Section 8 SE Tables – Results from the 2020 National Survey on Drug Use and Health: Detailed Tables, SAMHSA, CBHSQ

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Table 8.1C – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Standard Errors of Numbers in Thousands, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	631	981	404	583	467	754
18-25	163	282	102	177	117	202
18-20	144	219	76	124	105	171
21-25	165	287	97	163	122	215
26 or Older	599	937	385	558	441	729
26-49	366	552	232	371	266	400
26-29	194	288	120	179	145	220
30-34	213	345	135	224	155	238
35-39	190	298	114	188	148	233
40-44	175	268	102	172	135	208
45-49	160	266	100	181	125	199
50 or Older	460	737	297	431	339	595
50-54	230	370	158	170	171	326
55-59	254	407	164	206	183	347
60-64	207	346	119	242	172	254
65 or Older	295	458	172	276	232	365
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.1D – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Standard Errors of Percentages, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	0.25	0.39	0.33	0.48	0.36	0.58
18-25	0.48	0.84	0.60	1.06	0.70	1.21
18-20	0.78	1.40	0.91	1.67	1.15	2.11
21-25	0.60	1.07	0.79	1.36	0.90	1.54
26 or Older	0.28	0.43	0.37	0.53	0.39	0.64
26-49	0.36	0.54	0.46	0.74	0.52	0.78
26-29	0.87	1.35	1.16	1.80	1.27	1.98
30-34	0.78	1.24	1.04	1.71	1.13	1.73
35-39	0.78	1.16	1.02	1.64	1.12	1.66
40-44	0.80	1.24	0.99	1.63	1.17	1.82
45-49	0.74	1.24	0.92	1.73	1.11	1.80
50 or Older	0.40	0.63	0.55	0.79	0.55	0.96
50-54	1.04	1.64	1.45	1.85	1.47	2.58
55-59	1.08	1.68	1.49	1.82	1.47	2.65
60-64	0.94	1.50	1.18	2.10	1.40	2.21
65 or Older	0.56	0.84	0.73	1.13	0.80	1.22
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.2C – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	631	981	163	282	599	937	366	552	460	737
GENDER
Male	404	583	102	177	385	558	232	371	297	431
Female	467	754	117	202	441	729	266	400	339	595
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	558	868	143	237	533	836	318	600	422	740
White	603	888	162	270	565	831	360	507	424	652
Black or African American	223	419	65	123	207	393	147	240	143	306
AIAN	39	*	10	*	37	*	20	*	*	*
NHOPI	32	*	*	*	30	*	29	*	*	*
Asian	157	214	45	88	147	194	97	142	107	128
Two or More Races	101	216	38	73	93	203	72	103	61	*
Hispanic or Latino	267	427	82	142	249	409	174	321	180	323
EMPLOYMENT STATUS
Full-Time	469	673	124	236	441	609	341	508	267	344
Part-Time	268	380	119	184	240	328	151	229	186	234
Unemployed	147	235	59	109	128	210	93	175	91	124
Other¹	479	766	97	168	469	757	184	330	413	677
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.2D – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	0.25	0.39	0.48	0.84	0.28	0.43	0.36	0.54	0.40	0.63
GENDER
Male	0.33	0.48	0.60	1.06	0.37	0.53	0.46	0.74	0.55	0.79
Female	0.36	0.58	0.70	1.21	0.39	0.64	0.52	0.78	0.55	0.96
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.27	0.41	0.55	0.92	0.29	0.45	0.39	0.60	0.41	0.66
White	0.31	0.49	0.68	1.07	0.34	0.53	0.47	0.70	0.45	0.72
Black or African American	0.65	1.16	1.12	2.27	0.72	1.31	0.94	1.59	1.09	2.20
AIAN	2.70	*	3.97	*	3.11	*	3.47	*	*	*
NHOPI	2.85	*	*	*	3.15	*	4.85	*	*	*
Asian	1.01	1.48	1.89	3.52	1.12	1.59	1.26	1.86	1.91	2.28
Two or More Races	1.92	3.50	2.99	5.20	2.30	4.31	2.88	4.29	3.72	*
Hispanic or Latino	0.65	1.02	1.07	1.84	0.74	1.19	0.84	1.32	1.39	2.16
EMPLOYMENT STATUS
Full-Time	0.33	0.51	0.69	1.46	0.36	0.53	0.41	0.66	0.61	0.86
Part-Time	0.74	1.09	1.00	1.65	0.91	1.33	1.20	1.84	1.26	1.78
Unemployed	1.24	1.68	1.43	2.58	1.68	2.09	1.81	2.53	3.32	3.46
Other¹	0.49	0.76	0.89	1.55	0.53	0.83	0.86	1.44	0.62	0.97
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.3C – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	631	981	163	282	599	937	366	552	460	737
GEOGRAPHIC REGION
Northeast	276	425	69	108	265	398	138	249	223	292
Midwest	270	401	67	102	258	377	140	242	207	280
South	366	639	104	181	342	620	245	339	255	491
West	332	540	80	150	318	524	193	310	225	403
COUNTY TYPE
Large Metro	599	840	193	275	548	803	365	524	401	611
Small Metro	454	682	120	234	416	617	243	380	287	479
Nonmetro	288	459	68	127	269	423	150	246	195	322
Urbanized	187	323	48	81	169	300	98	175	118	230
Less Urbanized	222	330	46	98	207	300	102	179	159	224
Completely Rural	102	143	19	18	90	139	49	74	53	97
POVERTY LEVEL¹
Less Than 100%	295	560	136	192	260	520	156	278	194	434
100-199%	349	569	90	181	326	533	170	286	269	440
200% or More	579	827	132	237	551	790	374	533	393	581
EDUCATION LEVEL
< High School	241	407	60	105	237	433	121	205	197	384
High School Graduate	349	582	99	176	331	613	195	325	257	495
Some College/Associate’s Degree	410	532	170	262	366	572	241	371	283	419
College Graduate	425	484	76	152	408	510	280	391	287	331
HEALTH INSURANCE²
Private	578	773	181	289	536	715	345	510	405	542
Medicaid/CHIP	330	570	85	160	317	528	190	314	238	419
Other³	394	669	49	102	394	671	130	225	369	623
No Coverage	208	344	67	130	193	312	158	272	111	147
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.3D – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	0.25	0.39	0.48	0.84	0.28	0.43	0.36	0.54	0.40	0.63
GEOGRAPHIC REGION
Northeast	0.63	0.97	1.19	1.90	0.70	1.05	0.81	1.47	1.07	1.38
Midwest	0.52	0.77	0.93	1.44	0.58	0.84	0.69	1.19	0.85	1.13
South	0.39	0.67	0.82	1.43	0.42	0.74	0.63	0.87	0.58	1.10
West	0.56	0.90	0.99	1.87	0.62	1.01	0.76	1.22	0.86	1.52
COUNTY TYPE
Large Metro	0.34	0.53	0.69	1.20	0.37	0.60	0.48	0.76	0.57	0.89
Small Metro	0.45	0.76	0.79	1.41	0.50	0.82	0.67	0.99	0.67	1.23
Nonmetro	0.61	0.97	1.11	1.93	0.68	1.07	0.81	1.42	0.94	1.46
Urbanized	0.92	1.64	1.61	2.70	1.02	1.92	1.18	2.43	1.45	2.70
Less Urbanized	0.95	1.39	1.67	3.15	1.05	1.49	1.25	1.96	1.49	2.17
Completely Rural	1.68	2.66	3.05	4.50	1.77	2.86	2.16	4.71	2.07	2.91
POVERTY LEVEL¹
Less Than 100%	0.77	1.23	1.09	1.69	0.94	1.50	0.98	1.58	1.59	2.63
100-199%	0.66	1.05	0.95	1.83	0.74	1.21	0.81	1.31	1.16	1.90
200% or More	0.29	0.45	0.67	1.14	0.31	0.48	0.44	0.65	0.43	0.66
EDUCATION LEVEL
< High School	0.72	1.41	1.10	2.45	0.84	1.57	1.03	1.80	1.23	2.37
High School Graduate	0.51	0.84	0.79	1.35	0.59	0.93	0.79	1.21	0.80	1.29
Some College/Associate’s Degree	0.46	0.70	0.78	1.35	0.52	0.81	0.66	1.03	0.80	1.16
College Graduate	0.43	0.63	1.23	2.22	0.45	0.64	0.59	0.84	0.66	0.92
HEALTH INSURANCE²
Private	0.30	0.45	0.64	1.05	0.32	0.48	0.43	0.66	0.46	0.68
Medicaid/CHIP	0.77	1.18	0.93	1.69	0.92	1.38	0.95	1.52	1.63	2.43
Other³	0.50	0.82	1.59	3.42	0.52	0.85	1.46	2.26	0.55	0.88
No Coverage	0.72	1.10	1.15	2.07	0.82	1.28	0.93	1.49	1.75	2.51
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.4C – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Standard Errors of Numbers in Thousands, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	328	571	203	332	257	437
18-25	90	176	57	107	70	130
18-20	63	101	35	68	48	83
21-25	83	159	48	87	64	125
26 or Older	315	525	193	312	250	413
26-49	195	316	117	210	163	231
26-29	98	147	63	91	74	114
30-34	101	158	65	98	76	119
35-39	96	153	57	97	79	111
40-44	88	129	51	79	71	103
45-49	83	154	48	113	66	105
50 or Older	226	405	148	224	177	346
50-54	125	171	90	95	84	142
55-59	127	247	89	92	93	229
60-64	97	208	41	151	85	143
65 or Older	112	200	73	112	86	165
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.4D – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Standard Errors of Percentages, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	0.13	0.23	0.17	0.27	0.20	0.34
18-25	0.27	0.53	0.34	0.64	0.42	0.78
18-20	0.44	0.77	0.50	1.03	0.69	1.26
21-25	0.37	0.68	0.45	0.80	0.56	1.05
26 or Older	0.15	0.24	0.19	0.30	0.22	0.36
26-49	0.19	0.31	0.23	0.42	0.32	0.45
26-29	0.52	0.79	0.67	1.01	0.80	1.21
30-34	0.43	0.66	0.58	0.82	0.65	1.01
35-39	0.44	0.66	0.55	0.89	0.68	0.92
40-44	0.44	0.66	0.53	0.81	0.69	1.03
45-49	0.40	0.77	0.48	1.12	0.62	1.04
50 or Older	0.20	0.35	0.27	0.41	0.29	0.56
50-54	0.59	0.84	0.87	1.06	0.79	1.28
55-59	0.59	1.08	0.85	0.85	0.84	1.93
60-64	0.46	0.97	0.42	1.39	0.77	1.36
65 or Older	0.21	0.37	0.31	0.46	0.30	0.55
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.5C – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	328	571	90	176	315	525	195	316	226	405
GENDER
Male	203	332	57	107	193	312	117	210	148	224
Female	257	437	70	130	250	413	163	231	177	346
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	296	534	79	160	282	493	175	294	203	402
White	273	495	77	153	258	450	167	269	189	341
Black or African American	95	251	29	46	91	246	63	107	63	216
AIAN	27	37	6	*	26	35	11	*	*	*
NHOPI	11	8	*	*	11	*	11	*	*	*
Asian	67	63	23	42	62	47	47	40	41	25
Two or More Races	51	88	16	49	48	73	35	55	33	*
Hispanic or Latino	150	198	42	68	142	185	97	147	103	118
EMPLOYMENT STATUS
Full-Time	203	310	66	108	194	284	151	221	111	171
Part-Time	132	205	53	100	121	177	79	121	94	125
Unemployed	81	148	26	67	76	131	60	96	46	94
Other¹	220	408	43	86	216	396	103	182	178	351
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.5D – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	0.13	0.23	0.27	0.53	0.15	0.24	0.19	0.31	0.20	0.35
GENDER
Male	0.17	0.27	0.34	0.64	0.19	0.30	0.23	0.42	0.27	0.41
Female	0.20	0.34	0.42	0.78	0.22	0.36	0.32	0.45	0.29	0.56
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.14	0.25	0.30	0.62	0.15	0.27	0.22	0.34	0.20	0.38
White	0.17	0.31	0.39	0.76	0.18	0.31	0.27	0.44	0.22	0.40
Black or African American	0.30	0.77	0.60	0.97	0.35	0.89	0.46	0.79	0.52	1.63
AIAN	1.87	2.57	2.58	*	2.16	2.80	2.07	*	*	*
NHOPI	1.13	0.93	*	*	1.33	*	2.03	*	*	*
Asian	0.46	0.44	1.09	1.98	0.50	0.38	0.64	0.58	0.77	0.45
Two or More Races	1.13	1.79	1.61	4.14	1.37	1.97	1.66	2.66	2.17	*
Hispanic or Latino	0.36	0.47	0.55	0.88	0.42	0.54	0.47	0.68	0.80	0.87
EMPLOYMENT STATUS
Full-Time	0.16	0.26	0.42	0.79	0.17	0.27	0.21	0.33	0.27	0.44
Part-Time	0.40	0.64	0.58	1.09	0.49	0.77	0.72	1.10	0.69	1.00
Unemployed	0.80	1.09	0.78	1.76	1.10	1.32	1.29	1.52	1.91	2.63
Other¹	0.26	0.43	0.53	0.93	0.28	0.46	0.56	0.89	0.30	0.54
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.6C – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	328	571	90	176	315	525	195	316	226	405
GEOGRAPHIC REGION
Northeast	141	183	37	70	135	169	65	124	121	97
Midwest	136	248	39	73	129	237	76	159	101	165
South	199	382	59	111	193	360	133	186	125	307
West	173	260	46	84	161	244	109	149	109	187
COUNTY TYPE
Large Metro	261	401	81	139	246	367	162	234	180	278
Small Metro	188	365	57	108	178	340	115	194	118	264
Nonmetro	119	227	32	72	114	211	70	122	83	173
Urbanized	74	162	24	55	68	146	53	79	41	123
Less Urbanized	94	142	17	47	90	132	48	84	69	106
Completely Rural	42	75	11	7	36	75	19	*	27	61
POVERTY LEVEL¹
Less Than 100%	138	300	52	97	125	288	88	156	85	241
100-199%	178	299	47	91	171	277	86	143	139	222
200% or More	249	388	66	126	236	360	162	247	159	256
EDUCATION LEVEL
< High School	108	212	32	55	104	212	58	111	88	177
High School Graduate	163	339	49	97	153	338	99	169	113	277
Some College/Associate’s Degree	216	319	75	138	198	294	129	198	138	221
College Graduate	167	221	32	60	162	217	115	165	111	134
HEALTH INSURANCE²
Private	233	358	80	161	218	311	147	215	157	232
Medicaid/CHIP	182	269	46	83	176	246	114	186	134	159
Other³	169	375	27	50	166	371	75	140	147	340
No Coverage	97	173	34	56	91	156	76	128	48	88
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.6D – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	0.13	0.23	0.27	0.53	0.15	0.24	0.19	0.31	0.20	0.35
GEOGRAPHIC REGION
Northeast	0.32	0.42	0.65	1.23	0.36	0.44	0.38	0.73	0.58	0.46
Midwest	0.26	0.48	0.55	1.03	0.29	0.53	0.37	0.78	0.41	0.67
South	0.21	0.40	0.46	0.88	0.23	0.43	0.35	0.48	0.29	0.69
West	0.29	0.43	0.57	1.05	0.31	0.47	0.43	0.59	0.42	0.71
COUNTY TYPE
Large Metro	0.18	0.29	0.38	0.72	0.20	0.31	0.26	0.40	0.29	0.44
Small Metro	0.23	0.44	0.48	0.86	0.26	0.48	0.38	0.57	0.32	0.72
Nonmetro	0.31	0.57	0.65	1.39	0.35	0.61	0.51	0.87	0.45	0.85
Urbanized	0.44	1.02	1.01	2.16	0.51	1.11	0.86	1.43	0.59	1.59
Less Urbanized	0.51	0.73	0.79	2.06	0.56	0.78	0.74	1.16	0.74	1.10
Completely Rural	0.85	1.56	2.44	1.86	0.89	1.69	1.33	*	1.17	1.88
POVERTY LEVEL¹
Less Than 100%	0.41	0.74	0.56	1.05	0.50	0.91	0.62	1.00	0.76	1.58
100-199%	0.36	0.62	0.58	1.07	0.41	0.70	0.43	0.74	0.65	1.08
200% or More	0.14	0.23	0.37	0.69	0.15	0.24	0.23	0.35	0.19	0.30
EDUCATION LEVEL
< High School	0.35	0.73	0.65	1.43	0.40	0.82	0.52	1.08	0.59	1.16
High School Graduate	0.26	0.49	0.44	0.83	0.30	0.55	0.45	0.68	0.38	0.78
Some College/Associate’s Degree	0.27	0.42	0.48	0.87	0.31	0.46	0.40	0.64	0.42	0.66
College Graduate	0.20	0.29	0.60	1.09	0.21	0.30	0.29	0.43	0.28	0.38
HEALTH INSURANCE²
Private	0.14	0.22	0.35	0.73	0.15	0.22	0.21	0.32	0.20	0.31
Medicaid/CHIP	0.48	0.66	0.62	1.03	0.58	0.75	0.65	1.01	1.04	1.06
Other³	0.24	0.49	1.03	1.93	0.24	0.51	0.98	1.65	0.24	0.52
No Coverage	0.37	0.61	0.67	0.99	0.42	0.68	0.49	0.75	0.80	1.58
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.7C – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness (2019)	No Mental Illness (2020)
TOTAL	631	981	328	571	561	892	631	981
AGE GROUP
18-25	163	282	90	176	142	241	163	282
26 or Older	599	937	315	525	537	869	599	937
26-49	366	552	195	316	329	496	366	552
50 or Older	460	737	226	405	428	689	460	737
GENDER
Male	404	583	203	332	356	524	404	583
Female	467	754	257	437	424	702	467	754
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	558	868	296	534	502	773	558	868
White	603	888	273	495	514	722	1,534	2,082
Black or African American	223	419	95	251	190	329	719	1,080
AIAN	39	*	27	37	27	*	118	*
NHOPI	32	*	11	8	31	*	92	*
Asian	157	214	67	63	138	202	590	767
Two or More Races	101	216	51	88	88	197	162	265
Hispanic or Latino	267	427	150	198	220	398	267	427
EMPLOYMENT STATUS
Full-Time	469	673	203	310	400	585	1,162	1,673
Part-Time	268	380	132	205	229	318	540	734
Unemployed	147	235	81	148	122	190	253	549
Other¹	479	766	220	408	421	675	1,053	1,633
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.7D – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness (2019)	No Mental Illness (2020)
TOTAL	0.25	0.39	0.13	0.23	0.22	0.35	0.25	0.39
AGE GROUP
18-25	0.48	0.84	0.27	0.53	0.42	0.72	0.48	0.84
26 or Older	0.28	0.43	0.15	0.24	0.25	0.40	0.28	0.43
26-49	0.36	0.54	0.19	0.31	0.33	0.49	0.36	0.54
50 or Older	0.40	0.63	0.20	0.35	0.37	0.59	0.40	0.63
GENDER
Male	0.33	0.48	0.17	0.27	0.29	0.43	0.33	0.48
Female	0.36	0.58	0.20	0.34	0.33	0.54	0.36	0.58
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.27	0.41	0.14	0.25	0.24	0.37	0.27	0.41
White	0.31	0.49	0.17	0.31	0.28	0.41	0.31	0.49
Black or African American	0.65	1.16	0.30	0.77	0.57	0.99	0.65	1.16
AIAN	2.70	*	1.87	2.57	1.98	*	2.70	*
NHOPI	2.85	*	1.13	0.93	2.78	*	2.85	*
Asian	1.01	1.48	0.46	0.44	0.89	1.40	1.01	1.48
Two or More Races	1.92	3.50	1.13	1.79	1.74	3.45	1.92	3.50
Hispanic or Latino	0.65	1.02	0.36	0.47	0.53	0.95	0.65	1.02
EMPLOYMENT STATUS
Full-Time	0.33	0.51	0.16	0.26	0.29	0.46	0.33	0.51
Part-Time	0.74	1.09	0.40	0.64	0.65	0.94	0.74	1.09
Unemployed	1.24	1.68	0.80	1.09	1.07	1.42	1.24	1.68
Other¹	0.49	0.76	0.26	0.43	0.45	0.71	0.49	0.76
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.8C – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness (2019)	No Mental Illness (2020)
TOTAL	631	981	328	571	561	892	631	981
GEOGRAPHIC REGION
Northeast	276	425	141	183	241	370	276	425
Midwest	270	401	136	248	235	346	270	401
South	366	639	199	382	328	565	366	639
West	332	540	173	260	299	498	332	540
COUNTY TYPE
Large Metro	599	840	261	401	512	750	1,606	2,184
Small Metro	454	682	188	365	384	535	1,225	1,540
Nonmetro	288	459	119	227	231	361	831	1,296
Urbanized	187	323	74	162	150	257	605	893
Less Urbanized	222	330	94	142	176	269	624	982
Completely Rural	102	143	42	75	76	108	362	596
POVERTY LEVEL¹
Less Than 100%	295	560	138	300	246	466	566	1,057
100-199%	349	569	178	299	292	478	744	1,077
200% or More	579	827	249	388	510	728	1,649	2,326
EDUCATION LEVEL
< High School	241	407	108	212	213	367	631	407
High School Graduate	349	582	163	339	305	506	803	582
Some College/Associate’s Degree	410	532	216	319	344	465	900	532
College Graduate	425	484	167	221	374	439	1,216	484
HEALTH INSURANCE²
Private	578	773	233	358	509	682	1,561	2,139
Medicaid/CHIP	330	570	182	269	266	493	561	1,002
Other³	394	669	169	375	358	588	1,017	1,640
No Coverage	208	344	97	173	176	298	546	820
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.8D – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness (2019)	No Mental Illness (2020)
TOTAL	0.25	0.39	0.13	0.23	0.22	0.35	0.25	0.39
GEOGRAPHIC REGION
Northeast	0.63	0.97	0.32	0.42	0.55	0.84	0.63	0.97
Midwest	0.52	0.77	0.26	0.48	0.45	0.66	0.52	0.77
South	0.39	0.67	0.21	0.40	0.35	0.59	0.39	0.67
West	0.56	0.90	0.29	0.43	0.50	0.83	0.56	0.90
COUNTY TYPE
Large Metro	0.34	0.53	0.18	0.29	0.30	0.49	0.34	0.53
Small Metro	0.45	0.76	0.23	0.44	0.41	0.63	0.45	0.76
Nonmetro	0.61	0.97	0.31	0.57	0.52	0.79	0.61	0.97
Urbanized	0.92	1.64	0.44	1.02	0.80	1.36	0.92	1.64
Less Urbanized	0.95	1.39	0.51	0.73	0.82	1.22	0.95	1.39
Completely Rural	1.68	2.66	0.85	1.56	1.38	2.04	1.68	2.66
POVERTY LEVEL¹
Less Than 100%	0.77	1.23	0.41	0.74	0.66	1.12	0.77	1.23
100-199%	0.66	1.05	0.36	0.62	0.57	0.93	0.66	1.05
200% or More	0.29	0.45	0.14	0.23	0.26	0.40	0.29	0.45
EDUCATION LEVEL
< High School	0.72	1.41	0.35	0.73	0.65	1.27	0.72	1.41
