Go to the Table of Contents

211015

UNITED STATES

Table 1A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the United States; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 36,556 1,923 8,211 26,422 34,633
Past Year Marijuana Use 48,938 2,907 11,759 34,272 46,031
Past Month Marijuana Use 32,195 1,655 7,738 22,803 30,541
Perceptions of Great Risk from Smoking Marijuana Once a Month 62,665 5,690 3,968 53,006 56,974
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
3,428 1,146 1,489 792 2,282
Past Month Illicit Drug Use Other Than Marijuana1,2 9,319 451 1,830 7,038 8,868
Past Year Cocaine Use 5,320 90 1,615 3,615 5,230
Perceptions of Great Risk from Using Cocaine Once a Month 189,281 13,293 20,488 155,500 175,988
Past Year Heroin Use5 -- -- 74 749 823
Perceptions of Great Risk from Trying Heroin Once or Twice 232,275 15,473 27,313 189,489 216,803
Past Year Methamphetamine Use 2,274 31 223 2,019 2,242
Past Year Prescription Pain Reliever Misuse2 9,489 481 1,557 7,451 9,008
ALCOHOL          
Past Month Alcohol Use 139,130 2,203 17,792 119,134 136,926
Past Month Binge Alcohol Use6 63,709 1,122 11,032 51,554 62,586
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
121,259 10,726 12,656 97,876 110,533
Past Month Alcohol Use7 (People Aged 12 to 20) 6,538 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 3,826 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 54,879 772 7,318 46,789 54,107
Past Month Cigarette Use 43,639 461 5,289 37,890 43,178
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
195,931 16,495 22,307 157,130 179,436
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 10,084 42,090 52,173
Serious Mental Illness4,9,10 -- -- 3,079 10,578 13,656
Received Mental Health Services11 -- -- 6,172 35,366 41,538
Major Depressive Episode4,10,12 -- 4,087 5,410 14,992 20,402
Had Serious Thoughts of Suicide10,13 -- -- 3,885 8,266 12,151
Made Any Suicide Plans10,14 -- -- 1,342 2,021 3,362
Attempted Suicide10,14 -- -- 622 679 1,301
-- = not available.
NOTE: Estimates in this table are aggregates of estimated numbers across all states. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

UNITED STATES

Table 1B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the United States; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 18,393 1,213 4,877 12,303 17,181
Prescription Pain Reliever Use Disorder3 2,333 80 269 1,984 2,253
Alcohol Use Disorder 28,321 712 5,215 22,395 27,610
Substance Use Disorder2,3 40,263 1,584 8,171 30,508 38,679
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
17,384 1,188 4,749 11,447 16,196
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
27,557 689 5,095 21,774 26,868
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
38,450 1,544 7,926 28,980 36,906
NOTE: Estimates in this table are aggregates of estimated numbers across all states. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

UNITED STATES

Table 2A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the United States; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 13.24 7.71 24.43 12.15 13.79
Past Year Marijuana Use 17.73 11.66 34.98 15.76 18.33
Past Month Marijuana Use 11.66 6.63 23.02 10.48 12.16
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.69 22.81 11.80 24.37 22.68
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.25 5.08 8.24 0.71 1.75
Past Month Illicit Drug Use Other Than Marijuana1,2 3.38 1.81 5.44 3.24 3.53
Past Year Cocaine Use 1.93 0.36 4.80 1.66 2.08
Perceptions of Great Risk from Using Cocaine Once a Month 68.58 53.29 60.95 71.49 70.08
Past Year Heroin Use5 -- -- 0.22 0.34 0.33
Perceptions of Great Risk from Trying Heroin Once or Twice 84.16 62.03 81.25 87.12 86.33
Past Year Methamphetamine Use 0.82 0.13 0.66 0.93 0.89
Past Year Prescription Pain Reliever Misuse2 3.44 1.93 4.63 3.43 3.59
ALCOHOL          
Past Month Alcohol Use 50.40 8.83 52.93 54.77 54.52
Past Month Binge Alcohol Use6 23.08 4.50 32.82 23.70 24.92
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
43.92 43.00 37.65 45.00 44.01
Past Month Alcohol Use7 (People Aged 12 to 20) 17.32 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 10.14 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 19.88 3.10 21.77 21.51 21.55
Past Month Cigarette Use 15.81 1.85 15.73 17.42 17.20
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
70.97 66.12 66.36 72.24 71.45
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 30.00 19.35 20.78
Serious Mental Illness4,9,10 -- -- 9.16 4.86 5.44
Received Mental Health Services11 -- -- 18.36 16.26 16.54
Major Depressive Episode4,10,12 -- 16.39 16.09 6.89 8.12
Had Serious Thoughts of Suicide10,13 -- -- 11.56 3.80 4.84
Made Any Suicide Plans10,14 -- -- 3.99 0.93 1.34
Attempted Suicide10,14 -- -- 1.85 0.31 0.52
-- = not available.
NOTE: Estimates in this table are based on national design-based estimates. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

UNITED STATES

Table 2B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the United States; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.64 4.85 14.56 5.63 6.82
Prescription Pain Reliever Use Disorder3 0.84 0.32 0.80 0.91 0.89
Alcohol Use Disorder 10.23 2.85 15.57 10.25 10.96
Substance Use Disorder2,3 14.54 6.34 24.39 13.97 15.35
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.28 4.76 14.18 5.24 6.43
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
9.95 2.75 15.21 9.97 10.66
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
13.89 6.18 23.66 13.27 14.65
NOTE: Estimates in this table are based on national design-based estimates. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

