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

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Table 8.1A – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Numbers in Thousands, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	51,495	52,859	19,758	19,269	31,737	33,590
18-25	9,930	10,238	3,856	3,744	6,074	6,494
18-20	3,757	3,659	1,427	1,376	2,330	2,283
21-25	6,172	6,579	2,429	2,369	3,744	4,211
26 or Older	41,565	42,621	15,902	15,525	25,663	27,096
26-49	25,279	25,676	9,884	9,970	15,396	15,705
26-29	5,512	4,884	2,245	1,879	3,266	3,005
30-34	6,421	6,586	2,618	2,522	3,803	4,064
35-39	5,148	5,551	1,903	2,114	3,244	3,437
40-44	4,280	4,329	1,581	1,691	2,699	2,637
45-49	3,919	4,326	1,536	1,764	2,383	2,562
50 or Older	16,286	16,945	6,018	5,555	10,268	11,390
50-54	3,504	3,793	1,481	1,079	2,023	2,714
55-59	3,720	3,876	1,439	1,172	2,281	2,704
60-64	2,809	2,818	872	1,031	1,938	1,787
65 or Older	6,252	6,458	2,226	2,273	4,026	4,186
* = 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 8.1B – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Percentages, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	20.6	21.0	16.3	15.8	24.5	25.8
18-25	29.4	30.6	22.8	22.3	36.1	38.8
18-20	28.5	29.3	21.2	21.3	36.3	37.8
21-25	30.0	31.3	23.9	23.0	36.0	39.4
26 or Older	19.2	19.5	15.3	14.8	22.8	23.9
26-49	25.0	25.3	19.8	19.9	30.0	30.6
26-29	30.5	27.4	24.6	21.3	36.7	33.6
30-34	28.8	29.0	23.9	22.1	33.6	35.8
35-39	24.0	25.2	18.3	20.0	29.4	29.9
40-44	22.2	22.3	16.7	17.6	27.5	26.8
45-49	19.3	22.2	15.3	18.0	23.4	26.4
50 or Older	14.1	14.5	11.2	10.2	16.7	18.3
50-54	17.0	19.2	14.5	12.1	19.4	25.0
55-59	17.5	17.8	14.0	11.0	20.8	24.4
60-64	13.7	13.5	8.9	9.8	17.9	17.5
65 or Older	11.8	11.8	9.4	9.3	13.8	13.9
* = 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 8.2A – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, 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	51,495	52,859	9,930	10,238	41,565	42,621	25,279	25,676	16,286	16,945
GENDER
Male	19,758	19,269	3,856	3,744	15,902	15,525	9,884	9,970	6,018	5,555
Female	31,737	33,590	6,074	6,494	25,663	27,096	15,396	15,705	10,268	11,390
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	44,055	45,115	8,094	8,453	35,961	36,662	21,449	21,570	14,512	15,092
White	34,967	35,621	6,021	6,486	28,946	29,134	16,749	17,020	12,196	12,114
Black or African American	5,174	5,269	1,102	949	4,072	4,319	2,629	2,589	1,443	1,730
AIAN	260	*	52	*	208	*	111	*	*	*
NHOPI	164	*	*	*	126	*	110	*	*	*
Asian	2,100	1,995	513	551	1,587	1,443	1,133	1,047	454	396
Two or More Races	1,390	1,689	369	401	1,022	1,288	715	669	306	*
Hispanic or Latino	7,440	7,744	1,836	1,785	5,604	5,959	3,830	4,106	1,774	1,853
EMPLOYMENT STATUS
Full-Time	23,829	22,348	4,049	3,978	19,779	18,370	15,417	14,369	4,362	4,001
Part-Time	8,137	8,075	2,886	2,835	5,251	5,240	3,292	3,308	1,959	1,932
Unemployed	2,750	3,403	895	1,090	1,855	2,313	1,312	1,812	543	502
Other¹	16,780	19,032	2,099	2,335	14,680	16,697	5,258	6,187	9,422	10,510
* = 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 8.2B – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, 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	20.6	21.0	29.4	30.6	19.2	19.5	25.0	25.3	14.1	14.5
GENDER
Male	16.3	15.8	22.8	22.3	15.3	14.8	19.8	19.9	11.2	10.2
Female	24.5	25.8	36.1	38.8	22.8	23.9	30.0	30.6	16.7	18.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	21.1	21.5	31.0	32.8	19.7	19.9	26.6	26.8	14.2	14.6
White	22.2	22.6	33.4	36.2	20.7	20.8	29.2	29.8	14.8	14.6
Black or African American	17.3	17.3	23.8	20.7	16.1	16.7	20.3	19.4	11.7	13.8
AIAN	18.7	*	23.6	*	17.7	*	22.1	*	*	*
NHOPI	16.6	*	*	*	15.1	*	20.2	*	*	*
Asian	14.4	13.9	24.6	27.6	12.7	11.7	15.7	15.4	8.6	7.1
Two or More Races	31.7	35.8	39.3	37.9	29.6	35.2	36.3	33.8	20.8	*
Hispanic or Latino	18.0	18.4	24.0	23.1	16.7	17.4	18.5	19.6	13.7	13.9
EMPLOYMENT STATUS
Full-Time	19.2	19.2	28.2	31.3	18.0	17.7	22.3	21.8	10.7	10.5
Part-Time	25.0	25.8	34.6	33.1	21.7	23.1	30.8	31.7	14.4	15.8
Unemployed	27.7	26.1	27.2	31.8	27.9	24.1	30.7	29.6	22.9	14.5
Other¹	20.1	20.9	27.1	26.6	19.4	20.3	30.4	32.2	16.1	16.6
* = 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 8.3A – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, 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	51,495	52,859	9,930	10,238	41,565	42,621	25,279	25,676	16,286	16,945
GEOGRAPHIC REGION
Northeast	8,608	8,383	1,611	1,677	6,997	6,707	3,970	4,160	3,027	2,546
Midwest	11,497	11,866	2,284	2,192	9,213	9,674	5,512	6,014	3,701	3,660
South	18,212	18,616	3,544	3,637	14,668	14,979	9,317	8,514	5,351	6,465
West	13,178	13,994	2,491	2,733	10,686	11,261	6,480	6,987	4,207	4,273
COUNTY TYPE
Large Metro	28,346	27,213	5,573	5,311	22,773	21,902	14,283	13,407	8,490	8,495
Small Metro	15,837	17,946	3,136	3,555	12,701	14,391	7,666	8,826	5,035	5,565
Nonmetro	7,312	7,699	1,222	1,372	6,090	6,327	3,330	3,442	2,761	2,885
Urbanized	3,100	3,360	596	627	2,504	2,733	1,475	1,569	1,029	1,164
Less Urbanized	3,554	3,629	515	680	3,039	2,948	1,528	1,566	1,511	1,382
Completely Rural	658	711	110	65	547	646	326	307	221	339
POVERTY LEVEL¹
Less Than 100%	8,646	9,810	2,262	2,319	6,384	7,491	3,888	4,102	2,496	3,390
100-199%	11,258	11,445	2,338	2,530	8,920	8,916	4,692	4,740	4,228	4,175
200% or More	31,255	31,447	4,994	5,234	26,261	26,214	16,699	16,834	9,562	9,380
EDUCATION LEVEL
< High School	5,505	5,552	1,107	933	4,399	4,619	2,066	1,834	2,332	2,785
High School Graduate	11,705	13,170	2,839	2,794	8,867	10,376	4,808	5,397	4,058	4,979
Some College/Associate‘s Degree	18,250	18,339	4,584	4,662	13,666	13,677	8,637	8,857	5,029	4,820
College Graduate	16,034	15,798	1,400	1,850	14,633	13,949	9,768	9,588	4,865	4,361
HEALTH INSURANCE²
Private	30,795	30,239	6,308	6,412	24,487	23,827	15,301	14,968	9,186	8,859
Medicaid/CHIP	11,149	12,102	2,070	2,210	9,078	9,892	5,502	5,838	3,576	4,055
Other³	11,598	13,139	714	801	10,884	12,338	2,512	2,881	8,372	9,457
No Coverage	5,630	5,824	1,250	1,382	4,380	4,442	3,558	3,671	823	772
* = 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 8.3B – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, 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	20.6	21.0	29.4	30.6	19.2	19.5	25.0	25.3	14.1	14.5
GEOGRAPHIC REGION
Northeast	19.7	19.2	27.9	29.6	18.4	17.6	23.2	24.5	14.4	12.1
Midwest	22.1	22.8	31.9	30.9	20.5	21.5	27.1	29.6	15.1	14.8
South	19.2	19.4	27.9	28.6	17.8	18.0	24.2	22.0	12.3	14.5
West	22.1	23.3	30.8	34.1	20.8	21.7	25.6	27.5	16.1	16.1
COUNTY TYPE
Large Metro	20.2	19.9	29.7	29.9	18.8	18.4	23.8	23.4	13.8	13.7
Small Metro	20.9	23.2	29.6	32.4	19.5	21.7	26.4	28.2	14.0	15.8
Nonmetro	21.2	20.5	28.2	28.6	20.2	19.4	27.2	26.7	15.4	14.6
Urbanized	21.6	22.4	29.4	28.0	20.3	21.4	27.7	30.0	14.7	15.4
Less Urbanized	22.0	20.4	26.6	30.8	21.3	18.9	27.3	23.9	17.5	15.3
Completely Rural	16.7	15.2	29.4	18.6	15.4	14.9	24.5	27.8	9.9	10.5
POVERTY LEVEL¹
Less Than 100%	26.7	26.3	28.6	28.8	26.1	25.6	29.0	27.1	22.7	24.0
100-199%	23.7	24.9	30.2	32.5	22.4	23.4	24.8	25.9	20.2	21.0
200% or More	18.5	18.7	29.5	30.3	17.2	17.4	24.2	24.7	11.5	11.3
EDUCATION LEVEL
< High School	18.3	19.2	23.6	24.4	17.3	18.4	19.1	18.0	15.9	18.7
High School Graduate	19.3	19.0	26.8	26.0	17.7	17.7	23.0	22.4	13.9	14.4
Some College/Associate‘s Degree	23.7	24.0	34.0	33.3	21.5	21.9	28.0	30.0	15.4	14.6
College Graduate	19.5	20.5	28.4	37.3	18.9	19.3	25.3	25.5	12.5	12.6
HEALTH INSURANCE²
Private	18.6	19.0	30.9	32.7	16.9	17.1	22.9	23.2	11.7	11.9
Medicaid/CHIP	31.2	30.5	28.6	29.0	31.8	30.8	34.0	33.5	29.0	27.7
Other³	16.8	17.6	28.1	33.2	16.4	17.1	34.4	36.2	14.2	14.7
No Coverage	21.8	21.3	25.9	25.4	20.8	20.3	23.6	22.5	13.7	13.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.4A – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Numbers in Thousands, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	13,115	14,200	4,668	5,121	8,447	9,080
18-25	2,899	3,258	979	1,085	1,920	2,173
18-20	1,082	1,060	363	381	719	679
21-25	1,818	2,198	616	705	1,202	1,494
26 or Older	10,216	10,942	3,689	4,035	6,527	6,907
26-49	6,847	6,981	2,443	2,673	4,404	4,309
26-29	1,566	1,389	595	486	971	903
30-34	1,672	1,720	638	576	1,034	1,145
35-39	1,373	1,440	427	618	947	822
40-44	1,116	1,146	380	437	736	709
45-49	1,119	1,286	404	556	716	730
50 or Older	3,369	3,961	1,246	1,362	2,123	2,598
50-54	952	914	425	325	526	589
55-59	958	1,160	356	225	602	935
60-64	634	809	143	385	491	424
65 or Older	825	1,078	321	427	504	651
* = 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 8.4B – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Percentages, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	5.2	5.6	3.9	4.2	6.5	7.0
18-25	8.6	9.7	5.8	6.5	11.4	13.0
18-20	8.2	8.5	5.4	5.9	11.2	11.2
21-25	8.8	10.5	6.1	6.8	11.5	14.0
26 or Older	4.7	5.0	3.5	3.8	5.8	6.1
26-49	6.8	6.9	4.9	5.3	8.6	8.4
26-29	8.7	7.8	6.5	5.5	10.9	10.1
30-34	7.5	7.6	5.8	5.1	9.1	10.1
35-39	6.4	6.5	4.1	5.9	8.6	7.2
40-44	5.8	5.9	4.0	4.5	7.5	7.2
45-49	5.5	6.6	4.0	5.7	7.0	7.5
50 or Older	2.9	3.4	2.3	2.5	3.5	4.2
50-54	4.6	4.6	4.2	3.6	5.0	5.4
55-59	4.5	5.3	3.5	2.1	5.5	8.4
60-64	3.1	3.9	1.5	3.6	4.5	4.1
65 or Older	1.6	2.0	1.4	1.7	1.7	2.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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.

