; n/c Not collected.
GED = general equivalency diploma; SMI = serious mental illness.
¹ The federal definition for SMI status can be found in Appendix D.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 5.3a. Individuals aged 55 years and older, by mental health diagnosis, gender, race, and ethnicity: Number, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	827,060	59,957	76,046	6,966	115,042	291,333	7,301	194,943	75,472
Gender
Male	341,045	23,132	26,196	3,492	39,917	102,726	3,382	103,781	38,419
Female	485,302	36,766	49,773	3,471	75,040	188,308	3,912	91,053	36,979
Total	826,347	59,898	75,969	6,963	114,957	291,034	7,294	194,834	75,398
Race
American Indian or Alaska Native	8,154	959	954	87	886	2,747	86	1,356	1,079
Asian²	16,348	1,780	1,269	139	1,009	6,889	81	4,175	1,006
Black or African American	153,387	9,452	7,684	1,289	16,082	48,456	1,219	58,305	10,900
Native Hawaiian or Other Pacific Islander	1,664	174	140	19	156	588	23	446	118
White	547,171	39,635	56,510	4,593	86,756	194,271	5,305	109,578	50,523
Other	50,080	3,117	3,801	443	5,281	20,733	274	11,372	5,059
Total	776,804	55,117	70,358	6,570	110,170	273,684	6,988	185,232	68,685
Ethnicity
Not of Hispanic or Latino origin	657,403	48,428	58,864	5,895	96,531	227,566	6,214	157,530	56,375
Hispanic or Latino origin	73,389	4,714	6,381	396	7,948	31,328	362	15,290	6,970
Total	730,792	53,142	65,245	6,291	104,479	258,894	6,576	172,820	63,345
Specific Hispanic or Latino origin
Mexican	2,860	329	264	10	328	1,094	18	596	221
Puerto Rican	4,327	264	316	19	599	1,855	18	966	290
Cuban	3,111	134	232	11	317	1,393	2	611	411
Other specific	6,438	581	628	49	795	2,575	27	1,173	610
Total	16,736	1,308	1,440	89	2,039	6,917	65	3,346	1,532
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.3b. Individuals aged 55 years and older, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	41.3	38.6	34.5	50.2	34.7	35.3	46.4	53.3	51.0
Female	58.7	61.4	65.5	49.8	65.3	64.7	53.6	46.7	49.0
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.0	1.7	1.4	1.3	†	1.0	1.2	†	1.6
Asian²	2.1	3.2	1.8	2.1	†	2.5	1.2	2.3	1.5
Black or African American	19.7	17.1	10.9	19.6	14.6	17.7	17.4	31.5	15.9
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†	†	†	†
White	70.4	71.9	80.3	69.9	78.7	71.0	75.9	59.2	73.6
Other	6.4	5.7	5.4	6.7	4.8	7.6	3.9	6.1	7.4
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	90.0	91.1	90.2	93.7	92.4	87.9	94.5	91.2	89.0
Hispanic or Latino origin	10.0	8.9	9.8	6.3	7.6	12.1	5.5	8.8	11.0
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	17.1	25.2	18.3	11.2	16.1	15.8	27.7	17.8	14.4
Puerto Rican	25.9	20.2	21.9	21.3	29.4	26.8	27.7	28.9	18.9
Cuban	18.6	10.2	16.1	12.4	15.5	20.1	3.1	18.3	26.8
Other specific	38.5	44.4	43.6	55.1	39.0	37.2	41.5	35.1	39.8
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.3c. Individuals aged 55 years and older, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	100.0	7.2	9.2	†	13.9	35.2	†	23.6	9.1
Gender
Male	100.0	6.8	7.7	1.0	11.7	30.1	†	30.4	11.3
Female	100.0	7.6	10.3	†	15.5	38.8	†	18.8	7.6
Total	100.0	7.2	9.2	†	13.9	35.2	†	23.6	9.1
Race
American Indian or Alaska Native	100.0	11.8	11.7	1.1	10.9	33.7	1.1	16.6	13.2
Asian²	100.0	10.9	7.8	†	6.2	42.1	†	25.5	6.2
Black or African American	100.0	6.2	5.0	†	10.5	31.6	†	38.0	7.1
Native Hawaiian or Other Pacific Islander	100.0	10.5	8.4	1.1	9.4	35.3	1.4	26.8	7.1
White	100.0	7.2	10.3	†	15.9	35.5	†	20.0	9.2
Other	100.0	6.2	7.6	†	10.5	41.4	†	22.7	10.1
Total	100.0	7.1	9.1	†	14.2	35.2	†	23.8	8.8
Ethnicity
Not of Hispanic or Latino origin	100.0	7.4	9.0	†	14.7	34.6	†	24.0	8.6
Hispanic or Latino origin	100.0	6.4	8.7	†	10.8	42.7	†	20.8	9.5
Total	100.0	7.3	8.9	†	14.3	35.4	†	23.6	8.7
Specific Hispanic or Latino origin
Mexican	100.0	11.5	9.2	†	11.5	38.3	†	20.8	7.7
Puerto Rican	100.0	6.1	7.3	†	13.8	42.9	†	22.3	6.7
Cuban	100.0	4.3	7.5	†	10.2	44.8	†	19.6	13.2
Other specific	100.0	9.0	9.8	†	12.3	40.0	†	18.2	9.5
Total	100.0	7.8	8.6	†	12.2	41.3	†	20.0	9.2
† Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.4a. Individuals aged 55 years and older with SMI, by mental health diagnosis, gender, race, and ethnicity: Number, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged  55 years and older²	655,241	33,694	47,785	3,504	100,014	242,891	4,881	177,878	44,594
Gender
Male	270,098	12,533	16,248	1,779	34,536	85,421	2,234	94,997	22,350
Female	384,741	21,142	31,511	1,724	65,427	157,289	2,642	82,800	22,206
Total	654,839	33,675	47,759	3,503	99,963	242,710	4,876	177,797	44,556
Race
American Indian or Alaska Native	5,845	551	573	31	748	2,135	56	1,201	550
Asian³	14,046	1,223	893	99	939	6,066	41	4,009	776
Black or African American	128,247	4,851	4,803	673	14,386	42,150	955	53,796	6,633
Native Hawaiian or Other Pacific Islander	1,340	121	65	16	137	501	10	412	78
White	423,471	21,939	34,863	2,239	74,902	158,639	3,430	98,952	28,507
Other	43,218	2,051	2,724	257	4,827	18,758	201	10,707	3,693
Total	616,167	30,736	43,921	3,315	95,939	228,249	4,693	169,077	40,237
Ethnicity
Not of Hispanic or Latino origin	510,809	25,843	35,074	2,902	83,372	185,258	4,137	142,724	31,499
Hispanic or Latino origin	64,071	3,198	4,643	228	7,391	28,666	261	14,577	5,107
Total	574,880	29,041	39,717	3,130	90,763	213,924	4,398	157,301	36,606
Specific Hispanic or Latino origin
Mexican	2,320	173	145	7	302	1,013	9	560	111
Puerto Rican	3,824	193	223	12	574	1,725	12	941	144
Cuban	3,032	122	214	10	314	1,371	2	604	395
Other specific	5,655	378	469	24	752	2,443	17	1,124	448
Total	14,831	866	1,051	53	1,942	6,552	40	3,229	1,098
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.4b. Individuals aged 55 years and older with SMI, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged  55 years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	41.2	37.2	34.0	50.8	34.5	35.2	45.8	53.4	50.2
Female	58.8	62.8	66.0	49.2	65.5	64.8	54.2	46.6	49.8
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	†	1.8	1.3	†	†	†	1.2	†	1.4
Asian³	2.3	4.0	2.0	3.0	†	2.7	†	2.4	1.9
Black or African American	20.8	15.8	10.9	20.3	15.0	18.5	20.3	31.8	16.5
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†	†	†	†
White	68.7	71.4	79.4	67.5	78.1	69.5	73.1	58.5	70.8
Other	7.0	6.7	6.2	7.8	5.0	8.2	4.3	6.3	9.2
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	88.9	89.0	88.3	92.7	91.9	86.6	94.1	90.7	86.0
Hispanic or Latino origin	11.1	11.0	11.7	7.3	8.1	13.4	5.9	9.3	14.0
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	15.6	20.0	13.8	13.2	15.6	15.5	22.5	17.3	10.1
Puerto Rican	25.8	22.3	21.2	22.6	29.6	26.3	30.0	29.1	13.1
Cuban	20.4	14.1	20.4	18.9	16.2	20.9	5.0	18.7	36.0
Other specific	38.1	43.6	44.6	45.3	38.7	37.3	42.5	34.8	40.8
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.4c. Individuals aged 55 years and older with SMI, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2018
Gender, race, and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 55 years and older²	100.0	5.1	7.3	†	15.3	37.1	†	27.1	6.8
Gender
Male	100.0	4.6	6.0	†	12.8	31.6	†	35.2	8.3
Female	100.0	5.5	8.2	†	17.0	40.9	†	21.5	5.8
Total	100.0	5.1	7.3	†	15.3	37.1	†	27.2	6.8
Race
American Indian or Alaska Native	100.0	9.4	9.8	†	12.8	36.5	†	20.5	9.4
Asian³	100.0	8.7	6.4	†	6.7	43.2	†	28.5	5.5
Black or African American	100.0	3.8	3.7	†	11.2	32.9	†	41.9	5.2
Native Hawaiian or Other Pacific Islander	100.0	9.0	4.9	1.2	10.2	37.4	†	30.7	5.8
White	100.0	5.2	8.2	†	17.7	37.5	†	23.4	6.7
Other	100.0	4.7	6.3	†	11.2	43.4	†	24.8	8.5
Total	100.0	5.0	7.1	†	15.6	37.0	†	27.4	6.5
Ethnicity
Not of Hispanic or Latino origin	100.0	5.1	6.9	†	16.3	36.3	†	27.9	6.2
Hispanic or Latino origin	100.0	5.0	7.2	†	11.5	44.7	†	22.8	8.0
Total	100.0	5.1	6.9	†	15.8	37.2	†	27.4	6.4
Specific Hispanic or Latino origin
Mexican	100.0	7.5	6.3	†	13.0	43.7	†	24.1	4.8
Puerto Rican	100.0	5.0	5.8	†	15.0	45.1	†	24.6	3.8
Cuban	100.0	4.0	7.1	†	10.4	45.2	†	19.9	13.0
Other specific	100.0	6.7	8.3	†	13.3	43.2	†	19.9	7.9
Total	100.0	5.8	7.1	†	13.1	44.2	†	21.8	7.4
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.5a. Individuals aged 55 years and older, by mental health diagnosis, education, and marital status: Number, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	827,060	59,957	76,046	6,966	115,042	291,333	7,301	194,943	75,472
Highest school grade completed
0 to 8	50,495	4,750	5,212	520	4,884	18,011	337	11,473	5,308
9 to 11	58,036	3,331	4,075	369	7,569	20,238	518	18,270	3,666
12 (or GED)	186,183	12,961	15,805	1,179	28,212	66,767	1,464	46,800	12,995
More than 12	104,368	8,823	8,797	439	20,065	37,918	1,001	20,648	6,677
Total	399,082	29,865	33,889	2,507	60,730	142,934	3,320	97,191	28,646
Marital status
Never married	185,741	9,393	11,964	1,454	23,534	52,360	1,023	68,245	17,768
Currently married	79,262	6,712	7,736	832	13,056	33,213	435	11,624	5,654
Separated	29,688	2,234	2,136	143	5,059	12,287	192	5,850	1,787
Divorced	128,360	9,140	9,511	774	24,820	49,016	834	25,695	8,570
Widowed	41,638	3,230	3,879	938	5,665	18,261	174	6,729	2,762
Total	464,689	30,709	35,226	4,141	72,134	165,137	2,658	118,143	36,541
GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.5b. Individuals aged 55 years and older, by mental health diagnosis, education, and marital status: Column percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	12.7	15.9	15.4	20.7	8.0	12.6	10.2	11.8	18.5
9 to 11	14.5	11.2	12.0	14.7	12.5	14.2	15.6	18.8	12.8
12 (or GED)	46.7	43.4	46.6	47.0	46.5	46.7	44.1	48.2	45.4
More than 12	26.2	29.5	26.0	17.5	33.0	26.5	30.2	21.2	23.3
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Marital status
Never married	40.0	30.6	34.0	35.1	32.6	31.7	38.5	57.8	48.6
Currently married	17.1	21.9	22.0	20.1	18.1	20.1	16.4	9.8	15.5
Separated	6.4	7.3	6.1	3.5	7.0	7.4	7.2	5.0	4.9
Divorced	27.6	29.8	27.0	18.7	34.4	29.7	31.4	21.7	23.5
Widowed	9.0	10.5	11.0	22.7	7.9	11.1	6.5	5.7	7.6
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.5c. Individuals aged 55 years and older, by mental health diagnosis, education, and marital status: Row percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	100.0	7.2	9.2	†	13.9	35.2	†	23.6	9.1
Highest school grade completed
0 to 8	100.0	9.4	10.3	1.0	9.7	35.7	†	22.7	10.5
9 to 11	100.0	5.7	7.0	†	13.0	34.9	†	31.5	6.3
12 (or GED)	100.0	7.0	8.5	†	15.2	35.9	†	25.1	7.0
More than 12	100.0	8.5	8.4	†	19.2	36.3	†	19.8	6.4
Total	100.0	7.5	8.5	†	15.2	35.8	†	24.4	7.2
Marital status
Never married	100.0	5.1	6.4	†	12.7	28.2	†	36.7	9.6
Currently married	100.0	8.5	9.8	1.0	16.5	41.9	†	14.7	7.1
Separated	100.0	7.5	7.2	†	17.0	41.4	†	19.7	6.0
Divorced	100.0	7.1	7.4	†	19.3	38.2	†	20.0	6.7
Widowed	100.0	7.8	9.3	2.3	13.6	43.9	†	16.2	6.6
Total	100.0	6.6	7.6	†	15.5	35.5	†	25.4	7.9
† Less than 1 percent of individuals.
GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.6a. Individuals aged 55 years and older with SMI, by mental health diagnosis, education, and marital status: Number, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged  55 years and older²	655,241	33,694	47,785	3,504	100,014	242,891	4,881	177,878	44,594
Highest school grade completed
0 to 8	38,587	3,196	3,082	290	4,231	14,573	256	10,492	2,467
9 to 11	50,552	2,294	2,797	269	7,006	18,076	453	17,370	2,287
12 (or GED)	156,924	8,569	10,434	744	25,944	58,809	1,187	43,883	7,354
More than 12	89,042	5,774	5,984	300	18,662	33,907	822	19,499	4,094
Total	335,105	19,833	22,297	1,603	55,843	125,365	2,718	91,244	16,202
Marital status
Never married	153,574	4,570	7,839	569	21,317	46,657	757	63,998	7,867
Currently married	62,165	3,312	4,930	371	11,469	28,084	304	10,646	3,049
Separated	25,595	1,232	1,582	61	4,716	11,295	138	5,571	1,000
Divorced	109,090	5,426	6,760	361	22,837	43,996	649	24,016	5,045
Widowed	32,415	1,647	2,308	434	4,962	15,437	111	6,183	1,333
Total	382,839	16,187	23,419	1,796	65,301	145,469	1,959	110,414	18,294
GED = general equivalency diploma; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.6b. Individuals aged 55 years and older with SMI, by mental health diagnosis, education, and marital status: Column percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged  55 years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	11.5	16.1	13.8	18.1	7.6	11.6	9.4	11.5	15.2
9 to 11	15.1	11.6	12.5	16.8	12.5	14.4	16.7	19.0	14.1
12 (or GED)	46.8	43.2	46.8	46.4	46.5	46.9	43.7	48.1	45.4
More than 12	26.6	29.1	26.8	18.7	33.4	27.0	30.2	21.4	25.3
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Marital status
Never married	40.1	28.2	33.5	31.7	32.6	32.1	38.6	58.0	43.0
Currently married	16.2	20.5	21.1	20.7	17.6	19.3	15.5	9.6	16.7
Separated	6.7	7.6	6.8	3.4	7.2	7.8	7.0	5.0	5.5
Divorced	28.5	33.5	28.9	20.1	35.0	30.2	33.1	21.8	27.6
Widowed	8.5	10.2	9.9	24.2	7.6	10.6	5.7	5.6	7.3
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
GED = general equivalency diploma; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.6c. Individuals aged 55 years and older with SMI, by mental health diagnosis, education, and marital status: Row percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged  55 years and older²	100.0	5.1	7.3	†	15.3	37.1	†	27.1	6.8
Highest school grade completed
0 to 8	100.0	8.3	8.0	†	11.0	37.8	†	27.2	6.4
9 to 11	100.0	4.5	5.5	†	13.9	35.8	†	34.4	4.5
12 (or GED)	100.0	5.5	6.6	†	16.5	37.5	†	28.0	4.7
More than 12	100.0	6.5	6.7	†	21.0	38.1	†	21.9	4.6
Total	100.0	5.9	6.7	†	16.7	37.4	†	27.2	4.8
Marital status
Never married	100.0	3.0	5.1	†	13.9	30.4	†	41.7	5.1
Currently married	100.0	5.3	7.9	†	18.4	45.2	†	17.1	4.9
Separated	100.0	4.8	6.2	†	18.4	44.1	†	21.8	3.9
Divorced	100.0	5.0	6.2	†	20.9	40.3	†	22.0	4.6
Widowed	100.0	5.1	7.1	1.3	15.3	47.6	†	19.1	4.1
Total	100.0	4.2	6.1	†	17.1	38.0	†	28.8	4.8
† Less than 1 percent of individuals.
GED = general equivalency diploma; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.7a. Individuals aged 55 years and older, by mental health diagnosis, living arrangement, SMI status, and veteran status: Number, 2018
Living arrangement, SMI status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	827,060	59,957	76,046	6,966	115,042	291,333	7,301	194,943	75,472
Living arrangement
Homeless	23,247	1,966	1,174	77	3,111	8,205	228	5,529	2,957
Foster home/foster care	3,366	129	292	47	344	505	39	1,483	527
Residential care	38,346	886	1,330	477	3,800	5,442	288	20,772	5,351
Institutional setting	21,490	1,172	1,353	1,230	2,082	5,531	195	8,376	1,551
Jail/correctional facility	4,471	578	240	47	428	759	325	1,280	814
Private residence	408,711	29,695	35,472	1,671	64,167	153,552	3,431	89,082	31,641
Other	16,189	2,099	1,864	176	1,603	4,750	89	4,028	1,580
Total	515,820	36,525	41,725	3,725	75,535	178,744	4,595	130,550	44,421
SMI status²
SMI	655,241	33,694	47,785	3,504	100,014	242,891	4,881	177,878	44,594
Not SMI	145,301	23,249	23,700	3,149	12,674	40,172	2,069	13,732	26,556
Total	800,542	56,943	71,485	6,653	112,688	283,063	6,950	191,610	71,150
Veteran status
Veteran	15,875	1,728	1,025	159	2,120	4,924	100	4,471	1,348
Not a veteran	291,019	22,234	24,610	1,966	42,038	100,974	1,718	69,238	28,241
Total	306,894	23,962	25,635	2,125	44,158	105,898	1,818	73,709	29,589
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.7b. Individuals aged 55 years and older, by mental health diagnosis, living arrangement, SMI status, and veteran status: Column percent distribution, 2018
Living arrangement, SMI status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Living arrangement
Homeless	4.5	5.4	2.8	2.1	4.1	4.6	5.0	4.2	6.7
Foster home/foster care	†	†	†	1.3	†	†	†	1.1	1.2
Residential care	7.4	2.4	3.2	12.8	5.0	3.0	6.3	15.9	12.0
Institutional setting	4.2	3.2	3.2	33.0	2.8	3.1	4.2	6.4	3.5
Jail/correctional facility	†	1.6	†	1.3	†	†	7.1	†	1.8
Private residence	79.2	81.3	85.0	44.9	85.0	85.9	74.7	68.2	71.2
Other	3.1	5.7	4.5	4.7	2.1	2.7	1.9	3.1	3.6
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
SMI status²
SMI	81.8	59.2	66.8	52.7	88.8	85.8	70.2	92.8	62.7
Not SMI	18.2	40.8	33.2	47.3	11.2	14.2	29.8	7.2	37.3
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	5.2	7.2	4.0	7.5	4.8	4.6	5.5	6.1	4.6
Not a veteran	94.8	92.8	96.0	92.5	95.2	95.4	94.5	93.9	95.4
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.7c. Individuals aged 55 years and older, by mental health diagnosis, living arrangement, SMI status, and veteran status: Row percent distribution, 2018
Living arrangement, SMI status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	100.0	7.2	9.2	†	13.9	35.2	†	23.6	9.1
Living arrangement
Homeless	100.0	8.5	5.1	†	13.4	35.3	†	23.8	12.7
Foster home/foster care	100.0	3.8	8.7	1.4	10.2	15.0	1.2	44.1	15.7
Residential care	100.0	2.3	3.5	1.2	9.9	14.2	†	54.2	14.0
Institutional setting	100.0	5.5	6.3	5.7	9.7	25.7	†	39.0	7.2
Jail/correctional facility	100.0	12.9	5.4	1.1	9.6	17.0	7.3	28.6	18.2
Private residence	100.0	7.3	8.7	†	15.7	37.6	†	21.8	7.7
Other	100.0	13.0	11.5	1.1	9.9	29.3	†	24.9	9.8
Total	100.0	7.1	8.1	†	14.6	34.7	†	25.3	8.6
SMI status²
SMI	100.0	5.1	7.3	†	15.3	37.1	†	27.1	6.8
Not SMI	100.0	16.0	16.3	2.2	8.7	27.6	1.4	9.5	18.3
Total	100.0	7.1	8.9	†	14.1	35.4	†	23.9	8.9
Veteran status
Veteran	100.0	10.9	6.5	1.0	13.4	31.0	†	28.2	8.5
Not a veteran	100.0	7.6	8.5	†	14.4	34.7	†	23.8	9.7
Total	100.0	7.8	8.4	†	14.4	34.5	†	24.0	9.6
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.8a. Individuals aged 55 years and older with SMI, by mental health diagnosis, living arrangement, and veteran status: Number, 2018
Living arrangement and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 55 years and older²	655,241	33,694	47,785	3,504	100,014	242,891	4,881	177,878	44,594
Living arrangement
Homeless	20,515	1,474	853	40	2,896	7,510	180	5,237	2,325
Foster home/foster care	2,154	70	123	15	239	343	22	1,202	140
Residential care	32,715	602	881	308	3,487	4,879	257	19,846	2,455
Institutional setting	15,768	630	619	785	1,674	3,661	145	7,354	900
Jail/correctional facility	3,655	295	183	32	383	667	309	1,197	589
Private residence	347,378	20,013	23,909	1,085	59,176	135,715	2,814	84,159	20,507
Other	13,274	1,037	1,532	63	1,492	4,358	72	3,696	1,024
Total	435,459	24,121	28,100	2,328	69,347	157,133	3,799	122,691	27,940
Veteran status
Veteran	13,275	1,145	677	95	1,934	4,397	74	4,195	758
Not a veteran	240,522	14,893	16,259	1,271	38,156	89,770	1,330	64,397	14,446
Total	253,797	16,038	16,936	1,366	40,090	94,167	1,404	68,592	15,204
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.8b. Individuals aged 55 years and older with SMI, by mental health diagnosis, living arrangement, and veteran status: Column percent distribution, 2018
Living arrangement and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 55 years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Living arrangement
Homeless	4.7	6.1	3.0	1.7	4.2	4.8	4.7	4.3	8.3
Foster home/foster care	†	†	†	†	†	†	†	†	†
Residential care	7.5	2.5	3.1	13.2	5.0	3.1	6.8	16.2	8.8
Institutional setting	3.6	2.6	2.2	33.7	2.4	2.3	3.8	6.0	3.2
Jail/correctional facility	†	1.2	†	1.4	†	†	8.1	†	2.1
Private residence	79.8	83.0	85.1	46.6	85.3	86.4	74.1	68.6	73.4
Other	3.0	4.3	5.5	2.7	2.2	2.8	1.9	3.0	3.7
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status
Veteran	5.2	7.1	4.0	7.0	4.8	4.7	5.3	6.1	5.0
Not a veteran	94.8	92.9	96.0	93.0	95.2	95.3	94.7	93.9	95.0
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.8c. Individuals aged 55 years and older with SMI, by mental health diagnosis, living arrangement, and veteran status: Row percent distribution, 2018
Living arrangement and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 55  years and older²	100.0	5.1	7.3	†	15.3	37.1	†	27.1	6.8
Living arrangement
Homeless	100.0	7.2	4.2	†	14.1	36.6	†	25.5	11.3
Foster home/foster care	100.0	3.2	5.7	†	11.1	15.9	1.0	55.8	6.5
Residential care	100.0	1.8	2.7	†	10.7	14.9	†	60.7	7.5
Institutional setting	100.0	4.0	3.9	5.0	10.6	23.2	†	46.6	5.7
Jail/correctional facility	100.0	8.1	5.0	†	10.5	18.2	8.5	32.7	16.1
Private residence	100.0	5.8	6.9	†	17.0	39.1	†	24.2	5.9
Other	100.0	7.8	11.5	†	11.2	32.8	†	27.8	7.7
Total	100.0	5.5	6.5	†	15.9	36.1	†	28.2	6.4
Veteran status
Veteran	100.0	8.6	5.1	†	14.6	33.1	†	31.6	5.7
Not a veteran	100.0	6.2	6.8	†	15.9	37.3	†	26.8	6.0
Total	100.0	6.3	6.7	†	15.8	37.1	†	27.0	6.0
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.9a. Individuals aged 55 years and older, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Number, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	827,060	59,957	76,046	6,966	115,042	291,333	7,301	194,943	75,472
Employment status
Employed	52,497	5,273	6,152	130	7,971	20,249	485	7,090	5,147
Full time	23,777	2,981	3,661	83	2,811	8,997	268	2,326	2,650
Part time	20,985	1,947	2,054	30	3,301	7,689	193	3,506	2,265
Unemployed	82,032	6,260	6,256	282	12,509	32,472	467	16,892	6,894
Not in labor force (see detail below)	311,620	20,978	25,577	2,298	46,925	106,753	3,023	82,858	23,208
Total	446,149	32,511	37,985	2,710	67,405	159,474	3,975	106,840	35,249
Detailed not in labor force
Total individuals aged 55 years and older  not in labor force	311,620	20,978	25,577	2,298	46,925	106,753	3,023	82,858	23,208
Disabled	190,519	11,055	14,258	1,047	30,251	62,077	2,204	56,884	12,743
Retired	41,347	3,500	3,982	808	5,592	16,939	259	6,669	3,598
Student	1,558	220	172	3	193	425	4	270	271
Homemaker	7,069	666	789	33	946	3,100	37	985	513
Sheltered/non-competitive employment	3,066	139	187	12	313	642	22	856	895
Other	68,061	5,398	6,189	395	9,630	23,570	497	17,194	5,188
Total	100	100	100	100	100	100	100	100	100
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTES: Employed includes “full-time/part-time not differentiated,” which is not presented separately; total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.9b. Individuals aged 55 years and older, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Column percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Employment status
Employed	11.8	16.2	16.2	4.8	11.8	12.7	12.2	6.6	14.6
Full time	5.3	9.2	9.6	3.1	4.2	5.6	6.7	2.2	7.5
Part time	4.7	6.0	5.4	1.1	4.9	4.8	4.9	3.3	6.4
Unemployed	18.4	19.3	16.5	10.4	18.6	20.4	11.7	15.8	19.6
Not in labor force (see detail below)	69.8	64.5	67.3	84.8	69.6	66.9	76.1	77.6	65.8
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Detailed not in labor force
Total individuals aged 55 years and older  not in labor force	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Disabled	61.1	52.7	55.7	45.6	64.5	58.2	72.9	68.7	54.9
Retired	13.3	16.7	15.6	35.2	11.9	15.9	8.6	8.0	15.5
Student	†	1.0	†	†	†	†	†	†	1.2
Homemaker	2.3	3.2	3.1	1.4	2.0	2.9	1.2	1.2	2.2
Sheltered/non-competitive employment	†	†	†	†	†	†	†	1.0	3.9
Other	21.8	25.7	24.2	17.2	20.5	22.1	16.4	20.8	22.4
Total	100.0	4.5	5.5	†	13.9	35.8	†	34.4	4.5
† Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.9c. Individuals aged 55 years and older, by mental health diagnosis,  employment status, and ‘detailed not in labor force’: Row percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	100.0	7.2	9.2	†	13.9	35.2	†	23.6	9.1
Employment status
Employed	100.0	10.0	11.7	†	15.2	38.6	†	13.5	9.8
Full time	100.0	12.5	15.4	†	11.8	37.8	1.1	9.8	11.1
Part time	100.0	9.3	9.8	†	15.7	36.6	†	16.7	10.8
Unemployed	100.0	7.6	7.6	†	15.2	39.6	†	20.6	8.4
Not in labor force (see detail below)	100.0	6.7	8.2	†	15.1	34.3	†	26.6	7.4
Total	100.0	7.3	8.5	†	15.1	35.7	†	23.9	7.9
Detailed not in labor force
Total individuals aged 55 years and older not in labor force	100.0	6.7	8.2	†	15.1	34.3	†	26.6	7.4
Disabled	100.0	5.8	7.5	†	15.9	32.6	1.2	29.9	6.7
Retired	100.0	8.5	9.6	2.0	13.5	41.0	†	16.1	8.7
Student	100.0	14.1	11.0	†	12.4	27.3	†	17.3	17.4
Homemaker	100.0	9.4	11.2	†	13.4	43.9	†	13.9	7.3
Sheltered/non-competitive employment	100.0	4.5	6.1	†	10.2	20.9	†	27.9	29.2
Other	100.0	7.9	9.1	†	14.1	34.6	†	25.3	7.6
Total	4471.0	578.0	240.0	47.0	428.0	759.0	325.0	1280.0	814.0
† Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.10a. Individuals aged 55 years and older with SMI, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Number, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 55  years and older²	655,241	33,694	47,785	3,504	100,014	242,891	4,881	177,878	44,594
Employment status
Employed	40,365	3,021	3,729	45	7,092	17,011	363	6,359	2,745
Full time	16,349	1,642	2,095	25	2,295	6,884	183	1,899	1,326
Part time	17,145	1,237	1,432	15	2,987	6,792	156	3,232	1,294
Unemployed	69,378	4,310	4,305	141	11,508	28,985	342	15,814	3,973
Not in labor force (see detail below)	262,130	14,306	17,227	1,539	42,998	92,959	2,533	77,626	12,942
Total	371,873	21,637	25,261	1,725	61,598	138,955	3,238	99,799	19,660
Detailed not in labor force
Total individuals with SMI aged 55 years and older not in labor force	262,130	14,306	17,227	1,539	42,998	92,959	2,533	77,626	12,942
Disabled	164,871	8,135	10,211	692	27,849	55,022	1,908	53,442	7,612
Retired	33,928	2,028	2,648	582	5,189	14,791	206	6,259	2,225
Student	1,189	119	126	2	183	397	3	252	107
Homemaker	5,846	450	546	21	870	2,634	33	929	363
Sheltered/non-competitive employment	2,116	112	102	8	281	546	17	785	265
Other	54,180	3,462	3,594	234	8,626	19,569	366	15,959	2,370
Total	4	3	3	33	^	3	4	6	3
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTES: Employed includes “full-time/part-time not differentiated,” which is not presented separately; total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.10b. Individuals aged 55 years and older with SMI, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Column percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 55  years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Employment status
Employed	10.9	14.0	14.8	2.6	11.5	12.2	11.2	6.4	14.0
Full time	4.4	7.6	8.3	1.4	3.7	5.0	5.7	1.9	6.7
Part time	4.6	5.7	5.7	†	4.8	4.9	4.8	3.2	6.6
Unemployed	18.7	19.9	17.0	8.2	18.7	20.9	10.6	15.8	20.2
Not in labor force (see detail below)	70.5	66.1	68.2	89.2	69.8	66.9	78.2	77.8	65.8
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Detailed not in labor force
Total individuals with SMI aged 55  years and older not in labor force	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Disabled	62.9	56.9	59.3	45.0	64.8	59.2	75.3	68.8	58.8
Retired	12.9	14.2	15.4	37.8	12.1	15.9	8.1	8.1	17.2
Student	†	†	†	†	†	†	†	†	†
Homemaker	2.2	3.1	3.2	1.4	2.0	2.8	1.3	1.2	2.8
Sheltered/non-competitive employment	†	†	†	†	†	†	†	1.0	2.0
Other	20.7	24.2	20.9	15.2	20.1	21.1	14.4	20.6	18.3
Total	100.0	2.3	3.5	1.2	9.9	14.2	†	54.2	14.0
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.10c. Individuals aged 55 years and older with SMI, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Row percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 55  years and older²	100.0	5.1	7.3	†	15.3	37.1	†	27.1	6.8
Employment status
Employed	100.0	7.5	9.2	†	17.6	42.1	†	15.8	6.8
Full time	100.0	10.0	12.8	†	14.0	42.1	1.1	11.6	8.1
Part time	100.0	7.2	8.4	†	17.4	39.6	†	18.9	7.5
Unemployed	100.0	6.2	6.2	†	16.6	41.8	†	22.8	5.7
Not in labor force (see detail below)	100.0	5.5	6.6	†	16.4	35.5	†	29.6	4.9
Total	100.0	5.8	6.8	†	16.6	37.4	†	26.8	5.3
Detailed not in labor force
Total individuals with SMI aged 55  years and older not in labor force	100.0	5.5	6.6	†	16.4	35.5	†	29.6	4.9
Disabled	100.0	4.9	6.2	†	16.9	33.4	1.2	32.4	4.6
Retired	100.0	6.0	7.8	1.7	15.3	43.6	†	18.4	6.6
Student	100.0	10.0	10.6	†	15.4	33.4	†	21.2	9.0
Homemaker	100.0	7.7	9.3	†	14.9	45.1	†	15.9	6.2
Sheltered/non-competitive employment	100.0	5.3	4.8	†	13.3	25.8	†	37.1	12.5
Other	100.0	6.4	6.6	†	15.9	36.1	†	29.5	4.4
Total	2154.0	70.0	123.0	15.0	239.0	343.0	22.0	1202.0	140.0
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.11a. Individuals aged 55 years and older, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	827,060	59,957	76,046	6,966	115,042	291,333	7,301	194,943	75,472
Timing of admission
New individuals	326,361	33,638	38,413	3,996	36,161	124,806	3,136	49,621	36,590
Continuing individuals	500,699	26,319	37,633	2,970	78,881	166,527	4,165	145,322	38,882
Mental health service setting²,³
State psychiatric hospital	19,823	362	271	969	2,315	1,883	434	11,761	1,828
Community-based program	808,552	59,321	75,655	6,120	113,267	288,481	7,044	185,926	72,738
Residential treatment center	8,977	279	345	67	991	1,718	63	4,574	940
Other psychiatric inpatient	32,647	1,490	1,941	485	4,970	11,035	252	10,198	2,276
Institutions under the justice system	5,255	700	201	38	326	724	353	1,570	1,343
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.11b. Individuals aged 55 years and older, by mental health diagnosis, timing of admission, and mental health service setting: Column percent, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Timing of admission
New individuals	39.5	56.1	50.5	57.4	31.4	42.8	43.0	25.5	48.5
Continuing individuals	60.5	43.9	49.5	42.6	68.6	57.2	57.0	74.5	51.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Mental health service setting²,³
State psychiatric hospital	2.4	†	†	13.9	2.0	†	5.9	6.0	2.4
Community-based program	97.8	98.9	99.5	87.9	98.5	99.0	96.5	95.4	96.4
Residential treatment center	1.1	†	†	†	†	†	†	2.3	1.2
Other psychiatric inpatient	3.9	2.5	2.6	7.0	4.3	3.8	3.5	5.2	3.0
Institutions under the justice system	†	1.2	†	†	†	†	4.8	†	1.8
† Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Percentages may not sum to 100 percent, because individuals could receive services in more than one service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.11c. Individuals aged 55 years and older, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals aged 55 years and older	100.0	7.2	9.2	†	13.9	35.2	†	23.6	9.1
Timing of admission
New individuals	100.0	10.3	11.8	1.2	11.1	38.2	†	15.2	11.2
Continuing individuals	100.0	5.3	7.5	†	15.8	33.3	†	29.0	7.8
Mental health service setting²,³
State psychiatric hospital	100.0	1.8	1.4	4.9	11.7	9.5	2.2	59.3	9.2
Community-based program	100.0	7.3	9.4	†	14.0	35.7	†	23.0	9.0
Residential treatment center	100.0	3.1	3.8	†	11.0	19.1	†	51.0	10.5
Other psychiatric inpatient	100.0	4.6	5.9	1.5	15.2	33.8	†	31.2	7.0
Institutions under the justice system	100.0	13.3	3.8	†	6.2	13.8	6.7	29.9	25.6
† Less than 1 percent of individuals.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.12a. Individuals aged 55 years and older with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 55  years and older²	655,241	33,694	47,785	3,504	100,014	242,891	4,881	177,878	44,594
Timing of admission
New individuals	235,997	17,975	23,921	1,792	29,575	99,098	1,466	41,935	20,235
Continuing individuals	419,244	15,719	23,864	1,712	70,439	143,793	3,415	135,943	24,359
Mental health service setting³,⁴
State psychiatric hospital	17,411	271	208	726	2,020	1,573	340	10,860	1,413
Community-based program	639,335	33,202	47,467	2,961	98,532	240,397	4,704	169,705	42,367
Residential treatment center	8,248	199	294	54	936	1,588	56	4,384	737
Other psychiatric inpatient	28,201	1,039	1,451	270	4,433	9,652	209	9,670	1,477
Institutions under the justice system	4,818	475	186	27	317	703	351	1,557	1,202
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ Individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.12b. Individuals aged 55 years and older with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Column percent, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 55  years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Timing of admission
New individuals	36.0	53.3	50.1	51.1	29.6	40.8	30.0	23.6	45.4
Continuing individuals	64.0	46.7	49.9	48.9	70.4	59.2	70.0	76.4	54.6
Mental health service setting³,⁴
State psychiatric hospital	2.7	†	†	20.7	2.0	†	7.0	6.1	3.2
Community-based program	97.6	98.5	99.3	84.5	98.5	99.0	96.4	95.4	95.0
Residential treatment center	1.3	†	†	1.5	†	†	1.1	2.5	1.7
Other psychiatric inpatient	4.3	3.1	3.0	7.7	4.4	4.0	4.3	5.4	3.3
Institutions under the justice system	†	1.4	†	†	†	†	7.2	†	2.7
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ Percentages may not sum to 100 percent, because individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.12c. Individuals aged 55 years and older with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	Delirium/ dementia	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with SMI aged 55  years and older²	100.0	5.1	7.3	†	15.3	37.1	†	27.1	6.8
Timing of admission
New individuals	100.0	7.6	10.1	†	12.5	42.0	†	17.8	8.6
Continuing individuals	100.0	3.7	5.7	†	16.8	34.3	†	32.4	5.8
Mental health service setting³,⁴
State psychiatric hospital	100.0	1.6	1.2	4.2	11.6	9.0	2.0	62.4	8.1
Community-based program	100.0	5.2	7.4	†	15.4	37.6	†	26.5	6.6
Residential treatment center	100.0	2.4	3.6	†	11.3	19.3	†	53.2	8.9
Other psychiatric inpatient	100.0	3.7	5.1	†	15.7	34.2	†	34.3	5.2
Institutions under the justice system	100.0	9.9	3.9	†	6.6	14.6	7.3	32.3	24.9
† Less than 1 percent of individuals.
SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² The federal definition for SMI status can be found in Appendix D.
³ Individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 5.13. Individuals aged 55 years and older, by mental health service setting and SMI status: Number and percent distribution, 2018
Mental health service setting	SMI status¹
	Number of individuals			Column percent of individuals			Row percent distribution of individuals
	Total	SMI	Not SMI	Total	SMI	Not SMI	Total	SMI	Not SMI
Total individuals aged 55 years and older	885,116	697,908	187,208	100.0	100.0	100.0	100.0	78.8	21.2
Mental health service setting²,³
State psychiatric hospital	21,324	19,338	1,986	2.4	2.8	1.1	100.0	90.7	9.3
Community-based program	864,212	679,922	184,290	97.6	97.4	98.4	100.0	78.7	21.3
Residential treatment center	9,503	8,627	876	1.1	1.2	†	100.0	90.8	9.2
Other psychiatric inpatient	35,016	29,506	5,510	4.0	4.2	2.9	100.0	84.3	15.7
Institutions under the justice system	5,595	5,145	450	†	†	†	100.0	92.0	8.0
† Less than 1 percent of individuals.
SMI = serious emotional disturbance.
¹ The federal definition for SMI status can be found in Appendix D.
² Individuals could receive services in more than one mental health service setting during the reporting period.
³ Mental health service  setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.1a. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by gender, age, race, ethnicity, education, veteran status, and SMI/SED status: Number, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	45	46	44	44	45	45
Total individuals with co-occurring MH and SU  disorders aged 12 years and older¹	775,830	773,536	755,227	687,825	881,434	1,026,726
Gender
Male	430,791	429,567	419,031	378,379	466,825	543,815
Female	344,479	343,130	335,757	308,971	412,209	481,040
Total	775,270	772,697	754,788	687,350	879,034	1,024,855
Age²
12 to 14 years	11,944	10,332	8,185	7,686	19,366	18,691
15 to 17 years	47,758	42,145	36,170	33,985	46,671	49,196
18 to 20 years	37,008	33,790	31,459	28,832	36,981	42,764
21 to 24 years	61,377	59,646	57,960	51,362	64,208	73,139
25 to 29 years	93,623	91,810	91,808	85,553	111,611	133,007
30 to 34 years	96,545	96,053	96,626	89,039	113,299	134,479
35 to 39 years	78,764	79,878	81,582	78,199	102,536	123,782
40 to 44 years	83,691	80,715	75,723	66,148	80,857	94,824
45 to 49 years	89,350	86,840	81,933	71,483	85,767	97,095
50 to 54 years	85,375	89,034	86,199	75,850	89,182	99,167
55 to 59 years	52,925	59,017	60,008	56,210	71,686	86,024
60 to 64 years	23,990	27,981	30,161	28,747	38,208	47,587
65 years and older	13,480	16,295	17,413	14,731	21,062	26,971
Total	775,830	773,536	755,227	687,825	881,434	1,026,726
Race
American Indian or Alaska Native	12,109	13,544	14,259	13,746	15,471	18,997
Asian³	5,512	6,135	6,277	7,165	7,546	9,411
Black or African American	140,440	142,174	134,457	121,258	163,377	195,090
Native Hawaiian or Other Pacific Islander	2,023	2,256	2,258	1,801	1,769	2,201
White	505,563	498,481	487,592	448,016	573,706	660,387
Other	56,334	58,690	59,032	55,766	72,700	88,857
Total	721,981	721,280	703,875	647,752	834,569	974,943
Ethnicity
Not of Hispanic or Latino origin	580,684	577,112	567,933	539,587	723,990	830,134
Hispanic or Latino origin	93,684	96,111	92,994	92,313	99,291	109,036
Total	674,368	673,223	660,927	631,900	823,281	939,170
Specific Hispanic or Latino origin
Mexican	3,505	4,755	5,558	2,370	4,243	4,399
Puerto Rican	3,613	7,360	6,850	4,966	6,282	6,609
Cuban	1,274	841	827	614	866	908
Other specific	5,833	9,034	7,263	5,352	6,711	6,989
Total	14,225	21,990	20,498	13,302	18,102	18,905
Highest school grade completed
0 to 8	46,123	44,569	43,895	34,511	47,128	58,473
9 to 11	100,296	105,126	98,296	80,782	105,721	135,664
12 (or GED)	161,028	198,179	196,289	160,469	207,535	282,872
More than 12	64,664	81,670	80,028	68,917	93,437	123,141
Total	372,111	429,544	418,508	344,679	453,821	600,150
Veteran status4
Veteran	n/c	n/c	n/c	n/c	12,198	13,856
Not a veteran	n/c	n/c	n/c	n/c	310,013	362,989
Total	n/c	n/c	n/c	n/c	322,211	376,845
SMI/SED status5
SMI	500,467	544,703	541,278	514,093	627,465	741,570
SED	42,398	40,170	35,809	34,789	52,513	55,627
Not SMI/SED	193,466	165,088	156,188	122,856	176,411	198,164
Total	736,331	749,961	733,275	671,738	856,389	995,361
n/c Not collected.
GED = general equivalency diploma; SED = serious emotional disturbance; SMI = serious mental illness.
1 Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
⁴ Veteran status is only reported for individuals aged 18 years and older.
5 The federal definition for SMI and SED status can be found in Appendix D.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 6.1b. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by gender, age, race, ethnicity, education, veteran status, and SMI/SED status: Column percent distribution, 2013–2018
Selected characteristics	2013	2014	2015	2016	2017	2018
Number of states reporting	45	46	44	44	45	45
Total individuals with co-occurring MH and SU  disorders aged 12 years and older¹	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	55.6	55.6	55.5	55.0	53.1	53.1
Female	44.4	44.4	44.5	45.0	46.9	46.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
Age²
12 to 14 years	1.5	1.3	1.1	1.1	2.2	1.8
15 to 17 years	6.2	5.4	4.8	4.9	5.3	4.8
18 to 20 years	4.8	4.4	4.2	4.2	4.2	4.2
21 to 24 years	7.9	7.7	7.7	7.5	7.3	7.1
25 to 29 years	12.1	11.9	12.2	12.4	12.7	13.0
30 to 34 years	12.4	12.4	12.8	12.9	12.9	13.1
35 to 39 years	10.2	10.3	10.8	11.4	11.6	12.1
40 to 44 years	10.8	10.4	10.0	9.6	9.2	9.2
45 to 49 years	11.5	11.2	10.8	10.4	9.7	9.5
50 to 54 years	11.0	11.5	11.4	11.0	10.1	9.7
55 to 59 years	6.8	7.6	7.9	8.2	8.1	8.4
60 to 64 years	3.1	3.6	4.0	4.2	4.3	4.6
65 years and older	1.7	2.1	2.3	2.1	2.4	2.6
Total	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.7	1.9	2.0	2.1	1.9	1.9
Asian³	†	†	†	1.1	†	†
Black or African American	19.5	19.7	19.1	18.7	19.6	20.0
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†
White	70.0	69.1	69.3	69.2	68.7	67.7
Other	7.8	8.1	8.4	8.6	8.7	9.1
Total	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	86.1	85.7	85.9	85.4	87.9	88.4
Hispanic or Latino origin	13.9	14.3	14.1	14.6	12.1	11.6
Total	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	24.6	21.6	27.1	17.8	23.4	23.3
Puerto Rican	25.4	33.5	33.4	37.3	34.7	35.0
Cuban	9.0	3.8	4.0	4.6	4.8	4.8
Other specific	41.0	41.1	35.4	40.2	37.1	37.0
Total	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	12.4	10.4	10.5	10.0	10.4	9.7
9 to 11	27.0	24.5	23.5	23.4	23.3	22.6
12 (or GED)	43.3	46.1	46.9	46.6	45.7	47.1
More than 12	17.4	19.0	19.1	20.0	20.6	20.5
Total	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status4
Veteran	n/c	n/c	n/c	n/c	3.8	3.7
Not a veteran	n/c	n/c	n/c	n/c	96.2	96.3
Total	n/c	n/c	n/c	n/c	100.0	100.0
SMI/SED status5
SMI	68.0	72.6	73.8	76.5	73.3	74.5
SED	5.8	5.4	4.9	5.2	6.1	5.6
Not SMI/SED	26.3	22.0	21.3	18.3	20.6	19.9
Total	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals; n/c Not collected.
GED = general equivalency diploma; SED = serious emotional disturbance; SMI = serious mental illness.
1 Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
² Age is based on the individual's age at the midpoint of the reporting period.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
⁴ Veteran status is only reported for individuals aged 18 years and older.
5 The federal definition for SMI and SED status can be found in Appendix D.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 6.2a. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, gender, and age: Number, 2018
Gender and age	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	1,026,726	101,731	105,583	21,085	169,793	289,422	15,761	169,647	153,704
Gender
Male	543,815	46,652	47,891	14,459	76,493	138,271	8,694	119,985	91,370
Female	481,040	54,778	57,489	6,563	92,931	150,648	7,043	49,490	62,098
Total	1,024,855	101,430	105,380	21,022	169,424	288,919	15,737	169,475	153,468
Age³
12 to 14 years	18,691	2,937	1,368	2,964	432	3,882	14	115	6,979
15 to 17 years	49,196	6,546	4,239	4,751	2,171	12,883	98	783	17,725
18 to 20 years	42,764	4,962	4,440	2,056	5,122	12,416	578	3,683	9,507
21 to 24 years	73,139	7,965	8,333	1,719	11,245	19,767	1,402	10,815	11,893
25 to 29 years	133,007	14,853	16,768	2,645	21,978	34,948	2,478	19,883	19,454
30 to 34 years	134,479	15,090	17,190	2,351	23,405	35,025	2,546	20,979	17,893
35 to 39 years	123,782	13,301	14,436	1,660	23,336	32,364	2,270	20,707	15,708
40 to 44 years	94,824	9,459	9,730	982	18,593	26,114	1,618	16,733	11,595
45 to 49 years	97,095	8,814	8,872	777	19,025	28,897	1,500	17,362	11,848
50 to 54 years	99,167	7,908	8,162	543	18,432	31,482	1,379	19,530	11,731
55 to 59 years	86,024	5,801	6,662	397	14,698	28,145	1,033	19,358	9,930
60 to 64 years	47,587	2,742	3,548	161	7,461	15,586	541	11,993	5,555
65 years and older	26,971	1,353	1,835	79	3,895	7,913	304	7,706	3,886
Total	1,026,726	101,731	105,583	21,085	169,793	289,422	15,761	169,647	153,704
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ Age is based on the individual's age at the midpoint of the reporting period.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.2b. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, gender, and age: Column percent distribution, 2018
Gender and age	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	53.1	46.0	45.4	68.8	45.1	47.9	55.2	70.8	59.5
Female	46.9	54.0	54.6	31.2	54.9	52.1	44.8	29.2	40.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Age³
12 to 14 years	1.8	2.9	1.3	14.1	†	1.3	†	†	4.5
15 to 17 years	4.8	6.4	4.0	22.5	1.3	4.5	†	†	11.5
18 to 20 years	4.2	4.9	4.2	9.8	3.0	4.3	3.7	2.2	6.2
21 to 24 years	7.1	7.8	7.9	8.2	6.6	6.8	8.9	6.4	7.7
25 to 29 years	13.0	14.6	15.9	12.5	12.9	12.1	15.7	11.7	12.7
30 to 34 years	13.1	14.8	16.3	11.2	13.8	12.1	16.2	12.4	11.6
35 to 39 years	12.1	13.1	13.7	7.9	13.7	11.2	14.4	12.2	10.2
40 to 44 years	9.2	9.3	9.2	4.7	11.0	9.0	10.3	9.9	7.5
45 to 49 years	9.5	8.7	8.4	3.7	11.2	10.0	9.5	10.2	7.7
50 to 54 years	9.7	7.8	7.7	2.6	10.9	10.9	8.7	11.5	7.6
55 to 59 years	8.4	5.7	6.3	1.9	8.7	9.7	6.6	11.4	6.5
60 to 64 years	4.6	2.7	3.4	†	4.4	5.4	3.4	7.1	3.6
65 years and older	2.6	1.3	1.7	†	2.3	2.7	1.9	4.5	2.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ Age is based on the individual's age at the midpoint of the reporting period.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.2c. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, gender, and age: Row percent distribution, 2018
Gender and age	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	9.9	10.3	2.1	16.5	28.2	1.5	16.5	15.0
Gender
Male	100.0	8.6	8.8	2.7	14.1	25.4	1.6	22.1	16.8
Female	100.0	11.4	12.0	1.4	19.3	31.3	1.5	10.3	12.9
Total	100.0	9.9	10.3	2.1	16.5	28.2	1.5	16.5	15.0
Age³
12 to 14 years	100.0	15.7	7.3	15.9	2.3	20.8	†	†	37.3
15 to 17 years	100.0	13.3	8.6	9.7	4.4	26.2	†	1.6	36.0
18 to 20 years	100.0	11.6	10.4	4.8	12.0	29.0	1.4	8.6	22.2
21 to 25 years	100.0	10.9	11.4	2.4	15.4	27.0	1.9	14.8	16.3
26 to 29 years	100.0	11.2	12.6	2.0	16.5	26.3	1.9	14.9	14.6
30 to 34 years	100.0	11.2	12.8	1.7	17.4	26.0	1.9	15.6	13.3
35 to 39 years	100.0	10.7	11.7	1.3	18.9	26.1	1.8	16.7	12.7
40 to 44 years	100.0	10.0	10.3	1.0	19.6	27.5	1.7	17.6	12.2
45 to 49 years	100.0	9.1	9.1	†	19.6	29.8	1.5	17.9	12.2
50 to 54 years	100.0	8.0	8.2	†	18.6	31.7	1.4	19.7	11.8
55 to 59 years	100.0	6.7	7.7	†	17.1	32.7	1.2	22.5	11.5
60 to 64 years	100.0	5.8	7.5	†	15.7	32.8	1.1	25.2	11.7
65 years and older	100.0	5.0	6.8	†	14.4	29.3	1.1	28.6	14.4
Total	7.9	7.7	7.7	7.5	7.3	7.1	†	†	†
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ Age is based on the individual's age at the midpoint of the reporting period.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.3a. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, race, and ethnicity: Number, 2018
Race and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	1,026,726	101,731	105,583	21,085	169,793	289,422	15,761	169,647	153,704
Race
American Indian or Alaska Native	18,997	3,248	2,908	350	1,850	5,516	266	2,295	2,564
Asian³	9,411	842	713	118	1,120	2,090	98	2,583	1,847
Black or African American	195,090	16,363	9,703	3,311	29,176	52,935	3,365	55,654	24,583
Native Hawaiian or Other Pacific Islander	2,201	266	224	29	253	523	25	531	350
White	660,387	67,369	79,355	14,092	121,082	194,063	10,134	87,751	86,541
Other	88,857	7,122	5,762	1,855	10,659	21,403	1,080	14,513	26,463
Total	974,943	95,210	98,665	19,755	164,140	276,530	14,968	163,327	142,348
Ethnicity
Not of Hispanic or Latino origin	830,134	83,030	86,206	17,173	144,087	239,181	13,121	138,068	109,268
Hispanic or Latino origin	109,036	9,350	8,567	1,863	14,697	27,988	1,437	17,592	27,542
Total	939,170	92,380	94,773	19,036	158,784	267,169	14,558	155,660	136,810
Specific Hispanic or Latino origin
Mexican	4,399	650	438	129	510	1,444	48	559	621
Puerto Rican	6,609	677	472	121	1,041	2,109	80	1,386	723
Cuban	908	85	64	10	166	248	4	215	116
Other specific	6,989	797	601	146	1,161	2,147	83	1,221	833
Total	18,905	2,209	1,575	406	2,878	5,948	215	3,381	2,293
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.3b. Individuals aged 12  years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, race, and ethnicity: Column percent distribution, 2018
Race and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Race
American Indian or Alaska Native	1.9	3.4	2.9	1.8	1.1	2.0	1.8	1.4	1.8
Asian³	†	†	†	†	†	†	†	1.6	1.3
Black or African American	20.0	17.2	9.8	16.8	17.8	19.1	22.5	34.1	17.3
Native Hawaiian or Other Pacific Islander	†	†	†	†	†	†	†	†	†
White	67.7	70.8	80.4	71.3	73.8	70.2	67.7	53.7	60.8
Other	9.1	7.5	5.8	9.4	6.5	7.7	7.2	8.9	18.6
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Ethnicity
Not of Hispanic or Latino origin	88.4	89.9	91.0	90.2	90.7	89.5	90.1	88.7	79.9
Hispanic or Latino origin	11.6	10.1	9.0	9.8	9.3	10.5	9.9	11.3	20.1
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Specific Hispanic or Latino origin
Mexican	23.3	29.4	27.8	31.8	17.7	24.3	22.3	16.5	27.1
Puerto Rican	35.0	30.6	30.0	29.8	36.2	35.5	37.2	41.0	31.5
Cuban	4.8	3.8	4.1	2.5	5.8	4.2	1.9	6.4	5.1
Other specific	37.0	36.1	38.2	36.0	40.3	36.1	38.6	36.1	36.3
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.3c. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, race, and ethnicity: Row percent distribution, 2018
Race and ethnicity	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	9.9	10.3	2.1	16.5	28.2	1.5	16.5	15.0
Race
American Indian or Alaska Native	100.0	17.1	15.3	1.8	9.7	29.0	1.4	12.1	13.5
Asian³	100.0	8.9	7.6	1.3	11.9	22.2	1.0	27.4	19.6
Black or African American	100.0	8.4	5.0	1.7	15.0	27.1	1.7	28.5	12.6
Native Hawaiian or Other Pacific Islander	100.0	12.1	10.2	1.3	11.5	23.8	1.1	24.1	15.9
White	100.0	10.2	12.0	2.1	18.3	29.4	1.5	13.3	13.1
Other	100.0	8.0	6.5	2.1	12.0	24.1	1.2	16.3	29.8
Total	100.0	9.8	10.1	2.0	16.8	28.4	1.5	16.8	14.6
Ethnicity
Not of Hispanic or Latino origin	100.0	10.0	10.4	2.1	17.4	28.8	1.6	16.6	13.2
Hispanic or Latino origin	100.0	8.6	7.9	1.7	13.5	25.7	1.3	16.1	25.3
Total	100.0	9.8	10.1	2.0	16.9	28.4	1.6	16.6	14.6
Specific Hispanic or Latino origin
Mexican	100.0	14.8	10.0	2.9	11.6	32.8	1.1	12.7	14.1
Puerto Rican	100.0	10.2	7.1	1.8	15.8	31.9	1.2	21.0	10.9
Cuban	100.0	9.4	7.0	1.1	18.3	27.3	†	23.7	12.8
Other specific	100.0	11.4	8.6	2.1	16.6	30.7	1.2	17.5	11.9
Total	100.0	11.7	8.3	2.1	15.2	31.5	1.1	17.9	12.1
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ For some states, “Asian” includes “Pacific Islanders.” See Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.4a. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis and substance use diagnosis: Number, 2018
Substance use diagnosis¹	Mental health diagnosis²
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders²
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older³	1,026,726	101,731	105,583	21,085	169,793	289,422	15,761	169,647	153,704
Alcoholic psychoses	12,859	1,192	1,363	145	1,889	4,094	206	1,933	2,037
Alcohol intoxication	8,348	968	1,047	123	959	2,800	107	919	1,425
Drug psychoses	32,510	3,020	3,422	733	4,765	7,917	761	6,314	5,578
Dependence
Alcohol	146,426	13,999	14,997	1,541	25,595	48,251	3,039	21,718	17,286
Cocaine	28,855	2,643	1,763	230	6,579	8,546	583	6,066	2,445
Marijuana	89,375	9,253	7,406	2,641	16,212	22,359	1,911	15,868	13,725
Opioid	104,418	13,186	17,323	2,117	17,555	34,906	1,432	5,529	12,370
Other	159,691	17,115	18,390	2,732	26,129	37,762	2,583	32,435	22,545
Non-dependent substance abuse
Alcohol	68,047	5,661	6,336	863	11,986	19,850	1,087	12,823	9,441
Cocaine	13,296	936	764	79	3,024	3,698	224	3,352	1,219
Marijuana	88,419	7,955	7,365	2,834	14,921	22,150	1,102	15,587	16,505
Opioid	12,769	1,379	1,810	178	2,228	4,294	170	1,054	1,656
Other	52,520	4,738	5,263	882	8,069	12,088	939	11,371	9,170
None reported	209,193	19,686	18,334	5,987	29,882	60,707	1,617	34,678	38,302
ADHD = attention deficit/hyperactivity disorder.
¹ Substance use diagnostic category definitions can be found in Appendix E.
² “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
³ Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
NOTE: Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.4b. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis and substance use diagnosis: Column percent distribution, 2018
Substance use diagnosis¹	Mental health diagnosis²
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders²
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older³	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Alcoholic psychoses	1.3	1.2	1.3	†	1.1	1.4	1.3	1.1	1.3
Alcohol intoxication	†	†	†	†	†	†	†	†	†
Drug psychoses	3.2	3.0	3.2	3.5	2.8	2.7	4.8	3.7	3.6
Substance dependence
Alcohol	14.3	13.8	14.2	7.3	15.1	16.7	19.3	12.8	11.2
Cocaine	2.8	2.6	1.7	1.1	3.9	3.0	3.7	3.6	1.6
Marijuana	8.7	9.1	7.0	12.5	9.5	7.7	12.1	9.4	8.9
Opioid	10.2	13.0	16.4	10.0	10.3	12.1	9.1	3.3	8.0
Other	15.6	16.8	17.4	13.0	15.4	13.0	16.4	19.1	14.7
Non-dependent substance abuse
Alcohol	6.6	5.6	6.0	4.1	7.1	6.9	6.9	7.6	6.1
Cocaine	1.3	†	†	†	1.8	1.3	1.4	2.0	†
Marijuana	8.6	7.8	7.0	13.4	8.8	7.7	7.0	9.2	10.7
Opioid	1.2	1.4	1.7	†	1.3	1.5	1.1	†	1.1
Other	5.1	4.7	5.0	4.2	4.8	4.2	6.0	6.7	6.0
None reported	20.4	19.4	17.4	28.4	17.6	21.0	10.3	20.4	24.9
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ Substance use diagnostic category definitions can be found in Appendix E.
² “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
³ Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.4c. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis and substance use diagnosis: Row percent distribution, 2018
Substance use diagnosis¹	Mental health diagnosis²
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders²
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older³	100.0	9.9	10.3	2.1	16.5	28.2	1.5	16.5	15.0
Alcoholic psychoses	100.0	9.3	10.6	1.1	14.7	31.8	1.6	15.0	15.8
Alcohol intoxication	100.0	11.6	12.5	1.5	11.5	33.5	1.3	11.0	17.1
Drug psychoses	100.0	9.3	10.5	2.3	14.7	24.4	2.3	19.4	17.2
Substance dependence
Alcohol	100.0	9.6	10.2	1.1	17.5	33.0	2.1	14.8	11.8
Cocaine	100.0	9.2	6.1	†	22.8	29.6	2.0	21.0	8.5
Marijuana	100.0	10.4	8.3	3.0	18.1	25.0	2.1	17.8	15.4
Opioid	100.0	12.6	16.6	2.0	16.8	33.4	1.4	5.3	11.8
Other	100.0	10.7	11.5	1.7	16.4	23.6	1.6	20.3	14.1
Non-dependent substance abuse
Alcohol	100.0	8.3	9.3	1.3	17.6	29.2	1.6	18.8	13.9
Cocaine	100.0	7.0	5.7	†	22.7	27.8	1.7	25.2	9.2
Marijuana	100.0	9.0	8.3	3.2	16.9	25.1	1.2	17.6	18.7
Opioid	100.0	10.8	14.2	1.4	17.4	33.6	1.3	8.3	13.0
Other	100.0	9.0	10.0	1.7	15.4	23.0	1.8	21.7	17.5
None reported	100.0	9.4	8.8	2.9	14.3	29.0	†	16.6	18.3
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ Substance use diagnostic category definitions can be found in Appendix E.
² “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
³ Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.5a. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, education, and marital status: Number, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	1,026,726	101,731	105,583	21,085	169,793	289,422	15,761	169,647	153,704
Highest school grade completed
0 to 8	58,473	7,052	6,329	3,492	6,780	15,266	831	8,538	10,185
9 to 11	135,664	14,486	11,769	4,311	20,609	39,047	2,679	26,122	16,641
12 (or GED)	282,872	28,600	29,872	4,522	52,774	84,857	5,479	50,683	26,085
More than 12	123,141	12,899	13,538	1,599	26,674	38,771	2,275	18,270	9,115
Total	600,150	63,037	61,508	13,924	106,837	177,941	11,264	103,613	62,026
Marital status
Never married	381,319	34,272	30,100	10,034	64,453	107,192	5,470	81,540	48,258
Currently married	65,820	7,815	6,786	648	13,581	22,264	1,063	7,590	6,073
Separated	32,333	3,566	2,479	185	7,424	11,187	420	4,530	2,542
Divorced	90,241	8,406	6,830	549	21,656	31,042	1,122	14,057	6,579
Widowed	13,408	1,137	998	65	2,579	5,016	128	2,045	1,440
Total	583,121	55,196	47,193	11,481	109,693	176,701	8,203	109,762	64,892
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.5b. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, education, and marital status: Column percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Highest school grade completed
0 to 8	9.7	11.2	10.3	25.1	6.3	8.6	7.4	8.2	16.4
9 to 11	22.6	23.0	19.1	31.0	19.3	21.9	23.8	25.2	26.8
12 (or GED)	47.1	45.4	48.6	32.5	49.4	47.7	48.6	48.9	42.1
More than 12	20.5	20.5	22.0	11.5	25.0	21.8	20.2	17.6	14.7
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Marital status
Never married	65.4	62.1	63.8	87.4	58.8	60.7	66.7	74.3	74.4
Currently married	11.3	14.2	14.4	5.6	12.4	12.6	13.0	6.9	9.4
Separated	5.5	6.5	5.3	1.6	6.8	6.3	5.1	4.1	3.9
Divorced	15.5	15.2	14.5	4.8	19.7	17.6	13.7	12.8	10.1
Widowed	2.3	2.1	2.1	†	2.4	2.8	1.6	1.9	2.2
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.5c. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, education, and marital status: Row percent distribution, 2018
Education and marital status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	9.9	10.3	2.1	16.5	28.2	1.5	16.5	15.0
Highest school grade completed
0 to 8	100.0	12.1	10.8	6.0	11.6	26.1	1.4	14.6	17.4
9 to 11	100.0	10.7	8.7	3.2	15.2	28.8	2.0	19.3	12.3
12 (or GED)	100.0	10.1	10.6	1.6	18.7	30.0	1.9	17.9	9.2
More than 12	100.0	10.5	11.0	1.3	21.7	31.5	1.8	14.8	7.4
Total	100.0	10.5	10.2	2.3	17.8	29.6	1.9	17.3	10.3
Marital status
Never married	100.0	9.0	7.9	2.6	16.9	28.1	1.4	21.4	12.7
Currently married	100.0	11.9	10.3	†	20.6	33.8	1.6	11.5	9.2
Separated	100.0	11.0	7.7	†	23.0	34.6	1.3	14.0	7.9
Divorced	100.0	9.3	7.6	†	24.0	34.4	1.2	15.6	7.3
Widowed	100.0	8.5	7.4	†	19.2	37.4	†	15.3	10.7
Total	100.0	9.5	8.1	2.0	18.8	30.3	1.4	18.8	11.1
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; GED = general equivalency diploma.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.6a. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, living arrangement, SMI/SED status, and veteran status: Number, 2018
Living arrangement, SMI/SED status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	1,026,726	101,731	105,583	21,085	169,793	289,422	15,761	169,647	153,704
Living arrangement
Homeless	61,656	5,668	4,102	425	9,853	17,746	689	11,991	11,182
Foster home/foster care	4,450	651	292	197	372	729	64	1,228	917
Residential care	41,638	2,190	2,070	461	5,816	7,882	470	15,547	7,202
Institutional setting	13,573	849	916	149	1,721	2,661	481	4,625	2,171
Jail/correctional facility	30,065	5,467	2,283	445	2,862	4,998	2,914	4,425	6,671
Private residence	580,755	54,453	59,350	13,643	101,825	172,082	7,661	88,283	83,458
Other	24,857	3,936	3,608	436	3,199	6,762	212	3,694	3,010
Total	756,994	73,214	72,621	15,756	125,648	212,860	12,491	129,793	114,611
SMI/SED status³
SMI	741,570	54,217	60,546	6,182	142,482	215,823	12,720	155,791	93,809
SED	55,627	7,637	4,438	6,304	2,167	14,037	82	776	20,186
Not SMI/SED	198,164	36,663	36,362	7,664	21,569	50,110	2,417	10,523	32,856
Total	995,361	98,517	101,346	20,150	166,218	279,970	15,219	167,090	146,851
Veteran status4
Veteran	13,856	1,676	1,010	121	2,343	4,488	119	3,064	1,035
Not a veteran	362,989	36,336	33,318	4,758	65,162	108,440	4,270	66,176	44,529
Total	376,845	38,012	34,328	4,879	67,505	112,928	4,389	69,240	45,564
ADHD = attention deficit/hyperactivity disorder; SED = serious emotional disturbance; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ The federal definitions for SMI and SED statuses can be found in Appendix D.
⁴ Veteran status is only reported for individuals aged 18 years and older.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.6b. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, living arrangement, SMI/SED status, and veteran status: Column percent distribution, 2018
Living arrangement, SMI/SED status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Living arrangement
Homeless	8.1	7.7	5.6	2.7	7.8	8.3	5.5	9.2	9.8
Foster home/foster care	†	†	†	1.3	†	†	†	†	†
Residential care	5.5	3.0	2.9	2.9	4.6	3.7	3.8	12.0	6.3
Institutional setting	1.8	1.2	1.3	†	1.4	1.3	3.9	3.6	1.9
Jail/correctional facility	4.0	7.5	3.1	2.8	2.3	2.3	23.3	3.4	5.8
Private residence	76.7	74.4	81.7	86.6	81.0	80.8	61.3	68.0	72.8
Other	3.3	5.4	5.0	2.8	2.5	3.2	1.7	2.8	2.6
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
SMI/SED status³
SMI	74.5	55.0	59.7	30.7	85.7	77.1	83.6	93.2	63.9
SED	5.6	7.8	4.4	31.3	1.3	5.0	†	†	13.7
Not SMI/SED	19.9	37.2	35.9	38.0	13.0	17.9	15.9	6.3	22.4
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Veteran status4
Veteran	3.7	4.4	2.9	2.5	3.5	4.0	2.7	4.4	2.3
Not a veteran	96.3	95.6	97.1	97.5	96.5	96.0	97.3	95.6	97.7
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SED = serious emotional disturbance; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ The federal definitions for SMI and SED statuses can be found in Appendix D.
⁴ Veteran status is only reported for individuals aged 18 years and older.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.6c. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, living arrangement, SMI/SED status, and veteran status: Row percent distribution, 2018
Living arrangement, SMI/SED status, and veteran status	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	9.9	10.3	2.1	16.5	28.2	1.5	16.5	15.0
Living arrangement
Homeless	100.0	9.2	6.7	†	16.0	28.8	1.1	19.4	18.1
Foster home/foster care	100.0	14.6	6.6	4.4	8.4	16.4	1.4	27.6	20.6
Residential care	100.0	5.3	5.0	1.1	14.0	18.9	1.1	37.3	17.3
Institutional setting	100.0	6.3	6.7	1.1	12.7	19.6	3.5	34.1	16.0
Jail/correctional facility	100.0	18.2	7.6	1.5	9.5	16.6	9.7	14.7	22.2
Private residence	100.0	9.4	10.2	2.3	17.5	29.6	1.3	15.2	14.4
Other	100.0	15.8	14.5	1.8	12.9	27.2	†	14.9	12.1
Total	100.0	9.7	9.6	2.1	16.6	28.1	1.7	17.1	15.1
SMI/SED status³
SMI	100.0	7.3	8.2	†	19.2	29.1	1.7	21.0	12.7
SED	100.0	13.7	8.0	11.3	3.9	25.2	†	1.4	36.3
Not SMI/SED	100.0	18.5	18.3	3.9	10.9	25.3	1.2	5.3	16.6
Total	100.0	9.9	10.2	2.0	16.7	28.1	1.5	16.8	14.8
Veteran status4
Veteran	100.0	12.1	7.3	†	16.9	32.4	†	22.1	7.6
Not a veteran	100.0	10.5	9.1	2.3	16.8	29.5	1.1	16.9	13.9
Total	100.0	10.5	9.0	2.2	16.8	29.6	1.1	17.1	13.6
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder; SED = serious emotional disturbance; SMI = serious mental illness.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ The federal definitions for SMI and SED statuses can be found in Appendix D.
⁴ Veteran status is only reported for individuals aged 18 years and older.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.7a. Individuals aged 18 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Number, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	958,839	92,248	99,976	13,370	167,190	272,657	15,649	168,749	129,000
Employment status
Employed	127,514	15,345	17,450	2,838	22,493	41,258	2,233	12,039	13,858
Full time	65,689	9,599	11,328	1,865	8,890	20,355	1,466	4,756	7,430
Part time	44,057	4,941	5,133	830	7,475	13,709	669	5,309	5,991
Unemployed	181,163	16,730	16,254	2,190	34,229	61,159	2,043	26,924	21,634
Not in labor force (see detail below)	290,035	23,535	26,596	3,726	55,755	77,883	4,745	69,313	28,482
Total	598,712	55,610	60,300	8,754	112,477	180,300	9,021	108,276	63,974
Detailed not in labor force
Disabled	160,331	10,346	11,191	1,138	32,438	40,499	2,773	47,819	14,127
Retired	7,106	508	505	24	1,099	2,534	43	1,273	1,120
Student	11,939	1,255	1,030	505	1,130	2,737	77	860	4,345
Homemaker	8,859	1,264	1,210	87	1,422	2,925	116	548	1,287
Sheltered/non-competitive employment	2,806	158	150	22	365	522	13	484	1,092
Other	98,994	10,004	12,510	1,950	19,301	28,666	1,723	18,329	6,511
Total	290,035	23,535	26,596	3,726	55,755	77,883	4,745	69,313	28,482
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
NOTES: Employed includes “full-time/part-time not differentiated,” which is not presented separately; total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.7b. Individuals aged 18 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Column percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Employment status
Employed	21.3	27.6	28.9	32.4	20.0	22.9	24.8	11.1	21.7
Full time	11.0	17.3	18.8	21.3	7.9	11.3	16.3	4.4	11.6
Part time	7.4	8.9	8.5	9.5	6.6	7.6	7.4	4.9	9.4
Unemployed	30.3	30.1	27.0	25.0	30.4	33.9	22.6	24.9	33.8
Not in labor force (see detail below)	48.4	42.3	44.1	42.6	49.6	43.2	52.6	64.0	44.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Detailed not in labor force
Disabled	55.3	44.0	42.1	30.5	58.2	52.0	58.4	69.0	49.6
Retired	2.5	2.2	1.9	†	2.0	3.3	†	1.8	3.9
Student	4.1	5.3	3.9	13.6	2.0	3.5	1.6	1.2	15.3
Homemaker	3.1	5.4	4.5	2.3	2.6	3.8	2.4	†	4.5
Sheltered/non-competitive employment	†	†	†	†	†	†	†	†	3.8
Other	34.1	42.5	47.0	52.3	34.6	36.8	36.3	26.4	22.9
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.7c. Individuals aged 18 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, employment status, and ‘detailed not in labor force’: Row percent distribution, 2018
Employment status and ‘detailed not in labor force’	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	9.6	10.4	1.4	17.4	28.4	1.6	17.6	13.5
Employment status
Employed	100.0	12.0	13.7	2.2	17.6	32.4	1.8	9.4	10.9
Full time	100.0	14.6	17.2	2.8	13.5	31.0	2.2	7.2	11.3
Part time	100.0	11.2	11.7	1.9	17.0	31.1	1.5	12.1	13.6
Unemployed	100.0	9.2	9.0	1.2	18.9	33.8	1.1	14.9	11.9
Not in labor force (see detail below)	100.0	8.1	9.2	1.3	19.2	26.9	1.6	23.9	9.8
Total	100.0	9.3	10.1	1.5	18.8	30.1	1.5	18.1	10.7
Detailed not in labor force
Disabled	100.0	6.5	7.0	†	20.2	25.3	1.7	29.8	8.8
Retired	100.0	7.1	7.1	†	15.5	35.7	†	17.9	15.8
Student	100.0	10.5	8.6	4.2	9.5	22.9	†	7.2	36.4
Homemaker	100.0	14.3	13.7	†	16.1	33.0	1.3	6.2	14.5
Sheltered/non-competitive employment	100.0	5.6	5.3	†	13.0	18.6	†	17.2	38.9
Other	100.0	10.1	12.6	2.0	19.5	29.0	1.7	18.5	6.6
Total	100.0	8.1	9.2	1.3	19.2	26.9	1.6	23.9	9.8
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
NOTES: Percentages may not sum to 100 percent because of rounding. Employed includes “full-time/part-time not differentiated,” which is not presented separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.8a. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU disorders aged 12 years and older²	1,026,726	101,731	105,583	21,085	169,793	289,422	15,761	169,647	153,704
Timing of admission
New individuals	492,985	59,702	56,050	9,990	72,617	155,466	6,435	54,319	78,406
Continuing individuals	533,741	42,029	49,533	11,095	97,176	133,956	9,326	115,328	75,298
Mental health service setting³,⁴
State psychiatric hospital	38,165	1,557	699	171	6,600	5,508	1,522	18,778	3,330
Community-based program	989,985	99,487	104,602	20,872	165,413	282,226	14,931	157,102	145,352
Residential treatment center	17,922	1,216	831	331	2,415	3,988	213	5,489	3,439
Other psychiatric inpatient	89,298	6,050	6,872	997	17,426	28,484	1,208	19,844	8,417
Institutions under the justice system	33,393	5,089	1,659	253	1,814	4,205	3,263	6,341	10,769
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ Individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.8b. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, timing of admission, and mental health service setting: Column percent, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU disorders aged 12 years and older²	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Timing of admission
New individuals	48.0	58.7	53.1	47.4	42.8	53.7	40.8	32.0	51.0
Continuing individuals	52.0	41.3	46.9	52.6	57.2	46.3	59.2	68.0	49.0
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Mental health service setting³,⁴
State psychiatric hospital	3.7	1.5	†	†	3.9	1.9	9.7	11.1	2.2
Community-based program	96.4	97.8	99.1	99.0	97.4	97.5	94.7	92.6	94.6
Residential treatment center	1.7	1.2	†	1.6	1.4	1.4	1.4	3.2	2.2
Other psychiatric inpatient	8.7	5.9	6.5	4.7	10.3	9.8	7.7	11.7	5.5
Institutions under the justice system	3.3	5.0	1.6	1.2	1.1	1.5	20.7	3.7	7.0
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ Percentages may not sum to 100 percent, because individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 6.8c. Individuals aged 12 years and older with co-occurring mental health and substance use disorders, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2018
Timing of admission and mental health service setting	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders¹
					Bipolar disorders	Depressive disorders
Total individuals with co-occurring MH and SU  disorders aged 12 years and older²	100.0	9.9	10.3	2.1	16.5	28.2	1.5	16.5	15.0
Timing of admission
New individuals	100.0	12.1	11.4	2.0	14.7	31.5	1.3	11.0	15.9
Continuing individuals	100.0	7.9	9.3	2.1	18.2	25.1	1.7	21.6	14.1
Mental health service setting³,⁴
State psychiatric hospital	100.0	4.1	1.8	†	17.3	14.4	4.0	49.2	8.7
Community-based program	100.0	10.0	10.6	2.1	16.7	28.5	1.5	15.9	14.7
Residential treatment center	100.0	6.8	4.6	1.8	13.5	22.3	1.2	30.6	19.2
Other psychiatric inpatient	100.0	6.8	7.7	1.1	19.5	31.9	1.4	22.2	9.4
Institutions under the justice system	100.0	15.2	5.0	†	5.4	12.6	9.8	19.0	32.2
† Less than 1 percent of individuals.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. This table focuses on the most frequently reported mental health diagnoses for this age group. “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
² Total individuals with co-occurring mental health and substance use disorders who had at least one valid mental health diagnosis other than an alcohol- or substance-related disorder.
³ Individuals could receive services in more than one service setting during the reporting period.
⁴ Mental health service setting category definitions can be found in Appendix C.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 7.1a. Individuals served in both 2015 and 2018, by living arrangement and selected characteristics in 2015: Number, 2015
Selected characteristics		Living arrangement
	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional  facility	Private residence	Other
Number of states reporting	41	39	35	38	39	39	41	37
Total individuals¹	1,019,988	33,543	15,778	55,282	18,306	14,955	848,238	33,886
Gender
Male	492,062	19,929	8,553	33,465	10,861	11,785	391,700	15,769
Female	527,835	13,604	7,225	21,814	7,444	3,167	456,466	18,115
Total	1,019,897	33,533	15,778	55,279	18,305	14,952	848,166	33,884
Age²
0 to 11 years	133,491	436	5,017	1,169	135	28	123,952	2,754
12 to 14 years	63,475	160	2,024	1,469	182	361	57,905	1,374
15 to 17 years	40,853	157	1,450	1,549	218	727	35,673	1,079
18 to 20 years	28,147	707	679	1,189	412	606	23,214	1,340
21 to 25 years	48,794	2,090	688	2,483	942	1,463	38,897	2,231
26 to 29 years	76,055	3,480	715	3,990	1,523	2,316	60,597	3,434
30 to 34 years	83,280	3,957	665	4,525	1,677	2,153	66,877	3,426
35 to 39 years	78,738	3,712	596	4,123	1,464	1,749	64,206	2,888
40 to 44 years	81,048	3,904	607	4,526	1,441	1,485	66,106	2,979
45 to 49 years	93,896	4,868	670	5,888	1,583	1,549	75,911	3,427
50 to 54 years	108,423	5,068	834	7,664	2,168	1,258	87,772	3,659
55 to 59 years	89,000	3,160	720	7,280	2,177	745	72,189	2,729
60 to 64 years	53,310	1,329	543	5,026	1,713	313	42,884	1,502
65 years and older	41,245	483	567	4,379	2,661	178	31,922	1,055
Total	1,019,755	33,511	15,775	55,260	18,296	14,931	848,105	33,877
SED status³
SED	184,369	590	7,167	3,626	408	945	167,459	4,174
Not SED	48,823	131	1,136	492	46	153	45,906	959
Total	233,192	721	8,303	4,118	454	1,098	213,365	5,133
SMI status³
SMI	634,444	27,734	3,953	45,388	14,922	10,026	511,814	20,607
Not SMI	124,892	3,373	3,199	4,847	2,010	3,313	100,483	7,667
Total	759,336	31,107	7,152	50,235	16,932	13,339	612,297	28,274
Substance use diagnosis
Total individuals aged 12 years and  older with co-occurring  MH and SU disorders	205,732	14,934	1,288	15,945	5,220	7,858	152,725	7,762
Alcoholic psychoses	1,489	223	6	131	42	37	944	106
Alcohol intoxication	596	109	1	37	4	5	410	30
Drug psychoses	4,218	578	18	326	113	194	2,763	226
Dependence
Alcohol	29,820	2,227	140	2,273	687	1,556	21,939	998
Cocaine	5,861	539	12	436	84	400	4,217	173
Marijuana	12,140	765	82	660	198	750	9,362	323
Opioid	8,769	532	15	392	117	521	6,849	343
Other	35,858	3,271	204	3,290	1,043	1,987	24,858	1,205
Non-dependent abuse
Alcohol	18,215	975	68	1,561	523	581	13,955	552
Cocaine	3,362	286	5	269	78	66	2,526	132
Marijuana	16,478	870	153	976	389	574	13,099	417
Opioid	1,573	112	8	73	32	51	1,232	65
Other	25,874	1,443	366	2,336	1,124	389	18,335	1,881
None reported	41,479	3,004	210	3,185	786	747	32,236	1,311
Mental health diagnosis
Trauma- and stressor-related disorders	89,687	2,746	3,291	2,327	563	1,665	74,673	4,422
Anxiety disorders	75,413	1,343	1,421	1,964	492	1,011	65,894	3,288
Attention deficit/hyperactivity disorder	72,910	286	1,457	896	108	155	68,605	1,403
Mood disorders	396,300	15,354	3,622	14,391	4,057	4,227	340,327	14,322
Bipolar disorders	169,460	7,002	1,672	7,711	2,014	2,029	143,307	5,725
Depressive disorders	226,840	8,352	1,950	6,680	2,043	2,198	197,020	8,597
Personality disorders	9,477	386	149	623	299	1,127	6,678	215
Schizophrenia and other   psychotic disorders	207,122	8,665	2,147	26,984	9,055	3,655	149,549	7,067
Alcohol or substance-related disorders	8,038	1,186	36	422	230	747	5,169	248
Other mental disorders⁴	73,443	722	2,876	3,411	1,118	1,050	62,669	1,597
No/deferred diagnosis	87,598	2,855	779	4,264	2,384	1,318	74,674	1,324
Total	1,019,988	33,543	15,778	55,282	18,306	14,955	848,238	33,886
MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known living arrangements in both reporting years.
² Age is based on the individual’s age at the midpoint of the reporting period in 2015.
³ The federal definitions for SED and SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.1b. Individuals served in both 2015 and 2018, by living arrangement and selected characteristics in 2015: Column percent distribution, 2015
Selected characteristics		Living arrangement
	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional  facility	Private residence	Other
Number of states reporting	41	39	35	38	39	39	41	37
Total individuals¹	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	48.2	59.4	54.2	60.5	59.3	78.8	46.2	46.5
Female	51.8	40.6	45.8	39.5	40.7	21.2	53.8	53.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Age²
0 to 11 years	13.1	1.3	31.8	2.1	†	†	14.6	8.1
12 to 14 years	6.2	†	12.8	2.7	†	2.4	6.8	4.1
15 to 17 years	4.0	†	9.2	2.8	1.2	4.9	4.2	3.2
18 to 20 years	2.8	2.1	4.3	2.2	2.3	4.1	2.7	4.0
21 to 25 years	4.8	6.2	4.4	4.5	5.1	9.8	4.6	6.6
26 to 29 years	7.5	10.4	4.5	7.2	8.3	15.5	7.1	10.1
30 to 34 years	8.2	11.8	4.2	8.2	9.2	14.4	7.9	10.1
35 to 39 years	7.7	11.1	3.8	7.5	8.0	11.7	7.6	8.5
40 to 44 years	7.9	11.6	3.8	8.2	7.9	9.9	7.8	8.8
45 to 49 years	9.2	14.5	4.2	10.7	8.7	10.4	9.0	10.1
50 to 54 years	10.6	15.1	5.3	13.9	11.8	8.4	10.3	10.8
55 to 59 years	8.7	9.4	4.6	13.2	11.9	5.0	8.5	8.1
60 to 64 years	5.2	4.0	3.4	9.1	9.4	2.1	5.1	4.4
65 years and older	4.0	1.4	3.6	7.9	14.5	1.2	3.8	3.1
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
SED status³
SED	79.1	81.8	86.3	88.1	89.9	86.1	78.5	81.3
Not SED	20.9	18.2	13.7	11.9	10.1	13.9	21.5	18.7
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
SMI status³
SMI	83.6	89.2	55.3	90.4	88.1	75.2	83.6	72.9
Not SMI	16.4	10.8	44.7	9.6	11.9	24.8	16.4	27.1
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Substance use diagnosis
Total individuals aged 12 years and  older with co-occurring  MH and SU disorders	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Alcoholic psychoses	†	1.5	†	†	†	†	†	1.4
Alcohol intoxication	†	†	†	†	†	†	†	†
Drug psychoses	2.1	3.9	1.4	2.0	2.2	2.5	1.8	2.9
Dependence
Alcohol	14.5	14.9	10.9	14.3	13.2	19.8	14.4	12.9
Cocaine	2.8	3.6	†	2.7	1.6	5.1	2.8	2.2
Marijuana	5.9	5.1	6.4	4.1	3.8	9.5	6.1	4.2
Opioid	4.3	3.6	1.2	2.5	2.2	6.6	4.5	4.4
Other	17.4	21.9	15.8	20.6	20.0	25.3	16.3	15.5
Non-dependent abuse
Alcohol	8.9	6.5	5.3	9.8	10.0	7.4	9.1	7.1
Cocaine	1.6	1.9	†	1.7	1.5	†	1.7	1.7
Marijuana	8.0	5.8	11.9	6.1	7.5	7.3	8.6	5.4
Opioid	†	†	†	†	†	†	†	†
Other	12.6	9.7	28.4	14.7	21.5	5.0	12.0	24.2
None reported	20.2	20.1	16.3	20.0	15.1	9.5	21.1	16.9
Mental health diagnosis
Trauma- and stressor-related disorders	8.8	8.2	20.9	4.2	3.1	11.1	8.8	13.0
Anxiety disorders	7.4	4.0	9.0	3.6	2.7	6.8	7.8	9.7
Attention deficit/hyperactivity disorder	7.1	†	9.2	1.6	†	1.0	8.1	4.1
Mood disorders	38.9	45.8	23.0	26.0	22.2	28.3	40.1	42.3
Bipolar disorders	16.6	20.9	10.6	13.9	11.0	13.6	16.9	16.9
Depressive disorders	22.2	24.9	12.4	12.1	11.2	14.7	23.2	25.4
Personality disorders	†	1.2	†	1.1	1.6	7.5	†	†
Schizophrenia and other   psychotic disorders	20.3	25.8	13.6	48.8	49.5	24.4	17.6	20.9
Alcohol or substance-related disorders	†	3.5	†	†	1.3	5.0	†	†
Other mental disorders⁴	7.2	2.2	18.2	6.2	6.1	7.0	7.4	4.7
No/deferred diagnosis	8.6	8.5	4.9	7.7	13.0	8.8	8.8	3.9
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known living arrangements in both reporting years.
² Age is based on the individual’s age at the midpoint of the reporting period in 2015.
³ The federal definitions for SED and SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.1c. Individuals served in both 2015 and 2018, by living arrangement and selected characteristics in 2015: Row percent distribution, 2015
Selected characteristics		Living arrangement
	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Number of states reporting	41	39	35	38	39	39	41	37
Total individuals¹	100.0	3.3	1.5	5.4	1.8	1.5	83.2	3.3
Gender
Male	100.0	4.1	1.7	6.8	2.2	2.4	79.6	3.2
Female	100.0	2.6	1.4	4.1	1.4	†	86.5	3.4
Total	100.0	3.3	1.5	5.4	1.8	1.5	83.2	3.3
Age²
0 to 11 years	100.0	†	3.8	†	†	†	92.9	2.1
12 to 14 years	100.0	†	3.2	2.3	†	†	91.2	2.2
15 to 17 years	100.0	†	3.5	3.8	†	1.8	87.3	2.6
18 to 20 years	100.0	2.5	2.4	4.2	1.5	2.2	82.5	4.8
21 to 25 years	100.0	4.3	1.4	5.1	1.9	3.0	79.7	4.6
26 to 29 years	100.0	4.6	†	5.2	2.0	3.0	79.7	4.5
30 to 34 years	100.0	4.8	†	5.4	2.0	2.6	80.3	4.1
35 to 39 years	100.0	4.7	†	5.2	1.9	2.2	81.5	3.7
40 to 44 years	100.0	4.8	†	5.6	1.8	1.8	81.6	3.7
45 to 49 years	100.0	5.2	†	6.3	1.7	1.6	80.8	3.6
50 to 54 years	100.0	4.7	†	7.1	2.0	1.2	81.0	3.4
55 to 59 years	100.0	3.6	†	8.2	2.4	†	81.1	3.1
60 to 64 years	100.0	2.5	1.0	9.4	3.2	†	80.4	2.8
65 years and older	100.0	1.2	1.4	10.6	6.5	†	77.4	2.6
Total	100.0	3.3	1.5	5.4	1.8	1.5	83.2	3.3
SED status³
SED	100.0	†	3.9	2.0	†	†	90.8	2.3
Not SED	100.0	†	2.3	1.0	†	†	94.0	2.0
Total	100.0	†	3.6	1.8	†	†	91.5	2.2
SMI status³
SMI	100.0	4.4	†	7.2	2.4	1.6	80.7	3.2
Not SMI	100.0	2.7	2.6	3.9	1.6	2.7	80.5	6.1
Total	100.0	4.1	†	6.6	2.2	1.8	80.6	3.7
Substance use diagnosis
Total individuals aged 12 years and  older with co-occurring  MH and SU disorders	100.0	7.3	†	7.8	2.5	3.8	74.2	3.8
Alcoholic psychoses	100.0	15.0	†	8.8	2.8	2.5	63.4	7.1
Alcohol intoxication	100.0	18.3	†	6.2	†	†	68.8	5.0
Drug psychoses	100.0	13.7	†	7.7	2.7	4.6	65.5	5.4
Dependence
Alcohol	100.0	7.5	†	7.6	2.3	5.2	73.6	3.3
Cocaine	100.0	9.2	†	7.4	1.4	6.8	72.0	3.0
Marijuana	100.0	6.3	†	5.4	1.6	6.2	77.1	2.7
Opioid	100.0	6.1	†	4.5	1.3	5.9	78.1	3.9
Other	100.0	9.1	†	9.2	2.9	5.5	69.3	3.4
Non-dependent abuse
Alcohol	100.0	5.4	†	8.6	2.9	3.2	76.6	3.0
Cocaine	100.0	8.5	†	8.0	2.3	2.0	75.1	3.9
Marijuana	100.0	5.3	†	5.9	2.4	3.5	79.5	2.5
Opioid	100.0	7.1	†	4.6	2.0	3.2	78.3	4.1
Other	100.0	5.6	1.4	9.0	4.3	1.5	70.9	7.3
None reported	100.0	7.2	†	7.7	1.9	1.8	77.7	3.2
Mental health diagnosis
Trauma- and stressor-related disorders	100.0	3.1	3.7	2.6	†	1.9	83.3	4.9
Anxiety disorders	100.0	1.8	1.9	2.6	†	1.3	87.4	4.4
Attention deficit/hyperactivity disorder	100.0	†	2.0	1.2	†	†	94.1	1.9
Mood disorders	100.0	3.9	†	3.6	1.0	1.1	85.9	3.6
Bipolar disorders	100.0	4.1	†	4.6	1.2	1.2	84.6	3.4
Depressive disorders	100.0	3.7	†	2.9	†	†	86.9	3.8
Personality disorders	100.0	4.1	1.6	6.6	3.2	11.9	70.5	2.3
Schizophrenia and other   psychotic disorders	100.0	4.2	1.0	13.0	4.4	1.8	72.2	3.4
Alcohol or substance-related disorders	100.0	14.8	†	5.3	2.9	9.3	64.3	3.1
Other mental disorders⁴	100.0	†	3.9	4.6	1.5	1.4	85.3	2.2
No/deferred diagnosis	100.0	3.3	†	4.9	2.7	1.5	85.2	1.5
Total	100.0	3.3	1.5	5.4	1.8	1.5	83.2	3.3
† Less than 1 percent of individuals.
MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known living arrangements in both reporting years.
² Age is based on the individual’s age at the midpoint of the reporting period in 2015.
³ The federal definitions for SED and SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.2a. Individuals served in both 2015 and 2018, by living arrangement and selected characteristics in 2018: Number, 2018
Selected characteristics		Living arrangement
	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Number of states reporting	41	39	31	39	39	38	40	38
Total individuals¹	1,019,988	37,218	14,567	59,746	20,221	15,587	851,340	21,309
Gender
Male	492,062	21,792	7,937	36,390	11,573	12,193	391,321	10,856
Female	527,835	15,419	6,628	23,351	8,648	3,391	459,948	10,450
Total	1,019,897	37,211	14,565	59,741	20,221	15,584	851,269	21,306
Age²
0 to 11 years	74,372	277	2,761	766	82	16	70,053	417
12 to 14 years	59,548	200	1,765	1,159	131	184	55,640	469
15 to 17 years	63,394	266	2,200	2,126	254	1,169	56,544	835
18 to 20 years	40,668	829	1,060	1,398	272	885	35,111	1,113
21 to 25 years	38,983	1,678	584	1,902	634	961	32,211	1,013
26 to 29 years	67,097	3,556	731	3,872	1,375	2,087	53,790	1,686
30 to 34 years	79,539	4,436	639	4,587	1,582	2,235	64,136	1,924
35 to 39 years	83,629	4,564	636	4,743	1,664	1,938	68,053	2,031
40 to 44 years	75,883	4,070	540	4,315	1,365	1,502	62,363	1,728
45 to 49 years	87,011	4,735	567	5,194	1,586	1,481	71,484	1,964
50 to 54 years	101,413	5,242	704	7,021	1,906	1,330	83,083	2,127
55 to 59 years	103,923	4,123	839	8,193	2,373	963	85,062	2,370
60 to 64 years	75,944	2,192	658	6,862	2,354	509	61,529	1,840
65 years and older	68,351	997	881	7,583	4,637	309	52,157	1,787
Total	1,019,755	37,165	14,565	59,721	20,215	15,569	851,216	21,304
SED status³
SED	169,490	637	6,220	3,752	407	1,275	155,673	1,526
Not SED	23,506	53	405	174	43	50	22,644	137
Total	192,996	690	6,625	3,926	450	1,325	178,317	1,663
SMI status³
SMI	704,797	32,387	4,934	50,313	16,832	11,799	571,589	16,943
Not SMI	98,102	2,276	2,773	4,350	2,154	1,613	82,815	2,121
Total	802,899	34,663	7,707	54,663	18,986	13,412	654,404	19,064
Substance use diagnosis
Total individuals aged 12 years and  older with co-occurring  MH and SU disorders	254,688	18,236	2,031	19,749	5,720	8,542	192,997	7,413
Alcoholic psychoses	3,005	213	22	272	114	54	2,252	78
Alcohol intoxication	1,431	225	14	87	30	56	959	60
Drug psychoses	7,137	801	44	467	318	246	5,096	165
Dependence
Alcohol	38,643	2,825	214	3,034	916	1,887	28,696	1,071
Cocaine	7,731	694	12	653	100	369	5,693	210
Marijuana	19,557	1,081	173	1,296	279	1,227	15,067	434
Opioid	20,167	1,393	52	1,088	212	825	15,743	854
Other	46,441	3,609	661	4,188	1,179	1,360	33,695	1,749
Non-dependent abuse
Alcohol	19,268	944	121	1,610	477	515	15,188	413
Cocaine	3,825	322	10	329	77	87	2,929	71
Marijuana	20,928	1,015	227	1,284	345	604	17,009	444
Opioid	2,451	135	13	151	54	73	1,943	82
Other	18,002	1,334	306	1,625	731	403	13,111	492
None reported	46,102	3,645	162	3,665	888	836	35,616	1,290
Mental health diagnosis
Trauma- and stressor-related disorders	79,994	3,004	2,732	2,284	607	1,554	67,825	1,988
Anxiety disorders	86,598	1,898	1,498	2,450	716	786	77,369	1,881
Attention deficit/hyperactivity disorder	79,087	358	1,630	1,238	147	335	74,686	693
Mood disorders	374,848	13,996	2,926	13,524	4,316	3,299	329,369	7,418
Bipolar disorders	150,056	5,957	983	6,549	1,940	1,406	130,261	2,960
Depressive disorders	224,792	8,039	1,943	6,975	2,376	1,893	199,108	4,458
Personality disorders	11,208	417	155	616	334	1,492	8,039	155
Schizophrenia and other   psychotic disorders	225,209	10,370	2,287	29,612	10,250	3,659	162,652	6,379
Alcohol or substance-related disorders	20,502	3,008	84	1,553	433	744	14,100	580
Other mental disorders⁴	93,256	1,686	2,950	5,365	1,289	2,474	77,857	1,635
No/deferred diagnosis	49,286	2,481	305	3,104	2,129	1,244	39,443	580
Total	1,019,988	37,218	14,567	59,746	20,221	15,587	851,340	21,309
MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known living arrangements in both reporting years.
² Age is based on the individual’s age at the midpoint of the reporting period in 2018.
³ The federal definitions for SED and SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.2b. Individuals served in both 2015 and 2018, by living arrangement and selected characteristics in 2018: Column percent distribution, 2018
Selected characteristics		Living arrangement
	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Number of states reporting	41	39	31	39	39	38	40	38
Total individuals¹	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Gender
Male	48.2	58.6	54.5	60.9	57.2	78.2	46.0	51.0
Female	51.8	41.4	45.5	39.1	42.8	21.8	54.0	49.0
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Age²
0 to 11 years	7.3	†	19.0	1.3	†	†	8.2	2.0
12 to 14 years	5.8	†	12.1	1.9	†	1.2	6.5	2.2
15 to 17 years	6.2	†	15.1	3.6	1.3	7.5	6.6	3.9
18 to 20 years	4.0	2.2	7.3	2.3	1.3	5.7	4.1	5.2
21 to 25 years	3.8	4.5	4.0	3.2	3.1	6.2	3.8	4.8
26 to 29 years	6.6	9.6	5.0	6.5	6.8	13.4	6.3	7.9
30 to 34 years	7.8	11.9	4.4	7.7	7.8	14.4	7.5	9.0
35 to 39 years	8.2	12.3	4.4	7.9	8.2	12.4	8.0	9.5
40 to 44 years	7.4	11.0	3.7	7.2	6.8	9.6	7.3	8.1
45 to 49 years	8.5	12.7	3.9	8.7	7.8	9.5	8.4	9.2
50 to 54 years	9.9	14.1	4.8	11.8	9.4	8.5	9.8	10.0
55 to 59 years	10.2	11.1	5.8	13.7	11.7	6.2	10.0	11.1
60 to 64 years	7.4	5.9	4.5	11.5	11.6	3.3	7.2	8.6
65 years and older	6.7	2.7	6.0	12.7	22.9	2.0	6.1	8.4
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
SED status³
SED	87.8	92.3	93.9	95.6	90.4	96.2	87.3	91.8
Not SED	12.2	7.7	6.1	4.4	9.6	3.8	12.7	8.2
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
SMI status³
SMI	87.8	93.4	64.0	92.0	88.7	88.0	87.3	88.9
Not SMI	12.2	6.6	36.0	8.0	11.3	12.0	12.7	11.1
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Substance use diagnosis
Total individuals aged 12 years and  older with co-occurring  MH and SU disorders	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Alcoholic psychoses	1.2	1.2	1.1	1.4	2.0	†	1.2	1.1
Alcohol intoxication	†	1.2	†	†	†	†	†	†
Drug psychoses	2.8	4.4	2.2	2.4	5.6	2.9	2.6	2.2
Dependence
Alcohol	15.2	15.5	10.5	15.4	16.0	22.1	14.9	14.4
Cocaine	3.0	3.8	†	3.3	1.7	4.3	2.9	2.8
Marijuana	7.7	5.9	8.5	6.6	4.9	14.4	7.8	5.9
Opioid	7.9	7.6	2.6	5.5	3.7	9.7	8.2	11.5
Other	18.2	19.8	32.5	21.2	20.6	15.9	17.5	23.6
Non-dependent abuse
Alcohol	7.6	5.2	6.0	8.2	8.3	6.0	7.9	5.6
Cocaine	1.5	1.8	†	1.7	1.3	1.0	1.5	†
Marijuana	8.2	5.6	11.2	6.5	6.0	7.1	8.8	6.0
Opioid	†	†	†	†	†	†	1.0	1.1
Other	7.1	7.3	15.1	8.2	12.8	4.7	6.8	6.6
None reported	18.1	20.0	8.0	18.6	15.5	9.8	18.5	17.4
Mental health diagnosis
Trauma- and stressor-related disorders	7.8	8.1	18.8	3.8	3.0	10.0	8.0	9.3
Anxiety disorders	8.5	5.1	10.3	4.1	3.5	5.0	9.1	8.8
Attention deficit/hyperactivity disorder	7.8	†	11.2	2.1	†	2.1	8.8	3.3
Mood disorders	36.8	37.6	20.1	22.6	21.3	21.2	38.7	34.8
Bipolar disorders	14.7	16.0	6.7	11.0	9.6	9.0	15.3	13.9
Depressive disorders	22.0	21.6	13.3	11.7	11.8	12.1	23.4	20.9
Personality disorders	1.1	1.1	1.1	1.0	1.7	9.6	†	†
Schizophrenia and other   psychotic disorders	22.1	27.9	15.7	49.6	50.7	23.5	19.1	29.9
Alcohol or substance-related disorders	2.0	8.1	†	2.6	2.1	4.8	1.7	2.7
Other mental disorders⁴	9.1	4.5	20.3	9.0	6.4	15.9	9.1	7.7
No/deferred diagnosis	4.8	6.7	2.1	5.2	10.5	8.0	4.6	2.7
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known living arrangements in both reporting years.
² Age is based on the individual’s age at the midpoint of the reporting period in 2018.
³ The federal definitions for SED and SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.2c. Individuals served in both 2015 and 2018, by living arrangement and selected characteristics in 2018: Row percent distribution, 2018
Selected characteristics		Living arrangement
	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Number of states reporting	41	39	31	39	39	38	40	38
Total individuals¹	100.0	3.6	1.4	5.9	2.0	1.5	83.5	2.1
Gender
Male	100.0	4.4	1.6	7.4	2.4	2.5	79.5	2.2
Female	100.0	2.9	1.3	4.4	1.6	†	87.1	2.0
Total	100.0	3.6	1.4	5.9	2.0	1.5	83.5	2.1
Age²
0 to 11 years	100.0	†	3.7	1.0	†	†	94.2	†
12 to 15 years	100.0	†	3.0	1.9	†	†	93.4	†
15 to 17 years	100.0	†	3.5	3.4	†	1.8	89.2	1.3
18 to 20 years	100.0	2.0	2.6	3.4	†	2.2	86.3	2.7
21 to 25 years	100.0	4.3	1.5	4.9	1.6	2.5	82.6	2.6
26 to 29 years	100.0	5.3	1.1	5.8	2.0	3.1	80.2	2.5
30 to 34 years	100.0	5.6	†	5.8	2.0	2.8	80.6	2.4
35 to 39 years	100.0	5.5	†	5.7	2.0	2.3	81.4	2.4
40 to 44 years	100.0	5.4	†	5.7	1.8	2.0	82.2	2.3
45 to 49 years	100.0	5.4	†	6.0	1.8	1.7	82.2	2.3
50 to 54 years	100.0	5.2	†	6.9	1.9	1.3	81.9	2.1
55 to 59 years	100.0	4.0	†	7.9	2.3	†	81.9	2.3
60 to 64 years	100.0	2.9	†	9.0	3.1	†	81.0	2.4
65 years and older	100.0	1.5	1.3	11.1	6.8	†	76.3	2.6
Total	100.0	3.6	1.4	5.9	2.0	1.5	83.5	2.1
SED status³
SED	100.0	†	3.7	2.2	†	†	91.8	†
Not SED	100.0	†	1.7	†	†	†	96.3	†
Total	100.0	†	3.4	2.0	†	†	92.4	†
SMI status³
SMI	100.0	4.6	†	7.1	2.4	1.7	81.1	2.4
Not SMI	100.0	2.3	2.8	4.4	2.2	1.6	84.4	2.2
Total	100.0	4.3	†	6.8	2.4	1.7	81.5	2.4
Substance use diagnosis
Total individuals aged 12 and  older with co-occurring  MH and SU disorders	100.0	7.2	†	7.8	2.2	3.4	75.8	2.9
Alcoholic psychoses	100.0	7.1	†	9.1	3.8	1.8	74.9	2.6
Alcohol intoxication	100.0	15.7	†	6.1	2.1	3.9	67.0	4.2
Drug psychoses	100.0	11.2	†	6.5	4.5	3.4	71.4	2.3
Dependence
Alcohol	100.0	7.3	†	7.9	2.4	4.9	74.3	2.8
Cocaine	100.0	9.0	†	8.4	1.3	4.8	73.6	2.7
Marijuana	100.0	5.5	†	6.6	1.4	6.3	77.0	2.2
Opioid	100.0	6.9	†	5.4	1.1	4.1	78.1	4.2
Other	100.0	7.8	1.4	9.0	2.5	2.9	72.6	3.8
Non-dependent abuse
Alcohol	100.0	4.9	†	8.4	2.5	2.7	78.8	2.1
Cocaine	100.0	8.4	†	8.6	2.0	2.3	76.6	1.9
Marijuana	100.0	4.8	1.1	6.1	1.6	2.9	81.3	2.1
Opioid	100.0	5.5	†	6.2	2.2	3.0	79.3	3.3
Other	100.0	7.4	1.7	9.0	4.1	2.2	72.8	2.7
None reported	100.0	7.9	†	7.9	1.9	1.8	77.3	2.8
Mental health diagnosis
Trauma- and stressor-related disorders	100.0	3.8	3.4	2.9	†	1.9	84.8	2.5
Anxiety disorders	100.0	2.2	1.7	2.8	†	†	89.3	2.2
Attention deficit/hyperactivity disorder	100.0	†	2.1	1.6	†	†	94.4	†
Mood disorders	100.0	3.7	†	3.6	1.2	†	87.9	2.0
Bipolar disorders	100.0	4.0	†	4.4	1.3	†	86.8	2.0
Depressive disorders	100.0	3.6	†	3.1	1.1	†	88.6	2.0
Personality disorders	100.0	3.7	1.4	5.5	3.0	13.3	71.7	1.4
Schizophrenia and other   psychotic disorders	100.0	4.6	1.0	13.1	4.6	1.6	72.2	2.8
Alcohol or substance-related disorders	100.0	14.7	†	7.6	2.1	3.6	68.8	2.8
Other mental disorders⁴	100.0	1.8	3.2	5.8	1.4	2.7	83.5	1.8
No/deferred diagnosis	100.0	5.0	†	6.3	4.3	2.5	80.0	1.2
Total	100.0	3.6	1.4	5.9	2.0	1.5	83.5	2.1
† Less than 1 percent of individuals.
MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known living arrangements in both reporting years.
² Age is based on the individual’s age at the midpoint of the reporting period in 2018.
³ The federal definitions for SED and SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.3a. Individuals served in both 2015 and 2018, by employment status and selected characteristics in 2015: Number, 2015
Selected characteristics	Employment status
	Total	Employed	Unemployed	Not in labor force
Number of states reporting	41	40	40	40
Total individuals aged 18 years and older¹	636,139	116,827	127,628	391,684
Gender
Male	277,694	47,877	59,178	170,639
Female	358,403	68,939	68,440	221,024
Total	636,097	116,816	127,618	391,663
Age²
18 to 20 years	23,355	3,861	4,345	15,149
21 to 25 years	39,652	9,565	9,993	20,094
26 to 29 years	61,508	15,876	15,408	30,224
30 to 34 years	67,001	16,510	16,169	34,322
35 to 39 years	64,025	14,189	14,918	34,918
40 to 44 years	65,740	13,025	14,365	38,350
45 to 49 years	75,869	13,208	15,551	47,110
50 to 54 years	88,296	13,299	16,242	58,755
55 to 59 years	72,750	9,851	11,667	51,232
60 to 64 years	43,793	5,153	5,901	32,739
65 years and older	34,150	2,290	3,069	28,791
SMI status³
SMI	516,101	84,493	104,550	327,058
Not SMI	100,396	29,479	18,163	52,754
Total	616,497	113,972	122,713	379,812
Substance use diagnosis
Total individuals aged 18 years and  older with co-occurring  MH and SU disorders	153,599	27,911	34,202	91,486
Alcoholic psychoses	1,019	149	298	572
Alcohol intoxication	390	81	116	193
Drug psychoses	2,760	369	943	1,448
Dependence
Alcohol	23,536	4,761	5,423	13,352
Cocaine	4,621	694	1,022	2,905
Marijuana	8,750	1,791	2,331	4,628
Opioid	6,584	1,211	1,882	3,491
Other	23,421	4,299	5,645	13,477
Non-dependent abuse
Alcohol	14,240	2,843	2,876	8,521
Cocaine	2,809	364	636	1,809
Marijuana	11,543	2,139	2,766	6,638
Opioid	1,200	220	321	659
Other	20,035	3,932	3,857	12,246
None reported	32,691	5,058	6,086	21,547
Mental health diagnosis
Trauma- and stressor-related disorders	41,888	10,105	8,580	23,203
Anxiety disorders	44,725	12,680	8,061	23,984
Attention deficit/hyperactivity disorder	9,810	3,492	1,250	5,068
Mood disorders	289,126	55,918	63,921	169,287
Bipolar disorders	122,155	22,517	27,959	71,679
Depressive disorders	166,971	33,401	35,962	97,608
Personality disorders	7,694	1,751	1,076	4,867
Schizophrenia and other psychotic   disorders	155,150	16,908	28,845	109,397
Alcohol or substance-related disorders	3,789	671	1,494	1,624
Other mental disorders⁴	20,641	4,643	2,792	13,206
No/deferred diagnosis	63,316	10,659	11,609	41,048
Total	636,139	116,827	127,628	391,684
MH = mental health; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known employment status in both reporting years. The total number of individuals aged 18 years and older in Table 7.3a is lower than that shown in Table 7.4a because of the progression in age of individuals who were served in 2015, but who did not become 18 years or older until 2018.
² Age is based on the individual’s age at the midpoint of the reporting period in 2015.
³ The federal definition for SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Total number of client characteristics may not equal the total number of clients due to missing values.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.3b. Individuals served in both 2015 and 2018, by employment status and selected characteristics in 2015: Column percent distribution, 2018
Selected characteristics	Employment status
	Total	Employed	Unemployed	Not in labor force
Number of states reporting	41	40	40	40
Total individuals aged 18 years and older¹	100.0	100.0	100.0	100.0
Gender
Male	43.7	41.0	46.4	43.6
Female	56.3	59.0	53.6	56.4
Total	100.0	100.0	100.0	100.0
Age²
18 to 20 years	3.7	3.3	3.4	3.9
21 to 25 years	6.2	8.2	7.8	5.1
26 to 29 years	9.7	13.6	12.1	7.7
30 to 34 years	10.5	14.1	12.7	8.8
35 to 39 years	10.1	12.1	11.7	8.9
40 to 44 years	10.3	11.1	11.3	9.8
45 to 49 years	11.9	11.3	12.2	12.0
50 to 54 years	13.9	11.4	12.7	15.0
55 to 59 years	11.4	8.4	9.1	13.1
60 to 64 years	6.9	4.4	4.6	8.4
65 years and older	5.4	2.0	2.4	7.4
SMI status³
SMI	83.7	74.1	85.2	86.1
Not SMI	16.3	25.9	14.8	13.9
Total	100.0	100.0	100.0	100.0
Substance use diagnosis
Total individuals aged 18 years and  older with co-occurring  MH and SU disorders	100.0	100.0	100.0	100.0
Alcoholic psychoses	†	†	†	†
Alcohol intoxication	†	†	†	†
Drug psychoses	1.8	1.3	2.8	1.6
Dependence
Alcohol	15.3	17.1	15.9	14.6
Cocaine	3.0	2.5	3.0	3.2
Marijuana	5.7	6.4	6.8	5.1
Opioid	4.3	4.3	5.5	3.8
Other	15.2	15.4	16.5	14.7
Non-dependent abuse
Alcohol	9.3	10.2	8.4	9.3
Cocaine	1.8	1.3	1.9	2.0
Marijuana	7.5	7.7	8.1	7.3
Opioid	†	†	†	†
Other	13.0	14.1	11.3	13.4
None reported	21.3	18.1	17.8	23.6
Mental health diagnosis
Trauma- and stressor-related disorders	6.6	8.6	6.7	5.9
Anxiety disorders	7.0	10.9	6.3	6.1
Attention deficit/hyperactivity disorder	1.5	3.0	†	1.3
Mood disorders	45.5	47.9	50.1	43.2
Bipolar disorders	19.2	19.3	21.9	18.3
Depressive disorders	26.2	28.6	28.2	24.9
Personality disorders	1.2	1.5	†	1.2
Schizophrenia and other psychotic   disorders	24.4	14.5	22.6	27.9
Alcohol or substance-related disorders	†	†	1.2	†
Other mental disorders⁴	3.2	4.0	2.2	3.4
No/deferred diagnosis	10.0	9.1	9.1	10.5
Total	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
MH = mental health; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known employment status in both reporting years. The total number of individuals aged 18 years and older in Table 7.3a is lower than that shown in Table 7.4a because of the progression in age of individuals who were served in 2015, but who did not become 18 years or older until 2018.
² Age is based on the individual’s age at the midpoint of the reporting period in 2015.
³ The federal definition for SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.3c. Individuals served in both 2015 and 2018, by employment status and selected characteristics in 2015: Row percent distribution, 2018
Selected characteristics	Employment status
	Total	Employed	Unemployed	Not in labor force
Number of states reporting	41	40	40	40
Total individuals aged 18 years and older¹	100.0	18.4	20.1	61.6
Gender
Male	100.0	17.2	21.3	61.4
Female	100.0	19.2	19.1	61.7
Total	100.0	18.4	20.1	61.6
Age²
18 to 20 years	100.0	16.5	18.6	64.9
21 to 25 years	100.0	24.1	25.2	50.7
26 to 29 years	100.0	25.8	25.1	49.1
30 to 34 years	100.0	24.6	24.1	51.2
35 to 39 years	100.0	22.2	23.3	54.5
40 to 44 years	100.0	19.8	21.9	58.3
45 to 49 years	100.0	17.4	20.5	62.1
50 to 54 years	100.0	15.1	18.4	66.5
55 to 59 years	100.0	13.5	16.0	70.4
60 to 64 years	100.0	11.8	13.5	74.8
65 years and older	100.0	6.7	9.0	84.3
SMI status³
SMI	100.0	16.4	20.3	63.4
Not SMI	100.0	29.4	18.1	52.5
Total	100.0	18.5	19.9	61.6
Substance use diagnosis
Total individuals aged 18 years and  older with co-occurring  MH and SU disorders	100.0	18.2	22.3	59.6
Alcoholic psychoses	100.0	14.6	29.2	56.1
Alcohol intoxication	100.0	20.8	29.7	49.5
Drug psychoses	100.0	13.4	34.2	52.5
Dependence
Alcohol	100.0	20.2	23.0	56.7
Cocaine	100.0	15.0	22.1	62.9
Marijuana	100.0	20.5	26.6	52.9
Opioid	100.0	18.4	28.6	53.0
Other	100.0	18.4	24.1	57.5
Non-dependent abuse
Alcohol	100.0	20.0	20.2	59.8
Cocaine	100.0	13.0	22.6	64.4
Marijuana	100.0	18.5	24.0	57.5
Opioid	100.0	18.3	26.8	54.9
Other	100.0	19.6	19.3	61.1
None reported	100.0	15.5	18.6	65.9
Mental health diagnosis
Trauma- and stressor-related disorders	100.0	24.1	20.5	55.4
Anxiety disorders	100.0	28.4	18.0	53.6
Attention deficit/hyperactivity disorder	100.0	35.6	12.7	51.7
Mood disorders	100.0	19.3	22.1	58.6
Bipolar disorders	100.0	18.4	22.9	58.7
Depressive disorders	100.0	20.0	21.5	58.5
Personality disorders	100.0	22.8	14.0	63.3
Schizophrenia and other psychotic   disorders	100.0	10.9	18.6	70.5
Alcohol or substance-related disorders	100.0	17.7	39.4	42.9
Other mental disorders⁴	100.0	22.5	13.5	64.0
No/deferred diagnosis	100.0	16.8	18.3	64.8
Total	100.0	18.4	20.1	61.6
MH = mental health; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known employment status in both reporting years. The total number of individuals aged 18 years and older in Table 7.3a is lower than that shown in Table 7.4a because of the progression in age of individuals who were served in 2015, but who did not become 18 years or older until 2018.
² Age is based on the individual’s age at the midpoint of the reporting period in 2015.
³ The federal definition for SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.4a. Individuals served in both 2015 and 2018, by employment status and selected characteristics in 2018: Number, 2018
Selected characteristics	Employment status
	Total	Employed	Unemployed	Not in labor force
Number of states reporting	41	40	40	40
Total individuals aged 18 years and older¹	653,998	125,126	123,565	405,307
Gender
Male	286,269	51,059	57,397	177,813
Female	367,685	74,057	66,160	227,468
Total	653,954	125,116	123,557	405,281
Age²
18 to 20 years	17,950	3,248	2,912	11,790
21 to 25 years	32,202	8,431	7,548	16,223
26 to 29 years	54,453	14,987	13,320	26,146
30 to 34 years	64,058	17,566	15,353	31,139
35 to 39 years	67,684	16,894	15,582	35,208
40 to 44 years	61,773	13,885	13,206	34,682
45 to 49 years	70,347	13,661	14,108	42,578
50 to 54 years	82,085	13,270	14,808	54,007
55 to 59 years	84,990	11,949	13,402	59,639
60 to 64 years	61,857	7,308	8,232	46,317
65 years and older	56,599	3,927	5,094	47,578
SMI status³
SMI	558,096	99,010	106,367	352,719
Not SMI	81,836	23,903	13,390	44,543
Total	639,932	122,913	119,757	397,262
Substance use diagnosis
Total individuals aged 18 years and  older with co-occurring  MH and SU disorders	192,609	37,177	39,950	115,482
Alcoholic psychoses	2,417	446	463	1,508
Alcohol intoxication	920	185	255	480
Drug psychoses	5,052	845	1,452	2,755
Dependence
Alcohol	30,942	6,509	5,755	18,678
Cocaine	6,391	863	1,169	4,359
Marijuana	13,235	2,841	2,832	7,562
Opioid	12,413	2,404	3,299	6,710
Other	34,578	7,131	5,992	21,455
Non-dependent abuse
Alcohol	15,889	3,417	2,665	9,807
Cocaine	3,364	421	619	2,324
Marijuana	14,802	3,045	2,807	8,950
Opioid	1,833	324	430	1,079
Other	14,304	3,236	2,082	8,986
None reported	36,469	5,510	10,130	20,829
Mental health diagnosis
Trauma- and stressor-related disorders	42,150	10,805	8,496	22,849
Anxiety disorders	53,768	15,424	9,009	29,335
Attention deficit/hyperactivity disorder	10,587	3,673	1,556	5,358
Mood disorders	287,444	58,773	56,135	172,536
Bipolar disorders	120,754	23,955	24,237	72,562
Depressive disorders	166,690	34,818	31,898	99,974
Personality disorders	8,861	2,041	1,197	5,623
Schizophrenia and other   psychotic disorders	171,664	19,081	29,071	123,512
Alcohol or substance-related disorders	8,382	1,763	3,498	3,121
Other mental disorders⁴	35,638	7,986	5,387	22,265
No/deferred diagnosis	35,504	5,580	9,216	20,708
Total	653,998	125,126	123,565	405,307
MH = mental health; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known employment status in both reporting years. The total number of individuals aged 18 years and older in Table 7.3a is lower than that shown in Table 7.4a because of the progression in age of individuals who were served in 2015, but who did not become 18 years or older until 2018.
² Age is based on the individual’s age at the midpoint of the reporting period in 2018.
³ The federal definition for SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.4b. Individuals served in both 2015 and 2018, by employment status and selected characteristics in 2018: Column percent distribution, 2018
Selected characteristics	Employment status
	Total	Employed	Unemployed	Not in labor force
Number of states reporting	41	40	40	40
Total individuals aged 18 years and older¹	100.0	100.0	100.0	100.0
Gender
Male	43.8	40.8	46.5	43.9
Female	56.2	59.2	53.5	56.1
Total	100.0	100.0	100.0	100.0
Age²
18 to 20 years	2.7	2.6	2.4	2.9
21 to 25 years	4.9	6.7	6.1	4.0
26 to 29 years	8.3	12.0	10.8	6.5
30 to 34 years	9.8	14.0	12.4	7.7
35 to 39 years	10.3	13.5	12.6	8.7
40 to 44 years	9.4	11.1	10.7	8.6
45 to 49 years	10.8	10.9	11.4	10.5
50 to 54 years	12.6	10.6	12.0	13.3
55 to 59 years	13.0	9.5	10.8	14.7
60 to 64 years	9.5	5.8	6.7	11.4
65 years and older	8.7	3.1	4.1	11.7
SMI status³
SMI	87.2	80.6	88.8	88.8
Not SMI	12.8	19.4	11.2	11.2
Total	100.0	100.0	100.0	100.0
Substance use diagnosis
Total individuals aged 18 years and  older with co-occurring  MH and SU disorders	100.0	100.0	100.0	100.0
Alcoholic psychoses	1.3	1.2	1.2	1.3
Alcohol intoxication	†	†	†	†
Drug psychoses	2.6	2.3	3.6	2.4
Dependence
Alcohol	16.1	17.5	14.4	16.2
Cocaine	3.3	2.3	2.9	3.8
Marijuana	6.9	7.6	7.1	6.5
Opioid	6.4	6.5	8.3	5.8
Other	18.0	19.2	15.0	18.6
Non-dependent abuse
Alcohol	8.2	9.2	6.7	8.5
Cocaine	1.7	1.1	1.5	2.0
Marijuana	7.7	8.2	7.0	7.8
Opioid	†	†	1.1	†
Other	7.4	8.7	5.2	7.8
None reported	18.9	14.8	25.4	18.0
Mental health diagnosis
Trauma- and stressor-related disorders	6.4	8.6	6.9	5.6
Anxiety disorders	8.2	12.3	7.3	7.2
Attention deficit/hyperactivity disorder	1.6	2.9	1.3	1.3
Mood disorders	44.0	47.0	45.4	42.6
Bipolar disorders	18.5	19.1	19.6	17.9
Depressive disorders	25.5	27.8	25.8	24.7
Personality disorders	1.4	1.6	†	1.4
Schizophrenia and other   psychotic disorders	26.2	15.2	23.5	30.5
Alcohol or substance-related disorders	1.3	1.4	2.8	†
Other mental disorders⁴	5.4	6.4	4.4	5.5
No/deferred diagnosis	5.4	4.5	7.5	5.1
Total	100.0	100.0	100.0	100.0
† Less than 1 percent of individuals.
MH = mental health; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known employment status in both reporting years. The total number of individuals aged 18 years and older in Table 7.3a is lower than that shown in Table 7.4a because of the progression in age of individuals who were served in 2015, but who did not become 18 years or older until 2018.
² Age is based on the individual’s age at the midpoint of the reporting period in 2018.
³ The federal definition for SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.4c. Individuals served in both 2015 and 2018, by employment status and selected characteristics in 2018: Row percent distribution, 2018
Selected characteristics	Employment status
	Total	Employed	Unemployed	Not in labor force
Number of states reporting	41	40	40	40
Total individuals aged 18 years and older¹	100.0	19.1	18.9	62.0
Gender
Male	100.0	17.8	20.1	62.1
Female	100.0	20.1	18.0	61.9
Total	100.0	19.1	18.9	62.0
Age²
18 to 20 years	100.0	18.1	16.2	65.7
21 to 25 years	100.0	26.2	23.4	50.4
26 to 29 years	100.0	27.5	24.5	48.0
30 to 34 years	100.0	27.4	24.0	48.6
35 to 39 years	100.0	25.0	23.0	52.0
40 to 44 years	100.0	22.5	21.4	56.1
45 to 49 years	100.0	19.4	20.1	60.5
50 to 54 years	100.0	16.2	18.0	65.8
55 to 59 years	100.0	14.1	15.8	70.2
60 to 64 years	100.0	11.8	13.3	74.9
65 years and older	100.0	6.9	9.0	84.1
SMI status³
SMI	100.0	17.7	19.1	63.2
Not SMI	100.0	29.2	16.4	54.4
Total	100.0	19.2	18.7	62.1
Substance use diagnosis
Total individuals aged 18 years and  older with co-occurring  MH and SU disorders	100.0	19.3	20.7	60.0
Alcoholic psychoses	100.0	18.5	19.2	62.4
Alcohol intoxication	100.0	20.1	27.7	52.2
Drug psychoses	100.0	16.7	28.7	54.5
Dependence
Alcohol	100.0	21.0	18.6	60.4
Cocaine	100.0	13.5	18.3	68.2
Marijuana	100.0	21.5	21.4	57.1
Opioid	100.0	19.4	26.6	54.1
Other	100.0	20.6	17.3	62.0
Non-dependent abuse
Alcohol	100.0	21.5	16.8	61.7
Cocaine	100.0	12.5	18.4	69.1
Marijuana	100.0	20.6	19.0	60.5
Opioid	100.0	17.7	23.5	58.9
Other	100.0	22.6	14.6	62.8
None reported	100.0	15.1	27.8	57.1
Mental health diagnosis
Trauma- and stressor-related disorders	100.0	25.6	20.2	54.2
Anxiety disorders	100.0	28.7	16.8	54.6
Attention deficit/hyperactivity disorder	100.0	34.7	14.7	50.6
Mood disorders	100.0	20.4	19.5	60.0
Bipolar disorders	100.0	19.8	20.1	60.1
Depressive disorders	100.0	20.9	19.1	60.0
Personality disorders	100.0	23.0	13.5	63.5
Schizophrenia and other   psychotic disorders	100.0	11.1	16.9	71.9
Alcohol or substance-related disorders	100.0	21.0	41.7	37.2
Other mental disorders⁴	100.0	22.4	15.1	62.5
No/deferred diagnosis	100.0	15.7	26.0	58.3
Total	100.0	19.1	18.9	62.0
MH = mental health; SMI = serious mental illness; SU = substance use.
¹ Of 1,800,068 individuals who were served in both the 2015 and 2018 reporting periods, the total number of individuals presented in this table consists only of those with known employment status in both reporting years. The total number of individuals aged 18 years and older in Table 7.3a is lower than that shown in Table 7.4a because of the progression in age of individuals who were served in 2015, but who did not become 18 years or older until 2018.
² Age is based on the individual’s age at the midpoint of the reporting period in 2018.
³ The federal definition for SMI status can be found in Appendix D.
⁴ “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes alcohol or substance-related disorders. See Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.5a. Individuals aged 18 years and older served in both 2015 and 2018, by mental health diagnosis in 2015 and living arrangement in 2015 and 2018: Number
		Living arrangement in 2018
Living arrangement in 2015	Diagnostic group in 2015¹	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Homeless	Total	29,960	12,736	46	1,649	566	590	13,232	1,141
	Bipolar disorders	6,933	2,903	7	326	78	113	3,263	243
	Depressive disorders	8,269	3,280	8	303	74	115	4,136	353
	Schizophrenia and other   psychotic  disorders	8,652	3,943	21	770	328	230	3,021	339
	Alcohol or substance-related   disorders	1,179	611	- -	67	28	28	427	18
Foster home/care	Total	6,995	113	4,641	404	123	17	1,530	167
	Bipolar disorders	922	20	561	44	21	5	246	25
	Depressive disorders	1,269	15	773	68	12	1	373	27
	Schizophrenia and other   psychotic  disorders	2,098	49	1,287	183	59	6	448	66
	Alcohol or substance-related   disorders	15	- -	12	- -	- -	1	2	- -
Residential care	Total	46,973	1,549	492	30,873	1,429	295	11,163	1,172
	Bipolar disorders	6,857	357	59	3,782	146	46	2,262	205
	Depressive disorders	6,052	305	63	3,266	121	36	2,107	154
	Schizophrenia and other   psychotic  disorders	26,861	679	244	19,157	1,014	163	4,959	645
	Alcohol or substance-related   disorders	392	57	- -	191	5	10	119	10
Institutional settings	Total	15,464	456	105	1,751	8,530	289	3,923	410
	Bipolar disorders	1,892	77	9	209	860	43	649	45
	Depressive disorders	1,969	63	12	125	1,057	21	636	55
	Schizophrenia and other   psychotic  disorders	9,017	258	60	1,195	5,149	181	1,931	243
	Alcohol or substance-related   disorders	227	10	- -	12	113	5	86	1
Jail/correctional facility	Total	12,591	783	11	679	355	7,522	3,025	216
	Bipolar disorders	1,892	166	2	108	48	846	696	26
	Depressive disorders	2,072	88	3	65	23	1,314	546	33
	Schizophrenia and other   psychotic  disorders	3,624	306	2	350	235	1,711	935	85
	Alcohol or substance-related   disorders	593	72	- -	39	9	275	183	15
Private residence	Total	572,990	15,127	1,028	13,033	5,636	3,425	527,162	7,579
	Bipolar disorders	126,771	3,997	140	2,601	1,011	801	116,630	1,591
	Depressive disorders	173,936	3,991	198	2,383	1,101	715	163,427	2,121
	Schizophrenia and other   psychotic  disorders	147,864	3,878	360	5,928	2,551	1,022	132,006	2,119
	Alcohol or substance-related   disorders	4,755	472	2	124	52	114	3,861	130
Other	Total	27,438	1,957	262	1,729	589	271	16,132	6,498
	Bipolar disorders	5,264	422	27	317	74	52	3,371	1,001
	Depressive disorders	7,922	598	26	322	78	63	5,341	1,494
	Schizophrenia and other   psychotic  disorders	7,017	462	146	757	335	85	2,716	2,516
	Alcohol or substance-related   disorders	234	35	- -	9	5	7	76	102
- - Quantity is zero.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.5b. Individuals aged 18 years and older served in both 2015 and 2018, by mental health diagnosis in 2015 and living arrangement in 2015 and 2018: Row percent distribution
		Living arrangement in 2018
Living arrangement in 2015	Diagnostic group in 2015¹	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Homeless	Total	100.0	42.5	†	5.5	1.9	2.0	44.2	3.8
	Bipolar disorders	100.0	41.9	†	4.7	1.1	1.6	47.1	3.5
	Depressive disorders	100.0	39.7	†	3.7	†	1.4	50.0	4.3
	Schizophrenia and other   psychotic  disorders	100.0	45.6	†	8.9	3.8	2.7	34.9	3.9
	Alcohol or substance-related   disorders	100.0	51.8	- -	5.7	2.4	2.4	36.2	1.5
Foster home/care	Total	100.0	1.6	66.3	5.8	1.8	†	21.9	2.4
	Bipolar disorders	100.0	2.2	60.8	4.8	2.3	†	26.7	2.7
	Depressive disorders	100.0	1.2	60.9	5.4	†	†	29.4	2.1
	Schizophrenia and other   psychotic  disorders	100.0	2.3	61.3	8.7	2.8	†	21.4	3.1
	Alcohol or substance-related   disorders	100.0	- -	80.0	- -	- -	6.7	13.3	- -
Residential care	Total	100.0	3.3	1.0	65.7	3.0	†	23.8	2.5
	Bipolar disorders	100.0	5.2	†	55.2	2.1	†	33.0	3.0
	Depressive disorders	100.0	5.0	1.0	54.0	2.0	†	34.8	2.5
	Schizophrenia and other   psychotic  disorders	100.0	2.5	†	71.3	3.8	†	18.5	2.4
	Alcohol or substance-related   disorders	100.0	14.5	- -	48.7	1.3	2.6	30.4	2.6
Institutional settings	Total	100.0	2.9	†	11.3	55.2	1.9	25.4	2.7
	Bipolar disorders	100.0	4.1	†	11.0	45.5	2.3	34.3	2.4
	Depressive disorders	100.0	3.2	†	6.3	53.7	1.1	32.3	2.8
	Schizophrenia and other   psychotic  disorders	100.0	2.9	†	13.3	57.1	2.0	21.4	2.7
	Alcohol or substance-related   disorders	100.0	4.4	- -	5.3	49.8	2.2	37.9	†
Jail/correctional facility	Total	100.0	6.2	†	5.4	2.8	59.7	24.0	1.7
	Bipolar disorders	100.0	8.8	†	5.7	2.5	44.7	36.8	1.4
	Depressive disorders	100.0	4.2	†	3.1	1.1	63.4	26.4	1.6
	Schizophrenia and other   psychotic  disorders	100.0	8.4	†	9.7	6.5	47.2	25.8	2.3
	Alcohol or substance-related   disorders	100.0	12.1	- -	6.6	1.5	46.4	30.9	2.5
Private residence	Total	100.0	2.6	†	2.3	†	†	92.0	1.3
	Bipolar disorders	100.0	3.2	†	2.1	†	†	92.0	1.3
	Depressive disorders	100.0	2.3	†	1.4	†	†	94.0	1.2
	Schizophrenia and other   psychotic  disorders	100.0	2.6	†	4.0	1.7	†	89.3	1.4
	Alcohol or substance-related   disorders	100.0	9.9	†	2.6	1.1	2.4	81.2	2.7
Other	Total	100.0	7.1	†	6.3	2.1	†	58.8	23.7
	Bipolar disorders	100.0	8.0	†	6.0	1.4	†	64.0	19.0
	Depressive disorders	100.0	7.5	†	4.1	†	†	67.4	18.9
	Schizophrenia and other   psychotic  disorders	100.0	6.6	2.1	10.8	4.8	1.2	38.7	35.9
	Alcohol or substance-related   disorders	100.0	15.0	- -	3.8	2.1	3.0	32.5	43.6
- - Quantity is zero; † Less than 1 percent individuals.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.6a. Individuals aged 18 years and older served in both 2015 and 2018, by mental health diagnosis in 2015 and employment status in 2015 and 2018: Number
		Employment status in 2018
Employment status in 2015	Diagnostic group in 2015¹	Total	Employed	Unemployed	Not in labor force
Employed	Total	106,168	70,180	13,287	22,701
	Bipolar disorders	22,517	14,068	3,436	5,013
	Depressive disorders	33,401	22,150	4,433	6,818
	Schizophrenia and other   psychotic  disorders	16,908	10,647	1,793	4,468
	Alcohol or substance-related   disorders	671	397	179	95
Unemployed	Total	116,019	15,614	65,083	35,322
	Bipolar disorders	27,959	3,984	15,800	8,175
	Depressive disorders	35,962	5,403	19,855	10,704
	Schizophrenia and other   psychotic  disorders	28,845	2,218	16,408	10,219
	Alcohol or substance-related   disorders	1,494	239	1,013	242
Not in labor force	Total	350,636	25,136	31,458	294,042
	Bipolar disorders	71,679	5,507	7,296	58,876
	Depressive disorders	97,608	7,396	8,861	81,351
	Schizophrenia and other   psychotic  disorders	109,397	4,606	8,970	95,821
	Alcohol or substance-related   disorders	1,624	142	270	1,212
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.6b. Individuals aged 18 years and older served in both 2015 and 2018, by mental health diagnosis in 2015 and employment status in 2015 and 2018: Row percent distribution
		Employment status in 2018
Employment status in 2015	Diagnostic group in 2015¹	Total	Employed	Unemployed	Not in labor force
Employed	Total	100.0	66.1	12.5	21.4
	Bipolar disorders	100.0	62.5	15.3	22.3
	Depressive disorders	100.0	66.3	13.3	20.4
	Schizophrenia and other   psychotic  disorders	100.0	63.0	10.6	26.4
	Alcohol or substance-related   disorders	100.0	59.2	26.7	14.2
Unemployed	Total	100.0	13.5	56.1	30.4
	Bipolar disorders	100.0	14.2	56.5	29.2
	Depressive disorders	100.0	15.0	55.2	29.8
	Schizophrenia and other   psychotic  disorders	100.0	7.7	56.9	35.4
	Alcohol or substance-related   disorders	100.0	16.0	67.8	16.2
Not in labor force	Total	100.0	7.2	9.0	83.9
	Bipolar disorders	100.0	7.7	10.2	82.1
	Depressive disorders	100.0	7.6	9.1	83.3
	Schizophrenia and other   psychotic  disorders	100.0	4.2	8.2	87.6
	Alcohol or substance-related   disorders	100.0	8.7	16.6	74.6
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.7. Individuals aged 18 years and older served in consecutive reporting periods, by mental health diagnosis and living arrangement: Number, 2013–2018
		Reporting periods
Living arrangement	Diagnostic group¹	2013	2013–2015	2013–2016	2013–2017	2013–2018
Homeless	Total	97,844	8,378	3,038	1,329	859
	Bipolar disorders	24,308	2,026	613	214	126
	Depressive disorders	28,878	2,284	701	294	184
	Schizophrenia and other   psychotic  disorders	21,712	3,198	1,454	776	528
	Alcohol or substance-related   disorders	6,377	284	128	10	2
Foster home/care	Total	9,550	1,555	331	179	108
	Bipolar disorders	1,762	221	53	27	16
	Depressive disorders	2,309	393	58	26	15
	Schizophrenia and other   psychotic  disorders	1,911	363	145	94	59
	Alcohol or substance-related   disorders	212	108	4	- -	- -
Residential care	Total	95,595	29,902	17,469	12,464	10,000
	Bipolar disorders	16,331	3,352	1,531	869	652
	Depressive disorders	15,886	2,906	1,272	708	499
	Schizophrenia and other   psychotic  disorders	47,233	20,814	13,517	10,298	8,408
	Alcohol or substance-related   disorders	1,349	162	77	2	- -
Institutional settings	Total	41,695	7,790	4,059	2,442	1,764
	Bipolar disorders	5,893	751	288	139	90
	Depressive disorders	7,646	814	306	161	102
	Schizophrenia and other   psychotic  disorders	18,590	5,327	3,122	1,995	1,472
	Alcohol or substance-related   disorders	1,668	25	10	2	2
Jail/correctional facility	Total	49,468	5,772	2,729	1,480	1,126
	Bipolar disorders	9,532	775	268	119	92
	Depressive disorders	8,746	1,086	581	180	130
	Schizophrenia and other   psychotic  disorders	9,131	1,803	1,014	707	553
	Alcohol or substance-related   disorders	3,496	207	81	2	- -
Private residence	Total	1,770,915	411,463	206,418	133,971	102,259
	Bipolar disorders	421,100	104,343	50,040	30,932	22,845
	Depressive disorders	601,964	130,798	60,797	37,609	27,332
	Schizophrenia and other   psychotic  disorders	321,843	125,041	77,845	56,784	46,033
	Alcohol or substance-related   disorders	30,848	2,182	990	57	21
Other	Total	62,459	6,243	2,505	1,234	842
	Bipolar disorders	13,192	1,236	411	145	87
	Depressive disorders	18,927	1,544	481	202	138
	Schizophrenia and other   psychotic  disorders	15,251	2,609	1,379	822	576
	Alcohol or substance-related   disorders	1,478	121	70	2	2
- - Quantity is zero.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 7.8a. Individuals aged 18 years and older served in both 2013 and 2015, by mental health diagnosis in 2013 and living arrangement in 2013 and 2015: Number
		Living arrangement in 2015
Living arrangement in 2013	Diagnostic group in 2013¹	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Homeless	Total	34,245	16,360	29	1,857	544	509	13,359	1,587
	Bipolar disorders	8,949	4,085	7	380	110	128	3,857	382
	Depressive disorders	9,529	4,473	5	371	79	77	4,054	470
	Schizophrenia and other   psychotic  disorders	9,718	4,897	11	862	298	201	3,066	383
	Alcohol or substance-related   disorders	1,536	852	- -	92	16	28	491	57
Foster home/care	Total	4,699	68	2,239	220	43	9	1,937	183
	Bipolar disorders	858	16	340	42	8	3	415	34
	Depressive disorders	1,059	6	513	26	5	1	473	35
	Schizophrenia and other   psychotic  disorders	1,380	24	480	89	17	4	719	47
	Alcohol or substance-related   disorders	123	- -	119	- -	- -	- -	3	1
Residential care	Total	54,414	1,161	200	39,019	1,686	298	10,538	1,512
	Bipolar disorders	8,235	269	31	5,066	222	60	2,326	261
	Depressive disorders	6,822	253	29	4,221	126	45	1,905	243
	Schizophrenia and other   psychotic  disorders	32,057	497	84	24,539	1,146	155	4,888	748
	Alcohol or substance-related   disorders	457	29	1	303	7	11	100	6
Institutional settings	Total	17,847	416	39	1,667	10,745	275	3,865	840
	Bipolar disorders	2,321	71	6	191	1,211	36	702	104
	Depressive disorders	2,080	50	1	116	1,227	14	609	63
	Schizophrenia and other   psychotic  disorders	10,286	238	26	1,183	6,501	180	1,547	611
	Alcohol or substance-related   disorders	607	12	- -	6	210	7	370	2
Jail/correctional facility	Total	16,224	727	6	583	450	10,899	3,277	282
	Bipolar disorders	3,268	165	1	110	54	2,050	838	50
	Depressive disorders	2,716	103	1	70	27	1,855	613	47
	Schizophrenia and other   psychotic  disorders	4,273	244	2	273	296	2,361	983	114
	Alcohol or substance-related   disorders	822	67	- -	44	3	527	164	17
Private residence	Total	703,846	12,395	732	11,684	5,312	3,267	656,640	13,816
	Bipolar disorders	179,131	3,619	135	2,451	1,029	913	167,267	3,717
	Depressive disorders	217,101	3,328	183	1,969	818	596	205,792	4,415
	Schizophrenia and other   psychotic  disorders	185,048	3,210	205	5,808	2,824	1,061	169,432	2,508
	Alcohol or substance-related   disorders	6,410	355	9	116	68	95	5,679	88
Other	Total	23,062	1,153	124	970	491	179	10,600	9,545
	Bipolar disorders	5,056	296	24	192	61	40	2,497	1,946
	Depressive disorders	6,248	320	22	124	79	36	3,264	2,403
	Schizophrenia and other   psychotic  disorders	7,465	321	53	528	307	66	2,787	3,403
	Alcohol or substance-related   disorders	374	32	1	15	3	8	115	200
- - Quantity is zero.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2015 reporting periods. Data as of 07.08.2019.