NORTHEAST REGION

Table 3A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the Northeast Region; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 6,597 362 1,562 4,674 6,235
Past Year Marijuana Use 8,925 490 2,093 6,342 8,435
Past Month Marijuana Use 5,884 310 1,455 4,119 5,574
Perceptions of Great Risk from Smoking Marijuana Once a Month 10,332 878 644 8,810 9,453
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
593 198 260 135 395
Past Month Illicit Drug Use Other Than Marijuana1,2 1,667 68 336 1,263 1,598
Past Year Cocaine Use 1,053 13 304 737 1,041
Perceptions of Great Risk from Using Cocaine Once a Month 31,294 2,063 3,302 25,929 29,231
Past Year Heroin Use5 -- -- 17 130 147
Perceptions of Great Risk from Trying Heroin Once or Twice 40,077 2,484 4,575 33,018 37,593
Past Year Methamphetamine Use 202 3 27 172 199
Past Year Prescription Pain Reliever Misuse2 1,596 60 262 1,275 1,537
ALCOHOL          
Past Month Alcohol Use 25,352 382 3,172 21,798 24,970
Past Month Binge Alcohol Use6 11,303 195 2,055 9,053 11,108
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
21,119 1,691 2,063 17,365 19,428
Past Month Alcohol Use7 (People Aged 12 to 20) 1,131 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 660 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 8,876 121 1,186 7,569 8,755
Past Month Cigarette Use 6,945 63 905 5,978 6,882
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
34,775 2,676 3,853 28,247 32,099
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 1,698 6,883 8,581
Serious Mental Illness4,9,10 -- -- 528 1,587 2,115
Received Mental Health Services11 -- -- 1,157 6,357 7,513
Major Depressive Episode4,10,12 -- 604 959 2,407 3,366
Had Serious Thoughts of Suicide10,13 -- -- 641 1,345 1,986
Made Any Suicide Plans10,14 -- -- 213 361 575
Attempted Suicide10,14 -- -- 97 142 239
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
NOTE: The Northeast region includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

NORTHEAST REGION

Table 3B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the Northeast Region; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 3,151 198 774 2,179 2,952
Prescription Pain Reliever Use Disorder3 408 7 46 355 401
Alcohol Use Disorder 5,194 123 993 4,078 5,071
Substance Use Disorder2,3 7,186 269 1,450 5,467 6,917
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
2,869 209 747 1,914 2,661
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
5,223 112 976 4,135 5,112
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
6,781 256 1,410 5,115 6,525
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
NOTE: The Northeast region includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

NORTHEAST REGION

Table 4A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the Northeast Region; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 13.83 9.18 27.33 12.28 14.24
Past Year Marijuana Use 18.70 12.42 36.62 16.66 19.27
Past Month Marijuana Use 12.33 7.86 25.46 10.82 12.73
Perceptions of Great Risk from Smoking Marijuana Once a Month 21.64 22.27 11.26 23.14 21.58
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.28 5.52 8.65 0.70 1.76
Past Month Illicit Drug Use Other Than Marijuana1,2 3.49 1.73 5.88 3.32 3.65
Past Year Cocaine Use 2.21 0.33 5.32 1.94 2.38
Perceptions of Great Risk from Using Cocaine Once a Month 65.58 52.33 57.77 68.11 66.76
Past Year Heroin Use5 -- -- 0.30 0.34 0.34
Perceptions of Great Risk from Trying Heroin Once or Twice 84.00 63.01 80.06 86.73 85.86
Past Year Methamphetamine Use 0.42 0.07 0.46 0.45 0.45
Past Year Prescription Pain Reliever Misuse2 3.34 1.51 4.58 3.35 3.51
ALCOHOL          
Past Month Alcohol Use 53.13 9.68 55.51 57.26 57.03
Past Month Binge Alcohol Use6 23.69 4.95 35.97 23.78 25.37
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
44.25 42.89 36.11 45.61 44.37
Past Month Alcohol Use7 (People Aged 12 to 20) 18.72 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 10.91 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 18.60 3.06 20.75 19.88 20.00
Past Month Cigarette Use 14.55 1.60 15.83 15.70 15.72
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
72.87 67.87 67.42 74.20 73.31
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 29.71 18.08 19.60
Serious Mental Illness4,9,10 -- -- 9.24 4.17 4.83
Received Mental Health Services11 -- -- 20.24 16.70 17.16
Major Depressive Episode4,10,12 -- 15.32 16.78 6.32 7.68
Had Serious Thoughts of Suicide10,13 -- -- 11.22 3.53 4.53
Made Any Suicide Plans10,14 -- -- 3.74 0.95 1.31
Attempted Suicide10,14 -- -- 1.69 0.37 0.55
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: The Northeast region includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

NORTHEAST REGION

Table 4B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the Northeast Region; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.61 5.05 13.66 5.72 6.75
Prescription Pain Reliever Use Disorder3 0.86 0.19 0.81 0.93 0.92
Alcohol Use Disorder 10.90 3.13 17.54 10.70 11.59
Substance Use Disorder2,3 15.07 6.87 25.60 14.35 15.81
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.02 5.32 13.19 5.02 6.08
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
10.96 2.85 17.23 10.85 11.68
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
14.22 6.51 24.89 13.43 14.91
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: The Northeast region includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MIDWEST REGION