High School Graduate	0.51	0.84	0.26	0.49	0.46	0.73	0.51	0.84
Some College/Associate’s Degree	0.46	0.70	0.27	0.42	0.40	0.61	0.46	0.70
College Graduate	0.43	0.63	0.20	0.29	0.39	0.57	0.43	0.63
HEALTH INSURANCE²
Private	0.30	0.45	0.14	0.22	0.27	0.40	0.30	0.45
Medicaid/CHIP	0.77	1.18	0.48	0.66	0.65	1.06	0.77	1.18
Other³	0.50	0.82	0.24	0.49	0.47	0.74	0.50	0.82
No Coverage	0.72	1.10	0.37	0.61	0.62	1.00	0.72	1.10
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.9C – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	597	nc	200	nc	552	nc	381	nc	398
GENDER
Male	nc	390	nc	117	nc	371	nc	271	nc	263
Female	nc	427	nc	155	nc	394	nc	252	nc	301
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	517	nc	175	nc	475	nc	351	nc	367
White	nc	434	nc	160	nc	397	nc	278	nc	287
Black or African American	nc	229	nc	82	nc	214	nc	154	nc	149
AIAN	nc	50	nc	*	nc	*	nc	*	nc	*
NHOPI	nc	9	nc	*	nc	*	nc	*	nc	*
Asian	nc	107	nc	41	nc	99	nc	66	nc	*
Two or More Races	nc	162	nc	56	nc	152	nc	81	nc	*
Hispanic or Latino	nc	278	nc	87	nc	260	nc	206	nc	169
EMPLOYMENT STATUS
Full-Time	nc	369	nc	146	nc	335	nc	290	nc	172
Part-Time	nc	233	nc	122	nc	195	nc	144	nc	131
Unemployed	nc	166	nc	64	nc	153	nc	136	nc	70
Other¹	nc	382	nc	71	nc	378	nc	209	nc	323
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.9D – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	0.24	nc	0.60	nc	0.25	nc	0.38	nc	0.34
GENDER
Male	nc	0.32	nc	0.70	nc	0.35	nc	0.54	nc	0.48
Female	nc	0.33	nc	0.93	nc	0.35	nc	0.49	nc	0.48
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	0.25	nc	0.68	nc	0.26	nc	0.41	nc	0.35
White	nc	0.26	nc	0.79	nc	0.27	nc	0.45	nc	0.34
Black or African American	nc	0.73	nc	1.67	nc	0.81	nc	1.11	nc	1.16
AIAN	nc	3.46	nc	*	nc	*	nc	*	nc	*
NHOPI	nc	0.96	nc	*	nc	*	nc	*	nc	*
Asian	nc	0.74	nc	1.89	nc	0.80	nc	0.93	nc	*
Two or More Races	nc	3.03	nc	4.58	nc	3.70	nc	3.67	nc	*
Hispanic or Latino	nc	0.66	nc	1.13	nc	0.76	nc	0.92	nc	1.25
EMPLOYMENT STATUS
Full-Time	nc	0.31	nc	1.03	nc	0.31	nc	0.42	nc	0.45
Part-Time	nc	0.72	nc	1.27	nc	0.84	nc	1.28	nc	1.05
Unemployed	nc	1.24	nc	1.75	nc	1.56	nc	2.06	nc	2.00
Other¹	nc	0.41	nc	0.77	nc	0.44	nc	1.02	nc	0.50
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.10C – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	597	nc	200	nc	552	nc	381	nc	398
GEOGRAPHIC REGION
Northeast	nc	244	nc	73	nc	213	nc	132	nc	153
Midwest	nc	230	nc	76	nc	224	nc	162	nc	145
South	nc	317	nc	126	nc	290	nc	215	nc	197
West	nc	377	nc	109	nc	362	nc	227	nc	269
COUNTY TYPE
Large Metro	nc	450	nc	170	nc	418	nc	291	nc	299
Small Metro	nc	373	nc	132	nc	337	nc	245	nc	249
Nonmetro	nc	222	nc	60	nc	209	nc	136	nc	154
Urbanized	nc	164	nc	36	nc	159	nc	90	nc	128
Less Urbanized	nc	148	nc	48	nc	132	nc	96	nc	84
Completely Rural	nc	38	nc	9	nc	37	nc	36	nc	8
POVERTY LEVEL¹
Less Than 100%	nc	310	nc	112	nc	289	nc	185	nc	230
100-199%	nc	274	nc	114	nc	241	nc	188	nc	132
200% or More	nc	461	nc	139	nc	433	nc	306	nc	316
EDUCATION LEVEL
< High School	nc	222	nc	65	nc	210	nc	136	nc	171
High School Graduate	nc	310	nc	104	nc	304	nc	197	nc	236
Some College/Associate’s Degree	nc	383	nc	155	nc	370	nc	256	nc	249
College Graduate	nc	248	nc	93	nc	241	nc	192	nc	145
HEALTH INSURANCE²
Private	nc	427	nc	180	nc	391	nc	276	nc	287
Medicaid/CHIP	nc	329	nc	78	nc	318	nc	202	nc	246
Other³	nc	324	nc	67	nc	318	nc	144	nc	278
No Coverage	nc	218	nc	74	nc	197	nc	194	nc	33
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.10D – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	0.24	nc	0.60	nc	0.25	nc	0.38	nc	0.34
GEOGRAPHIC REGION
Northeast	nc	0.56	nc	1.29	nc	0.56	nc	0.77	nc	0.73
Midwest	nc	0.44	nc	1.08	nc	0.50	nc	0.80	nc	0.59
South	nc	0.33	nc	0.99	nc	0.35	nc	0.56	nc	0.44
West	nc	0.63	nc	1.36	nc	0.70	nc	0.89	nc	1.01
COUNTY TYPE
Large Metro	nc	0.31	nc	0.87	nc	0.33	nc	0.48	nc	0.47
Small Metro	nc	0.46	nc	1.01	nc	0.48	nc	0.72	nc	0.69
Nonmetro	nc	0.56	nc	1.21	nc	0.61	nc	0.97	nc	0.76
Urbanized	nc	1.03	nc	1.60	nc	1.18	nc	1.63	nc	1.64
Less Urbanized	nc	0.77	nc	2.13	nc	0.80	nc	1.36	nc	0.89
Completely Rural	nc	0.80	nc	2.45	nc	0.84	nc	3.06	nc	0.24
POVERTY LEVEL¹
Less Than 100%	nc	0.80	nc	1.17	nc	0.96	nc	1.15	nc	1.58
100-199%	nc	0.57	nc	1.31	nc	0.61	nc	0.92	nc	0.66
200% or More	nc	0.26	nc	0.77	nc	0.28	nc	0.42	nc	0.37
EDUCATION LEVEL
< High School	nc	0.77	nc	1.66	nc	0.83	nc	1.28	nc	1.14
High School Graduate	nc	0.45	nc	0.93	nc	0.50	nc	0.79	nc	0.67
Some College/Associate’s Degree	nc	0.50	nc	0.94	nc	0.57	nc	0.82	nc	0.73
College Graduate	nc	0.32	nc	1.62	nc	0.32	nc	0.48	nc	0.41
HEALTH INSURANCE²
Private	nc	0.26	nc	0.80	nc	0.27	nc	0.40	nc	0.38
Medicaid/CHIP	nc	0.79	nc	0.98	nc	0.95	nc	1.10	nc	1.60
Other³	nc	0.43	nc	2.58	nc	0.43	nc	1.67	nc	0.42
No Coverage	nc	0.74	nc	1.28	nc	0.86	nc	1.11	nc	0.59
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.11C – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	317	nc	113	nc	297	nc	225	nc	185
GENDER
Male	nc	196	nc	74	nc	181	nc	134	nc	120
Female	nc	235	nc	89	nc	222	nc	179	nc	142
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	287	nc	104	nc	269	nc	192	nc	184
White	nc	260	nc	96	nc	240	nc	164	nc	168
Black or African American	nc	111	nc	27	nc	108	nc	82	nc	*
AIAN	nc	28	nc	*	nc	*	nc	*	nc	*
NHOPI	nc	*	nc	*	nc	*	nc	*	nc	*
Asian	nc	30	nc	11	nc	27	nc	27	nc	*
Two or More Races	nc	60	nc	43	nc	43	nc	37	nc	*
Hispanic or Latino	nc	132	nc	42	nc	125	nc	120	nc	37
EMPLOYMENT STATUS
Full-Time	nc	177	nc	74	nc	160	nc	149	nc	49
Part-Time	nc	153	nc	65	nc	140	nc	92	nc	105
Unemployed	nc	106	nc	48	nc	92	nc	80	nc	*
Other¹	nc	190	nc	45	nc	184	nc	120	nc	140
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.11D – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	0.13	nc	0.34	nc	0.14	nc	0.22	nc	0.16
GENDER
Male	nc	0.16	nc	0.44	nc	0.17	nc	0.27	nc	0.22
Female	nc	0.18	nc	0.53	nc	0.20	nc	0.35	nc	0.23
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	0.14	nc	0.40	nc	0.15	nc	0.23	nc	0.18
White	nc	0.16	nc	0.50	nc	0.17	nc	0.29	nc	0.20
Black or African American	nc	0.36	nc	0.58	nc	0.42	nc	0.61	nc	*
AIAN	nc	1.99	nc	*	nc	*	nc	*	nc	*
NHOPI	nc	*	nc	*	nc	*	nc	*	nc	*
Asian	nc	0.21	nc	0.56	nc	0.22	nc	0.40	nc	*
Two or More Races	nc	1.25	nc	3.73	nc	1.17	nc	1.86	nc	*
Hispanic or Latino	nc	0.31	nc	0.54	nc	0.36	nc	0.56	nc	0.28
EMPLOYMENT STATUS
Full-Time	nc	0.15	nc	0.55	nc	0.15	nc	0.22	nc	0.13
Part-Time	nc	0.48	nc	0.74	nc	0.61	nc	0.86	nc	0.85
Unemployed	nc	0.81	nc	1.36	nc	0.95	nc	1.28	nc	*
Other¹	nc	0.21	nc	0.50	nc	0.22	nc	0.61	nc	0.22
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.12C – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	317	nc	113	nc	297	nc	225	nc	185
GEOGRAPHIC REGION
Northeast	nc	98	nc	42	nc	91	nc	73	nc	44
Midwest	nc	160	nc	48	nc	158	nc	113	nc	111
South	nc	185	nc	77	nc	167	nc	125	nc	106
West	nc	158	nc	56	nc	149	nc	119	nc	94
COUNTY TYPE
Large Metro	nc	214	nc	93	nc	197	nc	156	nc	124
Small Metro	nc	203	nc	63	nc	193	nc	142	nc	125
Nonmetro	nc	105	nc	44	nc	94	nc	70	nc	63
Urbanized	nc	55	nc	28	nc	49	nc	48	nc	8
Less Urbanized	nc	90	nc	35	nc	81	nc	52	nc	63
Completely Rural	nc	5	nc	5	nc	*	nc	*	nc	*
POVERTY LEVEL¹
Less Than 100%	nc	152	nc	59	nc	141	nc	123	nc	70
100-199%	nc	157	nc	61	nc	142	nc	105	nc	79
200% or More	nc	240	nc	81	nc	226	nc	162	nc	155
EDUCATION LEVEL
< High School	nc	126	nc	43	nc	117	nc	92	nc	73
High School Graduate	nc	172	nc	57	nc	165	nc	109	nc	123
Some College/Associate’s Degree	nc	194	nc	89	nc	175	nc	147	nc	89
College Graduate	nc	134	nc	37	nc	130	nc	98	nc	81
HEALTH INSURANCE²
Private	nc	209	nc	100	nc	185	nc	141	nc	122
Medicaid/CHIP	nc	166	nc	45	nc	157	nc	130	nc	80
Other³	nc	175	nc	29	nc	173	nc	92	nc	146
No Coverage	nc	113	nc	37	nc	104	nc	103	nc	22
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.12D – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	0.13	nc	0.34	nc	0.14	nc	0.22	nc	0.16
GEOGRAPHIC REGION
Northeast	nc	0.22	nc	0.74	nc	0.24	nc	0.43	nc	0.21
Midwest	nc	0.31	nc	0.68	nc	0.35	nc	0.56	nc	0.45
South	nc	0.19	nc	0.61	nc	0.20	nc	0.32	nc	0.24
West	nc	0.26	nc	0.70	nc	0.29	nc	0.47	nc	0.35
COUNTY TYPE
Large Metro	nc	0.15	nc	0.50	nc	0.16	nc	0.27	nc	0.20
Small Metro	nc	0.26	nc	0.52	nc	0.28	nc	0.44	nc	0.35
Nonmetro	nc	0.27	nc	0.92	nc	0.29	nc	0.53	nc	0.32
Urbanized	nc	0.36	nc	1.24	nc	0.38	nc	0.91	nc	0.10
Less Urbanized	nc	0.49	nc	1.56	nc	0.51	nc	0.77	nc	0.68
Completely Rural	nc	0.11	nc	1.42	nc	*	nc	*	nc	*
POVERTY LEVEL¹
Less Than 100%	nc	0.41	nc	0.68	nc	0.48	nc	0.80	nc	0.49
100-199%	nc	0.34	nc	0.75	nc	0.37	nc	0.55	nc	0.40
200% or More	nc	0.14	nc	0.46	nc	0.15	nc	0.24	nc	0.18
EDUCATION LEVEL
< High School	nc	0.44	nc	1.14	nc	0.47	nc	0.89	nc	0.49
High School Graduate	nc	0.25	nc	0.52	nc	0.28	nc	0.45	nc	0.35
Some College/Associate’s Degree	nc	0.25	nc	0.59	nc	0.28	nc	0.49	nc	0.27
College Graduate	nc	0.17	nc	0.70	nc	0.18	nc	0.26	nc	0.23
HEALTH INSURANCE²
Private	nc	0.13	nc	0.47	nc	0.13	nc	0.22	nc	0.16
Medicaid/CHIP	nc	0.41	nc	0.59	nc	0.49	nc	0.72	nc	0.54
Other³	nc	0.23	nc	1.16	nc	0.24	nc	1.13	nc	0.23
No Coverage	nc	0.40	nc	0.67	nc	0.47	nc	0.60	nc	0.39
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.13C – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	506	nc	166	nc	474	nc	313	nc	359
GENDER
Male	nc	342	nc	96	nc	327	nc	235	nc	230
Female	nc	362	nc	133	nc	340	nc	196	nc	280
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	449	nc	148	nc	419	nc	293	nc	325
White	nc	352	nc	122	nc	329	nc	231	nc	237
Black or African American	nc	200	nc	77	nc	184	nc	133	nc	131
AIAN	nc	41	nc	*	nc	36	nc	*	nc	*
NHOPI	nc	2	nc	*	nc	*	nc	*	nc	*
Asian	nc	103	nc	39	nc	95	nc	60	nc	*
Two or More Races	nc	150	nc	36	nc	146	nc	72	nc	*
Hispanic or Latino	nc	234	nc	74	nc	219	nc	154	nc	165
EMPLOYMENT STATUS
Full-Time	nc	314	nc	120	nc	292	nc	247	nc	164
Part-Time	nc	181	nc	109	nc	142	nc	109	nc	91
Unemployed	nc	129	nc	40	nc	123	nc	110	nc	54
Other¹	nc	338	nc	55	nc	335	nc	170	nc	295
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.13D – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	0.20	nc	0.50	nc	0.22	nc	0.31	nc	0.31
GENDER
Male	nc	0.28	nc	0.57	nc	0.31	nc	0.47	nc	0.42
Female	nc	0.28	nc	0.79	nc	0.30	nc	0.38	nc	0.45
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	0.21	nc	0.58	nc	0.23	nc	0.35	nc	0.31
White	nc	0.21	nc	0.65	nc	0.23	nc	0.38	nc	0.28
Black or African American	nc	0.64	nc	1.60	nc	0.69	nc	0.96	nc	1.02
AIAN	nc	2.87	nc	*	nc	2.89	nc	*	nc	*
NHOPI	nc	0.26	nc	*	nc	*	nc	*	nc	*
Asian	nc	0.71	nc	1.82	nc	0.77	nc	0.85	nc	*
Two or More Races	nc	2.93	nc	3.24	nc	3.65	nc	3.36	nc	*
Hispanic or Latino	nc	0.56	nc	0.96	nc	0.64	nc	0.71	nc	1.22
EMPLOYMENT STATUS
Full-Time	nc	0.26	nc	0.88	nc	0.27	nc	0.36	nc	0.43
Part-Time	nc	0.57	nc	1.17	nc	0.62	nc	0.99	nc	0.74
Unemployed	nc	0.97	nc	1.12	nc	1.26	nc	1.72	nc	1.56
Other¹	nc	0.36	nc	0.62	nc	0.40	nc	0.85	nc	0.46
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.14C – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	506	nc	166	nc	474	nc	313	nc	359
GEOGRAPHIC REGION
Northeast	nc	209	nc	64	nc	188	nc	110	nc	147
Midwest	nc	166	nc	61	nc	156	nc	118	nc	94
South	nc	261	nc	102	nc	240	nc	177	nc	168
West	nc	337	nc	89	nc	327	nc	193	nc	257
COUNTY TYPE
Large Metro	nc	388	nc	138	nc	365	nc	241	nc	271
Small Metro	nc	309	nc	103	nc	288	nc	192	nc	216
Nonmetro	nc	186	nc	41	nc	179	nc	109	nc	140
Urbanized	nc	154	nc	25	nc	150	nc	75	nc	128
Less Urbanized	nc	99	nc	33	nc	90	nc	70	nc	56
Completely Rural	nc	38	nc	7	nc	37	nc	36	nc	8
POVERTY LEVEL¹
Less Than 100%	nc	270	nc	91	nc	255	nc	132	nc	219
100-199%	nc	207	nc	89	nc	180	nc	143	nc	103
200% or More	nc	395	nc	117	nc	373	nc	259	nc	266
EDUCATION LEVEL
< High School	nc	194	nc	50	nc	188	nc	104	nc	156
High School Graduate	nc	274	nc	85	nc	264	nc	165	nc	210
Some College/Associate’s Degree	nc	330	nc	118	nc	322	nc	208	nc	233
College Graduate	nc	212	nc	81	nc	208	nc	168	nc	123
HEALTH INSURANCE²
Private	nc	363	nc	146	nc	336	nc	235	nc	249
Medicaid/CHIP	nc	276	nc	60	nc	271	nc	150	nc	232
Other³	nc	280	nc	56	nc	276	nc	110	nc	241
No Coverage	nc	172	nc	64	nc	157	nc	155	nc	24
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.14D – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
TOTAL	nc	0.20	nc	0.50	nc	0.22	nc	0.31	nc	0.31
GEOGRAPHIC REGION
Northeast	nc	0.48	nc	1.13	nc	0.49	nc	0.65	nc	0.70
Midwest	nc	0.32	nc	0.86	nc	0.35	nc	0.58	nc	0.38
South	nc	0.27	nc	0.80	nc	0.29	nc	0.46	nc	0.38
West	nc	0.56	nc	1.11	nc	0.63	nc	0.76	nc	0.97
COUNTY TYPE
Large Metro	nc	0.27	nc	0.73	nc	0.29	nc	0.40	nc	0.43
Small Metro	nc	0.39	nc	0.84	nc	0.42	nc	0.58	nc	0.61
Nonmetro	nc	0.48	nc	0.82	nc	0.53	nc	0.80	nc	0.69
Urbanized	nc	0.99	nc	1.09	nc	1.13	nc	1.37	nc	1.63
Less Urbanized	nc	0.52	nc	1.43	nc	0.55	nc	1.00	nc	0.60
Completely Rural	nc	0.79	nc	2.05	nc	0.84	nc	3.06	nc	0.24
POVERTY LEVEL¹
Less Than 100%	nc	0.70	nc	1.02	nc	0.85	nc	0.84	nc	1.51
100-199%	nc	0.44	nc	1.07	nc	0.46	nc	0.73	nc	0.51
200% or More	nc	0.23	nc	0.66	nc	0.24	nc	0.36	nc	0.32
EDUCATION LEVEL
< High School	nc	0.67	nc	1.25	nc	0.74	nc	0.98	nc	1.05
High School Graduate	nc	0.39	nc	0.76	nc	0.44	nc	0.67	nc	0.60
Some College/Associate’s Degree	nc	0.43	nc	0.77	nc	0.50	nc	0.68	nc	0.69
College Graduate	nc	0.27	nc	1.50	nc	0.28	nc	0.42	nc	0.35
HEALTH INSURANCE²
Private	nc	0.22	nc	0.70	nc	0.23	nc	0.34	nc	0.33
Medicaid/CHIP	nc	0.67	nc	0.77	nc	0.82	nc	0.85	nc	1.53
Other³	nc	0.37	nc	2.19	nc	0.38	nc	1.31	nc	0.37
No Coverage	nc	0.60	nc	1.13	nc	0.70	nc	0.91	nc	0.44
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.15C – Any Mental Illness and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Past Year Probation Status and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Any Mental Illness Among Adults Total¹ (2019)	Any Mental Illness Among Adults Total¹ (2020)	Any Mental Illness Among Adults On Probation (2019)	Any Mental Illness Among Adults On Probation (2020)	Any Mental Illness Among Adults Not on Probation (2019)	Any Mental Illness Among Adults Not on Probation (2020)	Serious Mental Illness Among Adults Total¹ (2019)	Serious Mental Illness Among Adults Total¹ (2020)	Serious Mental Illness Among Adults On Probation (2019)	Serious Mental Illness Among Adults On Probation (2020)	Serious Mental Illness Among Adults Not on Probation (2019)	Serious Mental Illness Among Adults Not on Probation (2020)
TOTAL 18 OR OLDER	631	981	103	212	752	1,095	328	571	55	80	330	585
AGE GROUP
18-49	405	625	86	144	516	771	216	370	50	69	227	378
18-25	163	282	30	*	227	374	90	176	15	*	100	186
26-34	240	366	55	*	285	437	129	207	38	32	130	217
35-49	277	429	58	*	322	477	149	246	29	*	152	245
GENDER/AGE GROUP
Male 18 or Older	404	583	89	137	435	648	203	332	42	68	202	334
Male 18-49	251	423	74	118	286	480	131	235	41	54	130	238
Female 18 or Older	467	754	57	*	551	852	257	437	36	43	260	455
Female 18-49	297	439	51	*	378	542	174	266	30	43	181	278
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown past year probation status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.15D – Any Mental Illness and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Past Year Probation Status and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Any Mental Illness Among Adults Total¹ (2019)	Any Mental Illness Among Adults Total¹ (2020)	Any Mental Illness Among Adults On Probation (2019)	Any Mental Illness Among Adults On Probation (2020)	Any Mental Illness Among Adults Not on Probation (2019)	Any Mental Illness Among Adults Not on Probation (2020)	Serious Mental Illness Among Adults Total¹ (2019)	Serious Mental Illness Among Adults Total¹ (2020)	Serious Mental Illness Among Adults On Probation (2019)	Serious Mental Illness Among Adults On Probation (2020)	Serious Mental Illness Among Adults Not on Probation (2019)	Serious Mental Illness Among Adults Not on Probation (2020)
TOTAL 18 OR OLDER	0.25	0.39	2.14	4.66	0.26	0.39	0.13	0.23	1.37	2.33	0.13	0.23
AGE GROUP
18-49	0.30	0.46	2.19	4.17	0.30	0.46	0.16	0.27	1.52	2.46	0.16	0.27
18-25	0.48	0.84	2.96	*	0.49	0.85	0.27	0.53	1.78	*	0.27	0.52
26-34	0.59	0.90	3.76	*	0.60	0.91	0.32	0.51	3.13	2.88	0.32	0.52
35-49	0.45	0.70	3.89	*	0.46	0.71	0.24	0.40	2.40	*	0.25	0.40
GENDER/AGE GROUP
Male 18 or Older	0.33	0.48	2.63	4.86	0.33	0.48	0.17	0.27	1.50	2.96	0.17	0.27
Male 18-49	0.38	0.63	2.68	5.11	0.37	0.64	0.20	0.35	1.76	2.83	0.19	0.36
Female 18 or Older	0.36	0.58	3.75	*	0.36	0.58	0.20	0.34	2.89	4.10	0.20	0.34
Female 18-49	0.44	0.65	3.84	*	0.44	0.64	0.26	0.39	2.98	4.80	0.25	0.39
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown past year probation status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.16C – Any Mental Illness and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Past Year Parole/Supervised Release Status and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Any Mental Illness Among Adults Total¹ (2019)	Any Mental Illness Among Adults Total¹ (2020)	Any Mental Illness Among Adults On Parole/ Supervised Release (2019)	Any Mental Illness Among Adults On Parole/ Supervised Release (2020)	Any Mental Illness Among Adults Not on Parole/ Supervised Release (2019)	Any Mental Illness Among Adults Not on Parole/ Supervised Release (2020)	Serious Mental Illness Among Adults Total¹ (2019)	Serious Mental Illness Among Adults Total¹ (2020)	Serious Mental Illness Among Adults On Parole/ Supervised Release (2019)	Serious Mental Illness Among Adults On Parole/ Supervised Release (2020)	Serious Mental Illness Among Adults Not on Parole/ Supervised Release (2019)	Serious Mental Illness Among Adults Not on Parole/ Supervised Release (2020)