Table 7.8b. Individuals aged 18 years and older served in both 2013 and 2015, by mental health diagnosis in 2013 and living arrangement in 2013 and 2015: Row percent distribution
		Living arrangement in 2015
Living arrangement in 2013	Diagnostic group in 2013¹	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Homeless	Total	100.0	47.8	†	5.4	1.6	1.5	39.0	4.6
	Bipolar disorders	100.0	45.6	†	4.2	1.2	1.4	43.1	4.3
	Depressive disorders	100.0	46.9	†	3.9	†	†	42.5	4.9
	Schizophrenia and other   psychotic  disorders	100.0	50.4	†	8.9	3.1	2.1	31.5	3.9
	Alcohol or substance-related   disorders	100.0	55.5	- -	6.0	1.0	1.8	32.0	3.7
Foster home/care	Total	100.0	1.4	47.6	4.7	†	†	41.2	3.9
	Bipolar disorders	100.0	1.9	39.6	4.9	†	†	48.4	4.0
	Depressive disorders	100.0	†	48.4	2.5	†	†	44.7	3.3
	Schizophrenia and other   psychotic  disorders	100.0	1.7	34.8	6.4	1.2	†	52.1	3.4
	Alcohol or substance-related   disorders	100.0	- -	96.7	- -	- -	- -	2.4	†
Residential care	Total	100.0	2.1	†	71.7	3.1	†	19.4	2.8
	Bipolar disorders	100.0	3.3	†	61.5	2.7	†	28.2	3.2
	Depressive disorders	100.0	3.7	†	61.9	1.8	†	27.9	3.6
	Schizophrenia and other   psychotic  disorders	100.0	1.6	†	76.5	3.6	†	15.2	2.3
	Alcohol or substance-related   disorders	100.0	6.3	†	66.3	1.5	2.4	21.9	1.3
Institutional settings	Total	100.0	2.3	†	9.3	60.2	1.5	21.7	4.7
	Bipolar disorders	100.0	3.1	†	8.2	52.2	1.6	30.2	4.5
	Depressive disorders	100.0	2.4	†	5.6	59.0	†	29.3	3.0
	Schizophrenia and other   psychotic  disorders	100.0	2.3	†	11.5	63.2	1.7	15.0	5.9
	Alcohol or substance-related   disorders	100.0	2.0	- -	†	34.6	1.2	61.0	†
Jail/correctional facility	Total	100.0	4.5	†	3.6	2.8	67.2	20.2	1.7
	Bipolar disorders	100.0	5.0	†	3.4	1.7	62.7	25.6	1.5
	Depressive disorders	100.0	3.8	†	2.6	†	68.3	22.6	1.7
	Schizophrenia and other   psychotic  disorders	100.0	5.7	†	6.4	6.9	55.3	23.0	2.7
	Alcohol or substance-related   disorders	100.0	8.2	- -	5.4	†	64.1	20.0	2.1
Private residence	Total	100.0	1.8	†	1.7	†	†	93.3	2.0
	Bipolar disorders	100.0	2.0	†	1.4	†	†	93.4	2.1
	Depressive disorders	100.0	1.5	†	†	†	†	94.8	2.0
	Schizophrenia and other   psychotic  disorders	100.0	1.7	†	3.1	1.5	†	91.6	1.4
	Alcohol or substance-related   disorders	100.0	5.5	†	1.8	1.1	1.5	88.6	1.4
Other	Total	100.0	5.0	†	4.2	2.1	†	46.0	41.4
	Bipolar disorders	100.0	5.9	†	3.8	1.2	†	49.4	38.5
	Depressive disorders	100.0	5.1	†	2.0	1.3	†	52.2	38.5
	Schizophrenia and other   psychotic  disorders	100.0	4.3	†	7.1	4.1	†	37.3	45.6
	Alcohol or substance-related   disorders	100.0	8.6	†	4.0	†	2.1	30.7	53.5
- - Quantity is zero; † Less than 1 percent individuals.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2015 reporting periods. Data as of 07.08.2019.