Table 5A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the Midwest Region; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 7,408 406 1,798 5,203 7,002
Past Year Marijuana Use 10,175 608 2,610 6,957 9,568
Past Month Marijuana Use 6,547 329 1,712 4,506 6,218
Perceptions of Great Risk from Smoking Marijuana Once a Month 11,200 1,092 696 9,411 10,108
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
752 243 345 164 508
Past Month Illicit Drug Use Other Than Marijuana1,2 1,822 98 378 1,346 1,724
Past Year Cocaine Use 1,071 16 316 739 1,054
Perceptions of Great Risk from Using Cocaine Once a Month 39,171 2,678 4,285 32,208 36,492
Past Year Heroin Use5 -- -- 18 146 164
Perceptions of Great Risk from Trying Heroin Once or Twice 48,338 3,198 5,783 39,357 45,140
Past Year Methamphetamine Use 455 8 52 395 447
Past Year Prescription Pain Reliever Misuse2 1,863 101 324 1,438 1,762
ALCOHOL          
Past Month Alcohol Use 30,327 473 4,084 25,770 29,854
Past Month Binge Alcohol Use6 14,210 261 2,567 11,383 13,950
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
23,048 2,032 2,429 18,587 21,017
Past Month Alcohol Use7 (People Aged 12 to 20) 1,556 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 933 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 12,870 201 1,761 10,908 12,668
Past Month Cigarette Use 10,256 129 1,265 8,862 10,127
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
38,888 3,398 4,474 31,016 35,490
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 2,244 9,401 11,645
Serious Mental Illness4,9,10 -- -- 725 2,451 3,176
Received Mental Health Services11 -- -- 1,478 8,334 9,812
Major Depressive Episode4,10,12 -- 907 1,213 3,381 4,593
Had Serious Thoughts of Suicide10,13 -- -- 893 1,900 2,794
Made Any Suicide Plans10,14 -- -- 325 470 795
Attempted Suicide10,14 -- -- 132 149 281
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
NOTE: The Midwest region includes the following states: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

MIDWEST REGION

Table 5B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the Midwest Region; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 3,864 282 1,059 2,522 3,582
Prescription Pain Reliever Use Disorder3 444 21 62 360 423
Alcohol Use Disorder 6,141 153 1,153 4,835 5,988
Substance Use Disorder2,3 8,837 358 1,861 6,618 8,479
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
3,557 251 980 2,326 3,306
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
5,982 132 1,116 4,734 5,850
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
8,228 350 1,761 6,117 7,878
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
NOTE: The Midwest region includes the following states: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MIDWEST REGION

Table 6A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the Midwest Region; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.91 7.72 25.23 11.57 13.44
Past Year Marijuana Use 17.74 11.53 36.62 15.47 18.36
Past Month Marijuana Use 11.41 6.25 24.02 10.02 11.93
Perceptions of Great Risk from Smoking Marijuana Once a Month 19.52 20.75 9.77 20.93 19.40
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.41 5.01 9.24 0.72 1.93
Past Month Illicit Drug Use Other Than Marijuana1,2 3.18 1.87 5.30 2.99 3.31
Past Year Cocaine Use 1.87 0.31 4.43 1.64 2.02
Perceptions of Great Risk from Using Cocaine Once a Month 68.31 50.87 60.12 71.63 70.06
Past Year Heroin Use5 -- -- 0.26 0.32 0.32
Perceptions of Great Risk from Trying Heroin Once or Twice 84.30 60.74 81.14 87.53 86.66
Past Year Methamphetamine Use 0.79 0.15 0.73 0.88 0.86
Past Year Prescription Pain Reliever Misuse2 3.25 1.92 4.54 3.20 3.38
ALCOHOL          
Past Month Alcohol Use 52.87 8.99 57.30 57.31 57.31
Past Month Binge Alcohol Use6 24.78 4.95 36.01 25.32 26.78
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
40.18 38.59 34.08 41.34 40.34
Past Month Alcohol Use7 (People Aged 12 to 20) 19.37 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 11.62 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22.44 3.82 24.70 24.26 24.32
Past Month Cigarette Use 17.88 2.46 17.75 19.71 19.44
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
67.80 64.54 62.77 68.98 68.13
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 31.48 20.91 22.35
Serious Mental Illness4,9,10 -- -- 10.17 5.45 6.10
Received Mental Health Services11 -- -- 20.74 18.53 18.84
Major Depressive Episode4,10,12 -- 17.22 17.01 7.52 8.81
Had Serious Thoughts of Suicide10,13 -- -- 12.53 4.23 5.36
Made Any Suicide Plans10,14 -- -- 4.55 1.05 1.52
Attempted Suicide10,14 -- -- 1.86 0.33 0.54
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: The Midwest region includes the following states: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