TOTAL 18 OR OLDER	631	981	58	*	751	1,095	328	571	31	22	335	595
AGE GROUP
18-49	405	625	53	*	520	781	216	370	30	22	229	388
18-25	163	282	15	*	229	381	90	176	5	*	101	193
26-34	240	366	*	*	289	446	129	207	*	*	133	220
35-49	277	429	42	*	326	478	149	246	*	*	153	251
GENDER/AGE GROUP
Male 18 or Older	404	583	52	*	442	654	203	332	26	15	206	340
Male 18-49	251	423	46	*	295	485	131	235	25	*	134	241
Female 18 or Older	467	754	*	*	551	847	257	437	*	*	263	456
Female 18-49	297	439	*	*	378	548	174	266	*	*	183	282
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown past year parole/supervised release status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210609

Table 8.16D – Any Mental Illness and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Past Year Parole/Supervised Release Status and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Any Mental Illness Among Adults Total¹ (2019)	Any Mental Illness Among Adults Total¹ (2020)	Any Mental Illness Among Adults On Parole/ Supervised Release (2019)	Any Mental Illness Among Adults On Parole/ Supervised Release (2020)	Any Mental Illness Among Adults Not on Parole/ Supervised Release (2019)	Any Mental Illness Among Adults Not on Parole/ Supervised Release (2020)	Serious Mental Illness Among Adults Total¹ (2019)	Serious Mental Illness Among Adults Total¹ (2020)	Serious Mental Illness Among Adults On Parole/ Supervised Release (2019)	Serious Mental Illness Among Adults On Parole/ Supervised Release (2020)	Serious Mental Illness Among Adults Not on Parole/ Supervised Release (2019)	Serious Mental Illness Among Adults Not on Parole/ Supervised Release (2020)
TOTAL 18 OR OLDER	0.25	0.39	3.29	*	0.25	0.39	0.13	0.23	1.98	1.65	0.13	0.23
AGE GROUP
18-49	0.30	0.46	3.44	*	0.30	0.46	0.16	0.27	2.33	2.13	0.16	0.28
18-25	0.48	0.84	5.11	*	0.49	0.85	0.27	0.53	1.79	*	0.27	0.53
26-34	0.59	0.90	*	*	0.60	0.91	0.32	0.51	*	*	0.32	0.52
35-49	0.45	0.70	5.63	*	0.45	0.71	0.24	0.40	*	*	0.25	0.40
GENDER/AGE GROUP
Male 18 or Older	0.33	0.48	3.80	*	0.34	0.48	0.17	0.27	2.21	1.65	0.17	0.27
Male 18-49	0.38	0.63	3.90	*	0.38	0.64	0.20	0.35	2.55	*	0.20	0.35
Female 18 or Older	0.36	0.58	*	*	0.36	0.57	0.20	0.34	*	*	0.20	0.34
Female 18-49	0.44	0.65	*	*	0.44	0.65	0.26	0.39	*	*	0.26	0.39
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown past year parole/supervised release status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.17C – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	606	902	485	700	276	458	381	589	444	675
AGE GROUP
18-25	132	231	128	209	72	142	100	158	85	149
26 or Older	580	862	467	675	266	428	372	579	433	654
26-49	318	497	275	440	161	241	214	357	218	324
50 or Older	468	721	350	516	200	340	286	428	379	574
GENDER
Male	357	525	277	384	153	234	219	318	261	412
Female	468	685	382	569	227	372	297	477	355	525
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	566	819	444	640	251	436	355	525	418	625
White	627	875	413	596	226	393	336	486	389	594
Black or African American	167	308	124	264	76	*	91	183	97	149
AIAN	36	*	*	*	*	*	*	*	27	27
NHOPI	17	*	*	*	*	*	*	*	11	*
Asian	123	135	67	87	*	*	51	80	101	101
Two or More Races	81	140	62	*	*	*	49	*	51	75
Hispanic or Latino	215	361	164	267	111	122	119	229	154	265
EMPLOYMENT STATUS
Full-Time	426	565	291	401	166	194	230	353	261	376
Part-Time	228	342	152	241	92	172	124	177	174	240
Unemployed	114	213	91	149	61	*	68	121	68	154
Other²	448	672	318	512	193	342	252	405	293	461
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.17D – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	0.24	0.36	0.65	1.04	1.18	1.96	0.73	1.23	0.20	0.32
AGE GROUP
18-25	0.39	0.70	0.90	1.51	1.76	2.63	1.09	1.88	0.33	0.63
26 or Older	0.27	0.40	0.79	1.23	1.42	2.41	0.88	1.44	0.23	0.35
26-49	0.32	0.49	0.78	1.34	1.42	2.39	0.87	1.52	0.27	0.41
50 or Older	0.41	0.62	1.58	2.38	3.17	5.17	1.69	2.66	0.35	0.55
GENDER
Male	0.30	0.43	1.09	1.66	2.19	3.18	1.17	1.92	0.25	0.39
Female	0.36	0.53	0.83	1.28	1.35	2.38	0.95	1.54	0.33	0.50
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.27	0.39	0.70	1.10	1.14	2.05	0.79	1.30	0.23	0.36
White	0.32	0.49	0.76	1.19	1.21	2.08	0.89	1.45	0.28	0.44
Black or African American	0.51	0.96	1.88	3.85	3.86	*	1.96	3.99	0.39	0.58
AIAN	2.51	*	*	*	*	*	*	*	2.39	2.43
NHOPI	1.74	*	*	*	*	*	*	*	1.34	*
Asian	0.82	0.90	2.82	4.04	*	*	2.90	4.32	0.80	0.80
Two or More Races	1.67	2.71	3.43	*	*	*	4.13	*	1.61	2.39
Hispanic or Latino	0.52	0.87	1.69	2.70	3.95	5.33	1.83	3.14	0.44	0.76
EMPLOYMENT STATUS
Full-Time	0.30	0.45	0.88	1.34	1.67	3.05	0.98	1.60	0.25	0.39
Part-Time	0.63	1.01	1.46	2.20	3.07	3.51	1.66	2.55	0.66	0.98
Unemployed	1.04	1.53	2.58	3.47	4.83	*	2.90	4.00	0.92	1.54
Other²	0.47	0.69	1.23	2.06	1.96	3.33	1.47	2.44	0.41	0.61
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.18C – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	606	902	485	700	276	458	381	589	444	675
GEOGRAPHIC REGION
Northeast	262	430	207	274	119	150	167	216	182	341
Midwest	263	392	213	324	120	217	163	248	200	302
South	368	562	274	450	159	284	213	373	269	403
West	310	429	256	366	148	219	208	322	246	295
COUNTY TYPE
Large Metro	589	761	396	526	219	324	303	439	359	533
Small Metro	400	569	254	424	150	271	198	320	264	359
Nonmetro	254	396	180	283	94	168	134	223	144	251
Urbanized	179	249	125	195	58	*	100	173	96	137
Less Urbanized	178	296	130	208	72	*	90	157	97	191
Completely Rural	74	145	50	*	*	*	29	*	45	91
POVERTY LEVEL²
Less Than 100%	227	448	178	333	108	218	138	248	122	285
100-199%	287	440	220	347	137	227	161	255	181	273
200% or More	613	804	396	551	212	312	322	475	395	545
EDUCATION LEVEL
< High School	190	335	147	255	92	*	114	213	114	247
High School Graduate	294	504	209	395	120	261	174	298	195	374
Some College/Associate’s Degree	371	475	270	414	177	264	200	331	246	322
College Graduate	449	475	289	359	148	199	245	312	291	357
HEALTH INSURANCE³
Private	587	737	374	487	200	276	300	427	388	523
Medicaid/CHIP	294	489	228	379	154	229	159	288	164	317
Other⁴	412	659	267	474	154	312	219	392	299	447
No Coverage	118	185	96	149	64	99	67	106	69	106
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.18D – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	0.24	0.36	0.65	1.04	1.18	1.96	0.73	1.23	0.20	0.32
GEOGRAPHIC REGION
Northeast	0.60	0.99	1.62	2.36	3.27	3.91	1.78	2.69	0.47	0.92
Midwest	0.51	0.75	1.25	2.08	2.22	3.35	1.44	2.38	0.44	0.70
South	0.39	0.59	1.05	1.79	1.98	3.89	1.17	2.15	0.33	0.50
West	0.52	0.72	1.38	2.17	2.33	3.51	1.61	2.62	0.48	0.62
COUNTY TYPE
Large Metro	0.35	0.51	0.95	1.50	1.77	2.79	1.04	1.73	0.29	0.46
Small Metro	0.38	0.64	1.05	1.83	1.94	3.26	1.21	2.12	0.37	0.56
Nonmetro	0.59	0.88	1.65	2.51	2.68	5.09	1.91	3.00	0.47	0.79
Urbanized	0.97	1.42	2.57	3.76	4.29	*	3.11	4.98	0.73	1.08
Less Urbanized	0.83	1.30	2.42	3.72	3.39	*	2.69	4.18	0.69	1.24
Completely Rural	1.33	2.66	4.93	*	*	*	4.47	*	1.11	2.10
POVERTY LEVEL²
Less Than 100%	0.63	1.12	1.46	2.72	2.40	4.92	1.74	3.11	0.50	1.01
100-199%	0.53	0.86	1.43	2.25	2.65	3.95	1.56	2.55	0.47	0.76
200% or More	0.30	0.43	0.83	1.27	1.52	2.39	0.96	1.49	0.26	0.38
EDUCATION LEVEL
< High School	0.61	1.17	2.07	3.84	3.97	*	2.24	4.25	0.46	1.03
High School Graduate	0.45	0.73	1.33	2.29	2.57	4.34	1.57	2.59	0.39	0.65
Some College/Associate’s Degree	0.42	0.62	1.06	1.63	1.80	2.68	1.19	2.03	0.38	0.53
College Graduate	0.45	0.62	1.19	1.65	2.11	2.74	1.37	1.92	0.40	0.55
HEALTH INSURANCE³
Private	0.30	0.43	0.83	1.26	1.54	2.49	0.91	1.47	0.26	0.39
Medicaid/CHIP	0.71	1.08	1.42	2.33	2.40	3.23	1.64	2.75	0.63	1.06
Other⁴	0.53	0.82	1.63	2.64	2.69	4.77	1.86	3.10	0.49	0.70
No Coverage	0.44	0.65	1.48	2.21	3.22	4.92	1.52	2.34	0.34	0.49
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.19C – Received Inpatient Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic/Socioeconomic Characteristic	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	163	249	128	175	96	136	81	112	92	176
AGE GROUP
18-25	42	65	38	57	30	47	22	33	19	32
26 or Older	156	237	123	164	92	127	79	107	90	173
26-49	84	139	71	135	60	95	37	99	43	41
50 or Older	124	192	97	93	68	83	68	41	81	168
GENDER
Male	103	200	83	121	45	80	67	91	62	160
Female	116	144	97	130	83	111	47	65	68	60
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	142	192	108	154	76	117	73	98	90	116
White	115	163	93	128	69	101	61	77	65	103
Black or African American	63	96	44	83	26	*	33	59	43	46
AIAN	9	17	*	*	*	*	*	*	3	*
NHOPI	3	6	*	*	*	*	*	*	1	*
Asian	54	15	19	3	10	*	17	3	49	15
Two or More Races	22	15	14	13	13	2	5	13	17	8
Hispanic or Latino	69	159	67	89	58	70	32	54	19	133
HEALTH INSURANCE²
Private	86	124	59	100	50	82	30	58	62	73
Medicaid/CHIP	116	174	97	111	74	86	63	71	64	134
Other³	111	134	80	102	48	93	64	42	78	87
No Coverage	41	71	33	58	24	26	20	51	25	41
EMPLOYMENT STATUS
Full-Time	63	84	52	68	45	56	26	38	38	49
Part-Time	46	49	36	37	29	16	22	34	29	32
Unemployed	50	148	39	69	33	*	21	62	31	131
Other⁴	130	167	104	139	73	117	71	76	78	93
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.19D – Received Inpatient Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic/Socioeconomic Characteristic	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	0.07	0.10	0.25	0.33	0.70	0.93	0.21	0.29	0.05	0.09
AGE GROUP
18-25	0.13	0.20	0.38	0.55	1.01	1.37	0.31	0.48	0.08	0.14
26 or Older	0.07	0.11	0.29	0.38	0.86	1.13	0.25	0.34	0.05	0.10
26-49	0.08	0.14	0.28	0.52	0.83	1.30	0.20	0.52	0.06	0.05
50 or Older	0.11	0.16	0.59	0.55	1.95	2.08	0.53	0.32	0.08	0.17
GENDER
Male	0.09	0.16	0.41	0.62	0.95	1.52	0.44	0.63	0.06	0.16
Female	0.09	0.11	0.30	0.38	0.93	1.20	0.20	0.26	0.07	0.06
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.07	0.09	0.24	0.34	0.66	0.93	0.22	0.30	0.05	0.07
White	0.07	0.10	0.26	0.36	0.75	0.98	0.23	0.30	0.05	0.08
Black or African American	0.20	0.31	0.82	1.54	2.09	*	0.81	1.49	0.17	0.18
AIAN	0.65	1.10	*	*	*	*	*	*	0.30	*
NHOPI	0.30	0.60	*	*	*	*	*	*	0.10	*
Asian	0.37	0.11	0.94	0.13	2.19	*	1.02	0.15	0.39	0.12
Two or More Races	0.50	0.33	1.01	0.81	3.09	0.47	0.54	1.10	0.57	0.25
Hispanic or Latino	0.17	0.38	0.88	1.11	2.69	3.49	0.59	0.92	0.06	0.39
HEALTH INSURANCE²
Private	0.05	0.08	0.19	0.33	0.69	1.13	0.13	0.25	0.05	0.06
Medicaid/CHIP	0.32	0.43	0.83	0.92	1.91	2.27	0.81	0.83	0.26	0.49
Other³	0.16	0.18	0.68	0.78	1.75	2.45	0.71	0.44	0.13	0.14
No Coverage	0.16	0.26	0.57	0.98	1.51	1.59	0.49	1.20	0.12	0.19
EMPLOYMENT STATUS
Full-Time	0.05	0.07	0.22	0.30	0.78	1.07	0.14	0.22	0.04	0.05
Part-Time	0.14	0.16	0.45	0.46	1.29	0.67	0.36	0.59	0.12	0.14
Unemployed	0.48	1.11	1.34	1.99	3.48	*	1.06	2.59	0.43	1.34
Other⁴	0.15	0.18	0.60	0.73	1.56	2.01	0.56	0.57	0.12	0.13
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.20C – Received Outpatient Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic/Socioeconomic Characteristic	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	466	687	372	552	222	383	283	402	286	414
AGE GROUP
18-25	110	182	105	164	60	106	81	125	59	108
26 or Older	447	657	357	525	213	362	276	386	278	404
26-49	249	405	213	342	133	200	163	265	144	230
50 or Older	347	508	267	399	156	294	213	285	233	323
GENDER
Male	259	366	213	261	123	187	165	181	166	268
Female	363	548	288	483	183	320	218	366	226	310
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	435	636	348	515	207	363	267	376	266	391
White	436	625	321	476	186	320	250	351	241	358
Black or African American	124	250	101	229	62	*	75	145	61	104
AIAN	28	*	*	*	*	*	*	*	25	9
NHOPI	11	*	*	*	*	*	*	*	8	*
Asian	94	84	46	48	*	*	32	31	82	67
Two or More Races	62	81	56	53	34	*	44	41	21	62
Hispanic or Latino	155	245	123	199	84	105	89	154	101	141
HEALTH INSURANCE²
Private	406	536	298	404	163	234	235	334	243	339
Medicaid/CHIP	211	327	173	260	126	170	113	182	105	193
Other³	275	460	199	368	121	287	159	245	172	276
No Coverage	84	130	74	112	55	67	45	76	41	69
EMPLOYMENT STATUS
Full-Time	290	414	221	325	126	151	177	274	168	255
Part-Time	174	278	128	209	84	142	99	152	116	180
Unemployed	83	121	72	106	51	*	49	76	41	58
Other⁴	317	462	249	386	156	294	184	257	176	263
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.20D – Received Outpatient Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic/Socioeconomic Characteristic	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	0.19	0.27	0.59	0.91	1.24	1.97	0.63	0.94	0.14	0.21
AGE GROUP
18-25	0.33	0.55	0.82	1.33	1.64	2.46	0.95	1.56	0.23	0.46
26 or Older	0.21	0.30	0.71	1.08	1.51	2.43	0.76	1.09	0.15	0.23
26-49	0.25	0.40	0.70	1.12	1.45	2.22	0.75	1.24	0.18	0.30
50 or Older	0.30	0.44	1.42	2.12	3.48	5.49	1.47	2.04	0.23	0.32
GENDER
Male	0.22	0.30	0.92	1.27	2.16	2.96	0.97	1.26	0.16	0.26
Female	0.28	0.42	0.75	1.23	1.49	2.53	0.81	1.32	0.23	0.32
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.21	0.30	0.63	0.97	1.28	2.09	0.68	1.02	0.16	0.24
White	0.25	0.37	0.72	1.08	1.43	2.16	0.81	1.17	0.19	0.29
Black or African American	0.40	0.79	1.65	3.62	4.00	*	1.69	3.39	0.25	0.41
AIAN	2.02	*	*	*	*	*	*	*	2.17	0.95
NHOPI	1.17	*	*	*	*	*	*	*	1.00	*
Asian	0.63	0.57	2.05	2.59	*	*	1.89	2.06	0.65	0.54
Two or More Races	1.36	1.73	3.28	3.59	5.99	*	3.90	3.70	0.71	1.99
Hispanic or Latino	0.38	0.59	1.46	2.31	3.47	4.83	1.50	2.46	0.29	0.41
HEALTH INSURANCE²
Private	0.23	0.33	0.78	1.15	1.67	2.47	0.83	1.27	0.17	0.26
Medicaid/CHIP	0.54	0.78	1.28	1.91	2.58	3.34	1.32	2.07	0.42	0.68
Other³	0.38	0.60	1.46	2.42	3.25	5.14	1.56	2.35	0.29	0.44
No Coverage	0.32	0.47	1.21	1.77	3.00	3.69	1.06	1.73	0.20	0.32
EMPLOYMENT STATUS
Full-Time	0.22	0.35	0.77	1.23	1.66	2.61	0.84	1.37	0.16	0.27
Part-Time	0.51	0.85	1.36	2.12	2.99	4.13	1.47	2.31	0.46	0.75
Unemployed	0.79	0.94	2.29	2.83	4.71	*	2.29	3.04	0.57	0.61
Other⁴	0.36	0.49	1.24	1.79	2.38	3.59	1.31	1.79	0.26	0.36
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.21C – Received Prescription Medication as a Type of Mental Health Service in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic/Socioeconomic Characteristic	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	537	837	428	651	256	435	332	544	398	607
AGE GROUP
18-25	113	206	107	186	64	132	81	133	67	119
26 or Older	519	806	415	629	248	408	325	536	391	586
26-49	277	453	246	391	150	226	192	316	178	276
50 or Older	435	664	323	499	189	329	257	411	348	509
GENDER
Male	325	480	249	365	143	224	195	302	232	343
Female	429	647	341	531	208	358	261	438	325	484
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	502	765	391	600	233	418	307	482	379	568
White	550	803	364	563	210	381	293	455	357	537
Black or African American	140	267	106	230	66	*	76	161	78	126
AIAN	33	*	*	*	*	*	*	*	25	*
NHOPI	16	*	*	*	*	*	*	*	11	*
Asian	111	114	63	84	*	*	43	*	91	77
Two or More Races	73	128	55	*	33	*	43	*	47	54
Hispanic or Latino	202	311	154	232	107	107	107	207	137	209
HEALTH INSURANCE²
Private	505	656	320	445	184	244	256	388	350	456
Medicaid/CHIP	268	440	213	360	147	226	146	277	151	264
Other³	375	630	253	465	146	300	205	391	274	414
No Coverage	98	149	82	118	57	88	57	79	57	80
EMPLOYMENT STATUS
Full-Time	370	493	256	361	150	169	204	317	228	315
Part-Time	204	304	136	218	82	168	111	152	153	211
Unemployed	103	147	82	133	57	*	58	107	61	68
Other⁴	416	650	295	497	185	329	231	397	274	432
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.21D – Received Prescription Medication as a Type of Mental Health Service in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic/Socioeconomic Characteristic	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	0.22	0.33	0.62	1.01	1.23	2.05	0.69	1.18	0.18	0.29
AGE GROUP
18-25	0.34	0.62	0.84	1.44	1.76	2.70	0.97	1.68	0.27	0.51
26 or Older	0.24	0.37	0.75	1.19	1.49	2.51	0.82	1.37	0.21	0.32
26-49	0.27	0.45	0.74	1.27	1.46	2.42	0.84	1.40	0.22	0.35
50 or Older	0.38	0.57	1.52	2.36	3.31	5.30	1.60	2.60	0.33	0.49
GENDER
Male	0.27	0.40	1.04	1.62	2.20	3.21	1.12	1.87	0.22	0.33
Female	0.33	0.50	0.79	1.27	1.44	2.56	0.88	1.48	0.31	0.46
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.24	0.36	0.67	1.08	1.22	2.15	0.74	1.24	0.21	0.33
White	0.29	0.46	0.74	1.20	1.31	2.19	0.85	1.42	0.26	0.41
Black or African American	0.45	0.84	1.78	3.61	4.02	*	1.77	3.67	0.32	0.49
AIAN	2.29	*	*	*	*	*	*	*	2.15	*
NHOPI	1.67	*	*	*	*	*	*	*	1.32	*
Asian	0.75	0.77	2.72	3.87	*	*	2.50	*	0.72	0.61
Two or More Races	1.55	2.50	3.22	*	6.03	*	3.81	*	1.52	1.76
Hispanic or Latino	0.49	0.74	1.64	2.48	3.92	5.12	1.68	2.96	0.40	0.61
HEALTH INSURANCE²
Private	0.26	0.39	0.76	1.22	1.65	2.56	0.85	1.38	0.24	0.34
Medicaid/CHIP	0.66	1.01	1.45	2.28	2.50	3.57	1.63	2.69	0.58	0.91
Other³	0.49	0.79	1.66	2.65	3.06	4.96	1.85	3.16	0.45	0.65
No Coverage	0.37	0.53	1.30	1.86	2.99	4.59	1.33	1.85	0.28	0.37
EMPLOYMENT STATUS
Full-Time	0.27	0.40	0.84	1.31	1.71	2.94	0.94	1.52	0.22	0.33
Part-Time	0.58	0.92	1.41	2.14	2.97	3.77	1.59	2.36	0.59	0.87
Unemployed	0.96	1.14	2.52	3.24	4.79	*	2.65	3.78	0.82	0.72
Other⁴	0.44	0.67	1.24	2.01	2.18	3.44	1.44	2.42	0.39	0.57
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.22C – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness and Age Group, Standard Errors of Numbers in Thousands, 2019 and 2020