210609

Table 8.5A – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, 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	13,115	14,200	2,899	3,258	10,216	10,942	6,847	6,981	3,369	3,961
GENDER
Male	4,668	5,121	979	1,085	3,689	4,035	2,443	2,673	1,246	1,362
Female	8,447	9,080	1,920	2,173	6,527	6,907	4,404	4,309	2,123	2,598
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	11,109	12,307	2,375	2,728	8,734	9,579	5,786	5,944	2,948	3,635
White	8,937	10,017	1,851	2,204	7,086	7,813	4,626	4,939	2,460	2,874
Black or African American	1,188	1,429	265	203	923	1,226	630	607	293	619
AIAN	93	94	16	*	78	77	40	*	*	*
NHOPI	25	11	*	*	23	*	23	*	*	*
Asian	457	289	136	131	321	158	247	121	74	36
Two or More Races	409	467	105	173	304	294	221	212	84	*
Hispanic or Latino	2,006	1,893	524	530	1,482	1,363	1,061	1,037	420	326
EMPLOYMENT STATUS
Full-Time	5,686	5,120	1,234	1,162	4,452	3,958	3,699	3,318	753	640
Part-Time	2,231	2,386	829	942	1,402	1,445	959	992	442	453
Unemployed	838	1,097	238	421	600	675	468	492	132	184
Other¹	4,361	5,598	598	733	3,762	4,864	1,720	2,180	2,042	2,684
* = 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 8.5B – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, 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	5.2	5.6	8.6	9.7	4.7	5.0	6.8	6.9	2.9	3.4
GENDER
Male	3.9	4.2	5.8	6.5	3.5	3.8	4.9	5.3	2.3	2.5
Female	6.5	7.0	11.4	13.0	5.8	6.1	8.6	8.4	3.5	4.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5.3	5.9	9.1	10.6	4.8	5.2	7.2	7.4	2.9	3.5
White	5.7	6.3	10.3	12.3	5.1	5.6	8.1	8.6	3.0	3.5
Black or African American	4.0	4.7	5.7	4.4	3.7	4.7	4.9	4.6	2.4	4.9
AIAN	6.7	6.6	7.2	*	6.6	6.2	8.0	*	*	*
NHOPI	2.6	1.2	*	*	2.7	*	4.1	*	*	*
Asian	3.1	2.0	6.5	6.6	2.6	1.3	3.4	1.8	1.4	0.7
Two or More Races	9.3	9.9	11.1	16.3	8.8	8.0	11.2	10.7	5.7	*
Hispanic or Latino	4.9	4.5	6.8	6.9	4.4	4.0	5.1	4.9	3.2	2.4
EMPLOYMENT STATUS
Full-Time	4.6	4.4	8.6	9.1	4.1	3.8	5.4	5.0	1.8	1.7
Part-Time	6.8	7.6	9.9	11.0	5.8	6.4	9.0	9.5	3.3	3.7
Unemployed	8.4	8.4	7.2	12.3	9.0	7.0	11.0	8.0	5.6	5.3
Other¹	5.2	6.1	7.7	8.3	5.0	5.9	9.9	11.4	3.5	4.2
* = 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 8.6A – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, 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	13,115	14,200	2,899	3,258	10,216	10,942	6,847	6,981	3,369	3,961
GEOGRAPHIC REGION
Northeast	2,062	1,970	484	542	1,578	1,429	955	1,106	623	323
Midwest	2,918	3,447	701	752	2,217	2,695	1,410	1,913	807	782
South	4,766	5,252	995	1,074	3,771	4,178	2,716	2,266	1,055	1,911
West	3,369	3,531	719	891	2,650	2,640	1,766	1,696	884	944
COUNTY TYPE
Large Metro	6,743	6,839	1,545	1,641	5,198	5,198	3,484	3,411	1,714	1,786
Small Metro	4,341	5,229	985	1,119	3,356	4,110	2,283	2,576	1,073	1,534
Nonmetro	2,031	2,132	370	498	1,662	1,635	1,080	994	582	640
Urbanized	889	976	202	260	687	716	513	466	174	250
Less Urbanized	938	957	130	219	808	738	459	464	349	274
Completely Rural	205	199	38	18	167	181	108	*	59	116
POVERTY LEVEL¹
Less Than 100%	2,590	3,089	674	758	1,916	2,331	1,338	1,361	578	970
100-199%	3,218	3,588	727	877	2,491	2,712	1,365	1,550	1,126	1,161
200% or More	7,222	7,475	1,413	1,576	5,809	5,900	4,144	4,070	1,665	1,829
EDUCATION LEVEL
< High School	1,286	1,320	319	238	967	1,082	518	549	449	533
High School Graduate	3,100	3,841	843	1,000	2,257	2,841	1,513	1,484	745	1,357
Some College/Associate‘s Degree	5,357	5,530	1,405	1,592	3,952	3,938	2,663	2,696	1,289	1,242
College Graduate	3,372	3,508	332	428	3,040	3,081	2,154	2,252	886	829
HEALTH INSURANCE²
Private	7,051	6,967	1,760	2,101	5,291	4,866	3,595	3,359	1,696	1,508
Medicaid/CHIP	3,602	3,586	660	720	2,941	2,866	1,954	2,184	987	682
Other³	2,638	3,701	216	225	2,423	3,476	881	1,089	1,542	2,387
No Coverage	1,557	1,607	387	365	1,170	1,243	1,003	996	167	247
* = 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 8.6B – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, 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	5.2	5.6	8.6	9.7	4.7	5.0	6.8	6.9	2.9	3.4
GEOGRAPHIC REGION
Northeast	4.7	4.5	8.4	9.6	4.1	3.7	5.6	6.5	3.0	1.5
Midwest	5.6	6.6	9.8	10.6	4.9	6.0	6.9	9.4	3.3	3.2
South	5.0	5.5	7.8	8.4	4.6	5.0	7.0	5.8	2.4	4.3
West	5.7	5.9	8.9	11.1	5.1	5.1	7.0	6.7	3.4	3.6
COUNTY TYPE
Large Metro	4.8	5.0	8.2	9.3	4.3	4.4	5.8	6.0	2.8	2.9
Small Metro	5.7	6.8	9.3	10.2	5.2	6.2	7.9	8.2	3.0	4.4
Nonmetro	5.9	5.7	8.5	10.4	5.5	5.0	8.8	7.7	3.3	3.2
Urbanized	6.2	6.5	10.0	11.6	5.6	5.6	9.7	8.9	2.5	3.3
Less Urbanized	5.8	5.4	6.7	9.9	5.7	4.7	8.2	7.1	4.0	3.0
Completely Rural	5.2	4.3	10.1	5.3	4.7	4.2	8.1	*	2.6	3.6
POVERTY LEVEL¹
Less Than 100%	8.0	8.3	8.5	9.4	7.8	8.0	10.0	9.0	5.2	6.9
100-199%	6.8	7.8	9.4	11.3	6.2	7.1	7.2	8.5	5.4	5.9
200% or More	4.3	4.4	8.3	9.1	3.8	3.9	6.0	6.0	2.0	2.2
EDUCATION LEVEL
< High School	4.3	4.6	6.8	6.2	3.8	4.3	4.8	5.4	3.1	3.6
High School Graduate	5.1	5.5	7.9	9.3	4.5	4.8	7.2	6.2	2.5	3.9
Some College/Associate‘s Degree	7.0	7.2	10.4	11.4	6.2	6.3	8.6	9.1	3.9	3.8
College Graduate	4.1	4.5	6.7	8.6	3.9	4.3	5.6	6.0	2.3	2.4
HEALTH INSURANCE²
Private	4.3	4.4	8.6	10.7	3.6	3.5	5.4	5.2	2.2	2.0
Medicaid/CHIP	10.1	9.0	9.1	9.5	10.3	8.9	12.1	12.5	8.0	4.7
Other³	3.8	5.0	8.5	9.3	3.6	4.8	12.1	13.7	2.6	3.7
No Coverage	6.0	5.9	8.0	6.7	5.6	5.7	6.7	6.1	2.8	4.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.7A – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, 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	51,495	52,859	13,115	14,200	38,379	38,659	198,822	199,070
AGE GROUP
18-25	9,930	10,238	2,899	3,258	7,031	6,980	23,803	23,259
26 or Older	41,565	42,621	10,216	10,942	31,349	31,679	175,019	175,812
26-49	25,279	25,676	6,847	6,981	18,432	18,694	76,004	75,860
50 or Older	16,286	16,945	3,369	3,961	12,917	12,984	99,015	99,951
GENDER
Male	19,758	19,269	4,668	5,121	15,090	14,149	101,104	102,413
Female	31,737	33,590	8,447	9,080	23,290	24,510	97,718	96,657
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	44,055	45,115	11,109	12,307	32,946	32,808	164,992	164,752
White	34,967	35,621	8,937	10,017	26,030	25,604	122,844	122,311
Black or African American	5,174	5,269	1,188	1,429	3,986	3,840	24,720	25,225
AIAN	260	*	93	94	166	*	1,132	*
NHOPI	164	*	25	11	138	*	824	*
Asian	2,100	1,995	457	289	1,644	1,706	12,476	12,371
Two or More Races	1,390	1,689	409	467	981	1,222	2,995	3,030
Hispanic or Latino	7,440	7,744	2,006	1,893	5,433	5,851	33,830	34,319
EMPLOYMENT STATUS
Full-Time	23,829	22,348	5,686	5,120	18,143	17,229	100,358	94,118
Part-Time	8,137	8,075	2,231	2,386	5,906	5,689	24,461	23,170
Unemployed	2,750	3,403	838	1,097	1,912	2,307	7,179	9,611
Other¹	16,780	19,032	4,361	5,598	12,419	13,434	66,824	72,171
* = 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 8.7B – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, 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	20.6	21.0	5.2	5.6	15.3	15.3	79.4	79.0
AGE GROUP
18-25	29.4	30.6	8.6	9.7	20.8	20.8	70.6	69.4
26 or Older	19.2	19.5	4.7	5.0	14.5	14.5	80.8	80.5
26-49	25.0	25.3	6.8	6.9	18.2	18.4	75.0	74.7
50 or Older	14.1	14.5	2.9	3.4	11.2	11.1	85.9	85.5
GENDER
Male	16.3	15.8	3.9	4.2	12.5	11.6	83.7	84.2
Female	24.5	25.8	6.5	7.0	18.0	18.8	75.5	74.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	21.1	21.5	5.3	5.9	15.8	15.6	78.9	78.5
White	22.2	22.6	5.7	6.3	16.5	16.2	77.8	77.4
Black or African American	17.3	17.3	4.0	4.7	13.3	12.6	82.7	82.7
AIAN	18.7	*	6.7	6.6	12.0	*	81.3	*
NHOPI	16.6	*	2.6	1.2	14.0	*	83.4	*
Asian	14.4	13.9	3.1	2.0	11.3	11.9	85.6	86.1
Two or More Races	31.7	35.8	9.3	9.9	22.4	25.9	68.3	64.2
Hispanic or Latino	18.0	18.4	4.9	4.5	13.2	13.9	82.0	81.6
EMPLOYMENT STATUS
Full-Time	19.2	19.2	4.6	4.4	14.6	14.8	80.8	80.8
Part-Time	25.0	25.8	6.8	7.6	18.1	18.2	75.0	74.2
Unemployed	27.7	26.1	8.4	8.4	19.3	17.7	72.3	73.9
Other¹	20.1	20.9	5.2	6.1	14.9	14.7	79.9	79.1
* = 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 8.8A – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, 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	51,495	52,859	13,115	14,200	38,379	38,659	198,822	199,070
GEOGRAPHIC REGION
Northeast	8,608	8,383	2,062	1,970	6,546	6,413	35,191	35,385
Midwest	11,497	11,866	2,918	3,447	8,579	8,419	40,540	40,279
South	18,212	18,616	4,766	5,252	13,446	13,364	76,699	77,371
West	13,178	13,994	3,369	3,531	9,809	10,463	46,391	46,035
COUNTY TYPE
Large Metro	28,346	27,213	6,743	6,839	21,603	20,374	111,853	109,829
Small Metro	15,837	17,946	4,341	5,229	11,496	12,718	59,811	59,457
Nonmetro	7,312	7,699	2,031	2,132	5,280	5,567	27,158	29,785
Urbanized	3,100	3,360	889	976	2,211	2,384	11,256	11,657
Less Urbanized	3,554	3,629	938	957	2,616	2,671	12,624	14,166
Completely Rural	658	711	205	199	453	512	3,278	3,962
POVERTY LEVEL¹
Less Than 100%	8,646	9,810	2,590	3,089	6,056	6,721	23,686	27,492
100-199%	11,258	11,445	3,218	3,588	8,041	7,857	36,335	34,491
200% or More	31,255	31,447	7,222	7,475	24,033	23,972	137,993	136,866
EDUCATION LEVEL
< High School	5,505	5,552	1,286	1,320	4,219	4,231	24,649	23,343
High School Graduate	11,705	13,170	3,100	3,841	8,605	9,329	49,050	56,303
Some College/Associate‘s Degree	18,250	18,339	5,357	5,530	12,893	12,809	58,793	58,116
College Graduate	16,034	15,798	3,372	3,508	12,662	12,290	66,329	61,307
HEALTH INSURANCE²
Private	30,795	30,239	7,051	6,967	23,744	23,272	134,837	128,625
Medicaid/CHIP	11,149	12,102	3,602	3,586	7,547	8,516	24,617	27,585
Other³	11,598	13,139	2,638	3,701	8,960	9,437	57,405	61,600
No Coverage	5,630	5,824	1,557	1,607	4,073	4,216	20,248	21,541
* = 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 8.8B – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, 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	20.6	21.0	5.2	5.6	15.3	15.3	79.4	79.0
GEOGRAPHIC REGION
Northeast	19.7	19.2	4.7	4.5	14.9	14.7	80.3	80.8
Midwest	22.1	22.8	5.6	6.6	16.5	16.1	77.9	77.2
South	19.2	19.4	5.0	5.5	14.2	13.9	80.8	80.6
West	22.1	23.3	5.7	5.9	16.5	17.4	77.9	76.7
COUNTY TYPE
Large Metro	20.2	19.9	4.8	5.0	15.4	14.9	79.8	80.1
Small Metro	20.9	23.2	5.7	6.8	15.2	16.4	79.1	76.8
Nonmetro	21.2	20.5	5.9	5.7	15.3	14.9	78.8	79.5
Urbanized	21.6	22.4	6.2	6.5	15.4	15.9	78.4	77.6
Less Urbanized	22.0	20.4	5.8	5.4	16.2	15.0	78.0	79.6
Completely Rural	16.7	15.2	5.2	4.3	11.5	10.9	83.3	84.8
POVERTY LEVEL¹
Less Than 100%	26.7	26.3	8.0	8.3	18.7	18.0	73.3	73.7
100-199%	23.7	24.9	6.8	7.8	16.9	17.1	76.3	75.1
200% or More	18.5	18.7	4.3	4.4	14.2	14.2	81.5	81.3
EDUCATION LEVEL
< High School	18.3	19.2	4.3	4.6	14.0	14.6	81.7	80.8
High School Graduate	19.3	19.0	5.1	5.5	14.2	13.4	80.7	81.0
Some College/Associate‘s Degree	23.7	24.0	7.0	7.2	16.7	16.8	76.3	76.0
College Graduate	19.5	20.5	4.1	4.5	15.4	15.9	80.5	79.5
HEALTH INSURANCE²
Private	18.6	19.0	4.3	4.4	14.3	14.6	81.4	81.0
Medicaid/CHIP	31.2	30.5	10.1	9.0	21.1	21.5	68.8	69.5
Other³	16.8	17.6	3.8	5.0	13.0	12.6	83.2	82.4
No Coverage	21.8	21.3	6.0	5.9	15.7	15.4	78.2	78.7
* = 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 8.9A – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, 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	16,985	nc	4,071	nc	12,914	nc	9,298	nc	3,616
GENDER
Male	nc	7,509	nc	1,600	nc	5,908	nc	4,413	nc	1,495
Female	nc	9,476	nc	2,471	nc	7,006	nc	4,885	nc	2,121
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	14,543	nc	3,441	nc	11,101	nc	7,812	nc	3,289
White	nc	11,295	nc	2,640	nc	8,654	nc	6,074	nc	2,580
Black or African American	nc	1,790	nc	373	nc	1,417	nc	1,052	nc	366
AIAN	nc	166	nc	*	nc	*	nc	*	nc	*
NHOPI	nc	14	nc	*	nc	*	nc	*	nc	*
Asian	nc	471	nc	144	nc	328	nc	235	nc	*
Two or More Races	nc	807	nc	235	nc	572	nc	352	nc	*
Hispanic or Latino	nc	2,442	nc	630	nc	1,812	nc	1,486	nc	327
EMPLOYMENT STATUS
Full-Time	nc	7,837	nc	1,701	nc	6,136	nc	5,127	nc	1,009
Part-Time	nc	2,867	nc	1,216	nc	1,650	nc	1,074	nc	576
Unemployed	nc	1,546	nc	444	nc	1,103	nc	954	nc	149
Other¹	nc	4,735	nc	710	nc	4,025	nc	2,143	nc	1,882
* = 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 8.9B – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, 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	6.7	nc	12.2	nc	5.9	nc	9.2	nc	3.1
GENDER
Male	nc	6.2	nc	9.5	nc	5.6	nc	8.8	nc	2.7
Female	nc	7.3	nc	14.8	nc	6.2	nc	9.5	nc	3.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	6.9	nc	13.4	nc	6.0	nc	9.7	nc	3.2
White	nc	7.2	nc	14.7	nc	6.2	nc	10.6	nc	3.1
Black or African American	nc	5.9	nc	8.1	nc	5.5	nc	7.9	nc	2.9
AIAN	nc	11.8	nc	*	nc	*	nc	*	nc	*
NHOPI	nc	1.5	nc	*	nc	*	nc	*	nc	*
Asian	nc	3.3	nc	7.2	nc	2.6	nc	3.5	nc	*
Two or More Races	nc	17.1	nc	22.1	nc	15.6	nc	17.8	nc	*
Hispanic or Latino	nc	5.8	nc	8.2	nc	5.3	nc	7.1	nc	2.4
EMPLOYMENT STATUS
Full-Time	nc	6.7	nc	13.4	nc	5.9	nc	7.8	nc	2.7
Part-Time	nc	9.2	nc	14.2	nc	7.3	nc	10.3	nc	4.7
Unemployed	nc	11.9	nc	13.0	nc	11.5	nc	15.6	nc	4.3
Other¹	nc	5.2	nc	8.1	nc	4.9	nc	11.2	nc	3.0
* = 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 8.10A – 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, 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	16,985	nc	4,071	nc	12,914	nc	9,298	nc	3,616
GEOGRAPHIC REGION
Northeast	nc	2,715	nc	698	nc	2,018	nc	1,501	nc	516
Midwest	nc	3,914	nc	933	nc	2,981	nc	2,202	nc	779
South	nc	5,223	nc	1,426	nc	3,798	nc	2,778	nc	1,019
West	nc	5,133	nc	1,015	nc	4,118	nc	2,816	nc	1,301
COUNTY TYPE
Large Metro	nc	8,603	nc	2,173	nc	6,430	nc	4,718	nc	1,712
Small Metro	nc	6,224	nc	1,412	nc	4,812	nc	3,471	nc	1,341
Nonmetro	nc	2,159	nc	486	nc	1,672	nc	1,109	nc	563
Urbanized	nc	1,044	nc	225	nc	819	nc	500	nc	319
Less Urbanized	nc	1,000	nc	236	nc	764	nc	529	nc	235
Completely Rural	nc	115	nc	25	nc	90	nc	81	nc	9
POVERTY LEVEL¹
Less Than 100%	nc	3,571	nc	1,018	nc	2,553	nc	1,637	nc	916
100-199%	nc	3,391	nc	1,018	nc	2,373	nc	1,810	nc	563
200% or More	nc	9,971	nc	1,983	nc	7,988	nc	5,851	nc	2,137
EDUCATION LEVEL
< High School	nc	1,666	nc	378	nc	1,289	nc	798	nc	490
High School Graduate	nc	3,990	nc	989	nc	3,001	nc	1,971	nc	1,030
Some College/Associate‘s Degree	nc	6,772	nc	1,927	nc	4,845	nc	3,609	nc	1,235
College Graduate	nc	4,557	nc	778	nc	3,779	nc	2,919	nc	860
HEALTH INSURANCE²
Private	nc	9,446	nc	2,682	nc	6,764	nc	4,761	nc	2,003
Medicaid/CHIP	nc	4,341	nc	736	nc	3,605	nc	2,451	nc	1,154
Other³	nc	2,944	nc	276	nc	2,668	nc	1,056	nc	1,613
No Coverage	nc	2,324	nc	550	nc	1,774	nc	1,689	nc	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 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 8.10B – 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, 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	6.7	nc	12.2	nc	5.9	nc	9.2	nc	3.1
GEOGRAPHIC REGION
Northeast	nc	6.2	nc	12.3	nc	5.3	nc	8.8	nc	2.4
Midwest	nc	7.5	nc	13.2	nc	6.6	nc	10.8	nc	3.2
South	nc	5.4	nc	11.2	nc	4.6	nc	7.2	nc	2.3
West	nc	8.6	nc	12.6	nc	7.9	nc	11.1	nc	4.9
COUNTY TYPE
Large Metro	nc	6.3	nc	12.2	nc	5.4	nc	8.2	nc	2.8
Small Metro	nc	8.0	nc	12.9	nc	7.2	nc	11.1	nc	3.8
Nonmetro	nc	5.8	nc	10.1	nc	5.1	nc	8.6	nc	2.8
Urbanized	nc	7.0	nc	10.1	nc	6.4	nc	9.5	nc	4.2
Less Urbanized	nc	5.6	nc	10.7	nc	4.9	nc	8.1	nc	2.6
Completely Rural	nc	2.5	nc	7.3	nc	2.1	nc	7.3	nc	0.3
POVERTY LEVEL¹
Less Than 100%	nc	9.6	nc	12.7	nc	8.7	nc	10.8	nc	6.5
100-199%	nc	7.4	nc	13.1	nc	6.2	nc	9.9	nc	2.8
200% or More	nc	5.9	nc	11.5	nc	5.3	nc	8.6	nc	2.6
EDUCATION LEVEL
< High School	nc	5.8	nc	9.9	nc	5.1	nc	7.8	nc	3.3
High School Graduate	nc	5.7	nc	9.2	nc	5.1	nc	8.2	nc	3.0
Some College/Associate‘s Degree	nc	8.9	nc	13.8	nc	7.8	nc	12.2	nc	3.7
College Graduate	nc	5.9	nc	15.7	nc	5.2	nc	7.7	nc	2.5
HEALTH INSURANCE²
Private	nc	5.9	nc	13.7	nc	4.9	nc	7.4	nc	2.7
Medicaid/CHIP	nc	10.9	nc	9.7	nc	11.2	nc	14.1	nc	7.9
Other³	nc	3.9	nc	11.4	nc	3.7	nc	13.3	nc	2.5
No Coverage	nc	8.5	nc	10.1	nc	8.1	nc	10.3	nc	1.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.11A – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, 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	5,661	nc	1,539	nc	4,121	nc	3,201	nc	920
GENDER
Male	nc	2,097	nc	576	nc	1,521	nc	1,159	nc	362
Female	nc	3,563	nc	963	nc	2,600	nc	2,043	nc	558
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	4,849	nc	1,334	nc	3,514	nc	2,643	nc	872
White	nc	3,976	nc	1,104	nc	2,872	nc	2,107	nc	766
Black or African American	nc	478	nc	81	nc	397	nc	321	nc	*
AIAN	nc	55	nc	*	nc	*	nc	*	nc	*
NHOPI	nc	*	nc	*	nc	*	nc	*	nc	*
Asian	nc	62	nc	19	nc	43	nc	43	nc	*
Two or More Races	nc	268	nc	115	nc	153	nc	124	nc	*
Hispanic or Latino	nc	812	nc	205	nc	607	nc	558	nc	48
EMPLOYMENT STATUS
Full-Time	nc	2,191	nc	590	nc	1,601	nc	1,486	nc	115
Part-Time	nc	1,159	nc	433	nc	725	nc	457	nc	268
Unemployed	nc	639	nc	234	nc	406	nc	344	nc	*
Other¹	nc	1,672	nc	283	nc	1,389	nc	913	nc	476
* = 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 8.11B – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, 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	2.2	nc	4.6	nc	1.9	nc	3.2	nc	0.8
GENDER
Male	nc	1.7	nc	3.4	nc	1.4	nc	2.3	nc	0.7
Female	nc	2.7	nc	5.8	nc	2.3	nc	4.0	nc	0.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	2.3	nc	5.2	nc	1.9	nc	3.3	nc	0.8
White	nc	2.5	nc	6.2	nc	2.1	nc	3.7	nc	0.9
Black or African American	nc	1.6	nc	1.8	nc	1.5	nc	2.4	nc	*
AIAN	nc	3.9	nc	*	nc	*	nc	*	nc	*
NHOPI	nc	*	nc	*	nc	*	nc	*	nc	*
Asian	nc	0.4	nc	1.0	nc	0.3	nc	0.6	nc	*
Two or More Races	nc	5.7	nc	10.9	nc	4.2	nc	6.3	nc	*
Hispanic or Latino	nc	1.9	nc	2.7	nc	1.8	nc	2.7	nc	0.4
EMPLOYMENT STATUS
Full-Time	nc	1.9	nc	4.6	nc	1.5	nc	2.3	nc	0.3
Part-Time	nc	3.7	nc	5.1	nc	3.2	nc	4.4	nc	2.2
Unemployed	nc	4.9	nc	6.8	nc	4.2	nc	5.6	nc	*
Other¹	nc	1.8	nc	3.2	nc	1.7	nc	4.8	nc	0.8
* = 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 8.12A – 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, 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	5,661	nc	1,539	nc	4,121	nc	3,201	nc	920
GEOGRAPHIC REGION
Northeast	nc	748	nc	248	nc	501	nc	435	nc	65
Midwest	nc	1,610	nc	371	nc	1,239	nc	956	nc	283
South	nc	1,731	nc	520	nc	1,212	nc	922	nc	290
West	nc	1,571	nc	401	nc	1,170	nc	889	nc	281
COUNTY TYPE
Large Metro	nc	2,772	nc	826	nc	1,946	nc	1,538	nc	407
Small Metro	nc	2,202	nc	496	nc	1,705	nc	1,285	nc	420
Nonmetro	nc	687	nc	217	nc	470	nc	377	nc	93
Urbanized	nc	296	nc	108	nc	187	nc	177	nc	10
Less Urbanized	nc	382	nc	100	nc	283	nc	200	nc	82
Completely Rural	nc	9	nc	9	nc	*	nc	*	nc	*
POVERTY LEVEL¹
Less Than 100%	nc	1,251	nc	350	nc	901	nc	724	nc	176
100-199%	nc	1,352	nc	428	nc	924	nc	731	nc	193
200% or More	nc	3,027	nc	731	nc	2,296	nc	1,746	nc	550
EDUCATION LEVEL
< High School	nc	568	nc	127	nc	441	nc	321	nc	120
High School Graduate	nc	1,409	nc	382	nc	1,027	nc	680	nc	347
Some College/Associate‘s Degree	nc	2,347	nc	816	nc	1,532	nc	1,337	nc	194
College Graduate	nc	1,336	nc	215	nc	1,121	nc	862	nc	259
HEALTH INSURANCE²
Private	nc	2,768	nc	1,023	nc	1,745	nc	1,330	nc	416
Medicaid/CHIP	nc	1,568	nc	303	nc	1,265	nc	1,054	nc	211
Other³	nc	982	nc	85	nc	897	nc	463	nc	434
No Coverage	nc	847	nc	194	nc	652	nc	620	nc	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 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 8.12B – 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, 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	2.2	nc	4.6	nc	1.9	nc	3.2	nc	0.8
GEOGRAPHIC REGION
Northeast	nc	1.7	nc	4.4	nc	1.3	nc	2.6	nc	0.3
Midwest	nc	3.1	nc	5.2	nc	2.8	nc	4.7	nc	1.1
South	nc	1.8	nc	4.1	nc	1.5	nc	2.4	nc	0.7
West	nc	2.6	nc	5.0	nc	2.2	nc	3.5	nc	1.1
COUNTY TYPE
Large Metro	nc	2.0	nc	4.7	nc	1.6	nc	2.7	nc	0.7
Small Metro	nc	2.8	nc	4.5	nc	2.6	nc	4.1	nc	1.2
Nonmetro	nc	1.8	nc	4.5	nc	1.4	nc	2.9	nc	0.5
Urbanized	nc	2.0	nc	4.8	nc	1.5	nc	3.4	nc	0.1
Less Urbanized	nc	2.1	nc	4.5	nc	1.8	nc	3.1	nc	0.9
Completely Rural	nc	0.2	nc	2.6	nc	*	nc	*	nc	*
POVERTY LEVEL¹
Less Than 100%	nc	3.4	nc	4.4	nc	3.1	nc	4.8	nc	1.2
100-199%	nc	2.9	nc	5.5	nc	2.4	nc	4.0	nc	1.0
200% or More	nc	1.8	nc	4.2	nc	1.5	nc	2.6	nc	0.7
EDUCATION LEVEL
< High School	nc	2.0	nc	3.3	nc	1.8	nc	3.1	nc	0.8
High School Graduate	nc	2.0	nc	3.6	nc	1.7	nc	2.8	nc	1.0
Some College/Associate‘s Degree	nc	3.1	nc	5.8	nc	2.5	nc	4.5	nc	0.6
College Graduate	nc	1.7	nc	4.3	nc	1.6	nc	2.3	nc	0.8
HEALTH INSURANCE²
Private	nc	1.7	nc	5.2	nc	1.3	nc	2.1	nc	0.6
Medicaid/CHIP	nc	4.0	nc	4.0	nc	3.9	nc	6.0	nc	1.4
Other³	nc	1.3	nc	3.5	nc	1.2	nc	5.8	nc	0.7
No Coverage	nc	3.1	nc	3.6	nc	3.0	nc	3.8	nc	0.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.13A – 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, 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	11,324	nc	2,532	nc	8,793	nc	6,097	nc	2,696
GENDER
Male	nc	5,411	nc	1,024	nc	4,387	nc	3,255	nc	1,132
Female	nc	5,913	nc	1,508	nc	4,405	nc	2,842	nc	1,563
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	9,694	nc	2,107	nc	7,587	nc	5,170	nc	2,417
White	nc	7,318	nc	1,536	nc	5,782	nc	3,968	nc	1,814
Black or African American	nc	1,312	nc	291	nc	1,021	nc	731	nc	290
AIAN	nc	111	nc	*	nc	77	nc	*	nc	*
NHOPI	nc	4	nc	*	nc	*	nc	*	nc	*
Asian	nc	409	nc	125	nc	285	nc	192	nc	*
Two or More Races	nc	539	nc	120	nc	420	nc	228	nc	*
Hispanic or Latino	nc	1,630	nc	425	nc	1,206	nc	927	nc	278
EMPLOYMENT STATUS
Full-Time	nc	5,646	nc	1,111	nc	4,535	nc	3,640	nc	895
Part-Time	nc	1,708	nc	783	nc	925	nc	617	nc	308
Unemployed	nc	907	nc	210	nc	697	nc	609	nc	87
Other¹	nc	3,064	nc	427	nc	2,636	nc	1,230	nc	1,406
* = 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 8.13B – 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, 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	4.5	nc	7.6	nc	4.0	nc	6.0	nc	2.3
GENDER
Male	nc	4.4	nc	6.1	nc	4.2	nc	6.5	nc	2.1
Female	nc	4.5	nc	9.0	nc	3.9	nc	5.5	nc	2.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	nc	4.6	nc	8.2	nc	4.1	nc	6.4	nc	2.3
White	nc	4.6	nc	8.6	nc	4.1	nc	6.9	nc	2.2
Black or African American	nc	4.3	nc	6.4	nc	3.9	nc	5.5	nc	2.3
AIAN	nc	7.8	nc	*	nc	6.2	nc	*	nc	*
NHOPI	nc	0.4	nc	*	nc	*	nc	*	nc	*
Asian	nc	2.8	nc	6.2	nc	2.3	nc	2.8	nc	*
Two or More Races	nc	11.4	nc	11.3	nc	11.5	nc	11.5	nc	*
Hispanic or Latino	nc	3.9	nc	5.5	nc	3.5	nc	4.4	nc	2.1
EMPLOYMENT STATUS
Full-Time	nc	4.8	nc	8.7	nc	4.4	nc	5.5	nc	2.4
Part-Time	nc	5.5	nc	9.1	nc	4.1	nc	5.9	nc	2.5
Unemployed	nc	7.0	nc	6.1	nc	7.3	nc	9.9	nc	2.5
Other¹	nc	3.4	nc	4.9	nc	3.2	nc	6.4	nc	2.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.14A – 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, 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	11,324	nc	2,532	nc	8,793	nc	6,097	nc	2,696
GEOGRAPHIC REGION
Northeast	nc	1,967	nc	450	nc	1,517	nc	1,066	nc	451
Midwest	nc	2,303	nc	562	nc	1,742	nc	1,246	nc	496
South	nc	3,492	nc	906	nc	2,586	nc	1,856	nc	730
West	nc	3,562	nc	614	nc	2,948	nc	1,928	nc	1,020
COUNTY TYPE
Large Metro	nc	5,831	nc	1,347	nc	4,484	nc	3,179	nc	1,305
Small Metro	nc	4,022	nc	916	nc	3,106	nc	2,185	nc	921
Nonmetro	nc	1,472	nc	269	nc	1,202	nc	732	nc	470
Urbanized	nc	748	nc	117	nc	631	nc	323	nc	308
Less Urbanized	nc	617	nc	136	nc	481	nc	328	nc	153
Completely Rural	nc	106	nc	16	nc	90	nc	81	nc	9
POVERTY LEVEL¹
Less Than 100%	nc	2,320	nc	668	nc	1,652	nc	912	nc	740
100-199%	nc	2,039	nc	590	nc	1,449	nc	1,079	nc	370
200% or More	nc	6,944	nc	1,252	nc	5,692	nc	4,105	nc	1,587
EDUCATION LEVEL
< High School	nc	1,098	nc	250	nc	848	nc	477	nc	370
High School Graduate	nc	2,581	nc	607	nc	1,974	nc	1,291	nc	683
Some College/Associate‘s Degree	nc	4,424	nc	1,111	nc	3,313	nc	2,272	nc	1,041
College Graduate	nc	3,221	nc	563	nc	2,658	nc	2,057	nc	601
HEALTH INSURANCE²
Private	nc	6,678	nc	1,659	nc	5,019	nc	3,431	nc	1,587
Medicaid/CHIP	nc	2,773	nc	433	nc	2,340	nc	1,397	nc	944
Other³	nc	1,962	nc	191	nc	1,772	nc	593	nc	1,179
No Coverage	nc	1,477	nc	356	nc	1,121	nc	1,069	nc	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 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 8.14B – 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, 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	4.5	nc	7.6	nc	4.0	nc	6.0	nc	2.3
GEOGRAPHIC REGION
Northeast	nc	4.5	nc	7.9	nc	4.0	nc	6.3	nc	2.1
Midwest	nc	4.4	nc	7.9	nc	3.9	nc	6.1	nc	2.0
South	nc	3.6	nc	7.1	nc	3.1	nc	4.8	nc	1.6
West	nc	5.9	nc	7.6	nc	5.7	nc	7.6	nc	3.8
COUNTY TYPE
Large Metro	nc	4.3	nc	7.6	nc	3.8	nc	5.5	nc	2.1
Small Metro	nc	5.2	nc	8.4	nc	4.7	nc	7.0	nc	2.6
Nonmetro	nc	3.9	nc	5.6	nc	3.7	nc	5.7	nc	2.4
Urbanized	nc	5.0	nc	5.2	nc	4.9	nc	6.2	nc	4.1
Less Urbanized	nc	3.5	nc	6.2	nc	3.1	nc	5.0	nc	1.7
Completely Rural	nc	2.3	nc	4.7	nc	2.1	nc	7.3	nc	0.3
POVERTY LEVEL¹
Less Than 100%	nc	6.2	nc	8.3	nc	5.6	nc	6.0	nc	5.2
100-199%	nc	4.4	nc	7.6	nc	3.8	nc	5.9	nc	1.9
200% or More	nc	4.1	nc	7.2	nc	3.8	nc	6.0	nc	1.9
EDUCATION LEVEL
< High School	nc	3.8	nc	6.6	nc	3.4	nc	4.7	nc	2.5
High School Graduate	nc	3.7	nc	5.7	nc	3.4	nc	5.3	nc	2.0
Some College/Associate‘s Degree	nc	5.8	nc	7.9	nc	5.3	nc	7.7	nc	3.2
College Graduate	nc	4.2	nc	11.3	nc	3.7	nc	5.5	nc	1.7
HEALTH INSURANCE²
Private	nc	4.2	nc	8.5	nc	3.6	nc	5.3	nc	2.1
Medicaid/CHIP	nc	7.0	nc	5.7	nc	7.3	nc	8.0	nc	6.4
Other³	nc	2.6	nc	7.9	nc	2.4	nc	7.4	nc	1.8
No Coverage	nc	5.4	nc	6.5	nc	5.1	nc	6.5	nc	0.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.15A – Any Mental Illness and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Past Year Probation Status and Demographic Characteristics, 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	51,495	52,859	1,461	1,463	49,986	51,390	13,115	14,200	445	363	12,667	13,832
AGE GROUP
18-49	35,209	35,914	1,225	1,091	33,961	34,817	9,746	10,239	393	318	9,350	9,916
18-25	9,930	10,238	282	*	9,638	10,062	2,899	3,258	72	*	2,827	3,196
26-34	11,933	11,470	496	*	11,437	11,009	3,238	3,109	189	100	3,049	3,004
35-49	13,346	14,206	448	*	12,886	13,746	3,609	3,872	132	*	3,474	3,715
GENDER/AGE GROUP
Male 18 or Older	19,758	19,269	943	767	18,786	18,496	4,668	5,121	251	203	4,414	4,912
Male 18-49	13,740	13,714	778	591	12,958	13,118	3,422	3,758	236	158	3,183	3,595
Female 18 or Older	31,737	33,590	518	*	31,199	32,894	8,447	9,080	193	160	8,254	8,920
Female 18-49	21,469	22,200	448	*	21,003	21,700	6,324	6,481	157	160	6,167	6,321
* = 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 8.15B – Any Mental Illness and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Past Year Probation Status and Demographic Characteristics, 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	20.6	21.0	38.2	44.9	20.3	20.7	5.2	5.6	11.6	11.2	5.2	5.6
AGE GROUP
18-49	26.1	26.6	40.1	41.3	25.8	26.4	7.2	7.6	12.8	12.0	7.1	7.5
18-25	29.4	30.6	34.3	*	29.4	30.6	8.6	9.7	8.7	*	8.6	9.7
26-34	29.6	28.3	45.4	*	29.2	28.0	8.0	7.7	17.3	9.0	7.8	7.6
35-49	21.9	23.3	39.2	*	21.6	22.9	5.9	6.3	11.6	*	5.8	6.2
GENDER/AGE GROUP
Male 18 or Older	16.3	15.8	35.4	35.4	15.9	15.5	3.9	4.2	9.4	9.4	3.7	4.1
Male 18-49	20.5	20.5	36.2	32.5	20.1	20.2	5.1	5.6	11.0	8.7	4.9	5.5
Female 18 or Older	24.5	25.8	44.8	*	24.4	25.5	6.5	7.0	16.7	14.7	6.4	6.9
Female 18-49	31.5	32.6	49.1	*	31.3	32.3	9.3	9.5	17.2	19.4	9.2	9.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.16A – 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, 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	51,495	52,859	514	*	50,955	52,219	13,115	14,200	134	73	12,978	14,122
AGE GROUP
18-49	35,209	35,914	446	*	34,738	35,516	9,746	10,239	126	73	9,617	10,161
18-25	9,930	10,238	76	*	9,841	10,202	2,899	3,258	11	*	2,887	3,241
26-34	11,933	11,470	*	*	11,774	11,314	3,238	3,109	*	*	3,174	3,088
35-49	13,346	14,206	212	*	13,123	14,000	3,609	3,872	*	*	3,556	3,832
GENDER/AGE GROUP
Male 18 or Older	19,758	19,269	373	*	19,381	18,940	4,668	5,121	83	32	4,582	5,083
Male 18-49	13,740	13,714	317	*	13,420	13,453	3,422	3,758	75	*	3,344	3,721
Female 18 or Older	31,737	33,590	*	*	31,574	33,279	8,447	9,080	*	*	8,396	9,038
Female 18-49	21,469	22,200	*	*	21,319	22,063	6,324	6,481	*	*	6,273	6,440
* = 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 8.16B – 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, 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	20.6	21.0	34.3	*	20.5	20.9	5.2	5.6	8.9	5.2	5.2	5.6
AGE GROUP
18-49	26.1	26.6	36.7	*	26.0	26.6	7.2	7.6	10.4	6.8	7.2	7.6
18-25	29.4	30.6	30.9	*	29.5	30.7	8.6	9.7	4.7	*	8.6	9.7
26-34	29.6	28.3	*	*	29.6	28.3	8.0	7.7	*	*	8.0	7.7
35-49	21.9	23.3	37.1	*	21.8	23.1	5.9	6.3	*	*	5.9	6.3
GENDER/AGE GROUP
Male 18 or Older	16.3	15.8	32.6	*	16.2	15.7	3.9	4.2	7.3	3.5	3.8	4.2
Male 18-49	20.5	20.5	34.0	*	20.4	20.4	5.1	5.6	8.1	*	5.1	5.6
Female 18 or Older	24.5	25.8	*	*	24.5	25.7	6.5	7.0	*	*	6.5	7.0
Female 18-49	31.5	32.6	*	*	31.5	32.6	9.3	9.5	*	*	9.3	9.5
* = 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.