MIDWEST REGION

Table 6B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the Midwest Region; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.73 5.36 14.94 5.60 6.87
Prescription Pain Reliever Use Disorder3 0.77 0.40 0.88 0.80 0.81
Alcohol Use Disorder 10.69 2.91 16.26 10.73 11.48
Substance Use Disorder2,3 15.39 6.81 26.24 14.69 16.26
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.19 4.76 13.82 5.16 6.34
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
10.42 2.50 15.73 10.51 11.22
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
14.33 6.64 24.84 13.57 15.10
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: The Midwest region includes the following states: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

SOUTH REGION

Table 7A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the South Region; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11,589 611 2,620 8,358 10,978
Past Year Marijuana Use 15,453 1,002 3,914 10,538 14,452
Past Month Marijuana Use 10,005 517 2,490 6,998 9,488
Perceptions of Great Risk from Smoking Marijuana Once a Month 26,571 2,373 1,681 22,517 24,197
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
1,175 410 508 257 765
Past Month Illicit Drug Use Other Than Marijuana1,2 3,297 182 628 2,487 3,115
Past Year Cocaine Use 1,679 23 500 1,156 1,656
Perceptions of Great Risk from Using Cocaine Once a Month 76,081 5,313 8,193 62,574 70,768
Past Year Heroin Use5 -- -- 26 244 270
Perceptions of Great Risk from Trying Heroin Once or Twice 89,987 6,120 10,530 73,336 83,867
Past Year Methamphetamine Use 822 14 90 719 809
Past Year Prescription Pain Reliever Misuse2 3,529 188 590 2,752 3,342
ALCOHOL          
Past Month Alcohol Use 50,571 814 6,404 43,354 49,757
Past Month Binge Alcohol Use6 23,495 401 3,911 19,183 23,094
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
47,390 4,358 4,879 38,154 43,033
Past Month Alcohol Use7 (People Aged 12 to 20) 2,369 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 1,373 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22,620 305 2,987 19,328 22,314
Past Month Cigarette Use 17,816 180 2,074 15,562 17,636
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
74,167 6,334 8,359 59,473 67,833
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 3,568 14,976 18,544
Serious Mental Illness4,9,10 -- -- 1,020 4,081 5,101
Received Mental Health Services11 -- -- 2,131 12,569 14,700
Major Depressive Episode4,10,12 -- 1,574 1,939 5,496 7,435
Had Serious Thoughts of Suicide10,13 -- -- 1,362 2,874 4,236
Made Any Suicide Plans10,14 -- -- 472 688 1,159
Attempted Suicide10,14 -- -- 252 237 490
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
NOTE: The South region includes the following states: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina,
Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

SOUTH REGION

Table 7B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the South Region; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6,644 442 1,807 4,395 6,202
Prescription Pain Reliever Use Disorder3 973 27 88 859 947
Alcohol Use Disorder 9,243 237 1,868 7,138 9,007
Substance Use Disorder2,3 13,797 564 2,983 10,251 13,233
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6,341 353 1,737 4,252 5,989
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
8,957 249 1,840 6,867 8,707
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
13,216 528 2,801 9,887 12,688
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
NOTE: The South region includes the following states: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina,
Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

SOUTH REGION

Table 8A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the South Region; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.02 6.29 20.61 10.10 11.50
Past Year Marijuana Use 14.69 10.31 30.79 12.74 15.14
Past Month Marijuana Use 9.51 5.32 19.59 8.46 9.94
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.26 24.42 13.22 27.21 25.34
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
1.89 4.56 7.06 0.56 1.44
Past Month Illicit Drug Use Other Than Marijuana1,2 3.13 1.87 4.94 3.01 3.26
Past Year Cocaine Use 1.60 0.24 3.93 1.40 1.74
Perceptions of Great Risk from Using Cocaine Once a Month 72.36 54.67 64.45 75.63 74.14
Past Year Heroin Use5 -- -- 0.20 0.29 0.28
Perceptions of Great Risk from Trying Heroin Once or Twice 85.59 62.97 82.83 88.64 87.87
Past Year Methamphetamine Use 0.78 0.14 0.71 0.87 0.85
Past Year Prescription Pain Reliever Misuse2 3.36 1.93 4.64 3.33 3.50
ALCOHOL          
Past Month Alcohol Use 48.09 8.38 50.37 52.39 52.13
Past Month Binge Alcohol Use6 22.34 4.13 30.76 23.18 24.19
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
45.06 44.83 38.37 46.11 45.08
Past Month Alcohol Use7 (People Aged 12 to 20) 16.15 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 9.36 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 21.51 3.14 23.49 23.37 23.38
Past Month Cigarette Use 16.94 1.85 16.32 18.81 18.48
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
70.52 65.17 65.75 71.88 71.07
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 28.06 18.10 19.43
Serious Mental Illness4,9,10 -- -- 8.02 4.93 5.35
Received Mental Health Services11 -- -- 16.76 15.19 15.40
Major Depressive Episode4,10,12 -- 16.19 15.25 6.64 7.78
Had Serious Thoughts of Suicide10,13 -- -- 10.71 3.47 4.43
Made Any Suicide Plans10,14 -- -- 3.71 0.83 1.21
Attempted Suicide10,14 -- -- 1.98 0.29 0.51
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: The South region includes the following states: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina,
Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