Table 7.9a. Individuals aged 18 years and older served in both 2013 and 2016, by mental health diagnosis in 2013 and living arrangement in 2013 and 2016: Number
		Living arrangement in 2016
Living arrangement in 2013	Diagnostic group in 2013¹	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Homeless	Total	25,704	9,997	22	1,722	474	399	11,753	1,337
	Bipolar disorders	6,530	2,413	2	331	91	98	3,242	353
	Depressive disorders	6,757	2,449	3	328	56	62	3,435	424
	Schizophrenia and other   psychotic  disorders	7,858	3,299	10	824	281	158	2,984	302
	Alcohol or substance-related   disorders	1,222	601	1	89	15	21	457	38
Foster home/care	Total	3,849	52	1,276	211	45	14	2,033	218
	Bipolar disorders	662	16	161	35	8	1	407	34
	Depressive disorders	868	12	310	26	3	3	479	35
	Schizophrenia and other   psychotic  disorders	1,236	10	227	97	22	9	781	90
	Alcohol or substance-related   disorders	119	- -	117	- -	- -	- -	2	- -
Residential care	Total	45,330	1,104	168	29,713	1,435	273	10,920	1,717
	Bipolar disorders	6,573	270	20	3,499	173	56	2,212	343
	Depressive disorders	5,342	193	19	2,932	119	36	1,802	241
	Schizophrenia and other   psychotic  disorders	27,643	492	87	19,521	1,016	146	5,540	841
	Alcohol or substance-related   disorders	381	27	1	246	7	7	87	6
Institutional settings	Total	13,519	358	25	1,586	7,370	223	3,233	724
	Bipolar disorders	1,683	60	3	159	718	29	610	104
	Depressive disorders	1,467	37	2	112	790	13	469	44
	Schizophrenia and other   psychotic  disorders	8,064	220	15	1,132	4,701	139	1,324	533
	Alcohol or substance-related   disorders	492	9	- -	13	128	7	335	- -
Jail/correctional facility	Total	12,692	681	7	639	382	7,486	3,236	261
	Bipolar disorders	2,496	171	- -	125	45	1,298	810	47
	Depressive disorders	2,066	82	- -	78	20	1,286	553	47
	Schizophrenia and other   psychotic  disorders	3,682	222	6	301	264	1,753	1,041	95
	Alcohol or substance-related   disorders	672	57	- -	42	2	376	180	15
Private residence	Total	540,873	11,969	460	12,678	4,708	2,791	489,971	18,296
	Bipolar disorders	136,106	3,391	73	2,490	868	786	123,368	5,130
	Depressive disorders	158,719	3,121	112	2,024	754	488	146,322	5,898
	Schizophrenia and other   psychotic  disorders	157,896	3,364	168	6,660	2,565	887	141,023	3,229
	Alcohol or substance-related   disorders	5,160	345	5	124	50	86	4,465	85
Other	Total	16,721	1,039	134	1,038	480	140	8,715	5,175
	Bipolar disorders	3,499	255	26	199	68	43	1,894	1,014
	Depressive disorders	4,288	283	23	140	65	25	2,602	1,150
	Schizophrenia and other   psychotic  disorders	6,105	305	68	597	308	44	2,579	2,204
	Alcohol or substance-related   disorders	306	30	- -	12	3	6	98	157
- - Quantity is zero.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2016 reporting periods. Data as of 07.08.2019.