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Age Group	Received Substance Use Treatment (SU Tx) at a Specialty Facility OR Mental Health (MH) Services (2019)	Received Substance Use Treatment (SU Tx) at a Specialty Facility OR Mental Health (MH) Services (2020)	Received SU Tx at a Specialty Facility BUT NOT MH Services (2019)	Received SU Tx at a Specialty Facility BUT NOT MH Services (2020)	Received MH Services BUT NOT SU Tx at a Specialty Facility (2019)	Received MH Services BUT NOT SU Tx at a Specialty Facility (2020)	Received SU Tx at a Specialty Facility AND MH Services (2019)	Received SU Tx at a Specialty Facility AND MH Services (2020)	Received NEITHER SU Tx at a Specialty Facility NOR MH Services (2019)	Received NEITHER SU Tx at a Specialty Facility NOR MH Services (2020)
SUD and Any Mental Illness	nc	445	nc	122	nc	388	nc	149	nc	448
18-25	nc	130	nc	45	nc	119	nc	34	nc	170
26 or Older	nc	416	nc	113	nc	367	nc	145	nc	411
26-49	nc	264	nc	61	nc	236	nc	106	nc	306
50 or Older	nc	311	nc	*	nc	277	nc	99	nc	271
SUD and Serious Mental Illness	nc	272	nc	36	nc	244	nc	116	nc	172
18-25	nc	94	nc	3	nc	89	nc	28	nc	74
26 or Older	nc	255	nc	36	nc	227	nc	113	nc	157
26-49	nc	170	nc	36	nc	148	nc	79	nc	150
50 or Older	nc	*	nc	*	nc	*	nc	*	nc	*
SUD and Any Mental Illness Excluding Serious Mental Illness	nc	353	nc	117	nc	303	nc	111	nc	391
18-25	nc	98	nc	*	nc	84	nc	20	nc	151
26 or Older	nc	340	nc	108	nc	293	nc	109	nc	356
26-49	nc	200	nc	49	nc	182	nc	71	nc	249
50 or Older	nc	*	nc	*	nc	*	nc	*	nc	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.22D – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness and Age Group, Standard Errors of Percentages, 2019 and 2020
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Age Group	Received Substance Use Treatment (SU Tx) at a Specialty Facility OR Mental Health (MH) Services (2019)	Received Substance Use Treatment (SU Tx) at a Specialty Facility OR Mental Health (MH) Services (2020)	Received SU Tx at a Specialty Facility BUT NOT MH Services (2019)	Received SU Tx at a Specialty Facility BUT NOT MH Services (2020)	Received MH Services BUT NOT SU Tx at a Specialty Facility (2019)	Received MH Services BUT NOT SU Tx at a Specialty Facility (2020)	Received SU Tx at a Specialty Facility AND MH Services (2019)	Received SU Tx at a Specialty Facility AND MH Services (2020)	Received NEITHER SU Tx at a Specialty Facility NOR MH Services (2019)	Received NEITHER SU Tx at a Specialty Facility NOR MH Services (2020)
SUD and Any Mental Illness	nc	1.91	nc	0.70	nc	1.85	nc	0.84	nc	1.91
18-25	nc	2.47	nc	1.10	nc	2.34	nc	0.83	nc	2.47
26 or Older	nc	2.32	nc	0.86	nc	2.28	nc	1.07	nc	2.32
26-49	nc	2.17	nc	0.65	nc	2.09	nc	1.10	nc	2.17
50 or Older	nc	5.75	nc	*	nc	5.88	nc	2.66	nc	5.75
SUD and Serious Mental Illness	nc	2.60	nc	0.64	nc	2.86	nc	1.92	nc	2.60
18-25	nc	3.81	nc	0.18	nc	3.88	nc	1.75	nc	3.81
26 or Older	nc	3.25	nc	0.87	nc	3.60	nc	2.57	nc	3.25
26-49	nc	3.54	nc	1.12	nc	3.62	nc	2.33	nc	3.54
50 or Older	nc	*	nc	*	nc	*	nc	*	nc	*
SUD and Any Mental Illness Excluding Serious Mental Illness	nc	2.37	nc	1.00	nc	2.23	nc	0.94	nc	2.37
18-25	nc	3.32	nc	*	nc	2.98	nc	0.77	nc	3.32
26 or Older	nc	2.85	nc	1.19	nc	2.71	nc	1.19	nc	2.85
26-49	nc	2.53	nc	0.79	nc	2.45	nc	1.13	nc	2.53
50 or Older	nc	*	nc	*	nc	*	nc	*	nc	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.23C – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Past Year Level of Mental Illness, Standard Errors of Numbers in Thousands, 2019 and 2020
Location of Mental Health Services¹	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness² (2019)	No Mental Illness² (2020)
Outpatient Mental Health Clinic or Center	223	404	191	360	137	265	133	238	114	180
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	370	511	277	418	162	273	222	329	213	300
Doctor’s Office - Not Part of a Clinic	189	237	136	188	72	127	113	131	120	136
Outpatient Medical Clinic	105	228	91	197	55	165	72	108	53	114
Partial Day Hospital or Day Treatment Program	60	94	59	56	36	54	46	14	12	75
School or University Setting/Clinic/Center³	25	29	20	29	10	11	17	27	15	5
Some Other Place⁴	80	125	62	78	48	73	39	28	49	98
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ² Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ³ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services. ⁴ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.23D – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Past Year Level of Mental Illness, Standard Errors of Percentages, 2019 and 2020
Location of Mental Health Services¹	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness² (2019)	No Mental Illness² (2020)
Outpatient Mental Health Clinic or Center	0.95	1.52	1.17	1.94	1.85	3.07	1.49	2.41	1.53	2.24
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	1.07	1.56	1.24	1.84	1.84	2.97	1.65	2.37	1.97	2.79
Doctor’s Office - Not Part of a Clinic	0.83	1.00	0.90	1.20	1.18	1.89	1.28	1.48	1.62	1.73
Outpatient Medical Clinic	0.49	0.98	0.64	1.27	0.94	2.44	0.86	1.21	0.78	1.50
Partial Day Hospital or Day Treatment Program	0.29	0.42	0.42	0.38	0.61	0.85	0.57	0.16	0.18	1.01
School or University Setting/Clinic/Center³	0.12	0.13	0.14	0.20	0.18	0.17	0.21	0.31	0.23	0.07
Some Other Place⁴	0.38	0.56	0.45	0.53	0.81	1.15	0.49	0.33	0.73	1.33
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ² Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ³ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services. ⁴ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.24C – Types and Locations of Mental Health Services Received in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness, Standard Errors of Numbers in Thousands, 2019 and 2020
Type and Location of Mental Health Services	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
MENTAL HEALTH SERVICES²	606	902	485	700	276	458	381	589	444	675
Outpatient	466	687	372	552	222	383	283	402	286	414
Outpatient Mental Health Clinic or Center	222	396	191	360	137	265	133	238	114	180
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	353	511	277	418	162	273	222	329	213	300
Doctor’s Office - Not Part of a Clinic	187	238	136	188	72	127	113	131	120	136
Outpatient Medical Clinic	104	227	91	197	55	165	72	108	53	114
Partial Day Hospital or Day Treatment Program	60	94	59	56	36	54	46	14	12	75
School or University Setting/Clinic/Center³	25	29	20	29	10	11	17	27	15	*
Some Other Place⁴	79	125	62	78	48	73	39	28	49	98
Inpatient	163	249	128	175	96	136	81	112	92	176
Prescription Medication	537	837	428	651	256	435	332	544	398	607
NONE OF THESE SERVICES	606	902	522	855	187	359	477	763	1,695	2,489
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services. ⁴ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.24D – Types and Locations of Mental Health Services Received in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness, Standard Errors of Percentages, 2019 and 2020
Type and Location of Mental Health Services	Total (2019)	Total (2020)	Any Mental Illness (2019)	Any Mental Illness (2020)	Serious Mental Illness (2019)	Serious Mental Illness (2020)	Any Mental Illness Excluding Serious Mental Illness (2019)	Any Mental Illness Excluding Serious Mental Illness (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)
MENTAL HEALTH SERVICES²	0.24	0.36	0.65	1.04	1.18	1.96	0.73	1.23	0.20	0.32
Outpatient	0.19	0.27	0.59	0.91	1.24	1.97	0.63	0.94	0.14	0.21
Outpatient Mental Health Clinic or Center	0.09	0.16	0.36	0.65	0.96	1.67	0.34	0.60	0.06	0.09
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	0.14	0.20	0.48	0.74	1.04	1.69	0.53	0.81	0.11	0.15
Doctor’s Office - Not Part of a Clinic	0.08	0.09	0.26	0.36	0.54	0.88	0.29	0.34	0.06	0.07
Outpatient Medical Clinic	0.04	0.09	0.18	0.37	0.42	1.15	0.19	0.28	0.03	0.06
Partial Day Hospital or Day Treatment Program	0.02	0.04	0.11	0.11	0.28	0.38	0.12	0.04	0.01	0.04
School or University Setting/Clinic/Center³	0.01	0.01	0.04	0.06	0.08	0.08	0.04	0.07	0.01	*
Some Other Place⁴	0.03	0.05	0.12	0.15	0.36	0.52	0.10	0.07	0.02	0.05
Inpatient	0.07	0.10	0.25	0.33	0.70	0.93	0.21	0.29	0.05	0.09
Prescription Medication	0.22	0.33	0.62	1.01	1.23	2.05	0.69	1.18	0.18	0.29
NONE OF THESE SERVICES	0.24	0.36	0.65	1.04	1.18	1.96	0.73	1.23	0.20	0.32
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services. ⁴ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.25C – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Age Group, Standard Errors of Numbers in Thousands, 2019 and 2020
Location of Mental Health Services¹	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
Outpatient Mental Health Clinic or Center	223	378	60	94	213	367	120	234	171	280
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	370	495	98	165	352	469	227	304	266	362
Doctor’s Office - Not Part of a Clinic	189	227	38	51	184	219	98	151	154	149
Outpatient Medical Clinic	105	200	28	47	101	194	66	81	76	176
Partial Day Hospital or Day Treatment Program	60	95	18	27	57	91	31	47	48	77
School or University Setting/Clinic/Center²	25	28	20	24	14	15	14	15	*	*
Some Other Place³	80	123	13	11	78	123	29	48	72	113
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services. ³ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.25D – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Age Group, Standard Errors of Percentages, 2019 and 2020
Location of Mental Health Services¹	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
Outpatient Mental Health Clinic or Center	0.95	1.48	1.46	2.13	1.09	1.75	1.06	1.90	2.10	3.20
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	1.07	1.54	1.50	2.16	1.26	1.80	1.32	1.85	2.38	3.38
Doctor’s Office - Not Part of a Clinic	0.83	0.99	1.05	1.26	0.96	1.16	0.92	1.35	1.88	1.99
Outpatient Medical Clinic	0.49	0.90	0.77	1.18	0.57	1.06	0.65	0.77	1.03	2.28
Partial Day Hospital or Day Treatment Program	0.29	0.44	0.51	0.70	0.33	0.52	0.31	0.44	0.66	1.06
School or University Setting/Clinic/Center²	0.12	0.13	0.57	0.62	0.09	0.09	0.15	0.15	*	*
Some Other Place³	0.38	0.57	0.37	0.29	0.45	0.69	0.30	0.47	0.98	1.51
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services. ³ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.26C – Sources of Payment for Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Age Group, Standard Errors of Numbers in Thousands, 2019 and 2020
Source of Payment¹	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
Self or Family Member Living in Household	281	415	73	134	267	390	169	270	196	283
Family Member Not Living in Household	71	77	38	64	59	42	45	42	38	*
Private Health Insurance	299	386	66	114	291	369	164	242	236	298
Medicare	202	347	24	54	200	346	79	142	183	316
Medicaid	150	230	27	51	147	224	92	175	113	127
Rehabilitation Program	12	60	4	2	11	60	9	6	7	*
Employer	113	145	16	35	112	141	73	108	83	87
VA or Other Military Program	106	185	11	11	105	185	52	95	91	164
Other Public Source	69	145	18	39	66	140	50	52	43	130
Other Private Source	41	30	13	13	38	27	26	14	29	23
Free Treatment	91	159	44	74	80	146	53	80	60	127
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple sources of payment for outpatient mental health services; thus, these response categories are not mutually exclusive. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.26D – Sources of Payment for Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Age Group, Standard Errors of Percentages, 2019 and 2020
Source of Payment¹	Aged 18+ (2019)	Aged 18+ (2020)	Aged 18-25 (2019)	Aged 18-25 (2020)	Aged 26+ (2019)	Aged 26+ (2020)	Aged 26-49 (2019)	Aged 26-49 (2020)	Aged 50+ (2019)	Aged 50+ (2020)
Self or Family Member Living in Household	1.05	1.55	1.56	2.39	1.20	1.82	1.23	2.02	2.24	3.29
Family Member Not Living in Household	0.34	0.36	1.07	1.56	0.35	0.24	0.46	0.41	0.53	*
Private Health Insurance	1.09	1.43	1.55	2.21	1.26	1.69	1.24	1.84	2.46	3.27
Medicare	0.86	1.43	0.72	1.36	1.01	1.71	0.76	1.27	2.07	3.46
Medicaid	0.73	1.03	0.82	1.31	0.86	1.23	0.89	1.54	1.54	1.75
Rehabilitation Program	0.06	0.28	0.12	0.05	0.07	0.34	0.09	0.06	0.09	*
Employer	0.53	0.64	0.46	0.90	0.63	0.76	0.70	0.98	1.12	1.20
VA or Other Military Program	0.51	0.84	0.33	0.29	0.61	1.02	0.53	0.90	1.23	2.15
Other Public Source	0.33	0.67	0.53	1.01	0.38	0.78	0.50	0.50	0.60	1.74
Other Private Source	0.20	0.14	0.39	0.33	0.23	0.15	0.26	0.14	0.40	0.32
Free Treatment	0.42	0.73	1.16	1.81	0.45	0.81	0.52	0.75	0.81	1.71
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple sources of payment for outpatient mental health services; thus, these response categories are not mutually exclusive. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.27C – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	349	634	270	415	234	489
AGE GROUP
18-25	124	239	89	157	108	208
26 or Older	313	579	250	390	201	434
26-49	216	366	164	272	160	280
50 or Older	219	444	180	275	134	348
GENDER
Male	185	394	136	257	137	321
Female	288	488	218	330	184	367
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	320	551	246	373	217	402
White	294	497	222	334	184	336
Black or African American	104	245	75	170	71	179
AIAN	27	47	*	*	22	36
NHOPI	23	9	*	*	21	*
Asian	84	110	62	*	57	100
Two or More Races	55	114	38	*	40	97
Hispanic or Latino	142	300	105	156	100	275
EMPLOYMENT STATUS
Full-Time	239	387	166	251	166	275
Part-Time	139	231	88	167	100	154
Unemployed	82	154	53	91	62	122
Other³	202	440	175	280	106	339
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.27D – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	0.14	0.26	0.61	0.89	0.11	0.23
AGE GROUP
18-25	0.37	0.73	1.17	1.84	0.35	0.73
26 or Older	0.15	0.27	0.66	0.99	0.11	0.24
26-49	0.21	0.37	0.76	1.29	0.19	0.34
50 or Older	0.19	0.39	1.04	1.51	0.14	0.35
GENDER
Male	0.15	0.33	0.94	1.74	0.13	0.30
Female	0.22	0.38	0.76	1.04	0.18	0.36
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.15	0.27	0.62	0.89	0.13	0.23
White	0.19	0.31	0.65	0.93	0.15	0.27
Black or African American	0.32	0.80	2.21	5.10	0.26	0.65
AIAN	1.89	3.32	*	*	1.84	3.00
NHOPI	2.16	1.04	*	*	2.17	*
Asian	0.56	0.79	5.30	*	0.41	0.75
Two or More Races	1.23	2.34	3.89	*	1.15	2.57
Hispanic or Latino	0.35	0.75	2.25	3.19	0.27	0.73
EMPLOYMENT STATUS
Full-Time	0.19	0.32	0.84	1.26	0.15	0.28
Part-Time	0.41	0.73	1.33	2.28	0.37	0.64
Unemployed	0.79	1.21	2.75	4.20	0.74	1.17
Other³	0.24	0.48	1.12	1.63	0.15	0.45
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.28C – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	349	634	270	415	234	489
GEOGRAPHIC REGION
Northeast	133	232	104	172	87	146
Midwest	134	243	113	179	89	167
South	227	415	174	251	151	332
West	175	356	138	202	124	297
COUNTY TYPE
Large Metro	285	512	215	287	185	403
Small Metro	185	375	145	231	117	264
Nonmetro	127	220	87	171	80	128
Urbanized	90	164	63	122	61	97
Less Urbanized	79	137	57	112	46	75
Completely Rural	28	57	16	*	20	37
POVERTY LEVEL³
Less Than 100%	144	292	110	214	84	193
100-199%	177	286	136	180	110	212
200% or More	274	498	197	302	188	388
EDUCATION LEVEL
< High School	103	225	84	175	63	140
High School Graduate	156	398	122	211	98	335
Some College/Associate’s Degree	211	329	148	218	138	246
College Graduate	214	300	154	203	147	214
HEALTH INSURANCE⁴
Private	283	481	199	291	189	378
Medicaid/CHIP	171	278	147	226	88	173
Other⁵	150	344	132	232	81	250
No Coverage	117	188	70	101	92	149
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.28D – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	0.14	0.26	0.61	0.89	0.11	0.23
GEOGRAPHIC REGION
Northeast	0.30	0.54	1.30	2.12	0.23	0.40
Midwest	0.26	0.48	1.04	1.58	0.21	0.40
South	0.24	0.45	1.14	1.56	0.18	0.41
West	0.30	0.61	1.29	1.85	0.24	0.59
COUNTY TYPE
Large Metro	0.19	0.37	0.88	1.28	0.15	0.35
Small Metro	0.23	0.47	1.02	1.40	0.18	0.42
Nonmetro	0.34	0.55	1.30	2.46	0.26	0.39
Urbanized	0.57	1.04	2.04	4.22	0.50	0.77
Less Urbanized	0.45	0.69	1.82	3.28	0.33	0.45
Completely Rural	0.59	1.12	3.00	*	0.55	0.90
POVERTY LEVEL³
Less Than 100%	0.42	0.78	1.72	2.80	0.31	0.64
100-199%	0.36	0.61	1.61	2.28	0.28	0.55
200% or More	0.15	0.29	0.65	0.97	0.13	0.28
EDUCATION LEVEL
< High School	0.35	0.81	2.27	4.66	0.24	0.57
High School Graduate	0.25	0.57	1.42	2.13	0.19	0.56
Some College/Associate’s Degree	0.26	0.43	0.97	1.37	0.21	0.40
College Graduate	0.25	0.38	0.93	1.24	0.21	0.34
HEALTH INSURANCE⁴
Private	0.16	0.30	0.69	0.97	0.13	0.29
Medicaid/CHIP	0.45	0.70	1.54	2.28	0.32	0.56
Other⁵	0.22	0.47	1.15	1.77	0.14	0.41
No Coverage	0.43	0.68	2.79	4.02	0.38	0.60
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.29C – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	320	604	248	418	195	426
AGE GROUP
18-25	129	255	82	152	91	191
26 or Older	281	542	229	391	165	370
26-49	210	365	156	272	143	244
50 or Older	180	402	156	277	101	286
GENDER
Male	161	363	126	256	114	253
Female	269	477	204	328	157	339
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	288	532	222	367	180	359
White	260	458	205	321	152	288
Black or African American	90	244	70	*	55	163
AIAN	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*
Asian	62	74	*	*	51	60
Two or More Races	50	*	37	*	33	*
Hispanic or Latino	134	284	100	169	86	228
EMPLOYMENT STATUS