SOUTH REGION

Table 8B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the South Region; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.28 4.53 14.21 5.28 6.46
Prescription Pain Reliever Use Disorder3 0.92 0.27 0.69 1.03 0.99
Alcohol Use Disorder 8.74 2.42 14.69 8.57 9.38
Substance Use Disorder2,3 13.05 5.77 23.46 12.31 13.79
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.00 3.61 13.66 5.11 6.24
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
8.47 2.55 14.47 8.25 9.07
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
12.50 5.41 22.03 11.87 13.22
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: The South region includes the following states: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina,
Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

WEST REGION

Table 9A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the West Region; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10,962 544 2,231 8,187 10,418
Past Year Marijuana Use 14,385 808 3,142 10,435 13,577
Past Month Marijuana Use 9,760 499 2,081 7,179 9,260
Perceptions of Great Risk from Smoking Marijuana Once a Month 14,563 1,346 947 12,269 13,216
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
908 295 376 237 613
Past Month Illicit Drug Use Other Than Marijuana1,2 2,534 103 488 1,943 2,431
Past Year Cocaine Use 1,516 38 496 983 1,478
Perceptions of Great Risk from Using Cocaine Once a Month 42,736 3,239 4,708 34,789 39,497
Past Year Heroin Use5 -- -- 13 229 242
Perceptions of Great Risk from Trying Heroin Once or Twice 53,874 3,671 6,425 43,778 50,203
Past Year Methamphetamine Use 795 7 55 733 788
Past Year Prescription Pain Reliever Misuse2 2,501 133 381 1,986 2,368
ALCOHOL          
Past Month Alcohol Use 32,879 534 4,132 28,213 32,345
Past Month Binge Alcohol Use6 14,701 266 2,499 11,936 14,435
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
29,701 2,646 3,285 23,770 27,055
Past Month Alcohol Use7 (People Aged 12 to 20) 1,482 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 860 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 10,514 145 1,385 8,984 10,369
Past Month Cigarette Use 8,622 88 1,045 7,489 8,534
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
48,101 4,087 5,621 38,394 44,014
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 2,574 10,830 13,404
Serious Mental Illness4,9,10 -- -- 806 2,458 3,264
Received Mental Health Services11 -- -- 1,407 8,106 9,513
Major Depressive Episode4,10,12 -- 1,002 1,300 3,708 5,007
Had Serious Thoughts of Suicide10,13 -- -- 989 2,146 3,135
Made Any Suicide Plans10,14 -- -- 332 502 834
Attempted Suicide10,14 -- -- 141 150 291
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
NOTE: The West region includes the following states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

WEST REGION

Table 9B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the West Region; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 4,734 290 1,238 3,207 4,445
Prescription Pain Reliever Use Disorder3 507 25 73 410 483
Alcohol Use Disorder 7,743 199 1,200 6,344 7,544
Substance Use Disorder2,3 10,443 393 1,877 8,173 10,050
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
4,616 376 1,285 2,955 4,240
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
7,395 195 1,163 6,037 7,199
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
10,225 410 1,954 7,861 9,815
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
NOTE: The West region includes the following states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

WEST REGION

Table 10A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the West Region; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 16.65 9.03 27.68 15.82 17.42
Past Year Marijuana Use 21.85 13.43 38.98 20.17 22.70
Past Month Marijuana Use 14.83 8.29 25.82 13.88 15.49
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.11 22.37 11.75 23.71 22.09
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.71 5.71 9.11 0.98 2.15
Past Month Illicit Drug Use Other Than Marijuana1,2 3.85 1.71 6.06 3.75 4.07
Past Year Cocaine Use 2.30 0.63 6.15 1.90 2.47
Perceptions of Great Risk from Using Cocaine Once a Month 64.94 53.82 58.42 67.24 66.05
Past Year Heroin Use5 -- -- 0.16 0.44 0.40
Perceptions of Great Risk from Trying Heroin Once or Twice 81.88 61.00 79.71 84.61 83.95
Past Year Methamphetamine Use 1.21 0.12 0.68 1.42 1.32
Past Year Prescription Pain Reliever Misuse2 3.80 2.21 4.73 3.84 3.96
ALCOHOL          
Past Month Alcohol Use 49.94 8.88 51.27 54.53 54.09
Past Month Binge Alcohol Use6 22.33 4.42 31.01 23.07 24.14
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
45.12 43.97 40.76 45.94 45.24
Past Month Alcohol Use7 (People Aged 12 to 20) 16.47 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 9.56 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 15.97 2.41 17.19 17.36 17.34
Past Month Cigarette Use 13.10 1.47 12.97 14.47 14.27
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
73.08 67.91 69.74 74.20 73.60
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 31.94 20.93 22.42
Serious Mental Illness4,9,10 -- -- 10.00 4.75 5.46
Received Mental Health Services11 -- -- 17.46 15.67 15.91
Major Depressive Episode4,10,12 -- 16.66 16.13 7.17 8.37
Had Serious Thoughts of Suicide10,13 -- -- 12.28 4.15 5.24
Made Any Suicide Plans10,14 -- -- 4.12 0.97 1.39
Attempted Suicide10,14 -- -- 1.74 0.29 0.49
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: The West region includes the following states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

WEST REGION

Table 10B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the West Region; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 7.17 4.81 15.42 6.17 7.41
Prescription Pain Reliever Use Disorder3 0.77 0.41 0.91 0.79 0.80
Alcohol Use Disorder 11.72 3.30 14.95 12.20 12.57
Substance Use Disorder2,3 15.80 6.51 23.39 15.71 16.74
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.99 6.23 16.01 5.68 7.07
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
11.19 3.23 14.49 11.61 11.99
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
15.47 6.80 24.34 15.12 16.35
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: The West region includes the following states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