Table 7.9b. Individuals aged 18 years and older served in both 2013 and 2016, by mental health diagnosis in 2013 and living arrangement in 2013 and 2016: Row percent distribution
		Living arrangement in 2016
Living arrangement in 2013	Diagnostic group in 2013¹	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Homeless	Total	100.0	38.9	†	6.7	1.8	1.6	45.7	5.2
	Bipolar disorders	100.0	37.0	†	5.1	1.4	1.5	49.6	5.4
	Depressive disorders	100.0	36.2	†	4.9	†	†	50.8	6.3
	Schizophrenia and other   psychotic  disorders	100.0	42.0	†	10.5	3.6	2.0	38.0	3.8
	Alcohol or substance-related   disorders	100.0	49.2	†	7.3	1.2	1.7	37.4	3.1
Foster home/care	Total	100.0	1.4	33.2	5.5	1.2	†	52.8	5.7
	Bipolar disorders	100.0	2.4	24.3	5.3	1.2	†	61.5	5.1
	Depressive disorders	100.0	1.4	35.7	3.0	†	†	55.2	4.0
	Schizophrenia and other   psychotic  disorders	100.0	†	18.4	7.8	1.8	†	63.2	7.3
	Alcohol or substance-related   disorders	100.0	- -	98.3	- -	- -	- -	1.7	- -
Residential care	Total	100.0	2.4	†	65.5	3.2	†	24.1	3.8
	Bipolar disorders	100.0	4.1	†	53.2	2.6	†	33.7	5.2
	Depressive disorders	100.0	3.6	†	54.9	2.2	†	33.7	4.5
	Schizophrenia and other   psychotic  disorders	100.0	1.8	†	70.6	3.7	†	20.0	3.0
	Alcohol or substance-related   disorders	100.0	7.1	†	64.6	1.8	1.8	22.8	1.6
Institutional settings	Total	100.0	2.6	†	11.7	54.5	1.6	23.9	5.4
	Bipolar disorders	100.0	3.6	†	9.4	42.7	1.7	36.2	6.2
	Depressive disorders	100.0	2.5	†	7.6	53.9	†	32.0	3.0
	Schizophrenia and other   psychotic  disorders	100.0	2.7	†	14.0	58.3	1.7	16.4	6.6
	Alcohol or substance-related   disorders	100.0	1.8	- -	2.6	26.0	1.4	68.1	- -
Jail/correctional facility	Total	100.0	5.4	†	5.0	3.0	59.0	25.5	2.1
	Bipolar disorders	100.0	6.9	- -	5.0	1.8	52.0	32.5	1.9
	Depressive disorders	100.0	4.0	- -	3.8	†	62.2	26.8	2.3
	Schizophrenia and other   psychotic  disorders	100.0	6.0	†	8.2	7.2	47.6	28.3	2.6
	Alcohol or substance-related   disorders	100.0	8.5	- -	6.3	†	56.0	26.8	2.2
Private residence	Total	100.0	2.2	†	2.3	†	†	90.6	3.4
	Bipolar disorders	100.0	2.5	†	1.8	†	†	90.6	3.8
	Depressive disorders	100.0	2.0	†	1.3	†	†	92.2	3.7
	Schizophrenia and other   psychotic  disorders	100.0	2.1	†	4.2	1.6	†	89.3	2.0
	Alcohol or substance-related   disorders	100.0	6.7	†	2.4	†	1.7	86.5	1.6
Other	Total	100.0	6.2	†	6.2	2.9	†	52.1	30.9
	Bipolar disorders	100.0	7.3	†	5.7	1.9	1.2	54.1	29.0
	Depressive disorders	100.0	6.6	†	3.3	1.5	†	60.7	26.8
	Schizophrenia and other   psychotic  disorders	100.0	5.0	1.1	9.8	5.0	†	42.2	36.1
	Alcohol or substance-related   disorders	100.0	9.8	- -	3.9	†	2.0	32.0	51.3
- - Quantity is zero; † Less than 1 percent individuals.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2016 reporting periods. Data as of 07.08.2019.