Full-Time	211	379	157	246	141	250
Part-Time	121	222	75	164	90	149
Unemployed	73	164	49	100	53	128
Other³	172	387	152	279	82	263
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.29D – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	0.57	0.95	0.92	1.40	0.65	1.25
AGE GROUP
18-25	0.99	1.63	1.50	2.27	1.20	2.25
26 or Older	0.63	1.07	1.03	1.62	0.71	1.40
26-49	0.70	1.16	1.07	1.79	0.90	1.51
50 or Older	1.07	2.08	1.85	2.93	1.15	2.89
GENDER
Male	0.76	1.60	1.56	2.83	0.87	1.83
Female	0.76	1.20	1.10	1.58	0.91	1.72
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.60	1.01	0.94	1.41	0.73	1.31
White	0.68	1.12	1.02	1.48	0.83	1.48
Black or African American	1.53	3.58	3.34	*	1.51	4.10
AIAN	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*
Asian	2.80	3.75	*	*	3.04	3.71
Two or More Races	3.24	*	5.02	*	4.08	*
Hispanic or Latino	1.55	2.80	3.09	4.65	1.59	3.67
EMPLOYMENT STATUS
Full-Time	0.77	1.31	1.28	1.98	0.92	1.67
Part-Time	1.36	2.22	1.98	3.20	1.80	3.08
Unemployed	2.26	3.80	3.74	5.33	2.87	5.21
Other³	0.98	1.77	1.58	2.55	1.02	2.46
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.30C – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	320	604	248	418	195	426
GEOGRAPHIC REGION
Northeast	121	212	96	166	67	103
Midwest	133	240	108	172	76	149
South	206	385	148	241	126	294
West	162	333	132	217	111	261
COUNTY TYPE
Large Metro	259	461	203	305	158	348
Small Metro	150	355	118	226	94	235
Nonmetro	114	185	83	146	70	102
Urbanized	80	148	60	*	53	78
Less Urbanized	73	106	55	85	42	55
Completely Rural	25	39	15	*	16	*
POVERTY LEVEL³
Less Than 100%	131	305	103	235	73	188
100-199%	153	257	118	189	94	170
200% or More	247	437	186	276	157	327
EDUCATION LEVEL
< High School	93	216	82	*	49	124
High School Graduate	132	359	97	224	90	274
Some College/Associate’s Degree	191	319	143	213	116	238
College Graduate	187	270	144	186	120	177
HEALTH INSURANCE⁴
Private	247	430	181	272	161	327
Medicaid/CHIP	148	287	127	237	76	172
Other⁵	130	311	114	237	59	200
No Coverage	107	184	68	108	80	137
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.30D – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	0.57	0.95	0.92	1.40	0.65	1.25
GEOGRAPHIC REGION
Northeast	1.28	2.13	2.14	3.15	1.44	2.29
Midwest	1.02	1.56	1.55	2.44	1.25	2.00
South	0.97	1.76	1.65	2.35	1.08	2.47
West	1.13	1.85	2.02	3.12	1.39	2.55
COUNTY TYPE
Large Metro	0.79	1.41	1.35	2.12	0.93	1.87
Small Metro	0.88	1.58	1.47	2.11	1.03	2.14
Nonmetro	1.25	2.02	2.02	3.28	1.57	2.38
Urbanized	1.94	3.48	2.99	*	2.88	4.15
Less Urbanized	1.61	2.59	2.85	4.08	1.91	2.68
Completely Rural	3.49	4.45	5.32	*	4.00	*
POVERTY LEVEL³
Less Than 100%	1.35	2.55	2.23	3.71	1.44	3.19
100-199%	1.16	2.00	2.02	3.22	1.33	2.43
200% or More	0.71	1.18	1.11	1.61	0.87	1.63
EDUCATION LEVEL
< High School	1.58	3.46	3.31	*	1.42	3.39
High School Graduate	1.03	2.26	1.90	3.47	1.21	3.02
Some College/Associate’s Degree	0.89	1.47	1.43	2.08	1.04	2.08
College Graduate	1.03	1.48	1.55	2.07	1.36	1.90
HEALTH INSURANCE⁴
Private	0.74	1.15	1.12	1.55	0.89	1.69
Medicaid/CHIP	1.18	1.99	1.88	3.03	1.28	2.57
Other⁵	1.10	2.17	1.85	3.14	1.03	2.92
No Coverage	1.60	2.60	3.38	4.91	1.70	2.84
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.31C – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services and Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	218	405	179	310	115	246
AGE GROUP
18-25	80	155	55	114	56	100
26 or Older	202	361	169	287	102	218
26-49	134	223	110	158	80	151
50 or Older	142	282	126	236	*	*
GENDER
Male	114	220	91	161	74	139
Female	182	327	153	259	89	196
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	193	373	158	293	101	212
White	172	331	143	255	83	190
Black or African American	68	*	57	*	38	*
AIAN	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*
Asian	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*
Hispanic or Latino	99	160	86	*	51	*
EMPLOYMENT STATUS
Full-Time	143	210	115	151	84	136
Part-Time	82	147	57	127	59	*
Unemployed	50	140	42	*	*	*
Other³	135	260	125	217	43	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.31D – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services and Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	1.26	2.10	1.60	2.45	2.03	3.63
AGE GROUP
18-25	1.62	2.52	2.05	3.33	2.57	3.98
26 or Older	1.52	2.57	1.88	2.96	2.57	4.69
26-49	1.46	2.53	1.91	2.85	2.56	4.35
50 or Older	3.47	5.39	3.95	5.92	*	*
GENDER
Male	2.12	3.28	2.99	4.27	3.11	5.00
Female	1.57	2.52	1.86	2.87	2.68	4.84
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1.33	2.26	1.64	2.58	2.19	4.04
White	1.48	2.41	1.82	2.71	2.48	4.46
Black or African American	3.96	*	5.51	*	5.46	*
AIAN	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*
Asian	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*
Hispanic or Latino	3.63	5.32	5.19	*	4.74	*
EMPLOYMENT STATUS
Full-Time	1.78	3.00	2.39	3.25	2.71	5.34
Part-Time	3.10	4.16	3.61	5.30	5.64	*
Unemployed	4.65	5.52	5.65	*	*	*
Other³	2.34	3.64	2.87	4.24	3.57	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.32C – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	218	405	179	310	115	246
GEOGRAPHIC REGION
Northeast	89	116	81	99	36	*
Midwest	97	177	80	145	51	84
South	137	260	106	172	73	*
West	104	210	92	176	63	*
COUNTY TYPE
Large Metro	177	298	150	234	84	192
Small Metro	100	230	82	167	58	*
Nonmetro	79	123	60	103	48	*
Urbanized	50	*	36	*	*	*
Less Urbanized	58	*	45	*	*	*
Completely Rural	*	*	*	*	*	*
POVERTY LEVEL³
Less Than 100%	88	204	74	167	41	*
100-199%	117	196	97	154	63	*
200% or More	159	266	130	195	86	170
EDUCATION LEVEL
< High School	76	*	71	*	26	*
High School Graduate	95	240	75	177	59	*
Some College/Associate’s Degree	143	232	110	174	79	147
College Graduate	112	158	99	134	53	*
HEALTH INSURANCE⁴
Private	153	240	128	181	87	160
Medicaid/CHIP	115	189	103	164	47	89
Other⁵	98	246	93	*	34	*
No Coverage	74	117	55	89	50	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.32D – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	1.26	2.10	1.60	2.45	2.03	3.63
GEOGRAPHIC REGION
Northeast	3.40	4.37	4.16	5.24	5.89	*
Midwest	2.46	3.85	2.92	4.66	4.30	6.05
South	2.15	3.76	2.80	4.10	3.10	*
West	2.51	3.91	3.47	5.15	3.99	*
COUNTY TYPE
Large Metro	1.93	2.80	2.44	3.50	3.05	4.67
Small Metro	1.84	3.54	2.42	4.02	3.13	*
Nonmetro	2.87	4.92	3.48	5.93	4.71	*
Urbanized	3.89	*	4.41	*	*	*
Less Urbanized	4.41	*	5.54	*	*	*
Completely Rural	*	*	*	*	*	*
POVERTY LEVEL³
Less Than 100%	2.55	4.84	3.32	5.69	4.14	*
100-199%	2.64	4.05	3.49	4.72	4.17	*
200% or More	1.73	2.67	2.09	3.06	2.87	4.47
EDUCATION LEVEL
< High School	4.29	*	5.72	*	5.22	*
High School Graduate	2.45	4.52	3.27	5.78	4.02	*
Some College/Associate’s Degree	1.87	3.00	2.37	3.78	2.98	4.47
College Graduate	2.47	3.18	2.99	3.63	4.67	*
HEALTH INSURANCE⁴
Private	1.71	2.53	2.08	2.86	2.88	4.93
Medicaid/CHIP	2.49	3.79	2.99	4.71	4.09	6.00
Other⁵	3.01	5.20	3.60	*	5.22	*
No Coverage	3.09	4.98	4.16	4.98	4.24	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Total column includes respondents with unknown mental health services information. ² Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.33C – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Standard Errors of Numbers in Thousands, 2019 and 2020
Reason Did Not Receive Mental Health Services¹	Total²		MENTAL HEALTH SERVICES³
	Total²		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL POPULATION	359	656	270	415	234	489
Could Not Afford Cost	222	390	168	244	136	288
Might Cause Neighbors/Community to Have Negative Opinion	106	186	77	96	70	161
Might Have Negative Effect on Job	101	155	66	93	79	124
Health Insurance Does Not Cover Any Mental Health Services	90	166	68	109	63	125
Health Insurance Does Not Pay Enough for Mental Health Services	129	266	104	166	81	207
Did Not Know Where to Go for Services	166	349	106	202	122	261
Concerned about Confidentiality	95	179	66	126	68	127
Concerned about Being Committed/Having to Take Medicine	109	253	80	155	70	198
Did Not Feel Need for Treatment at the Time	112	298	93	98	65	280
Thought Could Handle the Problem Without Treatment	184	365	126	166	127	322
Treatment Would Not Help	114	295	89	99	72	277
Did Not Have Time	162	245	118	169	103	173
Did Not Want Others to Find Out	80	231	46	65	64	222
No Transportation/Inconvenient	78	129	63	108	42	69
COVID-19-Related⁴	--	153	--	61	--	140
Some Other Reason⁵	125	205	102	140	76	138
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Total column includes respondents with unknown mental health services information. ³ Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a "no" response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.33D – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Standard Errors of Percentages, 2019 and 2020
Reason Did Not Receive Mental Health Services¹	Total²		MENTAL HEALTH SERVICES³
	Total²		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL POPULATION	0.00	0.00	0.00	0.00	0.00	0.00
Could Not Afford Cost	1.03	1.56	1.50	2.18	1.34	2.20
Might Cause Neighbors/Community to Have Negative Opinion	0.61	0.89	0.86	1.03	0.84	1.45
Might Have Negative Effect on Job	0.57	0.75	0.74	1.00	0.94	1.16
Health Insurance Does Not Cover Any Mental Health Services	0.53	0.81	0.76	1.15	0.76	1.16
Health Insurance Does Not Pay Enough for Mental Health Services	0.72	1.19	1.13	1.60	0.96	1.79
Did Not Know Where to Go for Services	0.87	1.48	1.14	1.93	1.27	2.09
Concerned about Confidentiality	0.54	0.86	0.73	1.31	0.82	1.18
Concerned about Being Committed/Having to Take Medicine	0.62	1.16	0.87	1.54	0.82	1.74
Did Not Feel Need for Treatment at the Time	0.64	1.41	1.00	1.06	0.79	2.41
Thought Could Handle the Problem Without Treatment	0.95	1.56	1.29	1.73	1.30	2.40
Treatment Would Not Help	0.67	1.38	0.98	1.06	0.88	2.39
Did Not Have Time	0.87	1.18	1.23	1.77	1.16	1.61
Did Not Want Others to Find Out	0.47	1.12	0.53	0.70	0.77	1.99
No Transportation/Inconvenient	0.45	0.65	0.70	1.16	0.51	0.67
COVID-19-Related⁴	--	0.77	--	0.66	--	1.33
Some Other Reason⁵	0.71	1.03	1.08	1.50	0.91	1.32
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Total column includes respondents with unknown mental health services information. ³ Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a "no" response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.34C – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Standard Errors of Numbers in Thousands, 2019 and 2020
Reason Did Not Receive Mental Health Services¹	Total²		MENTAL HEALTH SERVICES³
	Total²		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL POPULATION	320	604	248	418	195	426
Could Not Afford Cost	208	371	164	256	119	251
Might Cause Neighbors/Community to Have Negative Opinion	98	171	75	98	59	141
Might Have Negative Effect on Job	93	140	66	98	67	99
Health Insurance Does Not Cover Any Mental Health Services	84	161	67	97	52	131
Health Insurance Does Not Pay Enough for Mental Health Services	125	231	101	148	74	180
Did Not Know Where to Go for Services	149	324	96	216	108	236
Concerned about Confidentiality	92	154	64	109	62	108
Concerned about Being Committed/Having to Take Medicine	105	230	79	170	66	153
Did Not Feel Need for Treatment at the Time	80	226	64	100	48	203
Thought Could Handle the Problem Without Treatment	153	305	108	162	104	261
Treatment Would Not Help	102	241	76	95	67	219
Did Not Have Time	138	227	106	159	83	156
Did Not Want Others to Find Out	75	192	45	69	58	180
No Transportation/Inconvenient	75	140	62	119	39	73
COVID-19-Related⁴	--	128	--	92	--	89
Some Other Reason⁵	103	186	85	136	65	119
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Total column includes respondents with unknown mental health services information. ³ Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a "no" response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.34D – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Standard Errors of Percentages, 2019 and 2020
Reason Did Not Receive Mental Health Services¹	Total²		MENTAL HEALTH SERVICES³
	Total²		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL POPULATION	0.00	0.00	0.00	0.00	0.00	0.00
Could Not Afford Cost	1.13	1.79	1.57	2.45	1.59	2.57
Might Cause Neighbors/Community to Have Negative Opinion	0.70	1.01	0.96	1.16	0.98	1.69
Might Have Negative Effect on Job	0.64	0.84	0.84	1.15	1.08	1.24
Health Insurance Does Not Cover Any Mental Health Services	0.60	0.96	0.85	1.14	0.86	1.59
Health Insurance Does Not Pay Enough for Mental Health Services	0.86	1.30	1.25	1.63	1.20	2.12
Did Not Know Where to Go for Services	0.95	1.68	1.18	2.26	1.49	2.47
Concerned about Confidentiality	0.65	0.91	0.82	1.28	1.01	1.33
Concerned about Being Committed/Having to Take Medicine	0.72	1.30	0.97	1.85	1.04	1.80
Did Not Feel Need for Treatment at the Time	0.58	1.33	0.82	1.19	0.79	2.37
Thought Could Handle the Problem Without Treatment	1.00	1.67	1.30	1.91	1.47	2.73
Treatment Would Not Help	0.74	1.39	0.97	1.15	1.09	2.49
Did Not Have Time	0.91	1.33	1.26	1.87	1.26	1.88
Did Not Want Others to Find Out	0.54	1.14	0.59	0.82	0.95	2.16
No Transportation/Inconvenient	0.54	0.86	0.79	1.39	0.65	0.95
COVID-19-Related⁴	--	0.78	--	1.08	--	1.14
Some Other Reason⁵	0.72	1.14	1.01	1.64	1.07	1.52
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Total column includes respondents with unknown mental health services information. ³ Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a "no" response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.35C – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Standard Errors of Numbers in Thousands, 2019 and 2020
Reason Did Not Receive Mental Health Services¹	Total²		MENTAL HEALTH SERVICES³
	Total²		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL POPULATION	218	405	179	310	115	246
Could Not Afford Cost	150	281	120	226	80	160
Might Cause Neighbors/Community to Have Negative Opinion	74	129	64	58	37	116
Might Have Negative Effect on Job	71	101	55	83	46	59
Health Insurance Does Not Cover Any Mental Health Services	55	102	46	71	30	73
Health Insurance Does Not Pay Enough for Mental Health Services	85	160	72	121	43	110
Did Not Know Where to Go for Services	99	217	73	170	69	133
Concerned about Confidentiality	72	115	51	100	47	56
Concerned about Being Committed/Having to Take Medicine	78	208	64	160	44	127
Did Not Feel Need for Treatment at the Time	48	113	38	65	30	93
Thought Could Handle the Problem Without Treatment	105	181	79	120	67	133
Treatment Would Not Help	74	138	59	74	43	114
Did Not Have Time	91	125	74	98	51	76
Did Not Want Others to Find Out	52	81	36	54	36	61
No Transportation/Inconvenient	55	82	46	69	26	44
COVID-19-Related⁴	--	91	--	27	--	*
Some Other Reason⁵	83	113	71	100	41	56
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Total column includes respondents with unknown mental health services information. ³ Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a "no" response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210616

Table 8.35D – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Standard Errors of Percentages, 2019 and 2020
Reason Did Not Receive Mental Health Services¹	Total²		MENTAL HEALTH SERVICES³
	Total²		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL POPULATION	0.00	0.00	0.00	0.00	0.00	0.00
Could Not Afford Cost	1.76	2.82	2.20	3.64	2.75	4.38
Might Cause Neighbors/Community to Have Negative Opinion	1.13	1.72	1.46	1.32	1.72	3.83
Might Have Negative Effect on Job	1.09	1.40	1.28	1.83	2.15	2.24
Health Insurance Does Not Cover Any Mental Health Services	0.84	1.39	1.05	1.58	1.40	2.62
Health Insurance Does Not Pay Enough for Mental Health Services	1.26	2.03	1.59	2.44	2.02	3.66
Did Not Know Where to Go for Services	1.43	2.54	1.64	3.31	2.75	4.04
Concerned about Confidentiality	1.10	1.56	1.18	2.17	2.11	2.15
Concerned about Being Committed/Having to Take Medicine	1.21	2.49	1.47	3.09	2.08	3.97
Did Not Feel Need for Treatment at the Time	0.73	1.55	0.89	1.49	1.35	3.27
Thought Could Handle the Problem Without Treatment	1.48	2.29	1.76	2.60	2.66	4.13
Treatment Would Not Help	1.11	1.83	1.36	1.68	1.92	3.75
Did Not Have Time	1.29	1.69	1.59	2.17	2.16	2.74
Did Not Want Others to Find Out	0.81	1.13	0.85	1.21	1.66	2.28
No Transportation/Inconvenient	0.84	1.14	1.07	1.58	1.24	1.64
COVID-19-Related⁴	--	1.26	--	0.61	--	*
Some Other Reason⁵	1.22	1.55	1.56	2.17	1.88	2.08
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Total column includes respondents with unknown mental health services information. ³ Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a "no" response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.36C – Major Depressive Episode in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Standard Errors of Numbers in Thousands, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	385	674	240	358	310	528
18-25	124	228	73	125	96	171
18-20	102	153	53	87	76	122
21-25	108	203	62	104	85	166
26 or Older	360	616	230	340	289	492
26-49	221	366	138	250	176	263
26-29	115	161	77	106	84	116
30-34	123	194	73	135	94	132
35-39	110	174	58	114	94	119
40-44	100	146	61	105	77	102
45-49	96	181	60	127	73	136
50 or Older	275	479	183	238	214	415
50-54	146	206	100	116	105	174