ALABAMA

Table 11A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Alabama; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 439 23 88 329 416
Past Year Marijuana Use 608 38 148 422 570
Past Month Marijuana Use 343 17 82 244 326
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,102 102 68 932 1,000
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
45 15 20 10 30
Past Month Illicit Drug Use Other Than Marijuana1,2 139 9 21 109 130
Past Year Cocaine Use 60 1 14 45 60
Perceptions of Great Risk from Using Cocaine Once a Month 3,120 203 349 2,568 2,917
Past Year Heroin Use5 -- -- 1 13 13
Perceptions of Great Risk from Trying Heroin Once or Twice 3,582 230 424 2,928 3,352
Past Year Methamphetamine Use 44 1 3 39 43
Past Year Prescription Pain Reliever Misuse2 147 8 24 115 139
ALCOHOL          
Past Month Alcohol Use 1,808 28 236 1,544 1,779
Past Month Binge Alcohol Use6 849 13 144 692 836
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,874 180 206 1,488 1,694
Past Month Alcohol Use7 (People Aged 12 to 20) 93 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 51 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,127 13 145 970 1,114
Past Month Cigarette Use 865 8 85 772 857
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
2,870 232 315 2,323 2,638
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 131 665 797
Serious Mental Illness4,9,10 -- -- 38 196 234
Received Mental Health Services11 -- -- 83 538 622
Major Depressive Episode4,10,12 -- 65 65 214 279
Had Serious Thoughts of Suicide10,13 -- -- 55 132 186
Made Any Suicide Plans10,14 -- -- 21 28 49
Attempted Suicide10,14 -- -- 12 11 23
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

ALABAMA

Table 11B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Alabama; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 230 18 52 160 212
Prescription Pain Reliever Use Disorder3 52 1 2 50 52
Alcohol Use Disorder 358 7 81 269 351
Substance Use Disorder2,3 585 23 134 429 563
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
220 13 43 164 207
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
354 7 71 276 347
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
532 21 112 399 511
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

ALABAMA

Table 12A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Alabama; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.66 6.20 17.51 10.11 11.10
Past Year Marijuana Use 14.73 10.14 29.47 12.99 15.18
Past Month Marijuana Use 8.31 4.50 16.40 7.51 8.69
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.75 27.45 13.62 28.69 26.68
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
1.81 4.22 6.67 0.53 1.42
Past Month Illicit Drug Use Other Than Marijuana1,2 3.37 2.31 4.26 3.35 3.47
Past Year Cocaine Use 1.46 0.18 2.84 1.40 1.59
Perceptions of Great Risk from Using Cocaine Once a Month 75.74 54.66 69.68 79.04 77.79
Past Year Heroin Use5 -- -- 0.15 0.39 0.35
Perceptions of Great Risk from Trying Heroin Once or Twice 86.98 61.99 84.56 90.14 89.40
Past Year Methamphetamine Use 1.06 0.21 0.65 1.22 1.14
Past Year Prescription Pain Reliever Misuse2 3.56 2.08 4.85 3.53 3.71
ALCOHOL          
Past Month Alcohol Use 43.89 7.64 46.98 47.52 47.45
Past Month Binge Alcohol Use6 20.61 3.56 28.62 21.31 22.28
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
45.48 48.51 41.14 45.80 45.18
Past Month Alcohol Use7 (People Aged 12 to 20) 15.28 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 8.36 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 27.37 3.45 28.82 29.86 29.72
Past Month Cigarette Use 21.01 2.24 16.95 23.75 22.85
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
69.65 62.46 62.75 71.51 70.35
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 26.20 20.48 21.24
Serious Mental Illness4,9,10 -- -- 7.52 6.04 6.24
Received Mental Health Services11 -- -- 16.65 16.56 16.57
Major Depressive Episode4,10,12 -- 17.56 13.02 6.58 7.43
Had Serious Thoughts of Suicide10,13 -- -- 10.89 4.06 4.96
Made Any Suicide Plans10,14 -- -- 4.17 0.87 1.31
Attempted Suicide10,14 -- -- 2.32 0.34 0.60
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

ALABAMA

Table 12B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Alabama; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 5.57 4.87 10.35 4.92 5.63
Prescription Pain Reliever Use Disorder3 1.27 0.19 0.42 1.52 1.38
Alcohol Use Disorder 8.66 2.01 16.25 8.26 9.31
Substance Use Disorder2,3 14.16 6.11 26.83 13.15 14.94
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
5.32 3.40 8.65 5.03 5.50
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
8.58 1.97 14.23 8.47 9.22
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
12.87 5.62 22.51 12.22 13.57
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