Table 7.10a. Individuals aged 18 years and older served in both 2013 and 2017, by mental health diagnosis in 2013 and living arrangement in 2013 and 2017: Number
		Living arrangement in 2017
Living arrangement in 2013	Diagnostic group in 2013¹	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Homeless	Total	21,894	7,695	25	1,563	434	393	10,541	1,243
	Bipolar disorders	5,551	1,841	3	321	91	93	2,867	335
	Depressive disorders	5,754	1,879	2	247	54	67	3,125	380
	Schizophrenia and other   psychotic  disorders	6,835	2,633	15	793	251	152	2,695	296
	Alcohol or substance-related   disorders	911	420	1	60	14	15	372	29
Foster home/care	Total	2,924	58	573	235	47	21	1,775	215
	Bipolar disorders	592	20	107	37	7	5	371	45
	Depressive disorders	586	11	98	34	2	2	400	39
	Schizophrenia and other   psychotic  disorders	1,138	10	196	114	31	9	704	74
	Alcohol or substance-related   disorders	9	1	5	1	- -	1	1	- -
Residential care	Total	40,894	1,080	185	26,155	1,445	265	10,112	1,652
	Bipolar disorders	5,759	254	19	2,897	151	52	2,075	311
	Depressive disorders	4,518	165	18	2,310	119	23	1,645	238
	Schizophrenia and other   psychotic  disorders	25,596	539	94	17,842	1,051	147	5,099	824
	Alcohol or substance-related   disorders	188	23	- -	89	6	9	61	- -
Institutional settings	Total	11,675	353	31	1,739	5,784	200	2,859	709
	Bipolar disorders	1,433	68	6	172	580	30	496	81
	Depressive disorders	1,085	37	3	110	520	10	375	30
	Schizophrenia and other   psychotic  disorders	7,252	193	20	1,280	3,849	122	1,252	536
	Alcohol or substance-related   disorders	401	11	- -	11	94	1	284	- -
Jail/correctional facility	Total	10,999	719	5	698	380	5,986	2,981	230
	Bipolar disorders	2,114	160	1	122	47	1,031	714	39
	Depressive disorders	1,754	103	- -	68	21	1,010	521	31
	Schizophrenia and other   psychotic  disorders	3,325	235	2	359	252	1,440	945	92
	Alcohol or substance-related   disorders	493	61	- -	47	5	207	159	14
Private residence	Total	450,921	12,033	434	12,952	4,870	2,806	401,384	16,442
	Bipolar disorders	113,463	3,411	86	2,474	932	798	101,299	4,463
	Depressive disorders	129,437	2,968	100	1,935	733	541	118,011	5,149
	Schizophrenia and other   psychotic  disorders	137,792	3,583	158	6,971	2,725	878	120,265	3,212
	Alcohol or substance-related   disorders	2,973	312	4	95	36	70	2,374	82
Other	Total	13,767	1,001	77	922	408	156	7,579	3,624
	Bipolar disorders	2,841	240	14	162	45	34	1,651	695
	Depressive disorders	3,403	254	14	105	49	26	2,197	758
	Schizophrenia and other   psychotic  disorders	5,278	308	38	559	280	65	2,326	1,702
	Alcohol or substance-related   disorders	160	24	- -	5	4	6	88	33
- - Quantity is zero.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2017 reporting periods. Data as of 07.08.2019.