55-59	137	272	85	115	108	241
60-64	128	213	69	106	104	185
65 or Older	159	286	111	156	120	236
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.36D – Major Depressive Episode in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Standard Errors of Percentages, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	0.16	0.27	0.20	0.30	0.24	0.41
18-25	0.37	0.69	0.44	0.76	0.58	1.04
18-20	0.64	1.11	0.69	1.28	1.01	1.75
21-25	0.47	0.84	0.58	0.94	0.73	1.31
26 or Older	0.17	0.28	0.22	0.33	0.26	0.44
26-49	0.22	0.36	0.28	0.50	0.35	0.52
26-29	0.60	0.87	0.81	1.17	0.89	1.27
30-34	0.53	0.82	0.64	1.14	0.80	1.14
35-39	0.49	0.75	0.56	1.04	0.79	1.00
40-44	0.50	0.74	0.63	1.06	0.76	1.02
45-49	0.47	0.88	0.59	1.25	0.70	1.30
50 or Older	0.24	0.41	0.34	0.44	0.35	0.68
50-54	0.70	1.02	0.97	1.29	0.98	1.57
55-59	0.64	1.20	0.84	1.07	0.97	2.06
60-64	0.60	1.00	0.70	0.99	0.92	1.74
65 or Older	0.30	0.53	0.47	0.64	0.42	0.80
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.37C – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Standard Errors of Numbers in Thousands, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	331	578	200	317	259	448
18-25	101	190	60	107	79	151
18-20	73	119	39	73	57	98
21-25	86	170	50	88	69	141
26 or Older	316	518	189	297	246	407
26-49	184	320	116	210	148	235
26-29	95	137	61	85	70	104
30-34	91	154	54	98	75	116
35-39	91	152	50	108	76	99
40-44	85	113	53	73	64	85
45-49	81	165	49	113	63	119
50 or Older	236	400	146	219	184	339
50-54	114	183	79	112	83	146
55-59	119	215	74	111	90	178
60-64	108	188	52	100	92	159
65 or Older	134	242	87	136	103	199
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.37D – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Standard Errors of Percentages, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	0.13	0.23	0.17	0.26	0.20	0.35
18-25	0.30	0.57	0.36	0.65	0.48	0.92
18-20	0.50	0.90	0.56	1.11	0.80	1.46
21-25	0.39	0.74	0.48	0.81	0.62	1.17
26 or Older	0.15	0.24	0.18	0.29	0.22	0.36
26-49	0.18	0.32	0.23	0.42	0.29	0.46
26-29	0.51	0.76	0.65	0.96	0.77	1.16
30-34	0.40	0.66	0.49	0.84	0.65	1.00
35-39	0.42	0.67	0.48	1.00	0.66	0.84
40-44	0.43	0.58	0.56	0.74	0.64	0.86
45-49	0.40	0.82	0.49	1.13	0.61	1.15
50 or Older	0.21	0.35	0.27	0.40	0.30	0.55
50-54	0.56	0.91	0.78	1.24	0.79	1.35
55-59	0.56	0.98	0.73	1.03	0.82	1.58
60-64	0.51	0.89	0.54	0.94	0.82	1.52
65 or Older	0.26	0.45	0.37	0.56	0.36	0.67
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.38C – Major Depressive Episode (MDE) and MDE with Severe Impairment in Past Year: Among People Aged 18 or Older; Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with MDE and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Gender and Age Group, Standard Errors of Numbers in Thousands, 2019 and 2020
Gender/Age Group	Had MDE (2019)	Had MDE (2020)	Had MDE with Severe Impairment¹ (2019)	Had MDE with Severe Impairment¹ (2020)	Received Treatment for Depression in Past Year among People with MDE² (2019)	Received Treatment for Depression in Past Year among People with MDE² (2020)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2019)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2020)
TOTAL	385	674	331	578	342	550	298	483
18-25	124	228	101	190	103	186	84	164
26 or Older	360	616	316	518	327	512	288	439
26-49	221	366	184	320	196	296	169	256
50 or Older	275	479	236	400	255	407	218	357
MALE	240	358	200	317	194	289	161	264
18-25	73	125	60	107	58	91	46	82
26 or Older	230	340	189	297	187	273	156	248
26-49	138	250	116	210	111	182	93	159
50 or Older	183	238	146	219	153	*	125	*
FEMALE	310	528	259	448	278	455	241	396
18-25	96	171	79	151	84	157	70	144
26 or Older	289	492	246	407	262	430	230	362
26-49	176	263	148	235	158	231	140	200
50 or Older	214	415	184	339	204	359	177	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Respondents with unknown impairment data were excluded. ² Respondents with unknown past year treatment for depression data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.38D – Major Depressive Episode (MDE) and MDE with Severe Impairment in Past Year: Among People Aged 18 or Older; Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with MDE and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Gender and Age Group, Standard Errors of Percentages, 2019 and 2020
Gender/Age Group	Had MDE (2019)	Had MDE (2020)	Had MDE with Severe Impairment¹ (2019)	Had MDE with Severe Impairment¹ (2020)	Received Treatment for Depression in Past Year among People with MDE² (2019)	Received Treatment for Depression in Past Year among People with MDE² (2020)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2019)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2020)
TOTAL	0.16	0.27	0.13	0.23	0.94	1.58	1.07	1.75
18-25	0.37	0.69	0.30	0.57	1.35	2.05	1.61	2.38
26 or Older	0.17	0.28	0.15	0.24	1.18	2.00	1.29	2.24
26-49	0.22	0.36	0.18	0.32	1.25	2.25	1.43	2.58
50 or Older	0.24	0.41	0.21	0.35	2.34	3.64	2.55	3.95
MALE	0.20	0.30	0.17	0.26	1.68	2.63	2.02	3.06
18-25	0.44	0.76	0.36	0.65	2.30	3.59	2.62	4.57
26 or Older	0.22	0.33	0.18	0.29	2.13	3.28	2.57	3.80
26-49	0.28	0.50	0.23	0.42	2.31	3.76	2.68	4.27
50 or Older	0.34	0.44	0.27	0.40	4.35	*	5.37	*
FEMALE	0.24	0.41	0.20	0.35	1.11	1.93	1.16	2.12
18-25	0.58	1.04	0.48	0.92	1.78	2.48	2.14	2.83
26 or Older	0.26	0.44	0.22	0.36	1.31	2.47	1.31	2.68
26-49	0.35	0.52	0.29	0.46	1.38	2.54	1.54	2.98
50 or Older	0.35	0.68	0.30	0.55	2.50	4.63	2.38	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Respondents with unknown impairment data were excluded. ² Respondents with unknown past year treatment for depression data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.39C – Major Depressive Episode (MDE) and MDE with Severe Impairment in Past Year: Among People Aged 18 or Older; Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with MDE and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Had MDE (2019)	Had MDE (2020)	Had MDE with Severe Impairment¹ (2019)	Had MDE with Severe Impairment¹ (2020)	Received Treatment for Depression in Past Year among People with MDE² (2019)	Received Treatment for Depression in Past Year among People with MDE² (2020)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2019)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2020)
TOTAL	385	674	331	578	342	550	298	483
GENDER
Male	240	358	200	317	194	289	161	264
Female	310	528	259	448	278	455	241	396
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	347	629	299	532	313	525	269	465
White	330	582	279	494	285	474	244	418
Black or African American	123	269	103	211	98	*	82	204
AIAN	30	21	29	20	*	*	*	*
NHOPI	12	*	8	2	*	*	*	*
Asian	80	116	65	91	57	*	*	*
Two or More Races	68	109	50	91	48	*	38	*
Hispanic or Latino	170	247	134	212	133	153	115	136
EMPLOYMENT STATUS
Full-Time	248	421	202	328	200	282	173	235
Part-Time	154	245	126	209	119	195	106	180
Unemployed	87	172	71	136	67	113	54	*
Other³	263	454	234	401	240	395	215	353
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Respondents with unknown impairment data were excluded. ² Respondents with unknown past year treatment for depression data were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.39D – Major Depressive Episode (MDE) and MDE with Severe Impairment in Past Year: Among People Aged 18 or Older; Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with MDE and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Demographic Characteristics, Standard Errors of Percentages, 2019 and 2020
Demographic Characteristic	Had MDE (2019)	Had MDE (2020)	Had MDE with Severe Impairment¹ (2019)	Had MDE with Severe Impairment¹ (2020)	Received Treatment for Depression in Past Year among People with MDE² (2019)	Received Treatment for Depression in Past Year among People with MDE² (2020)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2019)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2020)
TOTAL	0.16	0.27	0.13	0.23	0.94	1.58	1.07	1.75
GENDER
Male	0.20	0.30	0.17	0.26	1.68	2.63	2.02	3.06
Female	0.24	0.41	0.20	0.35	1.11	1.93	1.16	2.12
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.17	0.30	0.14	0.26	1.02	1.63	1.10	1.80
White	0.20	0.36	0.17	0.31	1.07	1.70	1.16	1.98
Black or African American	0.40	0.84	0.34	0.68	2.93	*	3.47	4.69
AIAN	2.14	1.55	2.09	1.49	*	*	*	*
NHOPI	1.25	*	0.85	0.25	*	*	*	*
Asian	0.56	0.81	0.45	0.64	5.78	*	*	*
Two or More Races	1.47	2.25	1.11	1.87	4.81	*	5.59	*
Hispanic or Latino	0.42	0.60	0.33	0.51	2.54	4.32	3.19	5.35
EMPLOYMENT STATUS
Full-Time	0.19	0.35	0.16	0.28	1.38	2.43	1.67	2.82
Part-Time	0.46	0.76	0.38	0.65	2.16	3.16	2.44	3.32
Unemployed	0.85	1.26	0.70	1.02	4.04	5.64	4.72	*
Other³	0.31	0.49	0.28	0.44	1.63	2.47	1.76	2.72
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Respondents with unknown impairment data were excluded. ² Respondents with unknown past year treatment for depression data were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.40C – Major Depressive Episode (MDE) and MDE with Severe Impairment in Past Year: Among People Aged 18 or Older; Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with MDE and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Geographic, Socioeconomic, and Health Characteristics, Standard Errors of Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic/ Health Characteristic	Had MDE (2019)	Had MDE (2020)	Had MDE with Severe Impairment¹ (2019)	Had MDE with Severe Impairment¹ (2020)	Received Treatment for Depression in Past Year among People with MDE² (2019)	Received Treatment for Depression in Past Year among People with MDE² (2020)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2019)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2020)
TOTAL	385	674	331	578	342	550	298	483
GEOGRAPHIC REGION
Northeast	164	250	132	198	145	216	117	191
Midwest	158	284	139	248	145	257	127	206
South	229	418	198	355	198	328	168	283
West	210	362	177	314	183	284	162	263
COUNTY TYPE
Large Metro	332	506	272	438	279	401	241	363
Small Metro	225	444	179	350	188	355	160	296
Nonmetro	147	239	115	196	109	179	89	144
POVERTY LEVEL³
Less Than 100%	167	337	139	268	128	247	116	227
100-199%	205	355	173	311	174	276	147	239
200% or More	313	495	257	419	270	400	232	355
EDUCATION LEVEL
< High School	130	245	116	164	111	*	104	*
High School Graduate	187	381	150	336	147	311	126	276
Some College/Associate’s Degree	256	372	221	334	212	310	188	278
College Graduate	229	303	178	255	197	278	165	240
HEALTH INSURANCE⁴
Private	320	452	250	386	268	370	224	318
Medicaid/CHIP	210	336	180	275	180	272	163	239
Other⁵	228	437	189	371	199	370	169	333
No Coverage	116	231	94	194	74	126	67	109
OVERALL HEALTH⁶
Excellent	117	170	93	117	95	146	79	103
Very Good	225	343	172	275	180	256	150	212
Good	227	372	186	319	190	300	167	270
Fair/Poor	218	431	193	366	193	341	173	318
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Respondents with unknown impairment data were excluded. ² Respondents with unknown past year treatment for depression data were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁶ Respondents with unknown health data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.40D – Major Depressive Episode (MDE) and MDE with Severe Impairment in Past Year: Among People Aged 18 or Older; Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with MDE and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Geographic, Socioeconomic, and Health Characteristics, Standard Errors of Percentages, 2019 and 2020
Geographic/Socioeconomic/ Health Characteristic	Had MDE (2019)	Had MDE (2020)	Had MDE with Severe Impairment¹ (2019)	Had MDE with Severe Impairment¹ (2020)	Received Treatment for Depression in Past Year among People with MDE² (2019)	Received Treatment for Depression in Past Year among People with MDE² (2020)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2019)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment^1,2 (2020)
TOTAL	0.16	0.27	0.13	0.23	0.94	1.58	1.07	1.75
GEOGRAPHIC REGION
Northeast	0.38	0.58	0.31	0.46	2.19	3.39	2.32	3.06
Midwest	0.31	0.55	0.27	0.48	1.81	2.94	2.11	3.26
South	0.24	0.44	0.21	0.37	1.70	2.89	1.87	3.19
West	0.36	0.61	0.30	0.53	2.00	3.12	2.17	3.43
COUNTY TYPE
Large Metro	0.22	0.36	0.19	0.32	1.40	2.19	1.50	2.41
Small Metro	0.27	0.53	0.22	0.44	1.49	2.71	1.72	2.77
Nonmetro	0.37	0.62	0.30	0.51	2.27	3.95	2.80	5.11
POVERTY LEVEL³
Less Than 100%	0.50	0.85	0.41	0.70	1.93	4.11	2.15	3.96
100-199%	0.41	0.73	0.35	0.65	2.01	3.24	2.33	3.85
200% or More	0.18	0.29	0.15	0.25	1.27	1.87	1.45	2.18
EDUCATION LEVEL
< High School	0.43	0.87	0.38	0.58	3.08	*	3.48	*
High School Graduate	0.30	0.55	0.24	0.49	1.99	3.47	2.25	4.14
Some College/Associate’s Degree	0.32	0.49	0.28	0.44	1.43	2.31	1.62	2.57
College Graduate	0.26	0.40	0.21	0.33	1.78	2.10	1.93	2.18
HEALTH INSURANCE⁴
Private	0.19	0.28	0.15	0.24	1.23	1.81	1.41	2.15
Medicaid/CHIP	0.57	0.83	0.48	0.68	1.71	2.99	1.77	3.03
Other⁵	0.32	0.58	0.27	0.49	2.37	3.84	2.54	3.62
No Coverage	0.44	0.81	0.37	0.68	2.66	3.82	3.22	4.87
OVERALL HEALTH⁶
Excellent	0.23	0.36	0.18	0.25	2.76	4.61	3.43	5.45
Very Good	0.24	0.37	0.19	0.30	1.67	2.78	1.99	3.37
Good	0.30	0.49	0.25	0.42	1.55	2.21	1.77	2.66
Fair/Poor	0.60	1.13	0.54	0.98	1.88	3.48	1.94	3.38
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Respondents with unknown impairment data were excluded. ² Respondents with unknown past year treatment for depression data were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁶ Respondents with unknown health data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.41C – Level of Mental Illness and Major Depressive Episode (MDE) and MDE with Severe Impairment Status in Past Year: Among People Aged 18 or Older; by Past Year Substance Use Disorder Status and Past Year Substance Use Disorder for Specific Substances, Standard Errors of Numbers in Thousands, 2019 and 2020
Substance Use Disorder Status	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	Had MDE² (2019)	Had MDE² (2020)	Had MDE with Severe Impairment^2,3 (2019)	Had MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
TOTAL POPULATION	0	0	631	981	328	571	561	892	631	981	385	674	331	578	385	674
ILLICIT DRUGS	nc	595	nc	439	nc	244	nc	358	nc	396	nc	280	nc	240	nc	519
Marijuana	nc	497	nc	360	nc	176	nc	312	nc	347	nc	234	nc	187	nc	435
Cocaine	nc	178	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Heroin	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Hallucinogens	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Inhalants	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Methamphetamine	nc	181	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Misuse of Prescription Psychotherapeutics	nc	296	nc	250	nc	161	nc	187	nc	147	nc	152	nc	144	nc	253
Pain Relievers	nc	245	nc	198	nc	125	nc	151	nc	136	nc	113	nc	107	nc	218
Stimulants	nc	114	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Tranquilizers or Sedatives	nc	158	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Tranquilizers	nc	139	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Sedatives	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	255	nc	207	nc	129	nc	161	nc	137	nc	115	nc	107	nc	232
Central Nervous System Stimulants	nc	264	nc	217	nc	139	nc	163	nc	142	nc	145	nc	121	nc	214
Illicit Drugs Other Than Marijuana⁴	nc	380	nc	311	nc	203	nc	232	nc	207	nc	197	nc	177	nc	324
ALCOHOL	nc	813	nc	519	nc	257	nc	425	nc	612	nc	311	nc	271	nc	731
BOTH ILLICIT DRUGS AND ALCOHOL	nc	344	nc	285	nc	155	nc	231	nc	205	nc	178	nc	159	nc	278
ILLICIT DRUGS OR ALCOHOL	nc	958	nc	620	nc	321	nc	518	nc	698	nc	382	nc	331	nc	870
ILLICIT DRUGS ONLY	nc	485	nc	341	nc	185	nc	287	nc	339	nc	208	nc	175	nc	432
ALCOHOL ONLY	nc	717	nc	410	nc	209	nc	350	nc	580	nc	240	nc	210	nc	668
NO SUBSTANCE USE DISORDER	nc	2,761	nc	905	nc	469	nc	793	nc	2,515	nc	574	nc	474	nc	2,672
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year MDE information were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.41D – Level of Mental Illness and Major Depressive Episode (MDE) and MDE with Severe Impairment Status in Past Year: Among People Aged 18 or Older; by Past Year Substance Use Disorder Status and Past Year Substance Use Disorder for Specific Substances, Standard Errors of Percentages, 2019 and 2020
Substance Use Disorder Status	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	Had MDE² (2019)	Had MDE² (2020)	Had MDE with Severe Impairment^2,3 (2019)	Had MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
TOTAL POPULATION	0.00	0.00	0.25	0.39	0.13	0.23	0.22	0.35	0.25	0.39	0.16	0.27	0.13	0.23	0.16	0.27
ILLICIT DRUGS	nc	0.00	nc	1.77	nc	1.33	nc	1.71	nc	1.77	nc	1.52	nc	1.34	nc	1.52
Marijuana	nc	0.00	nc	2.00	nc	1.31	nc	1.97	nc	2.00	nc	1.65	nc	1.40	nc	1.65
Cocaine	nc	0.00	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Heroin	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Hallucinogens	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Inhalants	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Methamphetamine	nc	0.00	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Misuse of Prescription Psychotherapeutics	nc	0.00	nc	3.83	nc	4.13	nc	4.27	nc	3.83	nc	4.26	nc	4.00	nc	4.26