220104

Table 8.17A – (REVISED) Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic Characteristics, 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 Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	22,953	24,303	8,575	9,133	14,378	15,169	17,201	18,118
AGE GROUP
18-25	3,846	4,301	1,626	1,878	2,220	2,423	1,910	2,197
26 or Older	19,107	20,001	6,949	7,255	12,158	12,746	15,291	15,921
26-49	11,452	11,906	4,455	4,371	6,997	7,535	6,480	6,633
50 or Older	7,655	8,095	2,494	2,884	5,161	5,211	8,811	9,288
GENDER
Male	7,217	7,157	2,634	2,793	4,584	4,364	6,210	6,511
Female	15,735	17,145	5,942	6,340	9,794	10,805	10,991	11,607
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	20,456	21,589	7,516	8,211	12,940	13,378	15,732	16,300
White	17,548	18,357	6,291	6,951	11,257	11,406	13,610	14,553
Black or African American	1,688	1,943	686	*	1,001	1,114	1,210	932
AIAN	*	*	*	*	*	*	92	58
NHOPI	*	*	*	*	*	*	21	*
Asian	487	410	*	*	265	294	525	406
Two or More Races	596	*	*	*	341	*	274	318
Hispanic or Latino	2,497	2,714	1,059	922	1,437	1,792	1,469	1,818
EMPLOYMENT STATUS
Full-Time	9,918	9,621	3,483	2,877	6,435	6,744	7,399	7,783
Part-Time	3,465	3,818	1,343	1,631	2,122	2,186	2,935	2,748
Unemployed	1,105	1,467	514	*	591	887	610	659
Other²	8,465	9,397	3,235	4,044	5,230	5,353	6,257	6,927
* = 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.

220104

Table 8.17B – (REVISED) Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic Characteristics, 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 Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	44.8	46.2	65.5	64.5	37.6	39.4	8.7	9.1
AGE GROUP
18-25	38.9	42.1	56.4	57.6	31.7	34.8	8.1	9.6
26 or Older	46.1	47.2	68.1	66.6	39.0	40.5	8.8	9.1
26-49	45.4	46.6	65.1	63.0	38.1	40.5	8.6	8.8
50 or Older	47.2	48.0	74.3	72.9	40.2	40.4	8.9	9.3
GENDER
Male	36.8	37.4	56.5	54.9	30.7	31.1	6.2	6.4
Female	49.7	51.2	70.5	69.9	42.1	44.3	11.3	12.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	46.6	48.1	67.8	67.0	39.4	41.0	9.6	9.9
White	50.3	51.8	70.5	69.5	43.4	44.8	11.1	11.9
Black or African American	32.9	37.1	57.9	*	25.4	29.2	4.9	3.7
AIAN	*	*	*	*	*	*	8.3	5.9
NHOPI	*	*	*	*	*	*	2.6	*
Asian	23.3	20.8	*	*	16.1	17.2	4.3	3.3
Two or More Races	43.0	*	*	*	34.9	*	9.2	10.5
Hispanic or Latino	33.9	35.1	52.8	48.7	26.8	30.7	4.4	5.4
EMPLOYMENT STATUS
Full-Time	41.7	43.2	61.3	56.4	35.6	39.3	7.4	8.3
Part-Time	42.7	47.7	60.3	69.1	36.1	38.7	12.1	11.9
Unemployed	40.4	43.8	61.6	*	31.1	39.3	8.6	6.9
Other²	50.8	49.4	74.4	72.3	42.5	39.9	9.4	9.6
* = 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.

220104

Table 8.18A – (REVISED) 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, 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 Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	22,953	24,303	8,575	9,133	14,378	15,169	17,201	18,118
GEOGRAPHIC REGION
Northeast	4,048	3,899	1,406	1,322	2,642	2,576	3,455	3,635
Midwest	5,682	5,823	2,032	2,322	3,651	3,501	4,058	4,233
South	7,650	8,856	2,902	3,338	4,747	5,518	5,853	6,377
West	5,573	5,725	2,235	2,152	3,338	3,573	3,835	3,872
COUNTY TYPE
Large Metro	12,293	11,823	4,439	4,419	7,854	7,404	9,117	9,637
Small Metro	7,273	8,810	2,812	3,396	4,461	5,414	5,698	6,069
Nonmetro	3,387	3,670	1,324	1,319	2,063	2,351	2,386	2,411
Urbanized	1,509	1,492	560	*	949	981	1,048	879
Less Urbanized	1,587	1,836	621	*	966	1,200	1,097	1,214
Completely Rural	291	*	*	*	148	*	241	318
POVERTY LEVEL²
Less Than 100%	3,860	4,464	1,692	1,882	2,168	2,582	1,718	2,354
100-199%	4,762	4,932	2,000	2,317	2,762	2,615	2,641	2,616
200% or More	14,184	14,834	4,847	4,892	9,337	9,942	12,773	13,136
EDUCATION LEVEL
< High School	2,062	1,995	821	*	1,241	1,268	1,320	1,445
High School Graduate	4,550	5,482	1,793	2,281	2,757	3,202	3,389	4,080
Some College/Associate‘s Degree	8,333	8,643	3,470	3,505	4,862	5,139	5,439	5,291
College Graduate	8,008	8,182	2,491	2,621	5,517	5,561	7,054	7,302
HEALTH INSURANCE³
Private	14,061	14,286	4,725	4,568	9,336	9,718	12,650	12,264
Medicaid/CHIP	5,553	5,912	2,540	2,458	3,013	3,453	2,578	3,164
Other⁴	5,633	6,784	2,053	2,697	3,580	4,087	5,301	6,170
No Coverage	1,419	1,458	665	721	755	737	629	601
* = 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.

220104

Table 8.18B – (REVISED) 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, 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 Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	44.8	46.2	65.5	64.5	37.6	39.4	8.7	9.1
GEOGRAPHIC REGION
Northeast	47.2	46.8	68.3	67.8	40.5	40.4	9.9	10.3
Midwest	49.6	49.3	69.7	67.5	42.8	41.8	10.0	10.5
South	42.1	47.8	61.1	63.6	35.4	41.6	7.7	8.3
West	42.6	41.1	66.5	61.2	34.4	34.3	8.3	8.5
COUNTY TYPE
Large Metro	43.6	43.7	65.9	65.0	36.6	36.6	8.2	8.8
Small Metro	46.0	49.3	64.9	65.1	38.9	42.8	9.6	10.3
Nonmetro	46.5	47.7	65.7	61.8	39.2	42.3	8.8	8.1
Urbanized	48.9	44.4	63.2	*	43.1	41.2	9.4	7.6
Less Urbanized	44.9	50.6	67.0	*	37.1	44.9	8.7	8.6
Completely Rural	44.3	*	*	*	32.6	*	7.4	8.0
POVERTY LEVEL²
Less Than 100%	44.9	45.6	65.6	61.1	36.0	38.5	7.4	8.7
100-199%	42.4	43.1	62.2	64.6	34.5	33.3	7.3	7.6
200% or More	45.6	47.5	67.2	65.8	39.0	41.8	9.3	9.6
EDUCATION LEVEL
< High School	37.7	35.9	64.1	*	29.6	30.0	5.4	6.3
High School Graduate	39.2	41.7	58.1	59.4	32.4	34.4	7.0	7.3
Some College/Associate‘s Degree	45.8	47.5	64.9	63.8	37.8	40.4	9.3	9.1
College Graduate	50.1	52.1	73.9	75.0	43.7	45.6	10.7	11.9
HEALTH INSURANCE³
Private	45.8	47.5	67.1	65.9	39.5	42.0	9.4	9.6
Medicaid/CHIP	50.1	49.0	70.8	68.6	40.3	40.7	10.6	11.6
Other⁴	48.8	51.7	77.8	73.0	40.2	43.3	9.3	10.1
No Coverage	25.5	25.2	42.8	44.9	18.8	17.6	3.1	2.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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.

220104

Table 8.19A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Demographic/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 Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	1,674	1,545	974	929	699	616	697	719
AGE GROUP
18-25	436	334	262	223	174	111	131	120
26 or Older	1,238	1,211	713	707	525	505	566	600
26-49	730	860	494	454	236	406	225	144
50 or Older	508	351	219	253	289	99	341	455
GENDER
Male	683	647	333	322	350	326	394	461
Female	991	898	642	608	349	290	303	258
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1,385	1,230	797	730	588	500	610	508
White	1,009	911	641	596	368	315	289	369
Black or African American	260	273	93	*	167	143	203	93
AIAN	*	*	*	*	*	*	5	*
NHOPI	*	*	*	*	*	*	1	*
Asian	52	3	19	*	33	3	78	21
Two or More Races	47	22	38	3	10	19	33	10
Hispanic or Latino	289	315	177	199	111	115	88	211
HEALTH INSURANCE²
Private	564	493	386	333	178	160	277	227
Medicaid/CHIP	804	653	451	391	353	262	321	270
Other³	530	441	246	316	284	125	281	247
No Coverage	182	177	103	69	79	108	78	76
EMPLOYMENT STATUS
Full-Time	441	298	291	172	150	126	153	148
Part-Time	196	121	128	51	68	70	88	48
Unemployed	206	226	117	*	89	159	108	214
Other⁴	831	901	439	641	392	260	348	309
* = 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.

220104

Table 8.19B – (REVISED) 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, Percentages, 2019 and 2020
Demographic/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 Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	3.3	2.9	7.4	6.5	1.8	1.6	0.4	0.4
AGE GROUP
18-25	4.4	3.3	9.0	6.8	2.5	1.6	0.6	0.5
26 or Older	3.0	2.8	7.0	6.5	1.7	1.6	0.3	0.3
26-49	2.9	3.4	7.2	6.5	1.3	2.2	0.3	0.2
50 or Older	3.1	2.1	6.5	6.4	2.2	0.8	0.3	0.5
GENDER
Male	3.5	3.4	7.1	6.3	2.3	2.3	0.4	0.5
Female	3.1	2.7	7.6	6.7	1.5	1.2	0.3	0.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	3.1	2.7	7.2	5.9	1.8	1.5	0.4	0.3
White	2.9	2.6	7.2	6.0	1.4	1.2	0.2	0.3
Black or African American	5.1	5.2	7.9	*	4.2	3.7	0.8	0.4
AIAN	*	*	*	*	*	*	0.5	*
NHOPI	*	*	*	*	*	*	0.1	*
Asian	2.5	0.1	4.2	*	2.0	0.2	0.6	0.2
Two or More Races	3.4	1.3	9.2	0.6	1.0	1.6	1.1	0.3
Hispanic or Latino	3.9	4.1	8.8	10.5	2.1	2.0	0.3	0.6
HEALTH INSURANCE²
Private	1.8	1.6	5.5	4.8	0.8	0.7	0.2	0.2
Medicaid/CHIP	7.2	5.4	12.5	10.9	4.7	3.1	1.3	1.0
Other³	4.6	3.4	9.3	8.5	3.2	1.3	0.5	0.4
No Coverage	3.2	3.0	6.6	4.3	2.0	2.6	0.4	0.4
EMPLOYMENT STATUS
Full-Time	1.9	1.3	5.1	3.4	0.8	0.7	0.2	0.2
Part-Time	2.4	1.5	5.8	2.1	1.1	1.2	0.4	0.2
Unemployed	7.5	6.7	13.9	*	4.7	7.0	1.5	2.2
Other⁴	5.0	4.7	10.1	11.4	3.2	1.9	0.5	0.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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.

220104

Table 8.20A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Demographic/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 Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	13,855	14,918	5,773	6,295	8,082	8,623	6,706	7,329
AGE GROUP
18-25	2,562	2,885	1,135	1,265	1,426	1,619	894	1,074
26 or Older	11,293	12,034	4,638	5,030	6,656	7,004	5,812	6,256
26-49	7,100	7,543	3,078	3,039	4,022	4,504	2,793	3,229
50 or Older	4,194	4,491	1,559	1,991	2,634	2,499	3,019	3,027
GENDER
Male	4,316	4,106	1,720	1,874	2,596	2,231	2,505	2,768
Female	9,540	10,813	4,053	4,421	5,486	6,392	4,201	4,561
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	12,281	13,278	5,064	5,648	7,217	7,630	6,000	6,643
White	10,333	11,124	4,195	4,714	6,138	6,410	4,965	5,846
Black or African American	1,149	1,430	487	*	662	780	552	428
AIAN	*	*	*	*	*	*	47	17
NHOPI	*	*	*	*	*	*	13	*
Asian	304	282	*	*	147	174	331	141
Two or More Races	425	313	192	*	233	175	91	177
Hispanic or Latino	1,575	1,640	709	647	865	993	706	687
HEALTH INSURANCE²
Private	8,576	8,848	3,189	3,165	5,387	5,683	4,852	5,052
Medicaid/CHIP	3,457	3,394	1,744	1,597	1,713	1,797	1,037	1,387
Other³	3,307	4,278	1,387	2,083	1,920	2,195	1,891	2,231
No Coverage	759	772	427	382	333	390	227	229
EMPLOYMENT STATUS
Full-Time	5,941	5,909	2,230	1,905	3,711	4,004	2,935	3,320
Part-Time	2,292	2,628	970	1,130	1,322	1,497	1,307	1,392
Unemployed	678	817	374	*	305	447	251	217
Other⁴	4,944	5,565	2,199	2,890	2,746	2,675	2,212	2,402
* = 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.

220104

Table 8.20B – (REVISED) 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, Percentages, 2019 and 2020
Demographic/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 Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	27.1	28.5	44.2	45.1	21.2	22.5	3.4	3.7
AGE GROUP
18-25	26.0	28.4	39.6	39.2	20.4	23.4	3.8	4.7
26 or Older	27.3	28.6	45.6	46.8	21.4	22.3	3.3	3.6
26-49	28.2	29.6	45.1	44.0	21.9	24.3	3.7	4.3
50 or Older	25.9	27.0	46.4	52.0	20.5	19.5	3.1	3.0
GENDER
Male	22.0	21.6	37.0	37.8	17.3	15.9	2.5	2.7
Female	30.2	32.5	48.3	49.1	23.7	26.4	4.3	4.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	28.0	29.8	45.8	46.8	22.0	23.5	3.7	4.0
White	29.7	31.5	47.1	47.5	23.7	25.2	4.1	4.8
Black or African American	22.4	27.6	41.7	*	16.7	20.5	2.3	1.7
AIAN	*	*	*	*	*	*	4.3	1.7
NHOPI	*	*	*	*	*	*	1.6	*
Asian	14.6	14.8	*	*	9.0	10.6	2.7	1.1
Two or More Races	30.7	19.3	47.0	*	23.8	14.5	3.1	5.9
Hispanic or Latino	21.4	21.4	35.5	34.2	16.2	17.2	2.1	2.0
HEALTH INSURANCE²
Private	28.0	29.6	45.4	45.9	22.8	24.7	3.6	3.9
Medicaid/CHIP	31.3	28.4	48.9	44.8	22.9	21.4	4.3	5.1
Other³	28.7	33.1	52.6	58.3	21.6	23.5	3.3	3.6
No Coverage	13.7	13.3	27.5	23.8	8.3	9.3	1.1	1.1
EMPLOYMENT STATUS
Full-Time	25.0	26.6	39.3	37.4	20.5	23.4	2.9	3.5
Part-Time	28.3	32.9	43.9	47.9	22.5	26.6	5.4	6.0
Unemployed	24.9	24.2	45.5	*	16.1	19.6	3.5	2.3
Other⁴	29.8	29.8	50.6	53.3	22.4	20.2	3.3	3.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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.