Table 7.10b. Individuals aged 18 years and older served in both 2013 and 2017, by mental health diagnosis in 2013 and living arrangement in 2013 and 2017: Row percent distribution
		Living arrangement in 2017
Living arrangement in 2013	Diagnostic group in 2013¹	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Homeless	Total	100.0	35.1	†	7.1	2.0	1.8	48.1	5.7
	Bipolar disorders	100.0	33.2	†	5.8	1.6	1.7	51.6	6.0
	Depressive disorders	100.0	32.7	†	4.3	†	1.2	54.3	6.6
	Schizophrenia and other   psychotic  disorders	100.0	38.5	†	11.6	3.7	2.2	39.4	4.3
	Alcohol or substance-related   disorders	100.0	46.1	†	6.6	1.5	1.6	40.8	3.2
Foster home/care	Total	100.0	2.0	19.6	8.0	1.6	†	60.7	7.4
	Bipolar disorders	100.0	3.4	18.1	6.3	1.2	†	62.7	7.6
	Depressive disorders	100.0	1.9	16.7	5.8	†	†	68.3	6.7
	Schizophrenia and other   psychotic  disorders	100.0	†	17.2	10.0	2.7	†	61.9	6.5
	Alcohol or substance-related   disorders	100.0	11.1	55.6	11.1	- -	11.1	11.1	- -
Residential care	Total	100.0	2.6	†	64.0	3.5	†	24.7	4.0
	Bipolar disorders	100.0	4.4	†	50.3	2.6	†	36.0	5.4
	Depressive disorders	100.0	3.7	†	51.1	2.6	†	36.4	5.3
	Schizophrenia and other   psychotic  disorders	100.0	2.1	†	69.7	4.1	†	19.9	3.2
	Alcohol or substance-related   disorders	100.0	12.2	- -	47.3	3.2	4.8	32.4	- -
Institutional settings	Total	100.0	3.0	†	14.9	49.5	1.7	24.5	6.1
	Bipolar disorders	100.0	4.7	†	12.0	40.5	2.1	34.6	5.7
	Depressive disorders	100.0	3.4	†	10.1	47.9	†	34.6	2.8
	Schizophrenia and other   psychotic  disorders	100.0	2.7	†	17.7	53.1	1.7	17.3	7.4
	Alcohol or substance-related   disorders	100.0	2.7	- -	2.7	23.4	†	70.8	- -
Jail/correctional facility	Total	100.0	6.5	†	6.3	3.5	54.4	27.1	2.1
	Bipolar disorders	100.0	7.6	†	5.8	2.2	48.8	33.8	1.8
	Depressive disorders	100.0	5.9	- -	3.9	1.2	57.6	29.7	1.8
	Schizophrenia and other   psychotic  disorders	100.0	7.1	†	10.8	7.6	43.3	28.4	2.8
	Alcohol or substance-related   disorders	100.0	12.4	- -	9.5	1.0	42.0	32.3	2.8
Private residence	Total	100.0	2.7	†	2.9	1.1	†	89.0	3.6
	Bipolar disorders	100.0	3.0	†	2.2	†	†	89.3	3.9
	Depressive disorders	100.0	2.3	†	1.5	†	†	91.2	4.0
	Schizophrenia and other   psychotic  disorders	100.0	2.6	†	5.1	2.0	†	87.3	2.3
	Alcohol or substance-related   disorders	100.0	10.5	†	3.2	1.2	2.4	79.9	2.8
Other	Total	100.0	7.3	†	6.7	3.0	1.1	55.1	26.3
	Bipolar disorders	100.0	8.4	†	5.7	1.6	1.2	58.1	24.5
	Depressive disorders	100.0	7.5	†	3.1	1.4	†	64.6	22.3
	Schizophrenia and other   psychotic  disorders	100.0	5.8	†	10.6	5.3	1.2	44.1	32.2
	Alcohol or substance-related   disorders	100.0	15.0	- -	3.1	2.5	3.8	55.0	20.6
- - Quantity is zero; † Less than 1 percent individuals.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2017 reporting periods. Data as of 07.08.2019.