Pain Relievers	nc	0.00	nc	5.26	nc	5.14	nc	5.46	nc	5.26	nc	5.29	nc	4.84	nc	5.29
Stimulants	nc	0.00	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Tranquilizers or Sedatives	nc	0.00	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Tranquilizers	nc	0.00	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Sedatives	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	0.00	nc	4.62	nc	4.59	nc	5.02	nc	4.62	nc	4.75	nc	4.33	nc	4.75
Central Nervous System Stimulants	nc	0.00	nc	3.90	nc	3.84	nc	4.16	nc	3.90	nc	4.05	nc	3.59	nc	4.05
Illicit Drugs Other Than Marijuana⁴	nc	0.00	nc	3.02	nc	3.02	nc	3.17	nc	3.02	nc	3.15	nc	2.87	nc	3.15
ALCOHOL	nc	0.00	nc	1.42	nc	0.87	nc	1.25	nc	1.42	nc	1.04	nc	0.93	nc	1.04
BOTH ILLICIT DRUGS AND ALCOHOL	nc	0.00	nc	2.77	nc	2.19	nc	2.87	nc	2.77	nc	2.41	nc	2.26	nc	2.41
ILLICIT DRUGS OR ALCOHOL	nc	0.00	nc	1.19	nc	0.80	nc	1.09	nc	1.19	nc	0.94	nc	0.84	nc	0.94
ILLICIT DRUGS ONLY	nc	0.00	nc	2.30	nc	1.66	nc	2.22	nc	2.30	nc	1.83	nc	1.60	nc	1.83
ALCOHOL ONLY	nc	0.00	nc	1.55	nc	0.94	nc	1.40	nc	1.55	nc	1.08	nc	0.96	nc	1.08
NO SUBSTANCE USE DISORDER	nc	0.00	nc	0.39	nc	0.21	nc	0.35	nc	0.39	nc	0.26	nc	0.22	nc	0.26
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year MDE information were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.42C – Substance Use in Past Year and Past Month: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Numbers in Thousands, 2019 and 2020
Substance	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
PAST YEAR USE
Illicit Drugs	716	1,087	449	706	226	382	363	588	625	985	271	459	220	391	748	1,114
Marijuana	653	1,022	396	640	195	338	325	546	582	916	244	417	198	356	684	1,010
Cocaine	213	316	132	207	84	135	104	154	163	229	90	150	75	120	192	272
Crack	100	124	64	117	52	71	37	94	77	39	48	70	45	68	87	103
Heroin	97	149	54	136	44	67	30	118	80	30	40	58	37	55	88	137
Hallucinogens	205	372	130	228	68	137	108	175	152	283	88	146	71	122	181	331
LSD	122	186	84	133	41	93	73	94	84	122	62	105	44	90	102	150
PCP	17	38	7	37	5	32	5	19	16	6	4	32	4	31	14	19
Ecstasy	127	206	84	124	44	93	70	81	91	149	63	100	46	85	107	168
Inhalants	111	177	71	111	38	83	60	71	83	139	52	91	38	77	99	149
Methamphetamine	134	266	93	226	63	160	67	157	91	136	61	163	58	155	118	203
Misuse of Prescription Psychotherapeutics	365	577	266	396	163	220	193	342	270	432	169	241	144	218	327	545
Pain Relievers	285	466	201	311	125	173	146	256	207	356	129	178	116	162	256	433
Stimulants	173	293	113	190	72	118	88	147	121	221	78	127	64	109	155	263
Tranquilizers or Sedatives	233	339	176	286	123	166	125	234	143	186	117	181	104	166	192	288
Tranquilizers	219	311	167	262	121	162	113	209	129	173	114	174	101	162	174	262
Sedatives	100	168	75	149	45	95	61	117	67	76	49	98	43	92	89	136
Benzodiazepines	207	285	159	245	116	136	107	207	123	155	110	161	98	148	164	243
Opioids	299	470	201	312	126	177	145	255	229	357	130	179	117	164	275	438
Central Nervous Systrem Stimulants	270	467	174	321	111	214	137	232	204	329	118	229	100	200	246	401
Illicit Drugs Other Than Marijuana⁴	440	682	299	473	181	289	227	387	341	517	194	311	163	272	408	637
PAST MONTH USE
Alcohol	933	1,459	529	804	245	393	450	682	1,280	1,934	305	478	240	394	1,410	2,039
Binge Alcohol Use⁵	715	1,126	362	610	176	320	308	494	731	1,107	218	368	174	304	816	1,209
Heavy Alcohol Use	387	634	197	332	100	158	167	286	336	558	124	182	90	151	381	629
Cigarette Use	634	1,053	350	558	183	271	297	484	589	995	197	306	171	255	677	1,082
Daily Cigarette Use	516	871	275	471	147	218	235	399	448	816	156	254	136	206	517	883
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ⁵ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.42D – Substance Use in Past Year and Past Month: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Percentages, 2019 and 2020
Substance	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
PAST YEAR USE
Illicit Drugs	0.29	0.43	0.68	0.99	1.22	2.07	0.77	1.17	0.28	0.45	1.05	1.68	1.26	2.01	0.28	0.43
Marijuana	0.26	0.41	0.63	0.96	1.17	2.01	0.72	1.17	0.27	0.43	1.00	1.61	1.20	1.94	0.26	0.41
Cocaine	0.09	0.13	0.25	0.39	0.62	0.92	0.27	0.40	0.08	0.11	0.46	0.69	0.56	0.78	0.08	0.12
Crack	0.04	0.05	0.12	0.22	0.39	0.49	0.10	0.24	0.04	0.02	0.25	0.33	0.34	0.45	0.04	0.04
Heroin	0.04	0.06	0.10	0.26	0.33	0.47	0.08	0.30	0.04	0.02	0.21	0.28	0.28	0.37	0.04	0.06
Hallucinogens	0.08	0.15	0.24	0.42	0.52	0.95	0.27	0.44	0.08	0.14	0.45	0.69	0.55	0.81	0.08	0.14
LSD	0.05	0.07	0.16	0.25	0.31	0.66	0.19	0.24	0.04	0.06	0.32	0.51	0.34	0.61	0.04	0.07
PCP	0.01	0.01	0.01	0.07	0.04	0.22	0.01	0.05	0.01	0.00	0.02	0.15	0.03	0.21	0.01	0.01
Ecstasy	0.05	0.08	0.16	0.23	0.34	0.65	0.18	0.21	0.05	0.08	0.32	0.47	0.35	0.57	0.05	0.07
Inhalants	0.04	0.07	0.14	0.21	0.29	0.58	0.15	0.19	0.04	0.07	0.27	0.43	0.28	0.52	0.04	0.07
Methamphetamine	0.05	0.11	0.18	0.42	0.46	1.09	0.17	0.40	0.05	0.07	0.31	0.75	0.44	1.01	0.05	0.09
Misuse of Prescription Psychotherapeutics	0.15	0.23	0.47	0.69	1.11	1.45	0.48	0.79	0.13	0.21	0.79	1.08	1.01	1.37	0.14	0.23
Pain Relievers	0.11	0.19	0.37	0.56	0.89	1.17	0.37	0.62	0.10	0.18	0.63	0.82	0.84	1.05	0.11	0.19
Stimulants	0.07	0.12	0.21	0.35	0.54	0.82	0.23	0.38	0.06	0.11	0.39	0.59	0.48	0.72	0.07	0.11
Tranquilizers or Sedatives	0.09	0.13	0.33	0.53	0.88	1.13	0.32	0.58	0.07	0.09	0.58	0.84	0.76	1.07	0.08	0.13
Tranquilizers	0.09	0.12	0.31	0.48	0.87	1.10	0.29	0.52	0.06	0.09	0.56	0.81	0.74	1.05	0.08	0.11
Sedatives	0.04	0.07	0.15	0.28	0.34	0.66	0.16	0.30	0.03	0.04	0.25	0.46	0.33	0.61	0.04	0.06
Benzodiazepines	0.08	0.11	0.30	0.45	0.84	0.94	0.27	0.52	0.06	0.08	0.55	0.75	0.72	0.97	0.07	0.11
Opioids	0.12	0.19	0.37	0.56	0.89	1.19	0.36	0.62	0.11	0.18	0.64	0.83	0.84	1.05	0.12	0.19
Central Nervous Systrem Stimulants	0.11	0.19	0.32	0.58	0.78	1.39	0.35	0.59	0.10	0.17	0.57	1.01	0.73	1.24	0.10	0.17
Illicit Drugs Other Than Marijuana⁴	0.18	0.27	0.51	0.78	1.17	1.75	0.54	0.88	0.17	0.25	0.88	1.31	1.10	1.60	0.17	0.27
PAST MONTH USE
Alcohol	0.37	0.58	0.69	1.06	1.32	2.02	0.79	1.24	0.41	0.66	1.06	1.55	1.29	1.80	0.39	0.61
Binge Alcohol Use⁵	0.29	0.45	0.59	0.96	1.15	1.82	0.67	1.10	0.32	0.50	0.94	1.45	1.14	1.67	0.30	0.47
Heavy Alcohol Use	0.15	0.25	0.36	0.59	0.73	1.05	0.41	0.71	0.16	0.28	0.61	0.84	0.66	1.00	0.16	0.27
Cigarette Use	0.25	0.42	0.57	0.89	1.10	1.66	0.67	1.06	0.27	0.47	0.86	1.30	1.08	1.53	0.26	0.43
Daily Cigarette Use	0.21	0.35	0.48	0.81	0.97	1.41	0.55	0.93	0.22	0.39	0.72	1.13	0.91	1.29	0.21	0.36
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ⁵ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.43C – Substance Use in Past Year and Past Month: Among People Aged 18 to 25; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Numbers in Thousands, 2019 and 2020
Substance	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
PAST YEAR USE
Illicit Drugs	181	329	147	255	77	136	116	199	215	302	97	185	83	146	258	353
Marijuana	176	328	139	250	74	134	111	197	198	294	93	178	79	142	240	349
Cocaine	83	127	60	81	34	55	50	54	63	91	41	70	34	60	77	99
Crack	12	21	11	16	6	8	9	14	6	14	8	9	8	9	10	19
Heroin	17	20	15	11	9	7	12	9	7	17	11	7	11	7	12	19
Hallucinogens	89	165	64	113	34	79	57	69	74	119	44	93	37	75	88	134
LSD	67	116	49	83	23	60	44	56	47	79	30	65	27	55	62	97
PCP	11	32	5	31	5	31	1	5	10	5	4	31	4	31	5	5
Ecstasy	64	96	40	63	20	42	35	36	51	64	28	52	24	43	60	69
Inhalants	50	62	36	51	21	43	29	28	33	38	27	45	24	39	39	45
Methamphetamine	31	33	21	26	13	18	19	19	22	19	14	23	13	22	29	24
Misuse of Prescription Psychotherapeutics	122	178	85	124	50	84	69	84	98	136	59	110	54	89	125	147
Pain Relievers	75	115	55	80	38	51	40	59	53	85	41	66	37	54	67	93
Stimulants	93	122	60	86	35	54	47	68	68	90	42	71	37	58	92	103
Tranquilizers or Sedatives	67	115	52	89	33	67	40	56	45	74	42	84	39	67	55	79
Tranquilizers	65	106	51	84	31	64	39	53	43	64	39	76	37	64	53	76
Sedatives	24	58	20	44	17	36	12	26	14	37	18	49	17	41	17	25
Benzodiazepines	64	106	50	85	30	65	39	53	41	64	39	76	36	64	52	76
Opioids	75	116	54	80	38	51	39	59	54	85	41	66	37	54	67	94
Central Nervous Systrem Stimulants	116	162	81	109	44	70	67	77	88	120	55	93	46	78	113	133
Illicit Drugs Other Than Marijuana⁴	136	230	102	159	58	104	83	107	124	183	72	135	63	105	151	201
PAST MONTH USE
Alcohol	196	356	170	275	79	143	139	216	284	414	115	196	90	152	325	457
Binge Alcohol Use⁵	182	320	129	219	64	116	108	172	217	310	89	155	73	119	245	346
Heavy Alcohol Use	99	181	57	110	33	58	45	93	91	151	40	77	33	56	102	169
Cigarette Use	136	218	90	145	52	79	69	113	119	183	65	112	54	93	140	206
Daily Cigarette Use	85	129	48	79	28	42	40	65	66	100	32	68	30	51	76	109
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ⁵ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.43D – Substance Use in Past Year and Past Month: Among People Aged 18 to 25; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Percentages, 2019 and 2020
Substance	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
PAST YEAR USE
Illicit Drugs	0.54	0.98	0.88	1.73	1.65	3.26	1.03	1.92	0.62	1.09	1.26	2.37	1.60	2.74	0.60	1.01
Marijuana	0.52	0.98	0.88	1.73	1.65	3.24	1.05	1.97	0.59	1.09	1.27	2.34	1.56	2.72	0.57	1.02
Cocaine	0.24	0.38	0.54	0.77	1.11	1.62	0.64	0.76	0.25	0.38	0.75	1.20	0.94	1.43	0.25	0.35
Crack	0.04	0.06	0.11	0.16	0.22	0.23	0.12	0.20	0.03	0.06	0.16	0.17	0.23	0.23	0.04	0.07
Heroin	0.05	0.06	0.15	0.11	0.32	0.21	0.17	0.13	0.03	0.07	0.22	0.13	0.31	0.17	0.04	0.07
Hallucinogens	0.26	0.49	0.57	1.02	1.11	2.18	0.72	0.96	0.29	0.50	0.78	1.53	0.99	1.79	0.28	0.47
LSD	0.20	0.35	0.46	0.78	0.77	1.72	0.58	0.79	0.19	0.34	0.55	1.12	0.72	1.35	0.21	0.35
PCP	0.03	0.09	0.05	0.30	0.17	0.94	0.02	0.07	0.04	0.02	0.08	0.55	0.12	0.77	0.02	0.02
Ecstasy	0.19	0.29	0.39	0.60	0.68	1.24	0.48	0.52	0.21	0.27	0.54	0.91	0.69	1.07	0.20	0.25
Inhalants	0.15	0.18	0.34	0.50	0.72	1.27	0.39	0.40	0.14	0.16	0.52	0.78	0.68	0.95	0.14	0.17
Methamphetamine	0.09	0.10	0.21	0.26	0.44	0.55	0.27	0.27	0.09	0.08	0.27	0.40	0.38	0.54	0.10	0.09
Misuse of Prescription Psychotherapeutics	0.36	0.53	0.71	1.11	1.50	2.30	0.83	1.14	0.36	0.56	1.03	1.72	1.36	2.02	0.39	0.50
Pain Relievers	0.22	0.34	0.52	0.76	1.22	1.51	0.55	0.82	0.21	0.36	0.78	1.11	1.05	1.30	0.22	0.33
Stimulants	0.27	0.37	0.54	0.80	1.12	1.59	0.61	0.94	0.27	0.38	0.79	1.20	1.01	1.42	0.30	0.37
Tranquilizers or Sedatives	0.20	0.34	0.49	0.83	1.10	1.91	0.52	0.79	0.18	0.32	0.79	1.38	1.06	1.60	0.18	0.29
Tranquilizers	0.19	0.32	0.47	0.80	1.03	1.83	0.51	0.76	0.18	0.27	0.74	1.26	1.01	1.53	0.18	0.28
Sedatives	0.07	0.17	0.20	0.42	0.58	1.07	0.16	0.37	0.06	0.16	0.36	0.86	0.51	0.99	0.06	0.09
Benzodiazepines	0.19	0.32	0.47	0.81	1.00	1.86	0.51	0.76	0.17	0.27	0.73	1.26	0.99	1.53	0.18	0.28
Opioids	0.22	0.35	0.51	0.76	1.22	1.51	0.53	0.83	0.21	0.36	0.77	1.11	1.05	1.30	0.22	0.33
Central Nervous Systrem Stimulants	0.34	0.48	0.68	0.98	1.35	2.01	0.82	1.06	0.34	0.50	0.98	1.49	1.19	1.82	0.36	0.47
Illicit Drugs Other Than Marijuana⁴	0.40	0.69	0.79	1.36	1.63	2.64	0.94	1.43	0.44	0.74	1.17	2.00	1.51	2.25	0.44	0.68
PAST MONTH USE
Alcohol	0.58	1.06	0.95	1.59	1.72	2.66	1.12	2.02	0.68	1.29	1.39	2.10	1.64	2.43	0.63	1.17
Binge Alcohol Use⁵	0.54	0.95	0.91	1.59	1.71	2.64	1.12	1.98	0.63	1.12	1.27	2.12	1.56	2.40	0.58	1.04
Heavy Alcohol Use	0.29	0.54	0.54	0.98	1.10	1.70	0.61	1.24	0.35	0.62	0.75	1.29	0.91	1.39	0.33	0.58
Cigarette Use	0.40	0.65	0.76	1.22	1.47	2.12	0.87	1.43	0.43	0.73	1.08	1.78	1.36	2.05	0.43	0.69
Daily Cigarette Use	0.25	0.38	0.48	0.75	0.93	1.27	0.56	0.90	0.28	0.43	0.62	1.17	0.85	1.23	0.27	0.40
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ⁵ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.44C – Substance Use in Past Year and Past Month: Among People Aged 26 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Numbers in Thousands, 2019 and 2020
Substance	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
PAST YEAR USE
Illicit Drugs	669	997	407	651	212	354	328	548	584	922	248	412	207	357	682	1,040
Marijuana	610	917	350	580	175	309	290	502	549	846	216	372	180	321	628	924
Cocaine	188	279	113	191	74	125	88	144	150	202	79	133	66	104	169	245
Crack	100	121	64	115	53	70	36	91	77	37	49	69	46	67	87	99
Heroin	96	140	51	136	43	68	28	118	80	25	38	59	34	55	88	126
Hallucinogens	170	309	105	200	59	114	87	160	130	235	73	121	62	99	150	284
LSD	97	146	64	105	33	76	55	73	70	99	49	89	35	73	81	114
PCP	13	20	5	20	1	7	5	18	12	*	*	7	*	*	13	19
Ecstasy	100	178	68	110	40	84	57	73	74	130	50	88	39	75	86	152
Inhalants	96	169	62	98	32	71	54	68	77	135	43	79	29	66	91	146
Methamphetamine	129	264	89	224	63	159	65	155	89	135	58	163	56	154	115	200
Misuse of Prescription Psychotherapeutics	330	548	247	380	156	204	180	333	248	416	158	214	136	197	293	522
Pain Relievers	276	447	192	300	119	167	142	250	201	346	124	164	110	151	247	418
Stimulants	138	261	96	168	61	106	77	128	98	204	64	110	51	94	122	240
Tranquilizers or Sedatives	219	322	168	276	119	154	119	229	135	173	108	163	96	153	179	278
Tranquilizers	205	296	159	252	117	149	107	205	121	164	106	159	94	149	162	252
Sedatives	98	159	73	144	41	89	60	114	65	67	44	86	38	84	87	133
Benzodiazepines	194	270	151	236	113	122	101	203	115	145	102	145	92	135	151	233
Opioids	293	453	194	302	121	170	142	251	224	347	126	165	111	152	267	425
Central Nervous Systrem Stimulants	240	426	155	301	102	203	122	220	185	306	106	209	89	184	215	371
Illicit Drugs Other Than Marijuana⁴	395	633	270	450	172	267	206	378	310	478	178	278	153	250	361	598
PAST MONTH USE
Alcohol	885	1,384	492	762	228	362	422	661	1,236	1,867	285	436	227	365	1,345	1,968
Binge Alcohol Use⁵	675	1,061	345	576	165	297	292	474	680	1,038	203	334	158	284	752	1,136
Heavy Alcohol Use	376	595	189	314	93	145	161	272	327	529	115	163	81	141	366	594
Cigarette Use	613	1,036	336	540	175	259	288	473	565	978	189	291	163	238	645	1,056
Daily Cigarette Use	501	861	269	464	144	214	231	393	439	811	154	245	134	199	502	873
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ⁵ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.44D – Substance Use in Past Year and Past Month: Among People Aged 26 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Percentages, 2019 and 2020
Substance	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
PAST YEAR USE
Illicit Drugs	0.31	0.46	0.79	1.17	1.47	2.46	0.88	1.34	0.31	0.48	1.32	2.06	1.57	2.51	0.30	0.46
Marijuana	0.28	0.42	0.72	1.10	1.38	2.35	0.80	1.32	0.29	0.45	1.23	1.96	1.47	2.40	0.28	0.42
Cocaine	0.09	0.13	0.27	0.44	0.70	1.10	0.28	0.45	0.09	0.11	0.54	0.85	0.66	0.94	0.08	0.12
Crack	0.05	0.06	0.15	0.27	0.51	0.64	0.11	0.28	0.04	0.02	0.34	0.45	0.47	0.61	0.04	0.05
Heroin	0.04	0.06	0.12	0.32	0.41	0.61	0.09	0.37	0.05	0.01	0.26	0.38	0.35	0.50	0.04	0.06
Hallucinogens	0.08	0.14	0.25	0.46	0.58	1.03	0.27	0.50	0.07	0.13	0.51	0.77	0.63	0.90	0.07	0.14
LSD	0.04	0.07	0.15	0.25	0.32	0.69	0.17	0.23	0.04	0.06	0.34	0.58	0.36	0.67	0.04	0.06
PCP	0.01	0.01	0.01	0.05	0.01	0.06	0.01	0.06	0.01	*	*	0.05	*	*	0.01	0.01
Ecstasy	0.05	0.08	0.16	0.26	0.39	0.75	0.18	0.23	0.04	0.07	0.35	0.56	0.40	0.68	0.04	0.08
Inhalants	0.04	0.08	0.15	0.23	0.31	0.64	0.17	0.22	0.04	0.08	0.30	0.51	0.29	0.61	0.05	0.07
Methamphetamine	0.06	0.12	0.21	0.52	0.60	1.40	0.20	0.48	0.05	0.08	0.40	1.02	0.57	1.36	0.06	0.10
Misuse of Prescription Psychotherapeutics	0.15	0.25	0.55	0.83	1.34	1.74	0.55	0.96	0.14	0.23	0.99	1.32	1.27	1.71	0.14	0.25
Pain Relievers	0.13	0.20	0.44	0.67	1.07	1.46	0.44	0.75	0.11	0.19	0.81	1.04	1.06	1.34	0.12	0.20
Stimulants	0.06	0.12	0.23	0.39	0.59	0.95	0.25	0.40	0.06	0.12	0.44	0.69	0.52	0.84	0.06	0.12
Tranquilizers or Sedatives	0.10	0.15	0.39	0.63	1.09	1.36	0.37	0.69	0.08	0.10	0.72	1.04	0.94	1.36	0.09	0.14
Tranquilizers	0.09	0.14	0.37	0.57	1.08	1.32	0.34	0.62	0.07	0.09	0.71	1.01	0.93	1.33	0.08	0.12
Sedatives	0.05	0.07	0.18	0.34	0.39	0.80	0.19	0.36	0.04	0.04	0.31	0.56	0.39	0.76	0.04	0.07
Benzodiazepines	0.09	0.12	0.35	0.54	1.04	1.09	0.32	0.62	0.07	0.08	0.69	0.92	0.91	1.21	0.08	0.12
Opioids	0.14	0.21	0.44	0.68	1.08	1.48	0.44	0.75	0.13	0.19	0.82	1.05	1.07	1.36	0.13	0.21
Central Nervous Systrem Stimulants	0.11	0.19	0.36	0.68	0.94	1.71	0.38	0.68	0.10	0.17	0.70	1.28	0.88	1.59	0.11	0.18
Illicit Drugs Other Than Marijuana⁴	0.18	0.29	0.58	0.94	1.42	2.12	0.62	1.07	0.17	0.26	1.09	1.63	1.39	2.06	0.17	0.28
PAST MONTH USE
Alcohol	0.41	0.63	0.83	1.25	1.60	2.44	0.93	1.46	0.45	0.71	1.38	1.97	1.67	2.33	0.42	0.66
Binge Alcohol Use⁵	0.31	0.49	0.71	1.15	1.39	2.23	0.79	1.29	0.34	0.53	1.21	1.82	1.41	2.17	0.32	0.51
Heavy Alcohol Use	0.17	0.27	0.43	0.70	0.86	1.25	0.48	0.83	0.18	0.30	0.76	1.01	0.80	1.25	0.18	0.29
Cigarette Use	0.28	0.47	0.67	1.08	1.34	2.07	0.79	1.26	0.30	0.52	1.11	1.68	1.38	1.98	0.29	0.49
Daily Cigarette Use	0.23	0.39	0.57	0.97	1.20	1.79	0.66	1.10	0.24	0.44	0.95	1.46	1.19	1.71	0.24	0.41
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ⁵ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.45C – Substance Use in Past Year and Past Month: Among People Aged 26 to 49; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Numbers in Thousands, 2019 and 2020
Substance	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
PAST YEAR USE
Illicit Drugs	392	655	277	439	143	243	228	366	363	598	163	268	135	228	444	705
Marijuana	373	609	248	406	128	224	203	343	341	545	150	250	125	212	406	635
Cocaine	144	238	103	150	63	97	82	116	105	185	69	108	55	73	128	216