220104

Table 8.21A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Demographic/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 Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	18,854	20,479	7,402	7,937	11,452	12,542	13,775	14,113
AGE GROUP
18-25	2,854	3,319	1,297	1,590	1,557	1,729	1,312	1,486
26 or Older	16,000	17,160	6,105	6,348	9,895	10,812	12,464	12,627
26-49	9,422	9,811	3,860	3,702	5,562	6,109	4,966	4,766
50 or Older	6,578	7,349	2,246	2,646	4,333	4,704	7,498	7,861
GENDER
Male	5,868	5,977	2,229	2,408	3,639	3,569	4,832	4,862
Female	12,986	14,502	5,173	5,530	7,813	8,972	8,943	9,251
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	16,860	18,401	6,473	7,247	10,386	11,154	12,767	12,881
White	14,744	15,860	5,492	6,222	9,252	9,638	11,350	11,672
Black or African American	1,176	1,450	521	*	656	798	764	629
AIAN	*	*	*	*	*	*	67	*
NHOPI	*	*	*	*	*	*	19	*
Asian	356	284	*	*	159	*	346	292
Two or More Races	466	*	209	*	257	*	221	217
Hispanic or Latino	1,994	2,078	929	690	1,065	1,388	1,009	1,232
HEALTH INSURANCE²
Private	11,403	11,692	4,020	3,839	7,383	7,853	10,298	9,507
Medicaid/CHIP	4,736	5,270	2,274	2,169	2,462	3,101	2,007	2,365
Other³	4,777	6,142	1,823	2,503	2,955	3,639	4,339	5,158
No Coverage	1,093	1,055	540	562	553	493	447	437
EMPLOYMENT STATUS
Full-Time	8,002	7,634	2,914	2,277	5,088	5,357	5,915	5,823
Part-Time	2,720	3,110	1,120	1,465	1,600	1,645	2,206	2,029
Unemployed	908	1,214	449	*	459	737	466	363
Other⁴	7,224	8,520	2,919	3,718	4,304	4,802	5,188	5,898
* = 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.

220104

Table 8.21B – (REVISED) 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, Percentages, 2019 and 2020
Demographic/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 Illness¹ (2019)	No Mental Illness¹ (2020)
TOTAL	36.7	38.8	56.5	55.9	29.9	32.5	7.0	7.1
AGE GROUP
18-25	28.8	32.4	44.8	48.8	22.2	24.8	5.6	6.4
26 or Older	38.5	40.3	59.8	58.0	31.6	34.1	7.2	7.2
26-49	37.3	38.2	56.4	53.0	30.2	32.7	6.6	6.3
50 or Older	40.4	43.4	66.7	66.8	33.6	36.2	7.6	7.9
GENDER
Male	29.8	31.0	47.8	47.0	24.2	25.3	4.8	4.8
Female	41.0	43.2	61.3	60.9	33.6	36.6	9.2	9.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	38.3	40.8	58.3	58.9	31.6	34.0	7.8	7.8
White	42.2	44.5	61.5	62.1	35.6	37.7	9.3	9.6
Black or African American	22.9	27.5	43.9	*	16.6	20.8	3.1	2.5
AIAN	*	*	*	*	*	*	6.0	*
NHOPI	*	*	*	*	*	*	2.3	*
Asian	17.1	14.2	*	*	9.8	*	2.8	2.4
Two or More Races	33.5	*	51.0	*	26.2	*	7.4	7.2
Hispanic or Latino	26.8	26.8	46.3	36.5	19.6	23.7	3.0	3.6
HEALTH INSURANCE²
Private	37.1	38.7	57.0	55.1	31.2	33.7	7.7	7.4
Medicaid/CHIP	42.6	43.6	63.2	60.5	32.8	36.5	8.2	8.6
Other³	41.3	46.7	69.1	67.6	33.1	38.6	7.6	8.4
No Coverage	19.5	18.1	34.7	34.9	13.6	11.7	2.2	2.0
EMPLOYMENT STATUS
Full-Time	33.6	34.2	51.3	44.5	28.1	31.1	5.9	6.2
Part-Time	33.5	38.5	50.2	61.4	27.1	28.9	9.1	8.8
Unemployed	33.1	35.8	53.5	*	24.1	32.2	6.5	3.8
Other⁴	43.2	44.8	67.0	66.4	34.8	35.7	7.8	8.2
* = 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 8.22A – 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, 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	8,536	nc	423	nc	7,152	nc	960	nc	8,360
18-25	nc	1,823	nc	73	nc	1,646	nc	104	nc	2,240
26 or Older	nc	6,712	nc	350	nc	5,507	nc	856	nc	6,120
26-49	nc	4,438	nc	226	nc	3,652	nc	560	nc	4,781
50 or Older	nc	2,275	nc	*	nc	1,855	nc	296	nc	1,339
SUD and Serious Mental Illness	nc	3,747	nc	89	nc	3,129	nc	529	nc	1,897
18-25	nc	918	nc	4	nc	845	nc	68	nc	622
26 or Older	nc	2,829	nc	85	nc	2,284	nc	461	nc	1,275
26-49	nc	2,038	nc	84	nc	1,628	nc	326	nc	1,147
50 or Older	nc	*	nc	*	nc	*	nc	*	nc	*
SUD and Any Mental Illness Excluding Serious Mental Illness	nc	4,789	nc	334	nc	4,023	nc	431	nc	6,462
18-25	nc	906	nc	*	nc	800	nc	37	nc	1,618
26 or Older	nc	3,883	nc	265	nc	3,223	nc	395	nc	4,844
26-49	nc	2,400	nc	142	nc	2,023	nc	234	nc	3,634
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.

210616

Table 8.22B – 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, 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	50.5	nc	2.5	nc	42.3	nc	5.7	nc	49.5
18-25	nc	44.9	nc	1.8	nc	40.5	nc	2.6	nc	55.1
26 or Older	nc	52.3	nc	2.7	nc	42.9	nc	6.6	nc	47.7
26-49	nc	48.1	nc	2.4	nc	39.6	nc	6.0	nc	51.9
50 or Older	nc	63.0	nc	*	nc	51.3	nc	8.2	nc	37.0
SUD and Serious Mental Illness	nc	66.4	nc	1.6	nc	55.4	nc	9.3	nc	33.6
18-25	nc	59.6	nc	0.3	nc	54.9	nc	4.4	nc	40.4
26 or Older	nc	68.9	nc	2.1	nc	55.6	nc	11.2	nc	31.1
26-49	nc	64.0	nc	2.6	nc	51.1	nc	10.2	nc	36.0
50 or Older	nc	*	nc	*	nc	*	nc	*	nc	*
SUD and Any Mental Illness Excluding Serious Mental Illness	nc	42.6	nc	3.0	nc	35.8	nc	3.8	nc	57.4
18-25	nc	35.9	nc	*	nc	31.7	nc	1.4	nc	64.1
26 or Older	nc	44.5	nc	3.0	nc	36.9	nc	4.5	nc	55.5
26-49	nc	39.8	nc	2.3	nc	33.5	nc	3.8	nc	60.2
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.

220104

Table 8.23A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Location of Mental Health Services¹	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	3,990	4,659	2,033	2,358	1,958	2,301	1,172	1,369
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	8,240	9,253	3,398	3,789	4,843	5,465	4,188	4,535
Doctor‘s Office - Not Part of a Clinic	2,162	1,988	830	866	1,332	1,123	974	842
Outpatient Medical Clinic	857	1,188	422	630	434	558	324	423
Partial Day Hospital or Day Treatment Program	321	243	183	209	138	34	25	123
School or University Setting/Clinic/Center³	103	82	35	20	68	63	48	10
Some Other Place⁴	312	269	180	200	132	69	223	213
* = 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.

220104

Table 8.23B – (REVISED) 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, Percentages, 2019 and 2020
Location of Mental Health Services¹	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	29.0	31.4	35.3	37.6	24.4	26.8	17.6	18.8
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	59.8	62.3	59.1	60.4	60.4	63.7	62.8	62.3
Doctor‘s Office - Not Part of a Clinic	15.7	13.4	14.4	13.8	16.6	13.1	14.6	11.6
Outpatient Medical Clinic	6.2	8.0	7.3	10.0	5.4	6.5	4.9	5.8
Partial Day Hospital or Day Treatment Program	2.3	1.6	3.2	3.3	1.7	0.4	0.4	1.7
School or University Setting/Clinic/Center³	0.8	0.6	0.6	0.3	0.9	0.7	0.7	0.1
Some Other Place⁴	2.3	1.8	3.2	3.2	1.7	0.8	3.4	3.0
* = 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.

220104

Table 8.24A – (REVISED) Types and Locations of Mental Health Services Received in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness, Numbers in Thousands, 2019 and 2020
Type and Location of Mental Health Services	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	22,953	24,303	8,575	9,133	14,378	15,169	17,201	18,118
Outpatient	13,855	14,918	5,773	6,295	8,082	8,623	6,706	7,329
Outpatient Mental Health Clinic or Center	3,990	4,659	2,033	2,358	1,958	2,301	1,172	1,369
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	8,240	9,253	3,398	3,789	4,843	5,465	4,188	4,535
Doctor‘s Office - Not Part of a Clinic	2,162	1,988	830	866	1,332	1,123	974	842
Outpatient Medical Clinic	857	1,188	422	630	434	558	324	423
Partial Day Hospital or Day Treatment Program	321	243	183	209	138	34	25	123
School or University Setting/Clinic/Center³	103	82	35	20	68	63	48	*
Some Other Place⁴	312	269	180	200	132	69	223	213
Inpatient	1,674	1,545	974	929	699	616	697	719
Prescription Medication	18,854	20,479	7,402	7,937	11,452	12,542	13,775	14,113
NONE OF THESE SERVICES	28,330	28,311	4,515	5,021	23,815	23,290	180,287	180,077
* = 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 8.24B – (REVISED) Types and Locations of Mental Health Services Received in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness, Percentages, 2019 and 2020
Type and Location of Mental Health Services	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	44.8	46.2	65.5	64.5	37.6	39.4	8.7	9.1
Outpatient	27.1	28.5	44.2	45.1	21.2	22.5	3.4	3.7
Outpatient Mental Health Clinic or Center	7.8	8.9	15.6	16.9	5.1	6.0	0.6	0.7
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	16.1	17.7	26.1	27.2	12.7	14.3	2.1	2.3
Doctor‘s Office - Not Part of a Clinic	4.2	3.8	6.4	6.2	3.5	2.9	0.5	0.4
Outpatient Medical Clinic	1.7	2.3	3.2	4.5	1.1	1.5	0.2	0.2
Partial Day Hospital or Day Treatment Program	0.6	0.5	1.4	1.5	0.4	0.1	0.0	0.1
School or University Setting/Clinic/Center³	0.2	0.2	0.3	0.1	0.2	0.2	0.0	*
Some Other Place⁴	0.6	0.5	1.4	1.4	0.3	0.2	0.1	0.1
Inpatient	3.3	2.9	7.4	6.5	1.8	1.6	0.4	0.4
Prescription Medication	36.7	38.8	56.5	55.9	29.9	32.5	7.0	7.1
NONE OF THESE SERVICES	55.2	53.8	34.5	35.5	62.4	60.6	91.3	90.9
* = 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 8.25A – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Age Group, 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	5,162	5,791	911	977	4,251	4,814	2,395	2,770	1,856	2,043
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	12,429	13,380	2,243	2,732	10,185	10,649	6,238	6,559	3,947	4,090
Doctor‘s Office - Not Part of a Clinic	3,136	2,721	404	373	2,733	2,348	1,490	1,429	1,243	919
Outpatient Medical Clinic	1,181	1,488	212	252	969	1,235	583	572	385	664
Partial Day Hospital or Day Treatment Program	346	361	80	82	266	279	159	151	107	128
School or University Setting/Clinic/Center²	151	89	114	68	37	21	37	21	*	*
Some Other Place³	534	464	55	24	480	440	154	165	326	275
* = 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 8.25B – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Age Group, 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	25.3	27.1	26.6	25.4	25.0	27.4	24.3	26.9	25.9	28.2
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	60.8	62.5	65.5	71.1	59.9	60.6	63.4	63.7	55.0	56.3
Doctor‘s Office - Not Part of a Clinic	15.3	12.7	11.8	9.7	16.1	13.4	15.1	13.9	17.3	12.7
Outpatient Medical Clinic	5.8	7.0	6.2	6.6	5.7	7.0	5.9	5.6	5.4	9.1
Partial Day Hospital or Day Treatment Program	1.7	1.7	2.3	2.1	1.6	1.6	1.6	1.5	1.5	1.8
School or University Setting/Clinic/Center²	0.7	0.4	3.4	1.8	0.2	0.1	0.4	0.2	*	*
Some Other Place³	2.6	2.2	1.6	0.6	2.8	2.5	1.6	1.6	4.6	3.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.26A – 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, 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	7,542	8,366	1,473	1,802	6,069	6,564	3,964	4,503	2,106	2,061
Family Member Not Living in Household	683	541	324	380	359	161	258	161	100	*
Private Health Insurance	7,772	8,135	1,153	1,533	6,619	6,602	3,914	4,021	2,704	2,581
Medicare	3,250	3,957	227	240	3,023	3,718	913	949	2,110	2,768
Medicaid	2,604	3,059	297	412	2,307	2,646	1,484	1,870	823	776
Rehabilitation Program	30	85	6	2	24	83	18	8	7	*
Employer	1,346	1,385	86	133	1,260	1,252	821	887	439	365
VA or Other Military Program	951	1,235	38	24	913	1,211	392	534	521	676
Other Public Source	545	558	116	110	429	448	302	195	126	253
Other Private Source	220	136	55	40	164	97	98	43	66	53
Free Treatment	1,156	1,232	444	442	712	791	459	442	253	348
* = 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 8.26B – 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, 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	37.2	39.1	44.2	47.1	35.8	37.4	40.5	43.5	29.4	28.5
Family Member Not Living in Household	3.4	2.5	9.7	9.9	2.1	0.9	2.6	1.6	1.4	*
Private Health Insurance	38.3	38.0	34.6	40.1	39.0	37.6	40.0	38.9	37.7	35.7
Medicare	16.0	18.5	6.8	6.3	17.8	21.2	9.3	9.2	29.4	38.3
Medicaid	12.8	14.3	8.9	10.8	13.6	15.1	15.2	18.1	11.5	10.7
Rehabilitation Program	0.1	0.4	0.2	0.1	0.1	0.5	0.2	0.1	0.1	*
Employer	6.6	6.5	2.6	3.5	7.4	7.1	8.4	8.6	6.1	5.1
VA or Other Military Program	4.7	5.8	1.2	0.6	5.4	6.9	4.0	5.2	7.3	9.4
Other Public Source	2.7	2.6	3.5	2.9	2.5	2.6	3.1	1.9	1.8	3.5
Other Private Source	1.1	0.6	1.7	1.0	1.0	0.5	1.0	0.4	0.9	0.7
Free Treatment	5.7	5.8	13.3	11.5	4.2	4.5	4.7	4.3	3.5	4.8
* = 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 8.27A – 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, Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	16,597	19,725	8,573	9,291	7,997	10,400
AGE GROUP
18-25	5,079	5,951	2,193	2,545	2,883	3,395
26 or Older	11,519	13,774	6,380	6,746	5,114	7,005
26-49	8,480	9,684	4,522	4,593	3,933	5,073
50 or Older	3,039	4,090	1,858	2,154	1,181	1,932
GENDER
Male	5,174	6,444	2,232	2,733	2,932	3,703
Female	11,424	13,281	6,341	6,558	5,065	6,697
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	14,063	16,335	7,376	7,991	6,661	8,311
White	11,221	12,798	6,054	6,696	5,142	6,074
Black or African American	1,555	2,047	751	753	803	1,294
AIAN	96	160	*	*	54	94
NHOPI	52	16	*	*	37	*
Asian	636	627	262	*	375	443
Two or More Races	502	686	252	*	250	396
Hispanic or Latino	2,534	3,390	1,197	1,300	1,335	2,089
EMPLOYMENT STATUS
Full-Time	8,201	9,039	3,906	4,029	4,276	4,989
Part-Time	3,137	3,672	1,426	1,772	1,704	1,897
Unemployed	977	1,409	510	601	467	805
Other³	4,281	5,605	2,732	2,889	1,550	2,708
* = 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 8.27B – 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, Percentages, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	6.7	8.1	21.4	22.5	3.8	5.1
AGE GROUP
18-25	15.2	18.3	38.3	40.1	10.4	13.0
26 or Older	5.3	6.5	18.6	19.3	2.8	4.0
26-49	8.4	9.9	25.3	25.6	4.8	6.3
50 or Older	2.7	3.6	11.3	12.6	1.2	2.0
GENDER
Male	4.3	5.5	16.7	20.6	2.8	3.5
Female	8.9	10.5	23.8	23.4	5.0	6.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	6.8	8.0	20.4	21.5	3.9	5.0
White	7.1	8.3	19.5	20.7	4.1	5.0
Black or African American	5.3	7.0	26.1	27.9	3.0	4.9
AIAN	7.0	11.4	*	*	4.6	8.0
NHOPI	5.3	1.7	*	*	4.0	*
Asian	4.4	4.5	26.2	*	2.8	3.4
Two or More Races	11.6	15.2	29.1	*	7.2	11.2
Hispanic or Latino	6.2	8.4	30.3	30.5	3.6	5.8
EMPLOYMENT STATUS
Full-Time	6.6	8.0	22.6	23.5	4.0	5.2
Part-Time	9.7	12.0	22.3	27.5	6.6	7.9
Unemployed	9.9	11.4	29.9	28.9	5.7	7.9
Other³	5.2	6.3	18.6	18.4	2.3	3.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.28A – 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, Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	16,597	19,725	8,573	9,291	7,997	10,400
GEOGRAPHIC REGION
Northeast	2,673	2,890	1,408	1,473	1,253	1,399
Midwest	3,754	4,370	2,095	2,095	1,646	2,271
South	5,868	7,007	2,973	3,156	2,894	3,842
West	4,302	5,459	2,097	2,567	2,203	2,888
COUNTY TYPE
Large Metro	9,310	10,511	4,715	4,686	4,578	5,812
Small Metro	5,096	6,838	2,677	3,422	2,409	3,397
Nonmetro	2,190	2,376	1,181	1,183	1,009	1,191
Urbanized	1,027	1,168	546	551	482	617
Less Urbanized	991	1,023	549	546	442	476
Completely Rural	172	185	86	*	86	99
POVERTY LEVEL³
Less Than 100%	2,814	3,609	1,735	1,862	1,078	1,740
100-199%	3,824	3,974	2,034	2,010	1,790	1,961
200% or More	9,738	12,092	4,704	5,391	5,007	6,676
EDUCATION LEVEL
< High School	1,367	1,523	792	806	574	716
High School Graduate	3,315	4,449	1,719	1,849	1,595	2,593
Some College/Associate‘s Degree	6,201	7,370	3,138	3,363	3,058	4,000
College Graduate	5,714	6,382	2,924	3,273	2,770	3,091
HEALTH INSURANCE⁴
Private	10,270	11,954	5,044	5,568	5,200	6,364
Medicaid/CHIP	3,617	3,900	2,322	2,124	1,294	1,765
Other⁵	2,297	3,273	1,526	1,669	771	1,604
No Coverage	1,994	2,262	762	816	1,231	1,439
* = 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 8.28B – 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, Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	6.7	8.1	21.4	22.5	3.8	5.1
GEOGRAPHIC REGION
Northeast	6.1	6.8	18.9	20.3	3.5	4.0
Midwest	7.2	8.5	21.6	21.0	3.9	5.5
South	6.2	7.5	22.1	21.4	3.6	4.9
West	7.3	9.4	22.3	27.3	4.4	6.0
COUNTY TYPE
Large Metro	6.7	7.9	22.1	22.4	3.9	5.2
Small Metro	6.8	9.2	20.7	23.8	3.9	5.7
Nonmetro	6.4	6.4	20.6	19.5	3.5	3.8
Urbanized	7.2	7.9	21.4	23.3	4.1	5.0
Less Urbanized	6.2	5.8	20.6	17.9	3.3	3.2
Completely Rural	4.4	3.9	16.2	*	2.5	2.4
POVERTY LEVEL³
Less Than 100%	8.8	10.1	31.3	29.1	4.1	6.0
100-199%	8.1	8.9	27.7	27.9	4.5	5.3
200% or More	5.8	7.4	17.5	19.5	3.5	4.9
EDUCATION LEVEL
< High School	4.6	5.5	23.8	24.3	2.2	2.9
High School Graduate	5.5	6.7	21.7	20.1	3.1	4.5
Some College/Associate‘s Degree	8.1	9.9	22.8	24.9	4.9	6.6
College Graduate	7.0	8.4	19.4	21.3	4.1	5.1
HEALTH INSURANCE⁴
Private	6.2	7.7	18.9	21.2	3.8	4.9
Medicaid/CHIP	10.2	10.1	28.7	24.6	4.8	5.9
Other⁵	3.3	4.5	14.0	13.4	1.3	2.7
No Coverage	7.8	8.7	38.0	41.2	5.2	6.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.29A – 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, Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	13,321	16,083	7,480	8,342	5,826	7,709
AGE GROUP
18-25	4,021	4,822	1,884	2,279	2,135	2,536
26 or Older	9,300	11,261	5,596	6,064	3,690	5,173
26-49	7,047	7,825	4,043	4,057	2,990	3,748
50 or Older	2,253	3,436	1,553	2,007	700	1,425
GENDER
Male	4,026	4,997	1,931	2,447	2,093	2,546
Female	9,295	11,085	5,549	5,895	3,733	5,164
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	11,286	13,327	6,441	7,145	4,829	6,151
White	9,030	10,452	5,343	5,869	3,672	4,559
Black or African American	1,223	1,696	639	*	582	924
AIAN	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*
Asian	462	391	*	*	289	238
Two or More Races	437	*	230	*	207	*
Hispanic or Latino	2,035	2,756	1,039	1,197	996	1,559
EMPLOYMENT STATUS
Full-Time	6,604	7,060	3,484	3,466	3,112	3,574
Part-Time	2,524	3,015	1,198	1,512	1,318	1,501
Unemployed	773	1,261	442	602	331	658
Other³	3,420	4,746	2,356	2,762	1,064	1,976
* = 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 8.29B – 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, Percentages, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	26.0	30.5	32.7	34.4	20.6	27.3
AGE GROUP
18-25	40.7	47.1	49.2	53.0	35.5	42.9
26 or Older	22.5	26.4	29.3	30.4	16.6	23.1
26-49	28.0	30.5	35.4	34.1	21.8	27.5
50 or Older	13.9	20.3	20.3	24.8	8.2	16.3
GENDER
Male	20.5	26.0	26.9	34.2	16.9	21.3
Female	29.4	33.0	35.3	34.4	23.5	31.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	25.7	29.6	31.6	33.1	20.7	26.4
White	25.9	29.4	30.5	32.0	21.2	26.7
Black or African American	23.9	32.3	37.9	*	17.0	28.0
AIAN	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*
Asian	22.3	19.6	*	*	18.1	15.2
Two or More Races	31.5	*	38.7	*	26.2	*
Hispanic or Latino	27.6	35.6	41.7	44.1	20.4	31.1
EMPLOYMENT STATUS
Full-Time	27.8	31.6	35.2	36.1	22.5	28.3
Part-Time	31.1	37.4	34.6	39.6	28.4	35.9
Unemployed	28.2	37.1	40.1	41.0	20.3	35.0
Other³	20.6	24.9	28.0	29.4	13.0	20.6
* = 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.