Table 7.11a. Individuals aged 18 years and older served in both 2013 and 2018, by mental health diagnosis in 2013 and living arrangement in 2013 and 2018: Number
		Living arrangement in 2018
Living arrangement in 2013	Diagnostic group in 2013¹	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Homeless	Total	19,822	7,043	18	1,439	390	390	9,833	709
	Bipolar disorders	4,963	1,671	- -	303	66	82	2,687	154
	Depressive disorders	5,186	1,759	2	228	43	63	2,887	204
	Schizophrenia and other   psychotic  disorders	6,328	2,398	8	738	241	177	2,530	236
	Alcohol or substance-related   disorders	813	373	1	45	13	12	348	21
Foster home/care	Total	2,689	73	472	254	51	22	1,702	115
	Bipolar disorders	519	16	86	39	10	2	348	18
	Depressive disorders	547	12	88	32	1	5	387	22
	Schizophrenia and other   psychotic  disorders	1,055	30	141	115	33	7	683	46
	Alcohol or substance-related   disorders	12	1	8	1	- -	- -	- -	2
Residential care	Total	35,710	1,104	170	22,153	1,344	245	9,889	805
	Bipolar disorders	5,110	234	23	2,544	143	43	2,005	118
	Depressive disorders	4,035	203	13	2,005	96	22	1,595	101
	Schizophrenia and other   psychotic  disorders	22,212	538	92	14,928	985	143	5,012	514
	Alcohol or substance-related   disorders	182	25	- -	78	7	7	63	2
Institutional settings	Total	9,668	352	27	1,480	4,629	174	2,724	282
	Bipolar disorders	1,148	63	6	144	428	27	452	28
	Depressive disorders	876	36	3	88	383	12	334	20
	Schizophrenia and other   psychotic  disorders	6,028	210	16	1,094	3,124	104	1,276	204
	Alcohol or substance-related   disorders	379	8	- -	13	101	1	256	- -
Jail/correctional facility	Total	10,103	724	5	589	333	5,396	2,836	220
	Bipolar disorders	1,929	136	1	108	40	936	669	39
	Depressive disorders	1,605	107	- -	47	14	917	489	31
	Schizophrenia and other   psychotic  disorders	2,978	241	2	311	221	1,229	899	75
	Alcohol or substance-related   disorders	489	58	- -	35	10	211	158	17
Private residence	Total	407,134	12,361	321	12,898	4,921	2,780	367,940	5,913
	Bipolar disorders	101,533	3,477	58	2,594	903	733	92,390	1,378
	Depressive disorders	114,933	3,044	59	1,939	771	542	107,160	1,418
	Schizophrenia and other   psychotic  disorders	128,222	3,682	118	6,813	2,773	901	112,065	1,870
	Alcohol or substance-related   disorders	2,707	297	3	80	34	55	2,150	88
Other	Total	12,137	1,002	56	891	412	129	6,957	2,690
	Bipolar disorders	2,490	239	5	154	44	26	1,556	466
	Depressive disorders	2,929	243	9	106	39	21	1,968	543
	Schizophrenia and other   psychotic  disorders	4,745	301	29	545	297	52	2,176	1,345
	Alcohol or substance-related   disorders	128	18	- -	5	3	3	73	26
- - Quantity is zero.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.11b. Individuals aged 18 years and older served in both 2013 and 2018, by mental health diagnosis in 2013 and living arrangement in 2013 and 2018: Row percent distribution
		Living arrangement in 2018
Living arrangement in 2013	Diagnostic group in 2013¹	Total	Homeless	Foster home/care	Residential care	Institutional setting	Jail/ correctional facility	Private residence	Other
Homeless	Total	100.0	35.5	†	7.3	2.0	2.0	49.6	3.6
	Bipolar disorders	100.0	33.7	- -	6.1	1.3	1.7	54.1	3.1
	Depressive disorders	100.0	33.9	†	4.4	†	1.2	55.7	3.9
	Schizophrenia and other   psychotic  disorders	100.0	37.9	†	11.7	3.8	2.8	40.0	3.7
	Alcohol or substance-related   disorders	100.0	45.9	†	5.5	1.6	1.5	42.8	2.6
Foster home/care	Total	100.0	2.7	17.6	9.4	1.9	†	63.3	4.3
	Bipolar disorders	100.0	3.1	16.6	7.5	1.9	†	67.1	3.5
	Depressive disorders	100.0	2.2	16.1	5.9	†	†	70.7	4.0
	Schizophrenia and other   psychotic  disorders	100.0	2.8	13.4	10.9	3.1	†	64.7	4.4
	Alcohol or substance-related   disorders	100.0	8.3	66.7	8.3	- -	- -	- -	16.7
Residential care	Total	100.0	3.1	†	62.0	3.8	†	27.7	2.3
	Bipolar disorders	100.0	4.6	†	49.8	2.8	†	39.2	2.3
	Depressive disorders	100.0	5.0	†	49.7	2.4	†	39.5	2.5
	Schizophrenia and other   psychotic  disorders	100.0	2.4	†	67.2	4.4	†	22.6	2.3
	Alcohol or substance-related   disorders	100.0	13.7	- -	42.9	3.8	3.8	34.6	1.1
Institutional settings	Total	100.0	3.6	†	15.3	47.9	1.8	28.2	2.9
	Bipolar disorders	100.0	5.5	†	12.5	37.3	2.4	39.4	2.4
	Depressive disorders	100.0	4.1	†	10.0	43.7	1.4	38.1	2.3
	Schizophrenia and other   psychotic  disorders	100.0	3.5	†	18.1	51.8	1.7	21.2	3.4
	Alcohol or substance-related   disorders	100.0	2.1	- -	3.4	26.6	†	67.5	- -
Jail/correctional facility	Total	100.0	7.2	†	5.8	3.3	53.4	28.1	2.2
	Bipolar disorders	100.0	7.1	†	5.6	2.1	48.5	34.7	2.0
	Depressive disorders	100.0	6.7	- -	2.9	†	57.1	30.5	1.9
	Schizophrenia and other   psychotic  disorders	100.0	8.1	†	10.4	7.4	41.3	30.2	2.5
	Alcohol or substance-related   disorders	100.0	11.9	- -	7.2	2.0	43.1	32.3	3.5
Private residence	Total	100.0	3.0	†	3.2	1.2	†	90.4	1.5
	Bipolar disorders	100.0	3.4	†	2.6	†	†	91.0	1.4
	Depressive disorders	100.0	2.6	†	1.7	†	†	93.2	1.2
	Schizophrenia and other   psychotic  disorders	100.0	2.9	†	5.3	2.2	†	87.4	1.5
	Alcohol or substance-related   disorders	100.0	11.0	†	3.0	1.3	2.0	79.4	3.3
Other	Total	100.0	8.3	†	7.3	3.4	1.1	57.3	22.2
	Bipolar disorders	100.0	9.6	†	6.2	1.8	1.0	62.5	18.7
	Depressive disorders	100.0	8.3	†	3.6	1.3	†	67.2	18.5
	Schizophrenia and other   psychotic  disorders	100.0	6.3	†	11.5	6.3	1.1	45.9	28.3
	Alcohol or substance-related   disorders	100.0	14.1	- -	3.9	2.3	2.3	57.0	20.3
- - Quantity is zero; † Less than 1 percent individuals.
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.12. Individuals aged 18 years and older served in consecutive reporting periods, by mental health diagnosis and employment status: Number, 2013–2018
		Reporting periods
Living arrangement	Diagnostic group¹	2013	2013–2015	2013–2016	2013–2017	2013–2018
Employed	Total	300,146	37,398	13,756	8,148	5,653
	Bipolar disorders	69,561	10,484	3,926	2,240	1,477
	Depressive disorders	110,003	13,010	4,295	2,405	1,618
	Schizophrenia and other   psychotic  disorders	28,958	7,566	3,836	2,624	1,969
	Alcohol or substance-related   disorders	5,232	118	14	2	1
Unemployed	Total	573,679	76,941	17,196	9,383	6,242
	Bipolar disorders	143,816	20,478	4,374	2,272	1,439
	Depressive disorders	202,815	26,240	5,284	2,620	1,632
	Schizophrenia and other   psychotic  disorders	86,536	19,499	5,861	3,788	2,751
	Alcohol or substance-related   disorders	12,716	294	75	12	5
Not in labor force	Total	885,266	215,832	114,606	78,757	58,258
	Bipolar disorders	206,881	48,809	24,046	15,624	10,887
	Depressive disorders	274,479	59,499	29,744	19,188	13,566
	Schizophrenia and other   psychotic  disorders	221,172	83,755	52,165	39,179	30,427
	Alcohol or substance-related   disorders	8,395	241	80	8	3
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013–2018 reporting periods. Data as of 07.08.2019.

Table 7.13a. Individuals aged 18 years and older served in both 2013 and 2015, by mental health diagnosis in 2013 and employment status in 2013 and 2015: Number
		Employment status in 2015
Employment status in 2013	Diagnostic group in 2013¹	Total	Employed	Unemployed	Not in labor  force
Employed	Total	94,229	64,501	12,712	17,016
	Bipolar disorders	26,385	17,643	3,707	5,035
	Depressive disorders	31,663	22,002	4,325	5,336
	Schizophrenia and other   psychotic  disorders	16,543	10,892	1,954	3,697
	Alcohol or substance-related   disorders	470	318	87	65
Unemployed	Total	187,696	16,190	131,262	40,244
	Bipolar disorders	50,820	4,931	34,963	10,926
	Depressive disorders	60,778	5,672	42,908	12,198
	Schizophrenia and other   psychotic  disorders	40,144	2,199	27,387	10,558
	Alcohol or substance-related   disorders	1,558	162	1,166	230
Not in labor force	Total	384,547	18,880	33,672	331,995
	Bipolar disorders	93,140	5,887	8,730	78,523
	Depressive disorders	105,512	5,644	8,854	91,014
	Schizophrenia and other   psychotic  disorders	127,966	4,179	10,795	112,992
	Alcohol or substance-related   disorders	1,522	55	167	1,300
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2015 reporting periods. Data as of 07.08.2019.

Table 7.13b. Individuals aged 18 years and older served in both 2013 and 2015, by mental health diagnosis in 2013 and employment status in 2013 and 2015: Row percent distribution
		Employment status in 2015
Employment status in 2013	Diagnostic group in 2013¹	Total	Employed	Unemployed	Not in labor  force
Employed	Total	100.0	68.5	13.5	18.1
	Bipolar disorders	100.0	66.9	14.0	19.1
	Depressive disorders	100.0	69.5	13.7	16.9
	Schizophrenia and other   psychotic  disorders	100.0	65.8	11.8	22.3
	Alcohol or substance-related   disorders	100.0	67.7	18.5	13.8
Unemployed	Total	100.0	8.6	69.9	21.4
	Bipolar disorders	100.0	9.7	68.8	21.5
	Depressive disorders	100.0	9.3	70.6	20.1
	Schizophrenia and other   psychotic  disorders	100.0	5.5	68.2	26.3
	Alcohol or substance-related   disorders	100.0	10.4	74.8	14.8
Not in labor force	Total	100.0	4.9	8.8	86.3
	Bipolar disorders	100.0	6.3	9.4	84.3
	Depressive disorders	100.0	5.3	8.4	86.3
	Schizophrenia and other   psychotic  disorders	100.0	3.3	8.4	88.3
	Alcohol or substance-related   disorders	100.0	3.6	11.0	85.4
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2015 reporting periods. Data as of 07.08.2019.

Table 7.14a. Individuals aged 18 years and older served in both 2013 and 2016, by mental health diagnosis in 2013 and employment status in 2013 and 2016: Number
		Employment status in 2016
Employment status in 2013	Diagnostic group in 2013¹	Total	Employed	Unemployed	Not in labor  force
Employed	Total	65,433	39,616	9,652	16,165
	Bipolar disorders	18,289	10,781	2,903	4,605
	Depressive disorders	21,026	12,916	3,200	4,910
	Schizophrenia and other   psychotic  disorders	13,470	8,038	1,500	3,932
	Alcohol or substance-related   disorders	350	221	76	53
Unemployed	Total	107,917	13,221	58,166	36,530
	Bipolar disorders	29,039	3,964	15,462	9,613
	Depressive disorders	33,041	4,449	17,703	10,889
	Schizophrenia and other   psychotic  disorders	27,052	2,052	14,567	10,433
	Alcohol or substance-related   disorders	1,171	144	827	200
Not in labor force	Total	304,111	17,595	25,424	261,092
	Bipolar disorders	72,739	5,314	6,763	60,662
	Depressive disorders	79,978	5,119	6,803	68,056
	Schizophrenia and other   psychotic  disorders	108,133	4,267	7,571	96,295
	Alcohol or substance-related   disorders	1,194	50	146	998
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2016 reporting periods. Data as of 07.08.2019.

Table 7.14b. Individuals aged 18 years and older served in both 2013 and 2016, by mental health diagnosis in 2013 and employment status in 2013 and 2016: Row percent distribution
		Employment status in 2016
Employment status in 2013	Diagnostic group in 2013¹	Total	Employed	Unemployed	Not in labor  force
Employed	Total	100.0	60.5	14.8	24.7
	Bipolar disorders	100.0	58.9	15.9	25.2
	Depressive disorders	100.0	61.4	15.2	23.4
	Schizophrenia and other   psychotic  disorders	100.0	59.7	11.1	29.2
	Alcohol or substance-related   disorders	100.0	63.1	21.7	15.1
Unemployed	Total	100.0	12.3	53.9	33.9
	Bipolar disorders	100.0	13.7	53.2	33.1
	Depressive disorders	100.0	13.5	53.6	33.0
	Schizophrenia and other   psychotic  disorders	100.0	7.6	53.8	38.6
	Alcohol or substance-related   disorders	100.0	12.3	70.6	17.1
Not in labor force	Total	100.0	5.8	8.4	85.9
	Bipolar disorders	100.0	7.3	9.3	83.4
	Depressive disorders	100.0	6.4	8.5	85.1
	Schizophrenia and other   psychotic  disorders	100.0	3.9	7.0	89.1
	Alcohol or substance-related   disorders	100.0	4.2	12.2	83.6
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2016 reporting periods. Data as of 07.08.2019.

Table 7.15a. Individuals aged 18 years and older served in both 2013 and 2017, by mental health diagnosis in 2013 and employment status in 2013 and 2017: Number
		Employment status in 2017
Employment status in 2013	Diagnostic group in 2013¹	Total	Employed	Unemployed	Not in labor  force
Employed	Total	55,130	30,801	8,918	15,411
	Bipolar disorders	15,408	8,368	2,636	4,404
	Depressive disorders	17,363	9,861	2,860	4,642
	Schizophrenia and other   psychotic  disorders	11,828	6,520	1,449	3,859
	Alcohol or substance-related   disorders	215	103	66	46
Unemployed	Total	91,617	11,676	45,707	34,234
	Bipolar disorders	24,641	3,519	12,151	8,971
	Depressive disorders	27,402	3,934	13,578	9,890
	Schizophrenia and other   psychotic  disorders	23,971	1,827	12,018	10,126
	Alcohol or substance-related   disorders	941	129	620	192
Not in labor force	Total	259,074	16,624	24,639	217,811
	Bipolar disorders	61,817	4,949	6,530	50,338
	Depressive disorders	66,322	4,750	6,679	54,893
	Schizophrenia and other   psychotic  disorders	94,340	4,080	7,219	83,041
	Alcohol or substance-related   disorders	862	42	157	663
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2017 reporting periods. Data as of 07.08.2019.