Crack	46	92	42	85	34	55	25	65	18	33	30	54	29	53	35	75
Heroin	61	88	47	85	42	55	21	64	36	21	35	44	34	38	49	77
Hallucinogens	145	265	100	176	56	108	85	137	103	195	66	110	55	94	128	240
LSD	83	142	64	101	33	76	55	67	53	98	49	86	35	73	67	111
PCP	13	7	5	7	1	7	5	1	12	*	1	7	*	*	13	*
Ecstasy	96	175	67	109	39	84	57	70	70	129	49	88	38	75	83	150
Inhalants	64	162	44	91	32	65	31	63	53	132	34	74	29	66	61	141
Methamphetamine	95	169	78	137	60	82	51	111	56	98	53	88	51	75	80	142
Misuse of Prescription Psychotherapeutics	219	369	173	267	104	151	132	218	163	276	109	165	89	148	213	350
Pain Relievers	176	288	138	209	85	129	101	165	123	203	88	126	75	115	163	266
Stimulants	122	229	85	157	57	88	67	127	87	174	56	101	46	84	111	208
Tranquilizers or Sedatives	133	238	112	196	72	100	84	163	80	138	75	118	59	105	115	203
Tranquilizers	131	221	108	179	70	94	81	148	77	134	72	113	56	100	112	188
Sedatives	55	100	47	89	29	51	34	73	28	43	34	45	26	44	43	88
Benzodiazepines	125	209	103	174	65	86	78	145	76	121	70	109	55	96	107	176
Opioids	183	291	141	213	87	133	102	167	128	204	91	128	77	117	170	269
Central Nervous Systrem Stimulants	194	331	141	223	90	129	110	181	139	253	92	146	77	110	176	302
Illicit Drugs Other Than Marijuana⁴	271	434	201	306	118	177	159	250	206	346	126	195	105	166	266	419
PAST MONTH USE
Alcohol	454	717	365	524	165	249	312	438	646	1,060	193	285	154	240	751	1,198
Binge Alcohol Use⁵	420	649	265	391	114	186	233	330	457	660	135	212	108	172	527	764
Heavy Alcohol Use	242	373	140	200	67	108	116	171	195	321	79	122	65	104	234	364
Cigarette Use	372	591	234	345	127	204	193	285	338	521	131	216	112	172	402	589
Daily Cigarette Use	289	457	176	286	96	164	146	233	243	379	106	174	92	132	290	436
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ⁵ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.45D – Substance Use in Past Year and Past Month: Among People Aged 26 to 49; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Percentages, 2019 and 2020
Substance	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
PAST YEAR USE
Illicit Drugs	0.39	0.65	0.80	1.24	1.45	2.41	0.94	1.46	0.42	0.70	1.31	2.13	1.56	2.51	0.40	0.66
Marijuana	0.37	0.60	0.77	1.22	1.46	2.41	0.87	1.46	0.40	0.65	1.33	2.10	1.61	2.47	0.38	0.61
Cocaine	0.14	0.23	0.40	0.57	0.88	1.32	0.44	0.61	0.14	0.24	0.75	1.14	0.87	1.09	0.14	0.23
Crack	0.05	0.09	0.17	0.33	0.49	0.78	0.13	0.34	0.02	0.04	0.33	0.58	0.47	0.81	0.04	0.08
Heroin	0.06	0.09	0.19	0.33	0.60	0.77	0.12	0.34	0.05	0.03	0.39	0.48	0.55	0.58	0.05	0.08
Hallucinogens	0.14	0.26	0.39	0.66	0.80	1.45	0.45	0.71	0.13	0.26	0.71	1.16	0.88	1.37	0.14	0.26
LSD	0.08	0.14	0.25	0.39	0.47	1.06	0.30	0.36	0.07	0.13	0.54	0.93	0.57	1.10	0.07	0.12
PCP	0.01	0.01	0.02	0.03	0.01	0.10	0.02	0.01	0.02	*	0.01	0.08	*	*	0.01	*
Ecstasy	0.09	0.17	0.26	0.42	0.56	1.15	0.31	0.38	0.09	0.17	0.54	0.93	0.62	1.10	0.09	0.16
Inhalants	0.06	0.16	0.17	0.35	0.45	0.91	0.17	0.34	0.07	0.17	0.37	0.80	0.47	1.00	0.07	0.15
Methamphetamine	0.09	0.17	0.30	0.52	0.83	1.13	0.27	0.58	0.07	0.13	0.57	0.94	0.82	1.11	0.09	0.15
Misuse of Prescription Psychotherapeutics	0.22	0.36	0.62	0.96	1.35	1.93	0.67	1.07	0.21	0.36	1.11	1.66	1.36	2.05	0.22	0.37
Pain Relievers	0.17	0.28	0.52	0.77	1.14	1.71	0.53	0.84	0.16	0.26	0.94	1.32	1.19	1.65	0.17	0.28
Stimulants	0.12	0.23	0.32	0.59	0.80	1.20	0.36	0.66	0.11	0.23	0.61	1.06	0.74	1.23	0.12	0.23
Tranquilizers or Sedatives	0.13	0.23	0.42	0.74	1.00	1.36	0.44	0.84	0.10	0.18	0.80	1.24	0.94	1.53	0.12	0.22
Tranquilizers	0.13	0.22	0.41	0.67	0.97	1.29	0.43	0.76	0.10	0.18	0.77	1.19	0.89	1.46	0.12	0.20
Sedatives	0.05	0.10	0.18	0.35	0.42	0.72	0.19	0.39	0.04	0.06	0.38	0.49	0.42	0.68	0.05	0.10
Benzodiazepines	0.12	0.21	0.39	0.66	0.91	1.19	0.41	0.75	0.10	0.16	0.75	1.16	0.89	1.42	0.11	0.19
Opioids	0.18	0.29	0.53	0.78	1.17	1.75	0.53	0.85	0.16	0.27	0.96	1.33	1.21	1.67	0.18	0.29
Central Nervous Systrem Stimulants	0.19	0.33	0.52	0.82	1.19	1.67	0.57	0.92	0.18	0.33	0.96	1.49	1.18	1.56	0.19	0.32
Illicit Drugs Other Than Marijuana⁴	0.27	0.43	0.68	1.04	1.45	2.11	0.77	1.18	0.26	0.44	1.22	1.86	1.52	2.18	0.27	0.43
PAST MONTH USE
Alcohol	0.45	0.71	0.79	1.20	1.45	2.25	0.92	1.42	0.51	0.85	1.32	1.93	1.58	2.37	0.47	0.74
Binge Alcohol Use⁵	0.41	0.64	0.79	1.23	1.40	2.17	0.94	1.43	0.49	0.74	1.25	1.93	1.49	2.21	0.44	0.68
Heavy Alcohol Use	0.24	0.37	0.52	0.74	0.94	1.43	0.58	0.88	0.24	0.42	0.85	1.27	1.01	1.50	0.24	0.38
Cigarette Use	0.37	0.58	0.75	1.17	1.44	2.31	0.88	1.34	0.40	0.66	1.21	2.00	1.44	2.23	0.38	0.60
Daily Cigarette Use	0.29	0.45	0.62	1.02	1.21	2.04	0.72	1.15	0.30	0.49	1.06	1.70	1.31	1.83	0.29	0.46
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ⁵ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.46C – Substance Use in Past Year and Past Month: Among People Aged 50 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Numbers in Thousands, 2019 and 2020
Substance	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
PAST YEAR USE
Illicit Drugs	484	744	272	470	151	249	220	395	426	657	175	300	149	267	484	732
Marijuana	431	673	235	403	116	201	201	349	391	599	154	262	132	232	443	643
Cocaine	115	139	50	118	39	78	32	85	105	75	37	77	34	74	110	113
Crack	87	78	45	77	37	*	26	63	75	16	36	44	33	*	80	65
Heroin	73	107	18	107	9	*	16	99	71	13	14	*	6	*	72	100
Hallucinogens	86	149	39	99	18	36	34	92	71	111	29	43	27	*	80	143
LSD	44	34	3	30	3	6	*	29	44	17	3	23	3	*	44	25
PCP	*	19	*	18	*	*	*	18	*	*	*	*	*	*	*	19
Ecstasy	27	25	8	18	8	*	*	18	25	16	8	*	8	*	25	25
Inhalants	67	47	44	40	*	31	44	26	51	24	*	31	*	*	62	35
Methamphetamine	89	204	46	176	23	*	39	108	72	92	26	136	24	*	85	146
Misuse of Prescription Psychotherapeutics	250	418	171	278	113	136	122	249	189	321	108	133	97	128	216	396
Pain Relievers	206	340	130	217	82	107	96	187	159	275	86	103	79	98	186	323
Stimulants	64	162	45	62	24	59	39	18	45	148	31	42	23	42	55	157
Tranquilizers or Sedatives	167	223	122	198	91	116	82	160	110	105	74	111	72	109	136	194
Tranquilizers	152	203	114	181	91	115	69	140	95	94	74	109	72	109	116	172
Sedatives	81	124	56	114	28	73	49	88	59	50	28	73	28	71	76	100
Benzodiazepines	144	184	108	166	88	85	62	143	89	81	71	93	69	92	106	159
Opioids	223	342	129	218	82	107	96	189	184	275	87	103	79	98	207	324
Central Nervous Systrem Stimulants	147	276	72	199	47	151	54	125	127	186	50	145	43	143	140	232
Illicit Drugs Other Than Marijuana⁴	291	465	180	337	120	196	128	281	236	334	120	193	104	186	263	428
PAST MONTH USE
Alcohol	740	1,088	333	539	145	257	303	483	1,023	1,416	203	321	155	277	1,075	1,480
Binge Alcohol Use⁵	526	813	225	405	118	218	193	335	528	778	144	243	109	220	549	836
Heavy Alcohol Use	286	471	123	239	57	95	108	209	264	419	78	107	47	94	276	472
Cigarette Use	479	824	237	421	118	159	212	381	452	773	133	198	120	171	497	839
Daily Cigarette Use	403	709	203	360	104	138	178	318	360	676	113	170	100	150	399	722
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ⁵ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.46D – Substance Use in Past Year and Past Month: Among People Aged 50 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Percentages, 2019 and 2020
Substance	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
PAST YEAR USE
Illicit Drugs	0.42	0.64	1.47	2.26	3.46	5.04	1.51	2.50	0.40	0.62	2.67	3.87	3.30	4.77	0.41	0.63
Marijuana	0.37	0.58	1.32	2.09	2.97	4.43	1.43	2.39	0.37	0.57	2.45	3.59	3.09	4.49	0.38	0.56
Cocaine	0.10	0.12	0.31	0.69	1.12	1.94	0.25	0.66	0.11	0.07	0.67	1.24	0.93	1.68	0.10	0.10
Crack	0.08	0.07	0.28	0.45	1.09	*	0.20	0.49	0.08	0.02	0.65	0.71	0.90	*	0.07	0.06
Heroin	0.06	0.09	0.11	0.62	0.28	*	0.12	0.76	0.07	0.01	0.25	*	0.16	*	0.07	0.09
Hallucinogens	0.07	0.13	0.24	0.58	0.53	0.90	0.26	0.70	0.07	0.11	0.55	0.70	0.74	*	0.07	0.13
LSD	0.04	0.03	0.02	0.18	0.08	0.16	*	0.22	0.04	0.02	0.05	0.38	0.07	*	0.04	0.02
PCP	*	0.02	*	0.11	*	*	*	0.14	*	*	*	*	*	*	*	0.02
Ecstasy	0.02	0.02	0.05	0.11	0.23	*	*	0.14	0.03	0.02	0.14	*	0.22	*	0.02	0.02
Inhalants	0.06	0.04	0.27	0.24	*	0.79	0.34	0.20	0.05	0.02	*	0.50	*	*	0.06	0.03
Methamphetamine	0.08	0.17	0.28	1.02	0.68	*	0.31	0.83	0.07	0.09	0.47	2.12	0.65	*	0.08	0.13
Misuse of Prescription Psychotherapeutics	0.22	0.36	1.00	1.52	2.99	3.27	0.92	1.75	0.19	0.32	1.85	2.07	2.46	2.81	0.20	0.35
Pain Relievers	0.18	0.29	0.77	1.22	2.27	2.61	0.73	1.37	0.16	0.27	1.53	1.63	2.08	2.21	0.17	0.29
Stimulants	0.06	0.14	0.28	0.36	0.70	1.47	0.30	0.14	0.05	0.15	0.56	0.67	0.64	0.95	0.05	0.14
Tranquilizers or Sedatives	0.15	0.19	0.73	1.13	2.50	2.82	0.63	1.18	0.11	0.11	1.31	1.75	1.88	2.42	0.12	0.18
Tranquilizers	0.13	0.17	0.68	1.04	2.51	2.79	0.53	1.04	0.10	0.10	1.31	1.72	1.88	2.41	0.11	0.16
Sedatives	0.07	0.11	0.35	0.67	0.84	1.81	0.38	0.67	0.06	0.05	0.52	1.17	0.78	1.61	0.07	0.09
Benzodiazepines	0.12	0.16	0.65	0.96	2.46	2.09	0.47	1.07	0.09	0.08	1.27	1.47	1.81	2.07	0.10	0.14
Opioids	0.19	0.29	0.77	1.24	2.27	2.61	0.72	1.39	0.18	0.27	1.54	1.63	2.08	2.21	0.19	0.29
Central Nervous Systrem Stimulants	0.13	0.24	0.44	1.15	1.37	3.58	0.42	0.96	0.13	0.19	0.90	2.25	1.17	3.10	0.13	0.21
Illicit Drugs Other Than Marijuana⁴	0.25	0.40	1.05	1.79	3.08	4.37	0.96	1.95	0.23	0.33	2.01	2.87	2.61	3.83	0.24	0.38
PAST MONTH USE
Alcohol	0.64	0.93	1.58	2.42	3.38	5.25	1.76	2.77	0.68	0.99	2.75	3.92	3.31	4.76	0.66	0.97
Binge Alcohol Use⁵	0.46	0.70	1.28	2.11	3.09	4.71	1.36	2.31	0.48	0.73	2.32	3.42	2.72	4.30	0.46	0.72
Heavy Alcohol Use	0.25	0.40	0.73	1.35	1.63	2.34	0.81	1.55	0.26	0.41	1.38	1.68	1.25	2.10	0.25	0.42
Cigarette Use	0.42	0.71	1.27	2.15	2.94	3.74	1.45	2.50	0.43	0.73	2.17	2.92	2.87	3.57	0.43	0.72
Daily Cigarette Use	0.35	0.61	1.12	1.92	2.72	3.29	1.26	2.21	0.35	0.64	1.88	2.55	2.46	3.20	0.35	0.62
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ⁵ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

210607

Table 8.47C – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Numbers in Thousands, 2019 and 2020
Substance Use Disorder Status	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
TOTAL POPULATION	0	0	754	1,107	336	595	651	955	1,840	2,622	406	700	342	591	2,035	2,824
ILLICIT DRUGS	nc	580	nc	439	nc	244	nc	358	nc	396	nc	280	nc	240	nc	519
Marijuana	nc	485	nc	360	nc	176	nc	312	nc	347	nc	234	nc	187	nc	435
Cocaine	nc	178	nc	145	nc	92	nc	109	nc	103	nc	105	nc	74	nc	143
Heroin	nc	137	nc	122	nc	40	nc	115	nc	30	nc	27	nc	19	nc	133
Hallucinogens	nc	55	nc	51	nc	30	nc	41	nc	22	nc	41	nc	31	nc	37
Inhalants	nc	53	nc	22	nc	20	nc	8	nc	48	nc	21	nc	18	nc	48
Methamphetamine	nc	180	nc	151	nc	93	nc	114	nc	99	nc	95	nc	91	nc	146
Misuse of Prescription Psychotherapeutics	nc	297	nc	250	nc	161	nc	187	nc	147	nc	152	nc	144	nc	253
Pain Relievers	nc	245	nc	198	nc	125	nc	151	nc	136	nc	113	nc	107	nc	218
Stimulants	nc	115	nc	91	nc	62	nc	70	nc	56	nc	51	nc	50	nc	101
Tranquilizers or Sedatives	nc	158	nc	149	nc	109	nc	103	nc	54	nc	109	nc	104	nc	115
Tranquilizers	nc	139	nc	128	nc	108	nc	71	nc	53	nc	107	nc	104	nc	89
Sedatives	nc	104	nc	102	nc	69	nc	75	nc	20	nc	72	nc	70	nc	75
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	256	nc	207	nc	129	nc	161	nc	137	nc	115	nc	107	nc	232
Central Nervous System Stimulants	nc	264	nc	217	nc	139	nc	163	nc	142	nc	145	nc	121	nc	214
Illicit Drugs Other Than Marijuana⁴	nc	381	nc	311	nc	203	nc	232	nc	207	nc	197	nc	177	nc	324
ALCOHOL	nc	783	nc	519	nc	257	nc	425	nc	612	nc	311	nc	271	nc	731
BOTH ILLICIT DRUGS AND ALCOHOL	nc	344	nc	285	nc	155	nc	231	nc	205	nc	178	nc	159	nc	278
ILLICIT DRUGS OR ALCOHOL	nc	900	nc	620	nc	321	nc	518	nc	698	nc	382	nc	331	nc	870
ILLICIT DRUGS ONLY	nc	474	nc	341	nc	185	nc	287	nc	339	nc	208	nc	175	nc	432
ALCOHOL ONLY	nc	691	nc	410	nc	209	nc	350	nc	580	nc	240	nc	210	nc	668
NO SUBSTANCE USE DISORDER	nc	900	nc	905	nc	469	nc	793	nc	2,515	nc	574	nc	474	nc	2,672
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year MDE information were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.47D – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Percentages, 2019 and 2020
Substance Use Disorder Status	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
TOTAL POPULATION	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
ILLICIT DRUGS	nc	0.23	nc	0.75	nc	1.58	nc	0.84	nc	0.20	nc	1.21	nc	1.46	nc	0.22
Marijuana	nc	0.19	nc	0.64	nc	1.21	nc	0.76	nc	0.17	nc	1.06	nc	1.20	nc	0.19
Cocaine	nc	0.07	nc	0.27	nc	0.64	nc	0.28	nc	0.05	nc	0.50	nc	0.49	nc	0.06
Heroin	nc	0.05	nc	0.23	nc	0.28	nc	0.30	nc	0.02	nc	0.13	nc	0.13	nc	0.06
Hallucinogens	nc	0.02	nc	0.10	nc	0.21	nc	0.11	nc	0.01	nc	0.20	nc	0.21	nc	0.02
Inhalants	nc	0.02	nc	0.04	nc	0.14	nc	0.02	nc	0.02	nc	0.10	nc	0.12	nc	0.02
Methamphetamine	nc	0.07	nc	0.28	nc	0.65	nc	0.29	nc	0.05	nc	0.45	nc	0.61	nc	0.06
Misuse of Prescription Psychotherapeutics	nc	0.12	nc	0.46	nc	1.09	nc	0.47	nc	0.07	nc	0.71	nc	0.93	nc	0.11
Pain Relievers	nc	0.10	nc	0.37	nc	0.87	nc	0.38	nc	0.07	nc	0.53	nc	0.71	nc	0.10
Stimulants	nc	0.05	nc	0.17	nc	0.43	nc	0.18	nc	0.03	nc	0.24	nc	0.33	nc	0.04
Tranquilizers or Sedatives	nc	0.06	nc	0.28	nc	0.76	nc	0.27	nc	0.03	nc	0.51	nc	0.69	nc	0.05
Tranquilizers	nc	0.06	nc	0.24	nc	0.75	nc	0.18	nc	0.03	nc	0.51	nc	0.69	nc	0.04
Sedatives	nc	0.04	nc	0.19	nc	0.49	nc	0.19	nc	0.01	nc	0.34	nc	0.47	nc	0.03
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	0.10	nc	0.39	nc	0.89	nc	0.41	nc	0.07	nc	0.54	nc	0.71	nc	0.10
Central Nervous System Stimulants	nc	0.10	nc	0.41	nc	0.96	nc	0.42	nc	0.07	nc	0.68	nc	0.80	nc	0.09
Illicit Drugs Other Than Marijuana⁴	nc	0.15	nc	0.57	nc	1.36	nc	0.58	nc	0.10	nc	0.90	nc	1.13	nc	0.14
ALCOHOL	nc	0.31	nc	0.86	nc	1.54	nc	0.99	nc	0.30	nc	1.30	nc	1.58	nc	0.31
BOTH ILLICIT DRUGS AND ALCOHOL	nc	0.14	nc	0.52	nc	1.06	nc	0.59	nc	0.10	nc	0.82	nc	1.03	nc	0.12
ILLICIT DRUGS OR ALCOHOL	nc	0.36	nc	0.96	nc	1.79	nc	1.11	nc	0.34	nc	1.50	nc	1.80	nc	0.36
ILLICIT DRUGS ONLY	nc	0.19	nc	0.61	nc	1.24	nc	0.70	nc	0.17	nc	0.94	nc	1.10	nc	0.19
ALCOHOL ONLY	nc	0.27	nc	0.71	nc	1.31	nc	0.83	nc	0.29	nc	1.04	nc	1.27	nc	0.28
NO SUBSTANCE USE DISORDER	nc	0.36	nc	0.96	nc	1.79	nc	1.11	nc	0.34	nc	1.50	nc	1.80	nc	0.36
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year MDE information were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.48C – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 18 to 25; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Numbers in Thousands, 2019 and 2020
Substance Use Disorder Status	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
TOTAL POPULATION	0	0	231	382	101	193	184	298	433	610	149	264	115	210	490	693
ILLICIT DRUGS	nc	215	nc	169	nc	94	nc	138	nc	161	nc	126	nc	103	nc	194
Marijuana	nc	210	nc	164	nc	93	nc	133	nc	157	nc	123	nc	99	nc	187
Cocaine	nc	46	nc	44	nc	27	nc	35	nc	13	nc	38	nc	30	nc	26
Heroin	nc	16	nc	7	nc	5	nc	5	nc	14	nc	6	nc	5	nc	14
Hallucinogens	nc	31	nc	23	nc	19	nc	13	nc	20	nc	22	nc	20	nc	21
Inhalants	nc	21	nc	21	nc	19	nc	7	nc	*	nc	21	nc	17	nc	*
Methamphetamine	nc	24	nc	22	nc	18	nc	13	nc	12	nc	21	nc	21	nc	13
Misuse of Prescription Psychotherapeutics	nc	69	nc	57	nc	32	nc	48	nc	34	nc	48	nc	41	nc	50
Pain Relievers	nc	49	nc	40	nc	25	nc	32	nc	25	nc	35	nc	34	nc	34
Stimulants	nc	32	nc	24	nc	7	nc	23	nc	19	nc	13	nc	12	nc	29
Tranquilizers or Sedatives	nc	45	nc	43	nc	21	nc	38	nc	13	nc	40	nc	32	nc	22
Tranquilizers	nc	41	nc	40	nc	20	nc	34	nc	11	nc	36	nc	27	nc	20
Sedatives	nc	21	nc	21	nc	11	nc	17	nc	6	nc	20	nc	20	nc	8
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	49	nc	41	nc	26	nc	32	nc	25	nc	35	nc	34	nc	34
Central Nervous System Stimulants	nc	62	nc	53	nc	31	nc	44	nc	25	nc	43	nc	36	nc	41
Illicit Drugs Other Than Marijuana⁴	nc	84	nc	69	nc	41	nc	55	nc	41	nc	58	nc	51	nc	58
ALCOHOL	nc	243	nc	182	nc	96	nc	145	nc	181	nc	143	nc	117	nc	209
BOTH ILLICIT DRUGS AND ALCOHOL	nc	142	nc	113	nc	62	nc	91	nc	85	nc	91	nc	67	nc	102
ILLICIT DRUGS OR ALCOHOL	nc	283	nc	222	nc	118	nc	178	nc	228	nc	167	nc	140	nc	272
ILLICIT DRUGS ONLY	nc	178	nc	125	nc	67	nc	107	nc	138	nc	84	nc	76	nc	167
ALCOHOL ONLY	nc	180	nc	123	nc	72	nc	103	nc	152	nc	95	nc	88	nc	165
NO SUBSTANCE USE DISORDER	nc	283	nc	285	nc	140	nc	230	nc	542	nc	191	nc	153	nc	595
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. Therefore, some estimates in this table could differ from corresponding estimates in other tables that did not undergo sample size adjustments. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Respondents with unknown past year MDE information were excluded. ³ Respondents with unknown impairment data were excluded. ⁴ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.

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Table 8.48D – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 18 to 25; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Percentages, 2019 and 2020
Substance Use Disorder Status	Total (2019)	Total (2020)	Any Mental Illness¹ (2019)	Any Mental Illness¹ (2020)	Serious Mental Illness¹ (2019)	Serious Mental Illness¹ (2020)	Any Mental Illness Excluding Serious Mental Illness¹ (2019)	Any Mental Illness Excluding Serious Mental Illness¹ (2020)	No Mental Illness¹ (2019)	No Mental Illness¹ (2020)	MDE² (2019)	MDE² (2020)	MDE with Severe Impairment^2,3 (2019)	MDE with Severe Impairment^2,3 (2020)	No MDE² (2019)	No MDE² (2020)
TOTAL POPULATION	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00