210616

Table 8.30A – 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, Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	13,321	16,083	7,480	8,342	5,826	7,709
GEOGRAPHIC REGION
Northeast	1,989	2,231	1,171	1,342	809	873
Midwest	3,103	3,393	1,876	1,808	1,222	1,584
South	4,659	5,798	2,545	2,835	2,113	2,954
West	3,571	4,661	1,888	2,357	1,681	2,299
COUNTY TYPE
Large Metro	7,529	8,536	4,145	4,232	3,378	4,295
Small Metro	3,926	5,674	2,240	3,083	1,676	2,571
Nonmetro	1,867	1,872	1,095	1,028	772	844
Urbanized	857	990	492	*	365	466
Less Urbanized	863	766	521	476	341	289
Completely Rural	147	117	81	*	66	*
POVERTY LEVEL³
Less Than 100%	2,294	3,265	1,503	1,884	791	1,377
100-199%	3,140	3,531	1,737	1,988	1,403	1,543
200% or More	7,706	9,240	4,147	4,445	3,543	4,769
EDUCATION LEVEL
< High School	1,047	1,412	702	*	345	580
High School Graduate	2,660	3,822	1,377	1,799	1,284	2,015
Some College/Associate‘s Degree	5,232	6,101	2,877	3,064	2,349	3,033
College Graduate	4,382	4,747	2,524	2,648	1,848	2,081
HEALTH INSURANCE⁴
Private	8,112	9,409	4,391	4,801	3,706	4,587
Medicaid/CHIP	2,931	3,521	1,954	2,109	977	1,403
Other⁵	1,820	2,709	1,292	1,525	527	1,184
No Coverage	1,650	1,959	703	775	947	1,176
* = 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 8.30B – 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, Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	26.0	30.5	32.7	34.4	20.6	27.3
GEOGRAPHIC REGION
Northeast	23.2	26.7	29.1	34.4	17.9	19.8
Midwest	27.1	28.6	33.1	31.1	21.2	26.4
South	25.7	31.2	33.3	32.0	20.1	30.6
West	27.3	33.4	34.0	41.3	22.5	28.0
COUNTY TYPE
Large Metro	26.7	31.4	33.8	35.8	21.3	28.2
Small Metro	24.9	31.7	30.9	35.1	19.7	28.4
Nonmetro	25.6	24.3	32.3	28.0	19.8	21.0
Urbanized	27.7	29.5	32.6	*	23.1	24.9
Less Urbanized	24.3	21.1	32.9	25.9	17.5	16.1
Completely Rural	22.4	16.4	28.0	*	17.9	*
POVERTY LEVEL³
Less Than 100%	26.7	33.3	39.3	42.2	16.7	25.9
100-199%	28.0	30.9	36.5	40.5	21.8	23.7
200% or More	24.7	29.4	29.3	30.0	21.0	29.1
EDUCATION LEVEL
< High School	19.2	25.4	34.1	*	10.2	16.3
High School Graduate	22.9	29.1	30.3	32.8	18.2	26.3
Some College/Associate‘s Degree	28.8	33.3	34.7	35.5	23.8	31.7
College Graduate	27.4	30.1	31.5	32.4	23.2	27.7
HEALTH INSURANCE⁴
Private	26.4	31.2	31.3	33.7	22.3	29.1
Medicaid/CHIP	26.4	29.1	35.3	35.7	17.7	22.8
Other⁵	15.7	20.6	22.9	22.5	8.9	18.6
No Coverage	29.7	33.7	50.1	53.2	22.9	27.1
* = 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 8.31A – 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, Numbers in Thousands, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	6,233	7,048	4,186	4,392	2,046	2,647
AGE GROUP
18-25	1,803	2,066	1,024	1,161	778	906
26 or Older	4,430	4,982	3,162	3,231	1,268	1,741
26-49	3,251	3,344	2,214	2,030	1,038	1,304
50 or Older	1,178	1,638	948	1,201	*	*
GENDER
Male	1,826	2,208	1,071	1,211	754	993
Female	4,407	4,840	3,114	3,181	1,292	1,654
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5,250	5,985	3,559	3,900	1,690	2,076
White	4,137	4,906	2,875	3,214	1,262	1,687
Black or African American	595	*	365	*	228	*
AIAN	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*
Asian	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*
Hispanic or Latino	983	1,063	627	*	356	*
EMPLOYMENT STATUS
Full-Time	2,946	2,756	1,838	1,608	1,106	1,138
Part-Time	1,194	1,249	681	800	513	*
Unemployed	364	756	259	*	*	*
Other³	1,730	2,287	1,407	1,606	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 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.

210616

Table 8.31B – 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, Percentages, 2019 and 2020
Demographic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	47.7	49.7	48.9	48.2	45.6	52.7
AGE GROUP
18-25	62.5	63.4	62.9	61.8	62.3	65.6
26 or Older	43.5	45.6	45.6	44.7	39.2	47.8
26-49	47.6	48.0	49.8	46.7	43.5	50.7
50 or Older	35.1	41.4	38.0	41.6	*	*
GENDER
Male	39.4	43.1	40.7	43.4	37.6	43.3
Female	52.3	53.4	52.5	50.3	52.0	60.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	47.4	48.7	47.4	47.6	47.7	51.2
White	46.4	49.0	45.8	46.2	48.4	55.4
Black or African American	50.6	*	53.2	*	46.8	*
AIAN	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*
Asian	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*
Hispanic or Latino	49.0	56.2	59.2	*	37.6	*
EMPLOYMENT STATUS
Full-Time	51.9	54.0	52.8	56.3	50.6	51.1
Part-Time	53.6	52.3	50.7	49.0	58.4	*
Unemployed	43.6	68.9	50.7	*	*	*
Other³	39.8	40.9	43.6	39.7	29.3	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.32A – 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, Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	6,233	7,048	4,186	4,392	2,046	2,647
GEOGRAPHIC REGION
Northeast	986	904	702	622	284	*
Midwest	1,422	1,651	993	1,072	429	578
South	2,208	2,596	1,432	1,573	775	*
West	1,617	1,897	1,058	1,126	558	*
COUNTY TYPE
Large Metro	3,389	3,724	2,336	2,287	1,052	1,436
Small Metro	1,875	2,472	1,217	1,554	659	*
Nonmetro	968	853	633	550	336	*
Urbanized	448	*	272	*	*	*
Less Urbanized	450	*	312	*	*	*
Completely Rural	*	*	*	*	*	*
POVERTY LEVEL³
Less Than 100%	1,240	1,583	913	1,022	328	*
100-199%	1,556	1,882	987	1,231	569	*
200% or More	3,369	3,571	2,264	2,128	1,103	1,433
EDUCATION LEVEL
< High School	558	*	432	*	127	*
High School Graduate	1,323	1,754	796	976	527	*
Some College/Associate‘s Degree	2,641	2,893	1,702	1,704	937	1,185
College Graduate	1,711	1,794	1,256	1,294	455	*
HEALTH INSURANCE⁴
Private	3,443	3,557	2,252	2,191	1,189	1,359
Medicaid/CHIP	1,621	1,573	1,221	1,084	400	490
Other⁵	910	1,430	765	*	145	*
No Coverage	853	983	451	547	402	*
* = 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 8.32B – 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, Percentages, 2019 and 2020
Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH SERVICES²
	Total¹		Received		Not Received
	2019	2020	2019	2020	2019	2020
TOTAL	47.7	49.7	48.9	48.2	45.6	52.7
GEOGRAPHIC REGION
Northeast	47.9	45.9	49.9	47.0	43.4	*
Midwest	48.8	47.9	49.0	46.2	48.7	51.7
South	46.6	49.4	49.4	47.1	42.3	*
West	48.1	54.0	47.3	52.8	49.8	*
COUNTY TYPE
Large Metro	50.4	54.5	52.7	51.8	46.0	60.2
Small Metro	43.4	47.5	43.3	46.0	43.6	*
Nonmetro	47.7	40.0	47.8	41.8	48.5	*
Urbanized	50.4	*	48.6	*	*	*
Less Urbanized	48.0	*	50.3	*	*	*
Completely Rural	*	*	*	*	*	*
POVERTY LEVEL³
Less Than 100%	48.1	51.3	54.0	54.3	37.3	*
100-199%	48.7	52.7	49.5	53.6	47.4	*
200% or More	46.7	47.8	46.7	43.5	46.7	56.3
EDUCATION LEVEL
< High School	44.2	*	52.7	*	28.7	*
High School Graduate	42.8	45.7	44.5	42.8	40.7	*
Some College/Associate‘s Degree	49.4	52.5	49.0	48.9	50.1	59.5
College Graduate	50.8	51.1	50.4	49.4	51.7	*
HEALTH INSURANCE⁴
Private	48.9	51.2	47.7	48.2	51.4	57.5
Medicaid/CHIP	45.2	43.9	48.1	44.1	38.4	43.6
Other⁵	34.5	38.6	37.3	*	24.8	*
No Coverage	55.5	61.1	68.4	75.9	46.0	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.33A – 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, 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	16,597	19,725	8,573	9,291	7,997	10,400
Could Not Afford Cost	6,701	7,443	3,467	3,221	3,232	4,198
Might Cause Neighbors/Community to Have Negative Opinion	1,651	2,129	749	749	897	1,369
Might Have Negative Effect on Job	1,492	1,740	686	778	806	960
Health Insurance Does Not Cover Any Mental Health Services	1,243	1,668	574	705	669	952
Health Insurance Does Not Pay Enough for Mental Health Services	2,505	3,361	1,441	1,563	1,061	1,791
Did Not Know Where to Go for Services	4,033	5,407	1,604	2,157	2,420	3,240
Concerned about Confidentiality	1,438	1,770	644	766	794	993
Concerned about Being Committed/Having to Take Medicine	2,031	2,793	1,077	1,329	952	1,457
Did Not Feel Need for Treatment at the Time	1,685	2,082	885	745	801	1,337
Thought Could Handle the Problem Without Treatment	4,579	5,449	2,052	2,145	2,526	3,296
Treatment Would Not Help	1,893	2,414	1,032	911	862	1,496
Did Not Have Time	3,553	3,934	1,861	1,881	1,686	2,042
Did Not Want Others to Find Out	1,103	1,418	436	438	667	980
No Transportation/Inconvenient	920	1,043	597	685	323	344
COVID-19-Related⁴	--	467	--	246	--	221
Some Other Reason⁵	1,906	2,269	1,183	1,232	720	1,026
* = 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.

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Table 8.33B – 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, 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	100.0	100.0	100.0	100.0	100.0	100.0
Could Not Afford Cost	40.6	38.3	40.6	35.3	40.8	40.8
Might Cause Neighbors/Community to Have Negative Opinion	10.0	10.9	8.8	8.2	11.3	13.3
Might Have Negative Effect on Job	9.0	8.9	8.0	8.5	10.2	9.3
Health Insurance Does Not Cover Any Mental Health Services	7.5	8.6	6.7	7.7	8.4	9.2
Health Insurance Does Not Pay Enough for Mental Health Services	15.2	17.3	16.9	17.1	13.4	17.4
Did Not Know Where to Go for Services	24.4	27.8	18.8	23.6	30.5	31.5
Concerned about Confidentiality	8.7	9.1	7.5	8.4	10.0	9.6
Concerned about Being Committed/Having to Take Medicine	12.3	14.4	12.6	14.6	12.0	14.2
Did Not Feel Need for Treatment at the Time	10.2	10.7	10.4	8.2	10.1	13.0
Thought Could Handle the Problem Without Treatment	27.8	28.0	24.0	23.5	31.9	32.0
Treatment Would Not Help	11.5	12.4	12.1	10.0	10.9	14.5
Did Not Have Time	21.6	20.2	21.8	20.6	21.3	19.8
Did Not Want Others to Find Out	6.7	7.3	5.1	4.8	8.4	9.5
No Transportation/Inconvenient	5.6	5.4	7.0	7.5	4.1	3.3
COVID-19-Related⁴	--	2.4	--	2.7	--	2.1
Some Other Reason⁵	11.6	11.6	13.9	13.5	9.1	9.9
* = 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.

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Table 8.34A – 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, 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	13,321	16,083	7,480	8,342	5,826	7,709
Could Not Afford Cost	5,744	6,544	3,198	3,073	2,547	3,449
Might Cause Neighbors/Community to Have Negative Opinion	1,404	1,728	703	669	696	1,049
Might Have Negative Effect on Job	1,327	1,534	651	743	676	789
Health Insurance Does Not Cover Any Mental Health Services	1,033	1,416	519	561	513	844
Health Insurance Does Not Pay Enough for Mental Health Services	2,116	2,969	1,262	1,476	853	1,487
Did Not Know Where to Go for Services	3,315	4,573	1,394	2,050	1,920	2,515
Concerned about Confidentiality	1,281	1,514	602	732	679	774
Concerned about Being Committed/Having to Take Medicine	1,892	2,647	1,030	1,396	861	1,243
Did Not Feel Need for Treatment at the Time	1,241	1,544	712	663	529	882
Thought Could Handle the Problem Without Treatment	3,516	4,190	1,749	1,897	1,767	2,285
Treatment Would Not Help	1,694	2,065	952	818	741	1,241
Did Not Have Time	2,822	2,907	1,654	1,549	1,162	1,346
Did Not Want Others to Find Out	994	1,188	422	418	573	770
No Transportation/Inconvenient	842	1,049	568	721	274	314
COVID-19-Related⁴	--	464	--	299	--	165
Some Other Reason⁵	1,544	1,842	1,031	1,100	509	730
* = 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.

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Table 8.34B – 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, 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	100.0	100.0	100.0	100.0	100.0	100.0
Could Not Afford Cost	43.3	41.0	42.9	37.3	43.9	44.9
Might Cause Neighbors/Community to Have Negative Opinion	10.6	10.8	9.4	8.1	12.0	13.7
Might Have Negative Effect on Job	10.0	9.6	8.7	9.0	11.7	10.3
Health Insurance Does Not Cover Any Mental Health Services	7.8	8.9	7.0	6.8	8.8	11.0
Health Insurance Does Not Pay Enough for Mental Health Services	15.9	18.6	16.9	17.9	14.7	19.4
Did Not Know Where to Go for Services	25.0	28.7	18.7	24.9	33.1	32.7
Concerned about Confidentiality	9.6	9.5	8.1	8.9	11.7	10.1
Concerned about Being Committed/Having to Take Medicine	14.2	16.6	13.8	17.0	14.8	16.2
Did Not Feel Need for Treatment at the Time	9.3	9.7	9.5	8.0	9.1	11.5
Thought Could Handle the Problem Without Treatment	26.5	26.3	23.5	23.0	30.5	29.7
Treatment Would Not Help	12.8	13.0	12.8	9.9	12.8	16.2
Did Not Have Time	21.3	18.2	22.2	18.8	20.0	17.5
Did Not Want Others to Find Out	7.5	7.4	5.7	5.1	9.9	10.0
No Transportation/Inconvenient	6.3	6.6	7.6	8.8	4.7	4.1
COVID-19-Related⁴	--	2.9	--	3.6	--	2.1
Some Other Reason⁵	11.6	11.5	13.8	13.4	8.8	9.5
* = 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.