Table 7.15b. Individuals aged 18 years and older served in both 2013 and 2017, by mental health diagnosis in 2013 and employment status in 2013 and 2017: Row percent distribution
		Employment status in 2017
Employment status in 2013	Diagnostic group in 2013¹	Total	Employed	Unemployed	Not in labor  force
Employed	Total	100.0	55.9	16.2	28.0
	Bipolar disorders	100.0	54.3	17.1	28.6
	Depressive disorders	100.0	56.8	16.5	26.7
	Schizophrenia and other   psychotic  disorders	100.0	55.1	12.3	32.6
	Alcohol or substance-related   disorders	100.0	47.9	30.7	21.4
Unemployed	Total	100.0	12.7	49.9	37.4
	Bipolar disorders	100.0	14.3	49.3	36.4
	Depressive disorders	100.0	14.4	49.6	36.1
	Schizophrenia and other   psychotic  disorders	100.0	7.6	50.1	42.2
	Alcohol or substance-related   disorders	100.0	13.7	65.9	20.4
Not in labor force	Total	100.0	6.4	9.5	84.1
	Bipolar disorders	100.0	8.0	10.6	81.4
	Depressive disorders	100.0	7.2	10.1	82.8
	Schizophrenia and other   psychotic  disorders	100.0	4.3	7.7	88.0
	Alcohol or substance-related   disorders	100.0	4.9	18.2	76.9
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2017 reporting periods. Data as of 07.08.2019.

Table 7.16a. Individuals aged 18 years and older served in both 2013 and 2018, by mental health diagnosis in 2013 and employment status in 2013 and 2018: Number
		Employment status in 2018
Employment status in 2013	Diagnostic group in 2013¹	Total	Employed	Unemployed	Not in labor  force
Employed	Total	50,492	27,089	8,954	14,449
	Bipolar disorders	14,100	7,338	2,633	4,129
	Depressive disorders	15,726	8,571	2,813	4,342
	Schizophrenia and other   psychotic  disorders	11,097	5,886	1,582	3,629
	Alcohol or substance-related   disorders	231	107	77	47
Unemployed	Total	83,248	11,024	41,014	31,210
	Bipolar disorders	22,378	3,360	10,809	8,209
	Depressive disorders	24,373	3,640	11,772	8,961
	Schizophrenia and other   psychotic  disorders	22,326	1,768	11,255	9,303
	Alcohol or substance-related   disorders	895	130	572	193
Not in labor force	Total	241,301	15,651	27,996	197,654
	Bipolar disorders	56,766	4,703	7,031	45,032
	Depressive disorders	60,431	4,408	7,108	48,915
	Schizophrenia and other   psychotic  disorders	90,235	3,724	9,412	77,099
	Alcohol or substance-related   disorders	928	47	154	727
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2018 reporting periods. Data as of 07.08.2019.

Table 7.16b. Individuals aged 18 years and older served in both 2013 and 2018, by mental health diagnosis in 2013 and employment status in 2013 and 2018: Row percent distribution
		Employment status in 2018
Employment status in 2013	Diagnostic group in 2013¹	Total	Employed	Unemployed	Not in labor  force
Employed	Total	100.0	53.7	17.7	28.6
	Bipolar disorders	100.0	52.0	18.7	29.3
	Depressive disorders	100.0	54.5	17.9	27.6
	Schizophrenia and other   psychotic  disorders	100.0	53.0	14.3	32.7
	Alcohol or substance-related   disorders	100.0	46.3	33.3	20.3
Unemployed	Total	100.0	13.2	49.3	37.5
	Bipolar disorders	100.0	15.0	48.3	36.7
	Depressive disorders	100.0	14.9	48.3	36.8
	Schizophrenia and other   psychotic  disorders	100.0	7.9	50.4	41.7
	Alcohol or substance-related   disorders	100.0	14.5	63.9	21.6
Not in labor force	Total	100.0	6.5	11.6	81.9
	Bipolar disorders	100.0	8.3	12.4	79.3
	Depressive disorders	100.0	7.3	11.8	80.9
	Schizophrenia and other   psychotic  disorders	100.0	4.1	10.4	85.4
	Alcohol or substance-related   disorders	100.0	5.1	16.6	78.3
¹ “Diagnostic group” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each individual. “Total” includes all mental health diagnoses. Mental health diagnostic category definitions can be found in Appendix E.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 and 2018 reporting periods. Data as of 07.08.2019.

Table 8.1. Individuals, by mental health diagnosis, Census region, Census division, and state or jurisdiction: Number, 2018
Census region, Census division, and state or  jurisdiction	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders²
					Bipolar disorders	Depressive disorders
Total	5,494,012	793,054	654,028	461,444	601,023	1,410,277	45,746	660,521	867,919
Census region³
Northeast	680,681	106,028	70,454	71,608	72,218	168,294	7,425	76,430	108,224
Midwest	1,499,950	226,145	209,559	138,659	154,566	376,047	17,945	150,902	226,127
South	1,622,266	187,464	143,139	150,543	234,027	468,261	9,994	222,488	206,350
West	1,688,168	273,304	230,766	100,431	140,028	396,941	10,363	209,919	326,416
Census division³
New England	136,773	24,497	13,220	9,518	13,515	31,334	1,125	18,893	24,671
Middle Atlantic	543,908	81,531	57,234	62,090	58,703	136,960	6,300	57,537	83,553
East North Central	940,886	127,390	99,449	80,151	108,921	240,523	11,572	104,768	168,112
West North Central	559,064	98,755	110,110	58,508	45,645	135,524	6,373	46,134	58,015
South Atlantic	776,905	105,152	80,758	71,951	103,678	211,769	6,903	106,124	90,570
East South Central	406,543	45,334	37,755	43,578	43,801	105,401	2,157	45,634	82,883
West South Central	438,818	36,978	24,626	35,014	86,548	151,091	934	70,730	32,897
Mountain	614,391	96,741	94,375	42,948	62,366	139,486	4,541	54,083	119,851
Pacific	1,073,777	176,563	136,391	57,483	77,662	257,455	5,822	155,836	206,565
State or jurisdiction
Alabama	101,599	8,158	5,900	13,669	11,831	27,591	437	17,752	16,261
Alaska	‡	‡	‡	‡	‡	‡	‡	‡	‡
Arizona	169,861	12,659	29,586	20,587	28,143	42,320	1,319	21,951	13,296
Arkansas	59,565	10,359	7,699	1,075	6,044	18,416	418	6,758	8,796
California	660,567	75,912	54,673	28,971	49,619	160,164	1,057	121,780	168,391
Colorado	148,846	36,755	18,175	7,276	15,560	39,107	974	12,703	18,296
Connecticut	77,860	13,690	8,023	6,462	7,914	18,344	506	10,517	12,404
Delaware	8,800	612	205	254	1,490	1,925	33	1,683	2,598
District of Columbia	35,828	2,880	1,263	2,399	6,155	12,846	38	6,670	3,577
Florida	185,688	26,900	14,027	13,081	26,120	53,057	515	32,965	19,023
Georgia	‡	‡	‡	‡	‡	‡	‡	‡	‡
Hawaii	9,097	2,401	275	395	1,032	1,557	15	2,719	703
Idaho	7,666	291	383	218	1,536	2,271	154	1,985	828
Illinois	66,235	8,809	5,655	5,127	10,132	18,504	241	10,409	7,358
Indiana	137,363	11,718	13,401	14,142	13,813	47,509	1,044	14,899	20,837
Iowa	174,011	29,171	35,102	25,669	11,833	43,078	790	10,473	17,895
Kansas	‡	‡	‡	‡	‡	‡	‡	‡	‡
Kentucky	155,989	22,995	17,814	13,405	11,021	35,319	941	10,367	44,127
Louisiana	23,000	1,127	1,729	1,993	3,559	8,596	78	4,631	1,287
Maine	‡	‡	‡	‡	‡	‡	‡	‡	‡
Maryland	211,849	33,567	29,107	28,739	26,331	56,339	498	16,323	20,945
Massachusetts	9,248	712	827	318	1,656	1,861	31	3,322	521
Michigan	224,567	18,469	13,515	12,034	28,423	53,417	1,302	30,743	66,664
Minnesota	269,422	59,657	61,843	23,686	15,009	58,737	4,578	17,509	28,403
Mississippi	84,918	7,577	6,237	13,776	8,855	20,203	300	10,365	17,605
Missouri	73,128	3,028	9,068	6,764	12,909	22,356	797	13,187	5,019
Montana	61,189	9,788	13,719	4,220	3,759	14,071	550	3,370	11,712
Nebraska	20,011	2,462	1,760	721	3,479	5,700	116	2,264	3,509
Nevada	13,250	1,681	1,589	367	1,008	2,022	437	2,003	4,143
New Hampshire	‡	‡	‡	‡	‡	‡	‡	‡	‡
New Jersey	‡	‡	‡	‡	‡	‡	‡	‡	‡
New Mexico	149,498	25,568	20,189	7,559	6,705	20,739	230	5,557	62,951
New York⁴	56,509	7,579	3,271	1,870	5,166	7,603	4,586	19,316	7,118
North Carolina	90,175	11,858	8,114	2,439	14,038	29,505	1,110	13,345	9,766
North Dakota	7,182	505	776	443	925	1,853	87	1,259	1,334
Ohio	449,140	81,609	56,369	46,037	50,839	109,867	2,835	39,583	62,001
Oklahoma	87,512	14,598	9,960	3,580	10,429	32,048	141	9,690	7,066
Oregon	134,637	42,073	25,243	7,672	8,850	25,810	691	11,182	13,116
Pennsylvania	487,399	73,952	53,963	60,220	53,537	129,357	1,714	38,221	76,435
Puerto Rico	2,669	105	101	193	180	718	19	670	683
Rhode Island	20,637	2,447	1,671	1,223	2,860	7,445	233	3,414	1,344
South Carolina	84,322	10,564	6,100	10,116	10,409	20,051	872	15,733	10,477
South Dakota	15,310	3,932	1,561	1,225	1,490	3,800	5	1,442	1,855
Tennessee⁴	64,037	6,604	7,804	2,728	12,094	22,288	479	7,150	4,890
Texas	268,741	10,894	5,238	28,366	66,516	92,031	297	49,651	15,748
Utah	48,319	7,028	8,436	1,859	4,168	14,276	561	5,575	6,416
Vermont	29,028	7,648	2,699	1,515	1,085	3,684	355	1,640	10,402
Virginia	117,261	15,114	14,530	11,621	13,368	25,589	3,583	17,143	16,313
Washington	269,476	56,177	56,200	20,445	18,161	69,924	4,059	20,155	24,355
West Virginia	42,982	3,657	7,412	3,302	5,767	12,457	254	2,262	7,871
Wisconsin	63,581	6,785	10,509	2,811	5,714	11,226	6,150	9,134	11,252
Wyoming	15,762	2,971	2,298	862	1,487	4,680	316	939	2,209
Other jurisdictions⁵	278	8	9	10	4	16	‡	112	119
‡ No data reported.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it excludes substance use diagnoses. See Appendix E.
³ The Commonwealth of the Northern Mariana Islands, the Republic of Palau, and the Commonwealth of Puerto Rico are not included in any Census region or division.
⁴ New York and Tennessee report only a subset of the total individuals served through their SMHAs.
⁵ Other jurisdictions include the Commonwealth of the Northern Mariana Islands and the Republic of Palau.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019.

Table 8.2. Individuals per 100,000 population (2018 estimate), by mental health diagnosis, Census region, Census division, and state or jurisdiction: Number, 2018
Census region, Census division, and state or jurisdiction	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders²
					Bipolar disorders	Depressive disorders
Total	1,823	263	217	153	199	468	15	219	288
Census region³
Northeast	1,529	238	158	161	162	378	17	172	243
Midwest	2,294	346	320	212	236	575	27	231	346
South	1,420	164	125	132	205	410	9	195	181
West	2,185	354	299	130	181	514	13	272	423
Census division³
New England	1,125	201	109	78	111	258	9	155	203
Middle Atlantic	1,681	252	177	192	181	423	19	178	258
East North Central	2,005	271	212	171	232	512	25	223	358
West North Central	3,028	535	596	317	247	734	35	250	314
South Atlantic	1,418	192	147	131	189	386	13	194	165
East South Central	2,127	237	198	228	229	551	11	239	434
West South Central	1,088	92	61	87	215	375	2	175	82
Mountain	2,502	394	384	175	254	568	19	220	488
Pacific	2,037	335	259	109	147	488	11	296	392
State or jurisdiction
Alabama	2,079	167	121	280	242	564	9	363	333
Alaska	‡	‡	‡	‡	‡	‡	‡	‡	‡
Arizona	2,369	177	413	287	392	590	18	306	185
Arkansas	1,976	344	255	36	201	611	14	224	292
California	1,670	192	138	73	125	405	3	308	426
Colorado	2,613	645	319	128	273	687	17	223	321
Connecticut	2,179	383	225	181	222	513	14	294	347
Delaware	910	63	21	26	154	199	3	174	269
District of Columbia	5,100	410	180	342	876	1,829	5	950	509
Florida	872	126	66	61	123	249	2	155	89
Georgia	‡	‡	‡	‡	‡	‡	‡	‡	‡
Hawaii	640	169	19	28	73	110	1	191	49
Idaho	437	17	22	12	88	129	9	113	47
Illinois	520	69	44	40	80	145	2	82	58
Indiana	2,053	175	200	211	206	710	16	223	311
Iowa	5,513	924	1,112	813	375	1,365	25	332	567
Kansas	‡	‡	‡	‡	‡	‡	‡	‡	‡
Kentucky	3,491	515	399	300	247	790	21	232	988
Louisiana	494	24	37	43	76	184	2	99	28
Maine	‡	‡	‡	‡	‡	‡	‡	‡	‡
Maryland	3,506	556	482	476	436	932	8	270	347
Massachusetts	134	10	12	5	24	27	†	48	8
Michigan	2,247	185	135	120	284	534	13	308	667
Minnesota	4,802	1,063	1,102	422	267	1,047	82	312	506
Mississippi	2,843	254	209	461	297	676	10	347	589
Missouri	1,194	49	148	110	211	365	13	215	82
Montana	5,760	921	1,291	397	354	1,325	52	317	1,103
Nebraska	1,037	128	91	37	180	295	6	117	182
Nevada	437	55	52	12	33	67	14	66	137
New Hampshire	‡	‡	‡	‡	‡	‡	‡	‡	‡
New Jersey	‡	‡	‡	‡	‡	‡	‡	‡	‡
New Mexico	7,134	1,220	963	361	320	990	11	265	3,004
New York⁴	289	39	17	10	26	39	23	99	36
North Carolina	868	114	78	23	135	284	11	129	94
North Dakota	945	66	102	58	122	244	11	166	176
Ohio	3,842	698	482	394	435	940	24	339	530
Oklahoma	2,219	370	253	91	264	813	4	246	179
Oregon	3,213	1,004	602	183	211	616	16	267	313
Pennsylvania	3,806	577	421	470	418	1,010	13	298	597
Puerto Rico	n/a	n/a	n/a	n/a	n/a	n/a	n/a	n/a	n/a
Rhode Island	1,952	231	158	116	271	704	22	323	127
South Carolina	1,659	208	120	199	205	394	17	309	206
South Dakota	1,735	446	177	139	169	431	†	163	210
Tennessee⁴	946	98	115	40	179	329	7	106	72
Texas	936	38	18	99	232	321	1	173	55
Utah	1,529	222	267	59	132	452	18	176	203
Vermont	4,635	1,221	431	242	173	588	57	262	1,661
Virginia	1,377	177	171	136	157	300	42	201	192
Washington	3,576	745	746	271	241	928	54	267	323
West Virginia	2,380	203	410	183	319	690	14	125	436
Wisconsin	1,094	117	181	48	98	193	106	157	194
Wyoming	2,728	514	398	149	257	810	55	163	382
Other jurisdictions⁵	n/a	n/a	n/a	n/a	n/a	n/a	n/a	n/a	n/a
‡ No data reported; † Less than 1 per 100,000 population; n/a Population detail required for adjustment was not available.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. See Appendix E.
³ The Commonwealth of the Northern Mariana Islands, the Republic of Palau, and the Commonwealth of Puerto Rico are not included in any Census region or division.
⁴ New York and Tennessee report only a subset of the total individuals served through their SMHAs.
⁵ Other jurisdictions include the Commonwealth of the Northern Mariana Islands and the Republic of Palau.
NOTE: States that submitted insufficient data for inclusion in this report, as well as their reference populations, are excluded from calculations presented in this table.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019; Population: U.S. Census Bureau, Population Estimates Program, SC-EST2018-alldata6: Annual State Resident Population Estimates for 6 Race Groups (5 Race Alone Groups and Two or More Races) by Age, Sex, and Hispanic Origin: April 1, 2010 to July 1, 2018.

Table 8.3. Individuals per 100,000 population, by mental health diagnosis, Census region, Census division, and state or jurisdiction: Number, 2018, adjusted to 2010 population estimate for age, gender, and race
Census region, Census division, and state or jurisdiction	Mental health diagnosis¹
	Total	Trauma- and stressor-related disorders	Anxiety disorders	ADHD	Mood disorders		Personality disorders	Schizophrenia, other psychotic disorders	Other mental disorders²
					Bipolar disorders	Depressive disorders
Total	1,721	246	204	151	195	443	14	201	267
Census region³
Northeast	1,535	247	162	178	162	371	16	158	242
Midwest	2,156	314	290	196	228	544	26	227	331
South	1,356	159	125	126	202	395	9	169	173
West	2,039	329	274	129	180	472	13	265	376
Census division³
New England	1,038	200	103	81	104	238	9	149	153
Middle Atlantic	1,722	264	185	213	185	422	18	160	274
East North Central	1,929	258	201	168	223	491	24	214	351
West North Central	2,747	458	518	261	242	695	32	268	273
South Atlantic	1,336	187	150	129	181	361	13	157	158
East South Central	2,112	248	211	220	237	546	12	202	436
West South Central	1,050	84	57	81	216	369	2	168	74
Mountain	2,313	352	349	170	254	532	18	233	405
Pacific	1,845	312	232	106	142	427	11	271	344
State or jurisdiction
Alabama	1,937	166	126	263	250	537	9	270	316
Alaska	‡	‡	‡	‡	‡	‡	‡	‡	‡
Arizona	2,597	194	437	321	433	634	20	356	203
Arkansas	1,657	284	215	29	186	512	12	193	226
California	1,396	159	104	67	115	321	2	266	362
Colorado	2,353	573	272	120	250	606	16	225	291
Connecticut	2,136	383	219	186	216	490	14	281	348
Delaware	880	63	22	26	152	192	3	147	275
District of Columbia	1,694	135	67	126	296	563	2	333	171
Florida	863	129	67	67	122	243	2	139	93
Georgia	‡	‡	‡	‡	‡	‡	‡	‡	‡
Hawaii	572	131	18	19	94	103	†	179	27
Idaho	457	18	26	11	82	127	8	139	45
Illinois	495	66	43	39	77	139	2	76	54
Indiana	2,100	176	201	216	212	722	16	240	318
Iowa	4,791	768	965	632	348	1,237	23	340	478
Kansas	‡	‡	‡	‡	‡	‡	‡	‡	‡
Kentucky	3,517	520	393	314	246	776	22	242	1,005
Louisiana	432	22	38	31	75	175	2	67	22
Maine	‡	‡	‡	‡	‡	‡	‡	‡	‡
Maryland	3,175	515	504	438	404	819	9	194	293
Massachusetts	106	8	8	3	19	18	†	44	6
Michigan	2,251	190	138	124	287	534	13	294	671
Minnesota	4,508	975	989	354	270	1,044	78	348	449
Mississippi	2,466	250	225	348	309	594	9	222	508
Missouri	1,189	49	147	111	211	361	13	217	81
Montana	5,941	930	1,281	440	377	1,280	54	369	1,211
Nebraska	1,101	129	90	36	189	310	6	144	199
Nevada	375	49	40	9	30	57	12	58	119
New Hampshire	‡	‡	‡	‡	‡	‡	‡	‡	‡
New Jersey	‡	‡	‡	‡	‡	‡	‡	‡	‡
New Mexico	6,180	1,119	880	310	295	881	12	241	2,443
New York⁴	258	35	17	10	25	36	20	81	35
North Carolina	843	114	82	22	136	281	11	106	92
North Dakota	890	63	93	54	124	229	10	170	146
Ohio	3,475	638	436	371	387	837	21	298	488
Oklahoma	2,361	377	264	93	284	873	4	280	187
Oregon	3,225	1,007	586	191	209	605	16	307	304
Pennsylvania	4,027	624	441	521	434	1,050	14	299	644
Puerto Rico	n/a	n/a	n/a	n/a	n/a	n/a	n/a	n/a	n/a
Rhode Island	1,753	209	141	105	247	621	20	295	116
South Carolina	1,492	201	126	170	204	370	18	217	187
South Dakota	1,948	528	186	149	189	474	†	192	230
Tennessee⁴	1,036	115	133	48	196	350	10	100	83
Texas	939	37	18	94	236	326	1	174	53
Utah	1,544	211	249	52	138	464	21	225	183
Vermont	3,775	1,371	425	303	150	528	52	264	681
Virginia	1,341	178	177	139	156	296	41	168	185
Washington	3,796	812	769	291	255	982	56	297	335
West Virginia	2,544	223	423	215	341	703	15	140	483
Wisconsin	1,115	123	175	49	99	189	133	169	177
Wyoming	2,720	514	358	145	247	807	58	202	389
Other jurisdictions⁵	n/a	n/a	n/a	n/a	n/a	n/a	n/a	n/a	n/a
‡ No data reported; † Less than 1 per 100,000 population; n/a Population detail required for adjustment was not available.
ADHD = attention deficit/hyperactivity disorder.
¹ “Mental health diagnosis” refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E.
² “Other mental disorders” includes all other mental health diagnoses and diagnoses not included in another diagnostic category; it also includes alcohol- and substance-related diagnoses. See Appendix E.
³ The Commonwealth of the Northern Mariana Islands, the Republic of Palau, and the Commonwealth of Puerto Rico are not included in any Census region or division.
⁴ New York and Tennessee report only a subset of the total individuals served through their SMHAs.
⁵ Other jurisdictions include the Commonwealth of the Northern Mariana Islands and the Republic of Palau.
NOTE: States that submitted insufficient data for inclusion in this report, as well as their reference populations, are excluded from calculations presented in this table.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2018 reporting period. Data as of 07.08.2019; Population: U.S. Census Bureau, Population Estimates Program, SC-EST2018-alldata6: Annual State Resident Population Estimates for 6 Race Groups (5 Race Alone Groups and Two or More Races) by Age, Sex, and Hispanic Origin: April 1, 2010 to July 1, 2018.

Table 8.4. Individuals with primary diagnosis of trauma- and stressor-related disorders, by Census region, Census division, and state or jurisdiction: Number, 2013–2018
Census region, Census division, and state or jurisdiction	2013	2014	2015	2016	2017	2018
Total individuals with primary diagnosis of  trauma- and stressor-related disorders	645,568	660,241	637,555	664,355	734,330	793,054
Census region¹
Northeast	134,983	119,514	64,637	88,726	105,106	106,028
Midwest	132,067	174,299	180,344	164,715	189,178	226,145
South	159,658	150,914	164,523	159,707	178,987	187,464
West	218,853	215,507	228,041	251,192	260,950	273,304
Census division¹
New England	40,714	24,921	19,819	20,182	29,443	24,497
Middle Atlantic	94,269	94,593	44,818	68,544	75,663	81,531
East North Central	89,849	95,862	98,512	90,253	120,603	127,390
West North Central	42,218	78,437	81,832	74,462	68,575	98,755
South Atlantic	94,050	88,473	98,002	85,520	103,815	105,152
East South Central	42,045	39,348	42,574	42,822	40,215	45,334
West South Central	23,563	23,093	23,947	31,365	34,957	36,978
Mountain	86,277	85,790	86,072	96,252	99,751	96,741
Pacific	132,576	129,717	141,969	154,940	161,199	176,563
State or jurisdiction
Alabama	6,252	5,816	7,441	7,155	7,554	8,158
Alaska	‡	‡	‡	‡	‡	‡
Arizona	28,555	24,135	23,991	27,951	11,691	12,659
Arkansas	7,906	7,656	8,591	10,346	11,029	10,359
California	77,098	71,965	72,517	68,428	66,218	75,912
Colorado	19,974	22,576	19,246	21,484	32,917	36,755
Connecticut	12,751	13,467	8,930	9,590	13,849	13,690
Delaware	937	1,125	1,052	682	938	612
District of Columbia	‡	1,212	1,642	1,736	2,651	2,880
Florida	26,189	18,589	21,424	24,090	31,330	26,900
Georgia	‡	‡	‡	‡	‡	‡
Hawaii	2,001	2,320	2,211	1,603	1,947	2,401
Idaho	237	92	53	249	331	291
Illinois	15,368	15,659	14,715	1,807	8,831	8,809
Indiana	11,882	11,914	12,312	10,419	11,186	11,718
Iowa	17,196	19,429	22,973	14,460	6,670	29,171
Kansas	11,635	6,155	‡	‡	‡	‡
Kentucky	20,730	20,240	20,797	21,711	21,059	22,995
Louisiana	1,131	1,365	1,374	967	1,500	1,127
Maine	15,961	‡	‡	‡	3,886	‡
Maryland	23,683	25,052	27,598	28,087	31,136	33,567
Massachusetts	2,523	2,659	2,833	1,425	1,776	712
Michigan	‡	‡	‡	‡	12,110	18,469
Minnesota	‡	39,250	44,738	51,213	52,900	59,657
Mississippi	7,584	5,024	6,776	6,158	5,742	7,577
Missouri	6,209	6,154	6,491	1,846	2,510	3,028
Montana	6,128	6,625	7,543	5,906	8,789	9,788
Nebraska	2,371	2,603	2,487	2,260	2,358	2,462
Nevada	2,197	2,060	2,245	1,505