ALASKA

Table 13A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Alaska; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 109 4 21 84 104
Past Year Marijuana Use 140 8 30 103 133
Past Month Marijuana Use 100 5 19 75 94
Perceptions of Great Risk from Smoking Marijuana Once a Month 99 10 8 81 89
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
8 2 3 2 6
Past Month Illicit Drug Use Other Than Marijuana1,2 24 1 3 21 24
Past Year Cocaine Use 11 1 3 7 10
Perceptions of Great Risk from Using Cocaine Once a Month 365 29 40 296 336
Past Year Heroin Use5 -- -- 0 4 4
Perceptions of Great Risk from Trying Heroin Once or Twice 470 32 53 385 438
Past Year Methamphetamine Use 7 0 0 7 7
Past Year Prescription Pain Reliever Misuse2 21 1 2 18 20
ALCOHOL          
Past Month Alcohol Use 298 5 37 256 293
Past Month Binge Alcohol Use6 144 3 23 119 141
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
255 21 28 207 234
Past Month Alcohol Use7 (People Aged 12 to 20) 14 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 8 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 123 2 14 107 121
Past Month Cigarette Use 91 1 10 80 90
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
404 36 45 323 368
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 24 93 117
Serious Mental Illness4,9,10 -- -- 9 21 30
Received Mental Health Services11 -- -- 14 78 91
Major Depressive Episode4,10,12 -- 10 12 33 45
Had Serious Thoughts of Suicide10,13 -- -- 10 22 32
Made Any Suicide Plans10,14 -- -- 3 5 8
Attempted Suicide10,14 -- -- 2 1 2
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

ALASKA

Table 13B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Alaska; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 45 4 12 30 41
Prescription Pain Reliever Use Disorder3 8 0 0 8 8
Alcohol Use Disorder 61 1 10 50 59
Substance Use Disorder2,3 90 3 15 72 87
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
41 4 12 25 37
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
62 1 9 52 61
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
88 3 18 67 85
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

ALASKA

Table 14A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Alaska; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 18.68 7.68 30.09 18.29 19.86
Past Year Marijuana Use 24.07 13.34 43.09 22.49 25.22
Past Month Marijuana Use 17.09 9.10 28.15 16.39 17.95
Perceptions of Great Risk from Smoking Marijuana Once a Month 16.97 17.52 11.77 17.70 16.91
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
3.32 5.35 11.88 1.39 2.87
Past Month Illicit Drug Use Other Than Marijuana1,2 4.19 1.10 4.49 4.52 4.52
Past Year Cocaine Use 1.94 1.44 4.79 1.56 1.99
Perceptions of Great Risk from Using Cocaine Once a Month 62.50 50.52 57.80 64.69 63.78
Past Year Heroin Use5 -- -- 0.08 0.91 0.80
Perceptions of Great Risk from Trying Heroin Once or Twice 80.56 56.82 76.48 84.09 83.08
Past Year Methamphetamine Use 1.21 0.10 0.64 1.44 1.33
Past Year Prescription Pain Reliever Misuse2 3.61 1.86 3.54 3.83 3.79
ALCOHOL          
Past Month Alcohol Use 51.16 8.84 53.73 56.00 55.70
Past Month Binge Alcohol Use6 24.67 4.83 32.54 25.92 26.80
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
43.75 37.04 39.88 45.18 44.48
Past Month Alcohol Use7 (People Aged 12 to 20) 16.07 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 9.69 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 21.13 3.31 20.49 23.43 23.04
Past Month Cigarette Use 15.66 2.05 14.65 17.50 17.12
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
69.15 62.90 64.90 70.57 69.82
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 34.21 20.36 22.20
Serious Mental Illness4,9,10 -- -- 13.32 4.64 5.79
Received Mental Health Services11 -- -- 19.57 16.96 17.30
Major Depressive Episode4,10,12 -- 18.36 17.23 7.17 8.50
Had Serious Thoughts of Suicide10,13 -- -- 14.85 4.82 6.15
Made Any Suicide Plans10,14 -- -- 3.94 1.11 1.48
Attempted Suicide10,14 -- -- 2.35 0.18 0.47
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

ALASKA

Table 14B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Alaska; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 7.71 6.20 16.87 6.50 7.87
Prescription Pain Reliever Use Disorder3 1.37 0.31 0.44 1.64 1.48
Alcohol Use Disorder 10.45 2.56 14.17 10.86 11.30
Substance Use Disorder2,3 15.47 5.06 22.54 15.66 16.57
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.98 6.72 17.67 5.38 7.01
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
10.59 1.51 12.52 11.41 11.56
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
15.02 5.02 25.77 14.61 16.09
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

ARIZONA

Table 15A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Arizona; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 868 39 188 641 829
Past Year Marijuana Use 1,124 66 261 797 1,058
Past Month Marijuana Use 710 36 170 503 674
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,261 113 94 1,054 1,148
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
81 26 38 17 55
Past Month Illicit Drug Use Other Than Marijuana1,2 237 9 36 192 228
Past Year Cocaine Use 110 2 41 67 108
Perceptions of Great Risk from Using Cocaine Once a Month 4,151 300 477 3,374 3,851
Past Year Heroin Use5 -- -- 1 43 44
Perceptions of Great Risk from Trying Heroin Once or Twice 5,210 339 638 4,233 4,871
Past Year Methamphetamine Use 109 1 6 102 109
Past Year Prescription Pain Reliever Misuse2 240 13 43 185 228
ALCOHOL          
Past Month Alcohol Use 3,029 48 378 2,604 2,982
Past Month Binge Alcohol Use6 1,388 25 240 1,123 1,363
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,581 231 280 2,070 2,350
Past Month Alcohol Use7 (People Aged 12 to 20) 137 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 86 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,079 13 133 933 1,066
Past Month Cigarette Use 853 8 96 749 845
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
4,223 360 507 3,356 3,863
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 282 1,057 1,339
Serious Mental Illness4,9,10 -- -- 108 252 360
Received Mental Health Services11 -- -- 114 800 914
Major Depressive Episode4,10,12 -- 96 166 388 554
Had Serious Thoughts of Suicide10,13 -- -- 120 244 364
Made Any Suicide Plans10,14 -- -- 36 50 85
Attempted Suicide10,14 -- -- 21 11 32
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