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Table 8.35A – 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, 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	6,233	7,048	4,186	4,392	2,046	2,647
Could Not Afford Cost	2,923	3,223	1,864	1,915	1,059	1,306
Might Cause Neighbors/Community to Have Negative Opinion	715	798	450	309	265	486
Might Have Negative Effect on Job	780	836	441	498	339	338
Health Insurance Does Not Cover Any Mental Health Services	473	640	272	324	201	316
Health Insurance Does Not Pay Enough for Mental Health Services	1,065	1,348	717	869	348	478
Did Not Know Where to Go for Services	1,547	2,055	793	1,169	753	884
Concerned about Confidentiality	735	819	390	512	345	305
Concerned about Being Committed/Having to Take Medicine	1,240	1,756	760	1,072	478	683
Did Not Feel Need for Treatment at the Time	505	507	332	298	173	209
Thought Could Handle the Problem Without Treatment	1,479	1,662	921	1,002	558	660
Treatment Would Not Help	842	926	564	480	277	446
Did Not Have Time	1,182	1,096	804	694	378	397
Did Not Want Others to Find Out	449	495	258	232	190	263
No Transportation/Inconvenient	459	411	325	304	135	107
COVID-19-Related⁴	--	179	--	63	--	*
Some Other Reason⁵	871	850	636	620	235	225
* = 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 8.35B – 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, 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	100.0	100.0	100.0	100.0	100.0	100.0
Could Not Afford Cost	46.9	45.8	44.6	43.6	51.8	49.5
Might Cause Neighbors/Community to Have Negative Opinion	11.5	11.3	10.8	7.0	12.9	18.4
Might Have Negative Effect on Job	12.5	11.9	10.5	11.4	16.6	12.8
Health Insurance Does Not Cover Any Mental Health Services	7.6	9.1	6.5	7.4	9.8	12.0
Health Insurance Does Not Pay Enough for Mental Health Services	17.1	19.1	17.1	19.8	17.0	18.1
Did Not Know Where to Go for Services	24.8	29.2	19.0	26.6	36.8	33.5
Concerned about Confidentiality	11.8	11.6	9.3	11.7	16.9	11.6
Concerned about Being Committed/Having to Take Medicine	19.9	24.9	18.2	24.4	23.4	25.9
Did Not Feel Need for Treatment at the Time	8.1	7.2	7.9	6.8	8.5	7.9
Thought Could Handle the Problem Without Treatment	23.7	23.6	22.0	22.8	27.3	25.0
Treatment Would Not Help	13.5	13.2	13.5	10.9	13.6	16.9
Did Not Have Time	19.0	15.6	19.2	15.8	18.5	15.0
Did Not Want Others to Find Out	7.2	7.0	6.2	5.3	9.3	10.0
No Transportation/Inconvenient	7.4	5.8	7.8	6.9	6.6	4.0
COVID-19-Related⁴	--	2.5	--	1.4	--	*
Some Other Reason⁵	14.0	12.1	15.2	14.1	11.5	8.5
* = 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 8.36A – Major Depressive Episode in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Numbers in Thousands, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	19,357	20,976	7,125	7,440	12,233	13,536
18-25	5,045	5,610	1,841	1,829	3,204	3,781
18-20	2,050	2,002	736	665	1,314	1,338
21-25	2,995	3,607	1,105	1,164	1,890	2,443
26 or Older	14,312	15,366	5,284	5,612	9,028	9,755
26-49	8,914	9,168	3,271	3,649	5,643	5,518
26-29	2,088	1,805	852	717	1,236	1,088
30-34	2,259	2,126	845	832	1,414	1,293
35-39	1,705	1,838	487	752	1,218	1,086
40-44	1,455	1,412	532	601	922	811
45-49	1,407	1,987	555	747	852	1,240
50 or Older	5,399	6,199	2,013	1,962	3,386	4,236
50-54	1,364	1,338	562	458	801	880
55-59	1,270	1,654	452	431	818	1,223
60-64	1,056	1,139	307	344	749	795
65 or Older	1,709	2,067	693	729	1,017	1,338
* = 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 8.36B – Major Depressive Episode in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Percentages, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	7.8	8.4	6.0	6.2	9.6	10.5
18-25	15.2	17.0	11.1	11.1	19.4	22.9
18-20	15.8	16.3	11.1	10.5	20.8	22.5
21-25	14.8	17.4	11.1	11.4	18.5	23.2
26 or Older	6.7	7.1	5.1	5.4	8.1	8.7
26-49	8.9	9.1	6.6	7.3	11.1	10.8
26-29	11.7	10.3	9.5	8.2	14.0	12.3
30-34	10.2	9.4	7.8	7.3	12.6	11.5
35-39	8.0	8.4	4.7	7.2	11.1	9.5
40-44	7.6	7.3	5.7	6.3	9.5	8.3
45-49	7.0	10.2	5.5	7.6	8.5	12.8
50 or Older	4.7	5.4	3.8	3.6	5.6	6.9
50-54	6.7	6.8	5.6	5.2	7.8	8.2
55-59	6.1	7.7	4.5	4.1	7.5	11.2
60-64	5.2	5.5	3.2	3.3	6.9	7.8
65 or Older	3.3	3.8	3.0	3.0	3.5	4.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.37A – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Numbers in Thousands, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	13,112	14,845	4,646	5,387	8,466	9,458
18-25	3,407	3,978	1,236	1,300	2,170	2,678
18-20	1,341	1,335	482	469	859	866
21-25	2,065	2,644	754	832	1,311	1,812
26 or Older	9,705	10,867	3,409	4,087	6,296	6,780
26-49	6,101	6,510	2,169	2,584	3,932	3,926
26-29	1,427	1,243	558	447	869	796
30-34	1,468	1,530	511	547	957	983
35-39	1,192	1,374	331	626	860	747
40-44	1,039	920	401	398	638	522
45-49	976	1,443	367	565	609	878
50 or Older	3,604	4,357	1,240	1,503	2,364	2,854
50-54	887	1,051	341	373	546	678
55-59	886	1,091	314	368	572	723
60-64	737	830	174	277	563	553
65 or Older	1,094	1,385	411	485	684	900
* = 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 8.37B – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Percentages, 2019 and 2020
Age Category	Total (2019)	Total (2020)	Male (2019)	Male (2020)	Female (2019)	Female (2020)
TOTAL	5.3	6.0	3.9	4.5	6.6	7.3
18-25	10.3	12.1	7.4	7.9	13.1	16.3
18-20	10.3	10.9	7.2	7.4	13.6	14.6
21-25	10.2	12.8	7.6	8.2	12.8	17.2
26 or Older	4.5	5.0	3.3	3.9	5.7	6.0
26-49	6.1	6.5	4.4	5.2	7.8	7.7
26-29	8.0	7.1	6.2	5.1	9.9	9.0
30-34	6.7	6.8	4.7	4.8	8.5	8.7
35-39	5.6	6.3	3.2	6.0	7.9	6.6
40-44	5.5	4.8	4.3	4.2	6.6	5.4
45-49	4.9	7.4	3.7	5.8	6.0	9.1
50 or Older	3.2	3.8	2.3	2.8	3.9	4.7
50-54	4.4	5.4	3.4	4.2	5.3	6.3
55-59	4.2	5.1	3.1	3.5	5.3	6.6
60-64	3.6	4.0	1.8	2.6	5.2	5.5
65 or Older	2.1	2.6	1.8	2.0	2.4	3.0
* = 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 8.38A – 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, 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	19,357	20,976	13,112	14,845	12,824	13,832	9,467	10,537
18-25	5,045	5,610	3,407	3,978	2,565	3,230	1,921	2,536
26 or Older	14,312	15,366	9,705	10,867	10,258	10,602	7,546	8,001
26-49	8,914	9,168	6,101	6,510	6,135	5,937	4,532	4,475
50 or Older	5,399	6,199	3,604	4,357	4,124	4,665	3,014	3,526
MALE	7,125	7,440	4,646	5,387	4,041	4,193	2,868	3,363
18-25	1,841	1,829	1,236	1,300	793	854	599	682
26 or Older	5,284	5,612	3,409	4,087	3,248	3,339	2,268	2,681
26-49	3,271	3,649	2,169	2,584	1,927	1,978	1,369	1,541
50 or Older	2,013	1,962	1,240	1,503	1,321	*	899	*
FEMALE	12,233	13,536	8,466	9,458	8,783	9,639	6,599	7,174
18-25	3,204	3,781	2,170	2,678	1,772	2,377	1,321	1,854
26 or Older	9,028	9,755	6,296	6,780	7,011	7,262	5,278	5,320
26-49	5,643	5,518	3,932	3,926	4,208	3,958	3,163	2,934
50 or Older	3,386	4,236	2,364	2,854	2,802	3,304	2,115	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.38B – 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, 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	7.8	8.4	5.3	6.0	66.3	66.0	72.2	71.0
18-25	15.2	17.0	10.3	12.1	50.9	57.6	56.4	63.8
26 or Older	6.7	7.1	4.5	5.0	71.8	69.0	77.8	73.6
26-49	8.9	9.1	6.1	6.5	68.9	64.8	74.4	68.7
50 or Older	4.7	5.4	3.2	3.8	76.5	75.3	83.6	80.9
MALE	6.0	6.2	3.9	4.5	56.8	56.4	61.8	62.5
18-25	11.1	11.1	7.4	7.9	43.1	46.8	48.5	52.7
26 or Older	5.1	5.4	3.3	3.9	61.6	59.5	66.7	65.6
26-49	6.6	7.3	4.4	5.2	59.2	54.2	63.3	59.6
50 or Older	3.8	3.6	2.3	2.8	65.6	*	72.5	*
FEMALE	9.6	10.5	6.6	7.3	71.9	71.2	78.0	75.8
18-25	19.4	22.9	13.1	16.3	55.3	62.9	60.9	69.2
26 or Older	8.1	8.7	5.7	6.0	77.7	74.5	83.8	78.5
26-49	11.1	10.8	7.8	7.7	74.6	71.7	80.4	74.7
50 or Older	5.6	6.9	3.9	4.7	83.0	78.0	89.5	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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 8.39A – 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, 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	19,357	20,976	13,112	14,845	12,824	13,832	9,467	10,537
GENDER
Male	7,125	7,440	4,646	5,387	4,041	4,193	2,868	3,363
Female	12,233	13,536	8,466	9,458	8,783	9,639	6,599	7,174
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	16,588	18,094	11,299	12,841	11,223	12,386	8,255	9,426
White	13,319	14,840	9,071	10,593	9,346	10,351	6,851	7,820
Black or African American	1,841	1,786	1,264	1,308	1,096	*	808	1,062
AIAN	129	58	109	52	*	*	*	*
NHOPI	34	*	18	3	*	*	*	*
Asian	669	593	427	388	346	*	*	*
Two or More Races	595	737	411	497	359	*	259	*
Hispanic or Latino	2,769	2,882	1,813	2,004	1,601	1,447	1,212	1,111
EMPLOYMENT STATUS
Full-Time	8,550	8,236	5,362	5,390	5,148	4,834	3,569	3,357
Part-Time	3,404	3,415	2,339	2,513	2,112	2,332	1,614	1,861
Unemployed	1,099	1,573	774	1,037	639	820	474	*
Other³	6,304	7,753	4,637	5,905	4,925	5,846	3,810	4,740
* = 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 8.39B – 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, 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	7.8	8.4	5.3	6.0	66.3	66.0	72.2	71.0
GENDER
Male	6.0	6.2	3.9	4.5	56.8	56.4	61.8	62.5
Female	9.6	10.5	6.6	7.3	71.9	71.2	78.0	75.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.0	8.7	5.5	6.2	67.7	68.5	73.1	73.4
White	8.5	9.5	5.8	6.8	70.2	69.8	75.6	73.9
Black or African American	6.3	6.0	4.3	4.4	59.6	*	64.1	81.2
AIAN	9.4	4.2	7.9	3.7	*	*	*	*
NHOPI	3.5	*	1.8	0.3	*	*	*	*
Asian	4.7	4.2	3.0	2.7	51.7	*	*	*
Two or More Races	13.7	15.9	9.4	10.7	60.3	*	63.0	*
Hispanic or Latino	6.8	7.0	4.5	4.8	58.0	50.2	66.9	55.4
EMPLOYMENT STATUS
Full-Time	6.9	7.1	4.4	4.7	60.3	58.7	66.6	62.4
Part-Time	10.6	11.0	7.3	8.1	62.0	68.3	69.0	74.0
Unemployed	11.2	12.2	7.9	8.1	58.4	52.2	61.5	*
Other³	7.7	8.6	5.6	6.6	78.3	75.4	82.2	80.3
* = 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 8.40A – 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, 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	19,357	20,976	13,112	14,845	12,824	13,832	9,467	10,537
GEOGRAPHIC REGION
Northeast	3,161	3,292	2,110	2,196	2,227	2,339	1,565	1,774
Midwest	4,344	5,146	2,890	3,555	2,999	3,376	2,141	2,385
South	6,873	7,459	4,647	5,377	4,314	4,781	3,203	3,703
West	4,979	5,077	3,464	3,717	3,284	3,337	2,559	2,675
COUNTY TYPE
Large Metro	10,446	10,476	7,114	7,510	6,859	6,814	5,151	5,379
Small Metro	6,038	7,586	4,131	5,314	4,123	5,173	3,043	3,885
Nonmetro	2,873	2,914	1,866	2,020	1,842	1,845	1,273	1,273
POVERTY LEVEL³
Less Than 100%	3,380	4,089	2,521	2,808	2,298	2,629	1,864	2,100
100-199%	4,537	5,035	3,251	3,847	2,892	3,170	2,217	2,483
200% or More	11,243	11,773	7,238	8,120	7,514	7,971	5,334	5,896
EDUCATION LEVEL
< High School	1,801	1,957	1,359	1,155	1,216	*	969	*
High School Graduate	4,373	5,406	2,942	3,931	2,602	3,345	1,949	2,522
Some College/Associate‘s Degree	7,625	7,878	5,380	5,829	4,974	5,160	3,832	4,073
College Graduate	5,558	5,734	3,430	3,930	4,031	4,301	2,717	3,157
HEALTH INSURANCE⁴
Private	11,255	11,296	7,140	7,791	7,578	7,653	5,268	5,565
Medicaid/CHIP	4,578	5,004	3,414	3,648	3,410	3,379	2,727	2,725
Other⁵	4,052	5,269	2,842	3,894	3,080	4,168	2,313	3,317
No Coverage	2,124	2,375	1,543	1,682	892	1,004	748	730
OVERALL HEALTH⁶
Excellent	2,041	1,746	1,203	961	1,171	1,022	762	587
Very Good	6,184	6,184	3,936	4,028	3,783	3,737	2,640	2,620
Good	6,369	7,004	4,300	5,069	4,219	4,885	3,109	3,717
Fair/Poor	4,758	6,042	3,668	4,787	3,645	4,188	2,952	3,613
* = 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 8.40B – 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, 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	7.8	8.4	5.3	6.0	66.3	66.0	72.2	71.0
GEOGRAPHIC REGION
Northeast	7.4	7.6	4.9	5.1	70.7	71.1	74.2	80.8
Midwest	8.4	10.0	5.6	6.9	69.0	65.7	74.1	67.2
South	7.3	7.9	5.0	5.7	62.9	64.1	69.0	68.9
West	8.5	8.5	5.9	6.2	66.0	65.7	73.9	72.0
COUNTY TYPE
Large Metro	7.6	7.7	5.1	5.5	65.7	65.0	72.4	71.6
Small Metro	8.1	9.9	5.5	6.9	68.4	68.2	73.8	73.2
Nonmetro	8.4	7.8	5.5	5.4	64.3	63.3	68.2	63.0
POVERTY LEVEL³
Less Than 100%	10.7	11.2	8.0	7.7	68.3	64.4	74.0	74.9
100-199%	9.7	11.0	6.9	8.4	63.9	63.0	68.2	64.5
200% or More	6.7	7.1	4.3	4.9	66.9	67.7	73.7	72.6
EDUCATION LEVEL
< High School	6.1	6.9	4.6	4.1	67.7	*	71.5	*
High School Graduate	7.3	7.9	4.9	5.7	59.5	61.9	66.3	64.2
Some College/Associate‘s Degree	10.0	10.4	7.1	7.7	65.4	65.5	71.2	69.9
College Graduate	6.8	7.5	4.2	5.1	72.6	75.1	79.2	80.4
HEALTH INSURANCE⁴
Private	6.9	7.2	4.3	4.9	67.4	67.8	73.8	71.4
Medicaid/CHIP	13.1	12.9	9.7	9.4	74.5	67.6	79.9	74.8
Other⁵	5.9	7.1	4.2	5.3	76.2	79.1	81.4	85.2
No Coverage	8.4	8.8	6.1	6.2	42.1	42.3	48.6	43.4
OVERALL HEALTH⁶
Excellent	4.0	3.7	2.4	2.0	57.4	58.5	63.4	61.1
Very Good	6.9	6.8	4.4	4.4	61.2	60.4	67.1	65.0
Good	8.7	9.3	5.9	6.7	66.4	69.8	72.3	73.4
Fair/Poor	14.0	17.0	10.8	13.5	76.8	69.3	80.5	75.5
* = 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.

220104

Table 8.41A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Substance Use Disorder Status	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	51,495	52,859	13,115	14,200	38,379	38,659	198,822	199,070	19,357	20,976	13,112	14,845	227,964	228,453
ILLICIT DRUGS	nc	9,337	nc	3,438	nc	5,898	nc	7,161	nc	4,355	nc	3,282	nc	11,965
Marijuana	nc	6,752	nc	2,321	nc	4,431	nc	5,820	nc	3,233	nc	2,307	nc	9,266
Cocaine	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Heroin	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Hallucinogens	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Inhalants	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Methamphetamine	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Misuse of Prescription Psychotherapeutics	nc	2,374	nc	1,101	nc	1,273	nc	859	nc	1,194	nc	1,017	nc	1,991
Pain Relievers	nc	1,458	nc	688	nc	770	nc	634	nc	703	nc	609	nc	1,342
Stimulants	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Tranquilizers or Sedatives	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Tranquilizers	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Sedatives	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	1,716	nc	771	nc	945	nc	694	nc	757	nc	640	nc	1,605
Central Nervous System Stimulants	nc	2,071	nc	845	nc	1,226	nc	924	nc	985	nc	742	nc	1,951
Illicit Drugs Other Than Marijuana⁴	nc	3,870	nc	1,744	nc	2,127	nc	1,725	nc	1,918	nc	1,510	nc	3,571
ALCOHOL	nc	11,496	nc	3,686	nc	7,810	nc	16,047	nc	5,100	nc	3,785	nc	22,077
BOTH ILLICIT DRUGS AND ALCOHOL	nc	3,848	nc	1,463	nc	2,384	nc	2,270	nc	2,025	nc	1,543	nc	4,028
ILLICIT DRUGS OR ALCOHOL	nc	16,985	nc	5,661	nc	11,324	nc	20,938	nc	7,429	nc	5,524	nc	30,014
ILLICIT DRUGS ONLY	nc	5,489	nc	1,975	nc	3,514	nc	4,891	nc	2,330	nc	1,739	nc	7,937
ALCOHOL ONLY	nc	7,648	nc	2,222	nc	5,426	nc	13,777	nc	3,075	nc	2,242	nc	18,049
NO SUBSTANCE USE DISORDER	nc	35,874	nc	8,540	nc	27,334	nc	178,133	nc	13,546	nc	9,321	nc	198,439
* = 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.

220104

Table 8.41B – (REVISED) 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, Percentages, 2019 and 2020
Substance Use Disorder Status	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	20.6	21.0	5.2	5.6	15.3	15.3	79.4	79.0	7.8	8.4	5.3	6.0	92.2	91.6
ILLICIT DRUGS	nc	56.6	nc	20.8	nc	35.8	nc	43.4	nc	26.7	nc	20.1	nc	73.3
Marijuana	nc	53.7	nc	18.5	nc	35.2	nc	46.3	nc	25.9	nc	18.5	nc	74.1
Cocaine	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Heroin	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Hallucinogens	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Inhalants	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Methamphetamine	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Misuse of Prescription Psychotherapeutics	nc	73.4	nc	34.1	nc	39.4	nc	26.6	nc	37.5	nc	31.9	nc	62.5
Pain Relievers	nc	69.7	nc	32.9	nc	36.8	nc	30.3	nc	34.4	nc	29.8	nc	65.6
Stimulants	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Tranquilizers or Sedatives	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Tranquilizers	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Sedatives	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*	nc	*
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	71.2	nc	32.0	nc	39.2	nc	28.8	nc	32.0	nc	27.1	nc	68.0
Central Nervous System Stimulants	nc	69.1	nc	28.2	nc	40.9	nc	30.9	nc	33.5	nc	25.3	nc	66.5
Illicit Drugs Other Than Marijuana⁴	nc	69.2	nc	31.2	nc	38.0	nc	30.8	nc	34.9	nc	27.5	nc	65.1
ALCOHOL	nc	41.7	nc	13.4	nc	28.4	nc	58.3	nc	18.8	nc	13.9	nc	81.2
BOTH ILLICIT DRUGS AND ALCOHOL	nc	62.9	nc	23.9	nc	39.0	nc	37.1	nc	33.5	nc	25.5	nc	66.5
ILLICIT DRUGS OR ALCOHOL	nc	44.8	nc	14.9	nc	29.9	nc	55.2	nc	19.8	nc	14.8	nc	80.2
ILLICIT DRUGS ONLY	nc	52.9	nc	19.0	nc	33.9	nc	47.1	nc	22.7	nc	17.0	nc	77.3
ALCOHOL ONLY	nc	35.7	nc	10.4	nc	25.3	nc	64.3	nc	14.6	nc	10.6	nc	85.4
NO SUBSTANCE USE DISORDER	nc	16.8	nc	4.0	nc	12.8	nc	83.2	nc	6.4	nc	4.4	nc	93.6
* = 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.

220104

Table 8.42A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Substance	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	19,998	21,062	6,475	6,786	13,524	14,276	32,926	33,920	8,555	9,220	6,112	6,671	43,776	45,178
Marijuana	16,741	17,358	5,225	5,572	11,516	11,786	28,217	28,980	7,200	7,787	5,080	5,613	37,318	38,046
Cocaine	2,523	2,330	974	1,027	1,549	1,303	2,848	2,677	1,148	1,266	809	866	4,179	3,724
Crack	477	477	287	187	190	291	289	143	256	180	225	156	510	440
Heroin	423	602	260	251	163	350	322	117	223	175	182	149	511	542
Hallucinogens	2,616	3,289	863	1,375	1,753	1,915	2,954	3,325	1,223	1,709	854	1,175	4,252	4,848
LSD	1,069	1,303	326	627	743	675	1,122	1,061	529	816	341	572	1,613	1,510
PCP	17	84	10	60	7	24	35	10	8	64	7	53	31	30
Ecstasy	1,114	1,134	344	577	770	556	1,281	1,331	496	718	341	480	1,866	1,744
Inhalants	696	865	234	452	462	413	703	847	357	529	259	368	1,003	1,162
Methamphetamine	1,150	1,568	534	745	616	823	808	796	471	792	418	648	1,462	1,505
Misuse of Prescription Psychotherapeutics	7,347	7,364	2,799	2,646	4,548	4,719	7,895	7,854	3,329	3,227	2,465	2,483	11,706	11,884
Pain Relievers	4,396	4,127	1,746	1,577	2,651	2,550	4,761	4,440	2,017	1,761	1,514	1,390	7,031	6,747
Stimulants	2,259	2,203	885	870	1,374	1,333	2,240	2,626	1,101	1,128	785	801	3,358	3,673
Tranquilizers or Sedatives	3,175	3,751	1,366	1,509	1,809	2,242	2,285	2,220	1,530	1,810	1,204	1,444	3,834	4,140
Tranquilizers	2,864	3,304	1,272	1,363	1,592	1,941	1,965	1,934	1,417	1,629	1,108	1,323	3,318	3,588
Sedatives	574	862	250	417	324	445	442	391	282	461	223	391	728	779
Benzodiazepines	2,639	2,999	1,167	1,193	1,472	1,806	1,821	1,647	1,338	1,517	1,054	1,225	3,037	3,108
Opioids	4,534	4,292	1,813	1,645	2,720	2,647	4,965	4,497	2,066	1,787	1,550	1,416	7,318	6,943
Central Nervous System Stimulants	4,704	4,658	1,844	1,971	2,860	2,687	4,933	5,143	2,129	2,342	1,542	1,708	7,407	7,357
Illicit Drugs Other Than Marijuana⁴	9,969	10,604	3,696	3,960	6,273	6,644	11,758	11,570	4,456	4,804	3,269	3,559	16,960	17,159
PAST MONTH USE
Alcohol	29,216	29,505	7,399	7,665	21,817	21,841	108,165	106,971	11,058	11,566	7,170	8,035	124,902	124,020
Binge Alcohol Use⁵	15,895	15,084	4,283	4,388	11,612	10,697	48,738	45,291	6,205	6,165	3,970	4,340	57,705	53,823
Heavy Alcohol Use	4,436	4,629	1,297	1,445	3,138	3,184	11,399	12,735	1,808	1,922	1,107	1,359	13,853	15,287
Cigarette Use	13,991	12,225	4,322	3,900	9,669	8,326	31,322	28,825	5,328	4,961	3,866	3,566	39,260	35,500
Daily Cigarette Use	8,283	7,304	2,560	2,306	5,724	4,998	18,437	17,728	3,164	2,856	2,334	2,040	23,173	21,871
* = 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.

220104

Table 8.42B – (REVISED) 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, Percentages, 2019 and 2020
Substance	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	38.8	39.8	49.4	47.8	35.2	36.9	16.6	17.0	44.2	44.0	46.6	44.9	19.2	19.8
Marijuana	32.5	32.8	39.8	39.2	30.0	30.5	14.2	14.6	37.2	37.1	38.7	37.8	16.4	16.7
Cocaine	4.9	4.4	7.4	7.2	4.0	3.4	1.4	1.3	5.9	6.0	6.2	5.8	1.8	1.6
Crack	0.9	0.9	2.2	1.3	0.5	0.8	0.1	0.1	1.3	0.9	1.7	1.0	0.2	0.2
Heroin	0.8	1.1	2.0	1.8	0.4	0.9	0.2	0.1	1.2	0.8	1.4	1.0	0.2	0.2
Hallucinogens	5.1	6.2	6.6	9.7	4.6	5.0	1.5	1.7	6.3	8.1	6.5	7.9	1.9	2.1
LSD	2.1	2.5	2.5	4.4	1.9	1.7	0.6	0.5	2.7	3.9	2.6	3.9	0.7	0.7
PCP	0.0	0.2	0.1	0.4	0.0	0.1	0.0	0.0	0.0	0.3	0.1	0.4	0.0	0.0
Ecstasy	2.2	2.1	2.6	4.1	2.0	1.4	0.6	0.7	2.6	3.4	2.6	3.2	0.8	0.8
Inhalants	1.4	1.6	1.8	3.2	1.2	1.1	0.4	0.4	1.8	2.5	2.0	2.5	0.4	0.5
Methamphetamine	2.2	3.0	4.1	5.2	1.6	2.1	0.4	0.4	2.4	3.8	3.2	4.4	0.6	0.7
Misuse of Prescription Psychotherapeutics	14.3	13.9	21.3	18.6	11.8	12.2	4.0	3.9	17.2	15.4	18.8	16.7	5.1	5.2
Pain Relievers	8.5	7.8	13.3	11.1	6.9	6.6	2.4	2.2	10.4	8.4	11.6	9.4	3.1	3.0
Stimulants	4.4	4.2	6.7	6.1	3.6	3.4	1.1	1.3	5.7	5.4	6.0	5.4	1.5	1.6
Tranquilizers or Sedatives	6.2	7.1	10.4	10.6	4.7	5.8	1.1	1.1	7.9	8.6	9.2	9.7	1.7	1.8
Tranquilizers	5.6	6.3	9.7	9.6	4.1	5.0	1.0	1.0	7.3	7.8	8.5	8.9	1.5	1.6
Sedatives	1.1	1.6	1.9	2.9	0.8	1.2	0.2	0.2	1.5	2.2	1.7	2.6	0.3	0.3
Benzodiazepines	5.1	5.7	8.9	8.4	3.8	4.7	0.9	0.8	6.9	7.2	8.0	8.3	1.3	1.4
Opioids	8.8	8.1	13.8	11.6	7.1	6.8	2.5	2.3	10.7	8.5	11.8	9.5	3.2	3.0
Central Nervous System Stimulants	9.1	8.8	14.1	13.9	7.5	7.0	2.5	2.6	11.0	11.2	11.8	11.5	3.2	3.2
Illicit Drugs Other Than Marijuana⁴	19.4	20.1	28.2	27.9	16.3	17.2	5.9	5.8	23.0	22.9	24.9	24.0	7.4	7.5
PAST MONTH USE
Alcohol	56.7	55.8	56.4	54.0	56.8	56.5	54.4	53.7	57.1	55.1	54.7	54.1	54.8	54.3
Binge Alcohol Use⁵	30.9	28.5	32.7	30.9	30.3	27.7	24.5	22.8	32.1	29.4	30.3	29.2	25.3	23.6
Heavy Alcohol Use	8.6	8.8	9.9	10.2	8.2	8.2	5.7	6.4	9.3	9.2	8.4	9.2	6.1	6.7
Cigarette Use	27.2	23.1	33.0	27.5	25.2	21.5	15.8	14.5	27.5	23.6	29.5	24.0	17.2	15.5
Daily Cigarette Use	16.1	13.8	19.5	16.2	14.9	12.9	9.3	8.9	16.3	13.6	17.8	13.7	10.2	9.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. 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.

220104

Table 8.43A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Substance	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	5,357	5,219	1,761	1,848	3,597	3,372	7,836	7,060	2,750	2,931	1,953	2,076	10,214	9,208
Marijuana	4,866	4,923	1,614	1,767	3,252	3,156	7,085	6,520	2,504	2,750	1,755	1,956	9,258	8,556
Cocaine	873	699	305	330	568	369	915	770	451	506	308	340	1,306	962
Crack	47	38	19	12	28	26	13	14	23	20	23	17	37	32
Heroin	65	34	30	17	34	17	22	32	39	20	35	16	46	45
Hallucinogens	1,167	1,211	398	605	769	607	1,258	1,233	604	810	426	552	1,761	1,604
LSD	595	686	188	340	407	346	607	555	293	433	213	310	878	785
PCP	11	58	10	53	2	5	19	5	8	57	7	53	10	6
Ecstasy	474	427	141	207	333	220	615	435	235	283	170	171	835	578
Inhalants	333	328	125	208	208	120	244	185	195	236	160	162	350	272
Methamphetamine	146	114	50	52	96	62	130	66	59	85	49	74	214	94
Misuse of Prescription Psychotherapeutics	1,878	1,552	731	696	1,147	856	1,990	1,637	1,042	1,034	791	742	2,750	2,117
Pain Relievers	893	731	389	305	503	426	861	619	514	461	409	326	1,180	878
Stimulants	957	799	371	301	587	498	994	828	510	512	373	343	1,419	1,094
Tranquilizers or Sedatives	775	798	345	434	430	364	634	452	485	590	396	416	903	654
Tranquilizers	712	737	305	408	407	329	601	385	437	531	355	386	856	586
Sedatives	120	185	78	98	42	87	55	72	91	161	82	123	82	95
Benzodiazepines	694	736	292	414	402	321	572	375	428	524	347	384	827	581
Opioids	904	739	389	307	515	432	871	627	517	463	409	328	1,199	893
Central Nervous System Stimulants	1,554	1,234	556	501	997	733	1,651	1,369	797	816	557	568	2,355	1,767
Illicit Drugs Other Than Marijuana⁴	2,700	2,434	988	1,060	1,712	1,374	3,091	2,726	1,438	1,557	1,062	1,098	4,217	3,544
PAST MONTH USE
Alcohol	6,031	6,099	1,804	1,976	4,227	4,123	12,292	11,113	3,051	3,374	2,022	2,373	15,012	13,662
Binge Alcohol Use⁵	3,792	3,738	1,169	1,329	2,624	2,408	7,767	6,683	1,956	2,092	1,313	1,442	9,454	8,206
Heavy Alcohol Use	944	1,098	350	423	594	675	1,900	1,745	522	584	358	395	2,269	2,200
Cigarette Use	2,263	1,824	781	750	1,482	1,075	3,654	2,921	1,112	1,131	831	829	4,665	3,529
Daily Cigarette Use	794	576	286	242	508	334	1,303	1,003	345	367	286	270	1,715	1,177
* = 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. 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.

220104

Table 8.43B – (REVISED) 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, Percentages, 2019 and 2020
Substance	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	54.0	51.0	60.7	56.7	51.2	48.3	32.9	30.4	54.5	52.2	57.3	52.2	36.3	33.6
Marijuana	49.0	48.1	55.7	54.2	46.3	45.2	29.8	28.0	49.6	49.0	51.5	49.2	32.9	31.2
Cocaine	8.8	6.8	10.5	10.1	8.1	5.3	3.8	3.3	8.9	9.0	9.0	8.5	4.6	3.5
Crack	0.5	0.4	0.7	0.4	0.4	0.4	0.1	0.1	0.5	0.3	0.7	0.4	0.1	0.1
Heroin	0.7	0.3	1.0	0.5	0.5	0.2	0.1	0.1	0.8	0.3	1.0	0.4	0.2	0.2
Hallucinogens	11.8	11.8	13.7	18.6	10.9	8.7	5.3	5.3	12.0	14.4	12.5	13.9	6.3	5.9
LSD	6.0	6.7	6.5	10.4	5.8	5.0	2.6	2.4	5.8	7.7	6.3	7.8	3.1	2.9
PCP	0.1	0.6	0.3	1.6	0.0	0.1	0.1	0.0	0.2	1.0	0.2	1.3	0.0	0.0
Ecstasy	4.8	4.2	4.9	6.3	4.7	3.2	2.6	1.9	4.7	5.0	5.0	4.3	3.0	2.1
Inhalants	3.4	3.2	4.3	6.4	3.0	1.7	1.0	0.8	3.9	4.2	4.7	4.1	1.2	1.0
Methamphetamine	1.5	1.1	1.7	1.6	1.4	0.9	0.5	0.3	1.2	1.5	1.4	1.9	0.8	0.3
Misuse of Prescription Psychotherapeutics	18.9	15.2	25.2	21.4	16.3	12.3	8.4	7.0	20.7	18.4	23.2	18.6	9.8	7.7
Pain Relievers	9.0	7.1	13.4	9.4	7.2	6.1	3.6	2.7	10.2	8.2	12.0	8.2	4.2	3.2
Stimulants	9.6	7.8	12.8	9.2	8.3	7.1	4.2	3.6	10.1	9.1	11.0	8.6	5.0	4.0
Tranquilizers or Sedatives	7.8	7.8	11.9	13.3	6.1	5.2	2.7	1.9	9.6	10.5	11.6	10.5	3.2	2.4
Tranquilizers	7.2	7.2	10.5	12.5	5.8	4.7	2.5	1.7	8.7	9.5	10.4	9.7	3.0	2.1
Sedatives	1.2	1.8	2.7	3.0	0.6	1.2	0.2	0.3	1.8	2.9	2.4	3.1	0.3	0.3
Benzodiazepines	7.0	7.2	10.1	12.7	5.7	4.6	2.4	1.6	8.5	9.3	10.2	9.6	2.9	2.1
Opioids	9.1	7.2	13.4	9.4	7.3	6.2	3.7	2.7	10.2	8.3	12.0	8.2	4.3	3.3
Central Nervous System Stimulants	15.6	12.1	19.2	15.4	14.2	10.5	6.9	5.9	15.8	14.5	16.3	14.3	8.4	6.4
Illicit Drugs Other Than Marijuana⁴	27.2	23.8	34.1	32.5	24.4	19.7	13.0	11.7	28.5	27.8	31.2	27.6	15.0	12.9
PAST MONTH USE
Alcohol	60.7	59.6	62.2	60.6	60.1	59.1	51.6	47.8	60.5	60.1	59.3	59.6	53.3	49.9
Binge Alcohol Use⁵	38.2	36.5	40.3	40.8	37.3	34.5	32.6	28.7	38.8	37.3	38.5	36.2	33.6	29.9
Heavy Alcohol Use	9.5	10.7	12.1	13.0	8.5	9.7	8.0	7.5	10.3	10.4	10.5	9.9	8.1	8.0
Cigarette Use	22.8	17.8	26.9	23.0	21.1	15.4	15.4	12.6	22.0	20.2	24.4	20.8	16.6	12.9
Daily Cigarette Use	8.0	5.6	9.9	7.4	7.2	4.8	5.5	4.3	6.8	6.5	8.4	6.8	6.1	4.3
* = 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.

220104

Table 8.44A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Substance	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	14,641	15,842	4,714	4,938	9,927	10,904	25,090	26,860	5,805	6,290	4,159	4,595	33,562	35,970
Marijuana	11,875	12,435	3,611	3,805	8,263	8,630	21,132	22,460	4,696	5,037	3,325	3,658	28,059	29,490
Cocaine	1,649	1,632	669	697	981	934	1,933	1,907	697	760	501	526	2,873	2,762
Crack	430	440	268	175	162	265	276	129	233	160	203	139	473	408
Heroin	358	568	229	235	129	333	300	85	185	156	147	133	465	497
Hallucinogens	1,449	2,078	465	770	985	1,308	1,697	2,092	618	899	428	623	2,492	3,245
LSD	474	617	138	288	336	329	515	506	236	383	127	262	735	725
PCP	5	26	1	7	5	19	16	*	*	7	*	*	21	24
Ecstasy	639	707	203	371	436	336	667	896	262	435	171	309	1,031	1,166
Inhalants	363	538	109	244	254	293	459	662	162	292	99	206	653	890
Methamphetamine	1,004	1,454	484	693	520	761	678	731	412	707	369	574	1,248	1,410
Misuse of Prescription Psychotherapeutics	5,468	5,812	2,068	1,949	3,401	3,863	5,906	6,217	2,287	2,193	1,674	1,741	8,957	9,767
Pain Relievers	3,503	3,396	1,356	1,272	2,147	2,124	3,900	3,820	1,503	1,300	1,106	1,064	5,851	5,869
Stimulants	1,301	1,405	514	569	787	836	1,247	1,798	591	616	412	459	1,939	2,579
Tranquilizers or Sedatives	2,400	2,953	1,021	1,075	1,379	1,878	1,650	1,769	1,045	1,220	808	1,028	2,931	3,486
Tranquilizers	2,152	2,567	967	955	1,186	1,612	1,364	1,549	980	1,099	753	937	2,461	3,002
Sedatives	454	677	173	319	281	358	387	319	191	300	141	267	646	684
Benzodiazepines	1,946	2,263	876	779	1,070	1,485	1,249	1,272	910	993	707	842	2,210	2,527
Opioids	3,629	3,553	1,424	1,338	2,205	2,215	4,094	3,870	1,549	1,324	1,141	1,088	6,119	6,050
Central Nervous System Stimulants	3,151	3,423	1,288	1,469	1,863	1,954	3,282	3,773	1,331	1,526	985	1,139	5,053	5,590
Illicit Drugs Other Than Marijuana⁴	7,269	8,170	2,709	2,900	4,560	5,269	8,666	8,844	3,017	3,247	2,207	2,461	12,743	13,614
PAST MONTH USE
Alcohol	23,185	23,407	5,595	5,689	17,590	17,718	95,873	95,858	8,007	8,193	5,149	5,662	109,890	110,359
Binge Alcohol Use⁵	12,103	11,347	3,114	3,058	8,989	8,288	40,971	38,608	4,249	4,074	2,657	2,899	48,251	45,617
Heavy Alcohol Use	3,492	3,531	947	1,022	2,544	2,509	9,499	10,990	1,286	1,339	749	964	11,584	13,087
Cigarette Use	11,728	10,401	3,542	3,150	8,187	7,251	27,668	25,905	4,216	3,829	3,036	2,737	34,595	31,971
Daily Cigarette Use	7,490	6,729	2,273	2,064	5,216	4,665	17,134	16,725	2,819	2,489	2,048	1,771	21,458	20,694
* = 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.

220104

Table 8.44B – (REVISED) 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, Percentages, 2019 and 2020
Substance	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	35.2	37.2	46.1	45.1	31.7	34.4	14.3	15.3	40.6	40.9	42.9	42.3	16.8	17.9
Marijuana	28.6	29.2	35.3	34.8	26.4	27.2	12.1	12.8	32.8	32.8	34.3	33.7	14.0	14.7
Cocaine	4.0	3.8	6.5	6.4	3.1	2.9	1.1	1.1	4.9	4.9	5.2	4.8	1.4	1.4
Crack	1.0	1.0	2.6	1.6	0.5	0.8	0.2	0.1	1.6	1.0	2.1	1.3	0.2	0.2
Heroin	0.9	1.3	2.2	2.1	0.4	1.1	0.2	0.0	1.3	1.0	1.5	1.2	0.2	0.2
Hallucinogens	3.5	4.9	4.5	7.0	3.1	4.1	1.0	1.2	4.3	5.8	4.4	5.7	1.2	1.6
LSD	1.1	1.4	1.4	2.6	1.1	1.0	0.3	0.3	1.7	2.5	1.3	2.4	0.4	0.4
PCP	0.0	0.1	0.0	0.1	0.0	0.1	0.0	*	*	0.0	*	*	0.0	0.0
Ecstasy	1.5	1.7	2.0	3.4	1.4	1.1	0.4	0.5	1.8	2.8	1.8	2.8	0.5	0.6
Inhalants	0.9	1.3	1.1	2.2	0.8	0.9	0.3	0.4	1.1	1.9	1.0	1.9	0.3	0.4
Methamphetamine	2.4	3.4	4.7	6.3	1.7	2.4	0.4	0.4	2.9	4.6	3.8	5.3	0.6	0.7
Misuse of Prescription Psychotherapeutics	13.2	13.6	20.2	17.8	10.8	12.2	3.4	3.5	16.0	14.3	17.2	16.0	4.5	4.9
Pain Relievers	8.4	8.0	13.3	11.6	6.8	6.7	2.2	2.2	10.5	8.5	11.4	9.8	2.9	2.9
Stimulants	3.1	3.3	5.0	5.2	2.5	2.6	0.7	1.0	4.1	4.0	4.2	4.2	1.0	1.3
Tranquilizers or Sedatives	5.8	6.9	10.0	9.8	4.4	5.9	0.9	1.0	7.3	7.9	8.3	9.5	1.5	1.7
Tranquilizers	5.2	6.0	9.5	8.7	3.8	5.1	0.8	0.9	6.8	7.1	7.8	8.6	1.2	1.5
Sedatives	1.1	1.6	1.7	2.9	0.9	1.1	0.2	0.2	1.3	2.0	1.5	2.5	0.3	0.3
Benzodiazepines	4.7	5.3	8.6	7.1	3.4	4.7	0.7	0.7	6.4	6.5	7.3	7.7	1.1	1.3
Opioids	8.7	8.3	13.9	12.2	7.0	7.0	2.3	2.2	10.8	8.6	11.8	10.0	3.1	3.0
Central Nervous System Stimulants	7.6	8.0	12.6	13.4	5.9	6.2	1.9	2.1	9.3	9.9	10.1	10.5	2.5	2.8
Illicit Drugs Other Than Marijuana⁴	17.5	19.2	26.5	26.5	14.5	16.6	5.0	5.0	21.1	21.1	22.7	22.7	6.4	6.8
PAST MONTH USE
Alcohol	55.8	54.9	54.8	52.0	56.1	55.9	54.8	54.5	55.9	53.3	53.0	52.1	55.0	54.9
Binge Alcohol Use⁵	29.1	26.6	30.5	28.0	28.7	26.2	23.4	22.0	29.7	26.5	27.4	26.7	24.1	22.7
Heavy Alcohol Use	8.4	8.3	9.3	9.3	8.1	7.9	5.4	6.3	9.0	8.7	7.7	8.9	5.8	6.5
Cigarette Use	28.2	24.4	34.7	28.8	26.1	22.9	15.8	14.7	29.5	24.9	31.3	25.2	17.3	15.9
Daily Cigarette Use	18.0	15.8	22.3	18.9	16.6	14.7	9.8	9.5	19.7	16.2	21.1	16.3	10.7	10.3
* = 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.

220104

Table 8.45A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Substance	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	10,401	10,943	3,400	3,547	7,001	7,395	15,692	16,290	4,101	4,259	2,871	3,121	21,773	22,811
Marijuana	8,513	9,176	2,724	2,927	5,789	6,249	13,504	13,862	3,348	3,559	2,319	2,592	18,488	19,316
Cocaine	1,444	1,204	559	493	886	711	1,418	1,717	594	565	423	361	2,256	2,350
Crack	269	255	171	118	98	136	74	101	138	104	131	97	205	251
Heroin	318	377	214	195	103	182	156	63	161	116	141	93	304	323
Hallucinogens	1,339	1,781	438	709	901	1,072	1,403	1,830	560	806	382	583	2,156	2,779
LSD	471	567	135	281	336	286	419	482	234	354	124	262	639	680
PCP	5	8	1	7	5	1	13	*	1	7	*	*	18	*
Ecstasy	632	686	195	371	436	315	630	879	254	435	163	309	994	1,128
Inhalants	292	451	109	203	183	248	331	606	135	251	99	206	481	790
Methamphetamine	809	893	437	385	373	509	453	461	354	408	321	303	895	916
Misuse of Prescription Psychotherapeutics	3,897	3,902	1,458	1,427	2,439	2,475	3,704	3,728	1,626	1,612	1,154	1,253	5,920	6,008
Pain Relievers	2,470	2,288	953	955	1,517	1,333	2,327	2,034	1,030	930	732	754	3,735	3,392
Stimulants	1,138	1,280	465	463	673	816	1,109	1,395	517	562	366	404	1,712	2,105
Tranquilizers or Sedatives	1,661	1,940	688	751	973	1,190	921	1,242	733	893	522	734	1,831	2,288
Tranquilizers	1,521	1,738	635	660	885	1,078	821	1,124	671	810	467	658	1,653	2,051
Sedatives	280	340	129	188	151	152	144	191	147	161	99	152	273	369
Benzodiazepines	1,401	1,608	579	588	823	1,021	768	946	635	757	455	615	1,516	1,795
Opioids	2,573	2,416	1,019	1,021	1,553	1,394	2,398	2,061	1,066	954	768	778	3,869	3,522
Central Nervous System Stimulants	2,699	2,584	1,106	1,012	1,593	1,572	2,497	2,963	1,132	1,129	838	785	4,026	4,375
Illicit Drugs Other Than Marijuana⁴	5,416	5,475	1,983	2,010	3,433	3,464	5,609	5,912	2,197	2,285	1,584	1,694	8,747	9,049
PAST MONTH USE
Alcohol	16,174	15,839	4,278	4,081	11,896	11,758	46,166	44,813	5,611	5,377	3,723	3,750	56,256	54,946
Binge Alcohol Use⁵	9,051	8,172	2,393	2,147	6,658	6,025	24,362	22,528	3,053	2,834	1,985	1,953	30,131	27,714
Heavy Alcohol Use	2,530	2,594	745	820	1,785	1,774	5,286	5,656	902	1,084	595	788	6,873	7,102
Cigarette Use	7,686	6,854	2,547	2,376	5,139	4,478	14,942	13,918	2,864	2,693	2,095	1,820	19,430	17,919
Daily Cigarette Use	4,641	4,414	1,537	1,525	3,103	2,888	8,465	8,122	1,848	1,704	1,367	1,102	11,078	10,753
* = 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.

220104

Table 8.45B – (REVISED) 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, Percentages, 2019 and 2020
Substance	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	41.1	42.6	49.7	50.8	38.0	39.6	20.6	21.5	46.0	46.5	47.1	47.9	23.8	24.9
Marijuana	33.7	35.7	39.8	41.9	31.4	33.4	17.8	18.3	37.6	38.8	38.0	39.8	20.2	21.1
Cocaine	5.7	4.7	8.2	7.1	4.8	3.8	1.9	2.3	6.7	6.2	6.9	5.5	2.5	2.6
Crack	1.1	1.0	2.5	1.7	0.5	0.7	0.1	0.1	1.5	1.1	2.2	1.5	0.2	0.3
Heroin	1.3	1.5	3.1	2.8	0.6	1.0	0.2	0.1	1.8	1.3	2.3	1.4	0.3	0.4
Hallucinogens	5.3	6.9	6.4	10.2	4.9	5.7	1.8	2.4	6.3	8.8	6.3	9.0	2.4	3.0
LSD	1.9	2.2	2.0	4.0	1.8	1.5	0.6	0.6	2.6	3.9	2.0	4.0	0.7	0.7
PCP	0.0	0.0	0.0	0.1	0.0	0.0	0.0	*	0.0	0.1	*	*	0.0	*
Ecstasy	2.5	2.7	2.8	5.3	2.4	1.7	0.8	1.2	2.8	4.7	2.7	4.8	1.1	1.2
Inhalants	1.2	1.8	1.6	2.9	1.0	1.3	0.4	0.8	1.5	2.7	1.6	3.2	0.5	0.9
Methamphetamine	3.2	3.5	6.4	5.5	2.0	2.7	0.6	0.6	4.0	4.5	5.3	4.7	1.0	1.0
Misuse of Prescription Psychotherapeutics	15.4	15.2	21.3	20.4	13.2	13.2	4.9	4.9	18.2	17.6	18.9	19.3	6.5	6.6
Pain Relievers	9.8	8.9	13.9	13.7	8.2	7.1	3.1	2.7	11.6	10.1	12.0	11.6	4.1	3.7
Stimulants	4.5	5.0	6.8	6.6	3.7	4.4	1.5	1.8	5.8	6.1	6.0	6.2	1.9	2.3
Tranquilizers or Sedatives	6.6	7.6	10.0	10.8	5.3	6.4	1.2	1.6	8.2	9.7	8.6	11.3	2.0	2.5
Tranquilizers	6.0	6.8	9.3	9.5	4.8	5.8	1.1	1.5	7.5	8.8	7.7	10.1	1.8	2.2
Sedatives	1.1	1.3	1.9	2.7	0.8	0.8	0.2	0.3	1.6	1.8	1.6	2.3	0.3	0.4
Benzodiazepines	5.5	6.3	8.4	8.4	4.5	5.5	1.0	1.2	7.1	8.3	7.5	9.4	1.7	2.0
Opioids	10.2	9.4	14.9	14.6	8.4	7.5	3.2	2.7	12.0	10.4	12.6	12.0	4.2	3.8
Central Nervous System Stimulants	10.7	10.1	16.1	14.5	8.6	8.4	3.3	3.9	12.7	12.3	13.7	12.1	4.4	4.8
Illicit Drugs Other Than Marijuana⁴	21.4	21.3	29.0	28.8	18.6	18.5	7.4	7.8	24.6	24.9	26.0	26.0	9.6	9.9
PAST MONTH USE
Alcohol	64.0	61.7	62.5	58.5	64.5	62.9	60.7	59.1	62.9	58.7	61.0	57.6	61.6	59.9
Binge Alcohol Use⁵	35.8	31.8	34.9	30.8	36.1	32.2	32.1	29.7	34.2	30.9	32.5	30.0	33.0	30.2
Heavy Alcohol Use	10.0	10.1	10.9	11.8	9.7	9.5	7.0	7.5	10.1	11.8	9.8	12.1	7.5	7.7
Cigarette Use	30.4	26.7	37.2	34.0	27.9	24.0	19.7	18.3	32.1	29.4	34.3	28.0	21.3	19.5
Daily Cigarette Use	18.4	17.2	22.5	21.9	16.8	15.5	11.1	10.7	20.7	18.6	22.4	16.9	12.1	11.7
* = 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.

220104

Table 8.46A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Substance	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	4,240	4,900	1,314	1,391	2,926	3,509	9,399	10,570	1,704	2,031	1,288	1,474	11,789	13,159
Marijuana	3,362	3,259	887	879	2,475	2,381	7,628	8,598	1,348	1,478	1,006	1,065	9,572	10,175
Cocaine	205	428	110	205	95	223	515	190	103	195	79	165	617	412
Crack	161	185	96	*	65	129	202	28	95	56	71	*	268	157
Heroin	41	191	15	*	26	151	144	22	23	*	6	*	161	174
Hallucinogens	110	297	26	61	83	235	294	262	59	92	46	*	336	466
LSD	3	50	3	6	*	43	96	24	3	29	3	*	96	45
PCP	*	18	*	*	*	18	*	*	*	*	*	*	*	22
Ecstasy	8	21	8	*	*	21	37	16	8	*	8	*	37	38
Inhalants	71	87	*	42	71	45	128	56	*	42	*	*	172	100
Methamphetamine	195	561	48	*	147	252	225	269	58	298	48	*	353	494
Misuse of Prescription Psychotherapeutics	1,572	1,910	610	522	962	1,388	2,201	2,490	662	581	520	488	3,036	3,759
Pain Relievers	1,034	1,108	403	317	630	792	1,573	1,786	473	370	374	310	2,115	2,477
Stimulants	163	125	50	105	113	19	138	403	74	54	46	54	227	473
Tranquilizers or Sedatives	739	1,013	333	325	406	688	729	526	311	328	286	294	1,101	1,199
Tranquilizers	632	829	331	295	300	534	543	425	309	289	286	279	808	952
Sedatives	174	338	44	131	130	207	243	128	44	139	42	115	373	315
Benzodiazepines	544	655	297	191	248	464	481	326	275	237	251	227	694	732
Opioids	1,057	1,137	405	317	652	820	1,695	1,808	483	370	374	310	2,250	2,528
Central Nervous System Stimulants	452	840	182	457	269	382	785	810	199	397	147	354	1,027	1,215
Illicit Drugs Other Than Marijuana⁴	1,853	2,695	726	890	1,127	1,805	3,057	2,931	821	962	623	768	3,996	4,565
PAST MONTH USE
Alcohol	7,012	7,568	1,317	1,608	5,694	5,960	49,707	51,044	2,396	2,815	1,426	1,912	53,634	55,412
Binge Alcohol Use⁵	3,052	3,175	721	911	2,330	2,263	16,609	16,081	1,196	1,240	672	945	18,120	17,903
Heavy Alcohol Use	962	937	203	202	759	735	4,213	5,333	385	255	154	177	4,711	5,985
Cigarette Use	4,042	3,547	995	774	3,047	2,773	12,726	11,986	1,352	1,137	941	916	15,165	14,051
Daily Cigarette Use	2,849	2,315	736	539	2,113	1,776	8,669	8,603	971	784	680	669	10,379	9,941
* = 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.

220104

Table 8.46B – (REVISED) 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, Percentages, 2019 and 2020
Substance	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	26.0	28.9	39.0	35.1	22.7	27.0	9.5	10.6	31.6	32.8	35.7	33.8	10.9	12.0
Marijuana	20.6	19.2	26.3	22.2	19.2	18.3	7.7	8.6	25.0	23.8	27.9	24.5	8.8	9.3
Cocaine	1.3	2.5	3.3	5.2	0.7	1.7	0.5	0.2	1.9	3.1	2.2	3.8	0.6	0.4
Crack	1.0	1.1	2.9	*	0.5	1.0	0.2	0.0	1.8	0.9	2.0	*	0.2	0.1
Heroin	0.2	1.1	0.4	*	0.2	1.2	0.1	0.0	0.4	*	0.2	*	0.1	0.2
Hallucinogens	0.7	1.8	0.8	1.5	0.6	1.8	0.3	0.3	1.1	1.5	1.3	*	0.3	0.4
LSD	0.0	0.3	0.1	0.2	*	0.3	0.1	0.0	0.0	0.5	0.1	*	0.1	0.0
PCP	*	0.1	*	*	*	0.1	*	*	*	*	*	*	*	0.0
Ecstasy	0.0	0.1	0.2	*	*	0.2	0.0	0.0	0.1	*	0.2	*	0.0	0.0
Inhalants	0.4	0.5	*	1.0	0.6	0.3	0.1	0.1	*	0.7	*	*	0.2	0.1
Methamphetamine	1.2	3.3	1.4	*	1.1	1.9	0.2	0.3	1.1	4.8	1.3	*	0.3	0.5
Misuse of Prescription Psychotherapeutics	9.7	11.3	18.1	13.2	7.4	10.7	2.2	2.5	12.3	9.4	14.4	11.2	2.8	3.4
Pain Relievers	6.3	6.5	12.0	8.0	4.9	6.1	1.6	1.8	8.8	6.0	10.4	7.1	1.9	2.3
Stimulants	1.0	0.7	1.5	2.7	0.9	0.2	0.1	0.4	1.4	0.9	1.3	1.2	0.2	0.4
Tranquilizers or Sedatives	4.5	6.0	9.9	8.2	3.1	5.3	0.7	0.5	5.8	5.3	7.9	6.7	1.0	1.1
Tranquilizers	3.9	4.9	9.8	7.4	2.3	4.1	0.5	0.4	5.7	4.7	7.9	6.4	0.7	0.9
Sedatives	1.1	2.0	1.3	3.3	1.0	1.6	0.2	0.1	0.8	2.2	1.2	2.7	0.3	0.3
Benzodiazepines	3.3	3.9	8.8	4.8	1.9	3.6	0.5	0.3	5.1	3.8	7.0	5.2	0.6	0.7
Opioids	6.5	6.7	12.0	8.0	5.0	6.3	1.7	1.8	8.9	6.0	10.4	7.1	2.1	2.3
Central Nervous System Stimulants	2.8	5.0	5.4	11.5	2.1	2.9	0.8	0.8	3.7	6.4	4.1	8.1	0.9	1.1
Illicit Drugs Other Than Marijuana⁴	11.4	15.9	21.5	22.5	8.7	13.9	3.1	2.9	15.2	15.5	17.3	17.6	3.7	4.2
PAST MONTH USE
Alcohol	43.1	44.7	39.1	40.6	44.1	45.9	50.2	51.1	44.4	45.4	39.6	43.9	49.4	50.7
Binge Alcohol Use⁵	18.7	18.7	21.4	23.0	18.0	17.4	16.8	16.1	22.2	20.0	18.6	21.7	16.7	16.4
Heavy Alcohol Use	5.9	5.5	6.0	5.1	5.9	5.7	4.3	5.3	7.1	4.1	4.3	4.1	4.3	5.5
Cigarette Use	24.8	20.9	29.5	19.5	23.6	21.4	12.9	12.0	25.1	18.3	26.1	21.0	14.0	12.8
Daily Cigarette Use	17.5	13.7	21.8	13.6	16.4	13.7	8.8	8.6	18.0	12.7	18.9	15.4	9.6	9.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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.

220104

Table 8.47A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Substance Use Disorder Status	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	51,495	52,859	13,115	14,200	38,379	38,659	198,822	199,070	19,357	20,976	13,112	14,845	227,964	228,453
ILLICIT DRUGS	nc	9,337	nc	3,438	nc	5,898	nc	7,161	nc	4,355	nc	3,282	nc	11,965
Marijuana	nc	6,752	nc	2,321	nc	4,431	nc	5,820	nc	3,233	nc	2,307	nc	9,266
Cocaine	nc	899	nc	393	nc	506	nc	387	nc	483	nc	298	nc	801
Heroin	nc	456	nc	149	nc	306	nc	108	nc	94	nc	68	nc	468
Hallucinogens	nc	248	nc	109	nc	139	nc	61	nc	166	nc	115	nc	142
Inhalants	nc	62	nc	45	nc	17	nc	69	nc	53	nc	41	nc	77
Methamphetamine	nc	970	nc	416	nc	554	nc	419	nc	443	nc	385	nc	890
Misuse of Prescription Psychotherapeutics	nc	2,374	nc	1,101	nc	1,273	nc	859	nc	1,194	nc	1,017	nc	1,991
Pain Relievers	nc	1,458	nc	688	nc	770	nc	634	nc	703	nc	609	nc	1,342
Stimulants	nc	512	nc	209	nc	303	nc	186	nc	237	nc	215	nc	460
Tranquilizers or Sedatives	nc	904	nc	471	nc	432	nc	186	nc	574	nc	509	nc	516
Tranquilizers	nc	738	nc	438	nc	299	nc	166	nc	515	nc	475	nc	389
Sedatives	nc	268	nc	129	nc	140	nc	52	nc	160	nc	134	nc	160
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	1,716	nc	771	nc	945	nc	694	nc	757	nc	640	nc	1,605
Central Nervous System Stimulants	nc	2,071	nc	845	nc	1,226	nc	924	nc	985	nc	742	nc	1,951
Illicit Drugs Other Than Marijuana⁴	nc	3,870	nc	1,744	nc	2,127	nc	1,725	nc	1,918	nc	1,510	nc	3,571
ALCOHOL	nc	11,496	nc	3,686	nc	7,810	nc	16,047	nc	5,100	nc	3,785	nc	22,077
BOTH ILLICIT DRUGS AND ALCOHOL	nc	3,848	nc	1,463	nc	2,384	nc	2,270	nc	2,025	nc	1,543	nc	4,028
ILLICIT DRUGS OR ALCOHOL	nc	16,985	nc	5,661	nc	11,324	nc	20,938	nc	7,429	nc	5,524	nc	30,014
ILLICIT DRUGS ONLY	nc	5,489	nc	1,975	nc	3,514	nc	4,891	nc	2,330	nc	1,739	nc	7,937
ALCOHOL ONLY	nc	7,648	nc	2,222	nc	5,426	nc	13,777	nc	3,075	nc	2,242	nc	18,049
NO SUBSTANCE USE DISORDER	nc	35,874	nc	8,540	nc	27,334	nc	178,133	nc	13,546	nc	9,321	nc	198,439
* = 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.

220104

Table 8.47B – (REVISED) 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, Percentages, 2019 and 2020
Substance Use Disorder Status	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	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
ILLICIT DRUGS	nc	17.7	nc	24.2	nc	15.3	nc	3.6	nc	20.8	nc	22.1	nc	5.2
Marijuana	nc	12.8	nc	16.3	nc	11.5	nc	2.9	nc	15.4	nc	15.5	nc	4.1
Cocaine	nc	1.7	nc	2.8	nc	1.3	nc	0.2	nc	2.3	nc	2.0	nc	0.4
Heroin	nc	0.9	nc	1.1	nc	0.8	nc	0.1	nc	0.4	nc	0.5	nc	0.2
Hallucinogens	nc	0.5	nc	0.8	nc	0.4	nc	0.0	nc	0.8	nc	0.8	nc	0.1
Inhalants	nc	0.1	nc	0.3	nc	0.0	nc	0.0	nc	0.3	nc	0.3	nc	0.0
Methamphetamine	nc	1.8	nc	2.9	nc	1.4	nc	0.2	nc	2.1	nc	2.6	nc	0.4
Misuse of Prescription Psychotherapeutics	nc	4.5	nc	7.8	nc	3.3	nc	0.4	nc	5.7	nc	6.9	nc	0.9
Pain Relievers	nc	2.8	nc	4.8	nc	2.0	nc	0.3	nc	3.3	nc	4.1	nc	0.6
Stimulants	nc	1.0	nc	1.5	nc	0.8	nc	0.1	nc	1.1	nc	1.4	nc	0.2
Tranquilizers or Sedatives	nc	1.7	nc	3.3	nc	1.1	nc	0.1	nc	2.7	nc	3.4	nc	0.2
Tranquilizers	nc	1.4	nc	3.1	nc	0.8	nc	0.1	nc	2.5	nc	3.2	nc	0.2
Sedatives	nc	0.5	nc	0.9	nc	0.4	nc	0.0	nc	0.8	nc	0.9	nc	0.1
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	3.2	nc	5.4	nc	2.4	nc	0.3	nc	3.6	nc	4.3	nc	0.7
Central Nervous System Stimulants	nc	3.9	nc	6.0	nc	3.2	nc	0.5	nc	4.7	nc	5.0	nc	0.9
Illicit Drugs Other Than Marijuana⁴	nc	7.3	nc	12.3	nc	5.5	nc	0.9	nc	9.1	nc	10.2	nc	1.6
ALCOHOL	nc	21.7	nc	26.0	nc	20.2	nc	8.1	nc	24.3	nc	25.5	nc	9.7
BOTH ILLICIT DRUGS AND ALCOHOL	nc	7.3	nc	10.3	nc	6.2	nc	1.1	nc	9.7	nc	10.4	nc	1.8
ILLICIT DRUGS OR ALCOHOL	nc	32.1	nc	39.9	nc	29.3	nc	10.5	nc	35.4	nc	37.2	nc	13.1
ILLICIT DRUGS ONLY	nc	10.4	nc	13.9	nc	9.1	nc	2.5	nc	11.1	nc	11.7	nc	3.5
ALCOHOL ONLY	nc	14.5	nc	15.7	nc	14.0	nc	6.9	nc	14.7	nc	15.1	nc	7.9
NO SUBSTANCE USE DISORDER	nc	67.9	nc	60.1	nc	70.7	nc	89.5	nc	64.6	nc	62.8	nc	86.9
* = 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.

220104

Table 8.48A – (REVISED) 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, Numbers in Thousands, 2019 and 2020
Substance Use Disorder Status	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	9,930	10,238	2,899	3,258	7,031	6,980	23,803	23,259	5,045	5,610	3,407	3,978	28,142	27,404
ILLICIT DRUGS	nc	2,527	nc	1,028	nc	1,499	nc	2,241	nc	1,553	nc	1,140	nc	3,168
Marijuana	nc	2,297	nc	951	nc	1,346	nc	2,129	nc	1,419	nc	1,020	nc	2,960
Cocaine	nc	209	nc	86	nc	123	nc	32	nc	146	nc	96	nc	94
Heroin	nc	19	nc	12	nc	7	nc	20	nc	15	nc	12	nc	23
Hallucinogens	nc	88	nc	49	nc	39	nc	46	nc	71	nc	54	nc	62
Inhalants	nc	47	nc	39	nc	8	nc	*	nc	47	nc	35	nc	*
Methamphetamine	nc	77	nc	46	nc	31	nc	25	nc	63	nc	63	nc	39
Misuse of Prescription Psychotherapeutics	nc	370	nc	131	nc	238	nc	140	nc	240	nc	191	nc	270
Pain Relievers	nc	188	nc	67	nc	121	nc	76	nc	132	nc	116	nc	132
Stimulants	nc	91	nc	18	nc	74	nc	42	nc	35	nc	34	nc	99
Tranquilizers or Sedatives	nc	204	nc	72	nc	132	nc	34	nc	150	nc	116	nc	88
Tranquilizers	nc	176	nc	67	nc	108	nc	22	nc	124	nc	93	nc	74
Sedatives	nc	39	nc	15	nc	24	nc	12	nc	36	nc	34	nc	14
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	201	nc	76	nc	125	nc	79	nc	140	nc	124	nc	139
Central Nervous System Stimulants	nc	338	nc	126	nc	212	nc	91	nc	214	nc	163	nc	214
Illicit Drugs Other Than Marijuana⁴	nc	588	nc	240	nc	347	nc	235	nc	412	nc	319	nc	409
ALCOHOL	nc	2,731	nc	998	nc	1,733	nc	2,432	nc	1,683	nc	1,220	nc	3,390
BOTH ILLICIT DRUGS AND ALCOHOL	nc	1,186	nc	486	nc	700	nc	706	nc	797	nc	539	nc	1,059
ILLICIT DRUGS OR ALCOHOL	nc	4,071	nc	1,539	nc	2,532	nc	3,967	nc	2,439	nc	1,820	nc	5,499
ILLICIT DRUGS ONLY	nc	1,340	nc	541	nc	799	nc	1,535	nc	756	nc	600	nc	2,110
ALCOHOL ONLY	nc	1,544	nc	512	nc	1,032	nc	1,726	nc	886	nc	681	nc	2,331
NO SUBSTANCE USE DISORDER	nc	6,167	nc	1,719	nc	4,448	nc	19,292	nc	3,170	nc	2,158	nc	21,904
* = 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.

220104

Table 8.48B – (REVISED) 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, Percentages, 2019 and 2020
Substance Use Disorder Status	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	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
ILLICIT DRUGS	nc	24.7	nc	31.5	nc	21.5	nc	9.6	nc	27.7	nc	28.6	nc	11.6
Marijuana	nc	22.4	nc	29.2	nc	19.3	nc	9.2	nc	25.3	nc	25.6	nc	10.8
Cocaine	nc	2.0	nc	2.6	nc	1.8	nc	0.1	nc	2.6	nc	2.4	nc	0.3
Heroin	nc	0.2	nc	0.4	nc	0.1	nc	0.1	nc	0.3	nc	0.3	nc	0.1
Hallucinogens	nc	0.9	nc	1.5	nc	0.6	nc	0.2	nc	1.3	nc	1.4	nc	0.2
Inhalants	nc	0.5	nc	1.2	nc	0.1	nc	*	nc	0.8	nc	0.9	nc	*
Methamphetamine	nc	0.8	nc	1.4	nc	0.4	nc	0.1	nc	1.1	nc	1.6	nc	0.1
Misuse of Prescription Psychotherapeutics	nc	3.6	nc	4.0	nc	3.4	nc	0.6	nc	4.3	nc	4.8	nc	1.0
Pain Relievers	nc	1.8	nc	2.1	nc	1.7	nc	0.3	nc	2.3	nc	2.9	nc	0.5
Stimulants	nc	0.9	nc	0.5	nc	1.1	nc	0.2	nc	0.6	nc	0.8	nc	0.4
Tranquilizers or Sedatives	nc	2.0	nc	2.2	nc	1.9	nc	0.1	nc	2.7	nc	2.9	nc	0.3
Tranquilizers	nc	1.7	nc	2.1	nc	1.5	nc	0.1	nc	2.2	nc	2.3	nc	0.3
Sedatives	nc	0.4	nc	0.5	nc	0.3	nc	0.0	nc	0.6	nc	0.9	nc	0.1
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	2.0	nc	2.3	nc	1.8	nc	0.3	nc	2.5	nc	3.1	nc	0.5
Central Nervous System Stimulants	nc	3.3	nc	3.9	nc	3.0	nc	0.4	nc	3.8	nc	4.1	nc	0.8
Illicit Drugs Other Than Marijuana⁴	nc	5.7	nc	7.4	nc	5.0	nc	1.0	nc	7.3	nc	8.0	nc	1.5
ALCOHOL	nc	26.7	nc	30.6	nc	24.8	nc	10.5	nc	30.0	nc	30.7	nc	12.4
BOTH ILLICIT DRUGS AND ALCOHOL	nc	11.6	nc	14.9	nc	10.0	nc	3.0	nc	14.2	nc	13.6	nc	3.9
ILLICIT DRUGS OR ALCOHOL	nc	39.8	nc	47.3	nc	36.3	nc	17.1	nc	43.5	nc	45.8	nc	20.1
ILLICIT DRUGS ONLY	nc	13.1	nc	16.6	nc	11.4	nc	6.6	nc	13.5	nc	15.1	nc	7.7
ALCOHOL ONLY	nc	15.1	nc	15.7	nc	14.8	nc	7.4	nc	15.8	nc	17.1	nc	8.5
NO SUBSTANCE USE DISORDER	nc	60.2	nc	52.7	nc	63.7	nc	82.9	nc	56.5	nc	54.2	nc	79.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: 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.

220104

Table 8.49A – (REVISED) Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: 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, Numbers in Thousands, 2019 and 2020
Substance Use Disorder Status	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	41,565	42,621	10,216	10,942	31,349	31,679	175,019	175,812	14,312	15,366	9,705	10,867	199,821	201,049
ILLICIT DRUGS	nc	6,810	nc	2,411	nc	4,399	nc	4,920	nc	2,802	nc	2,142	nc	8,796
Marijuana	nc	4,455	nc	1,370	nc	3,085	nc	3,691	nc	1,813	nc	1,287	nc	6,305
Cocaine	nc	690	nc	307	nc	383	nc	355	nc	337	nc	201	nc	706
Heroin	nc	437	nc	137	nc	300	nc	88	nc	79	nc	56	nc	445
Hallucinogens	nc	160	nc	60	nc	100	nc	15	nc	96	nc	61	nc	80
Inhalants	nc	15	nc	6	nc	9	nc	68	nc	6	nc	6	nc	77
Methamphetamine	nc	893	nc	369	nc	524	nc	394	nc	380	nc	322	nc	851
Misuse of Prescription Psychotherapeutics	nc	2,004	nc	969	nc	1,035	nc	719	nc	954	nc	826	nc	1,721
Pain Relievers	nc	1,269	nc	620	nc	649	nc	558	nc	571	nc	493	nc	1,209
Stimulants	nc	420	nc	191	nc	229	nc	143	nc	202	nc	181	nc	361
Tranquilizers or Sedatives	nc	699	nc	399	nc	300	nc	153	nc	424	nc	392	nc	428
Tranquilizers	nc	562	nc	371	nc	191	nc	144	nc	391	nc	383	nc	315
Sedatives	nc	229	nc	114	nc	116	nc	40	nc	124	nc	100	nc	145
Benzodiazepines	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Opioids	nc	1,515	nc	695	nc	820	nc	615	nc	616	nc	516	nc	1,466
Central Nervous System Stimulants	nc	1,733	nc	720	nc	1,014	nc	833	nc	770	nc	579	nc	1,737
Illicit Drugs Other Than Marijuana⁴	nc	3,283	nc	1,503	nc	1,780	nc	1,490	nc	1,505	nc	1,191	nc	3,162
ALCOHOL	nc	8,765	nc	2,688	nc	6,078	nc	13,615	nc	3,416	nc	2,565	nc	18,687
BOTH ILLICIT DRUGS AND ALCOHOL	nc	2,661	nc	977	nc	1,684	nc	1,564	nc	1,228	nc	1,004	nc	2,969
ILLICIT DRUGS OR ALCOHOL	nc	12,914	nc	4,121	nc	8,793	nc	16,971	nc	4,990	nc	3,704	nc	24,514
ILLICIT DRUGS ONLY	nc	4,149	nc	1,434	nc	2,715	nc	3,356	nc	1,574	nc	1,139	nc	5,827
ALCOHOL ONLY	nc	6,104	nc	1,710	nc	4,394	nc	12,052	nc	2,188	nc	1,561	nc	15,718
NO SUBSTANCE USE DISORDER	nc	29,707	nc	6,821	nc	22,886	nc	158,840	nc	10,376	nc	7,163	nc	176,535
* = 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.

220104

Table 8.49B – (REVISED) Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: 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, Percentages, 2019 and 2020
Substance Use Disorder Status	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	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
ILLICIT DRUGS	nc	16.0	nc	22.0	nc	13.9	nc	2.8	nc	18.2	nc	19.7	nc	4.4
Marijuana	nc	10.5	nc	12.5	nc	9.7	nc	2.1	nc	11.8	nc	11.8	nc	3.1
Cocaine	nc	1.6	nc	2.8	nc	1.2	nc	0.2	nc	2.2	nc	1.9	nc	0.4
Heroin	nc	1.0	nc	1.3	nc	0.9	nc	0.1	nc	0.5	nc	0.5	nc	0.2
Hallucinogens	nc	0.4	nc	0.5	nc	0.3	nc	0.0	nc	0.6	nc	0.6	nc	0.0
Inhalants	nc	0.0	nc	0.1	nc	0.0	nc	0.0	nc	0.0	nc	0.1	nc	0.0
Methamphetamine	nc	2.1	nc	3.4	nc	1.7	nc	0.2	nc	2.5	nc	3.0	nc