ARIZONA

Table 15B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Arizona; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 468 27 123 318 441
Prescription Pain Reliever Use Disorder3 60 1 9 50 59
Alcohol Use Disorder 691 17 114 559 673
Substance Use Disorder2,3 958 35 183 740 923
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
483 33 124 327 450
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
653 14 105 534 639
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
913 34 184 695 879
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

ARIZONA

Table 16A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Arizona; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 14.03 6.78 24.37 13.26 14.79
Past Year Marijuana Use 18.18 11.54 33.79 16.48 18.87
Past Month Marijuana Use 11.48 6.38 22.03 10.41 12.01
Perceptions of Great Risk from Smoking Marijuana Once a Month 20.41 19.85 12.14 21.80 20.46
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.47 5.28 9.28 0.71 1.96
Past Month Illicit Drug Use Other Than Marijuana1,2 3.84 1.58 4.71 3.97 4.07
Past Year Cocaine Use 1.78 0.38 5.30 1.39 1.93
Perceptions of Great Risk from Using Cocaine Once a Month 67.19 52.76 61.69 69.79 68.68
Past Year Heroin Use5 -- -- 0.14 0.88 0.78
Perceptions of Great Risk from Trying Heroin Once or Twice 84.33 59.59 82.60 87.56 86.87
Past Year Methamphetamine Use 1.77 0.12 0.82 2.12 1.94
Past Year Prescription Pain Reliever Misuse2 3.89 2.25 5.52 3.83 4.06
ALCOHOL          
Past Month Alcohol Use 48.95 8.36 48.95 53.85 53.18
Past Month Binge Alcohol Use6 22.44 4.40 31.05 23.24 24.31
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
41.78 40.48 36.27 42.82 41.92
Past Month Alcohol Use7 (People Aged 12 to 20) 15.76 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 9.93 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 17.43 2.24 17.23 19.29 19.01
Past Month Cigarette Use 13.78 1.36 12.46 15.49 15.07
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
68.36 63.22 65.58 69.42 68.89
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 36.50 21.87 23.89
Serious Mental Illness4,9,10 -- -- 13.95 5.22 6.42
Received Mental Health Services11 -- -- 14.75 16.54 16.30
Major Depressive Episode4,10,12 -- 16.90 21.53 8.02 9.87
Had Serious Thoughts of Suicide10,13 -- -- 15.48 5.05 6.48
Made Any Suicide Plans10,14 -- -- 4.65 1.03 1.52
Attempted Suicide10,14 -- -- 2.70 0.23 0.57
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

ARIZONA

Table 16B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Arizona; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 7.47 4.67 15.84 6.49 7.76
Prescription Pain Reliever Use Disorder3 0.95 0.18 1.10 1.02 1.03
Alcohol Use Disorder 11.00 3.03 14.67 11.41 11.85
Substance Use Disorder2,3 15.28 6.06 23.55 15.10 16.25
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
7.71 5.68 15.89 6.67 7.93
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
10.40 2.36 13.53 10.89 11.25
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
14.55 5.91 23.66 14.17 15.47
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

ARKANSAS

Table 17A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Arkansas; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 298 17 67 213 281
Past Year Marijuana Use 372 29 96 247 343
Past Month Marijuana Use 264 15 69 180 249
Perceptions of Great Risk from Smoking Marijuana Once a Month 557 52 39 466 505
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
30 10 13 7 20
Past Month Illicit Drug Use Other Than Marijuana1,2 81 5 14 62 76
Past Year Cocaine Use 34 1 11 23 34
Perceptions of Great Risk from Using Cocaine Once a Month 1,872 130 205 1,536 1,742
Past Year Heroin Use5 -- -- 1 6 6
Perceptions of Great Risk from Trying Heroin Once or Twice 2,164 147 265 1,752 2,017
Past Year Methamphetamine Use 40 0 4 36 40
Past Year Prescription Pain Reliever Misuse2 85 6 16 63 79
ALCOHOL          
Past Month Alcohol Use 1,087 19 151 917 1,068
Past Month Binge Alcohol Use6 539 11 95 434 529
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,052 97 119 837 955
Past Month Alcohol Use7 (People Aged 12 to 20) 55 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 33 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 676 10 95 571 666
Past Month Cigarette Use 536 7 63 466 529
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
1,677 145 181 1,351 1,532
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 98 416 514
Serious Mental Illness4,9,10 -- -- 37 129 166
Received Mental Health Services11 -- -- 54 363 417
Major Depressive Episode4,10,12 -- 36 53 162 214
Had Serious Thoughts of Suicide10,13 -- -- 43 84 127
Made Any Suicide Plans10,14 -- -- 13 21 34
Attempted Suicide10,14 -- -- 6 5 12
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

ARKANSAS

Table 17B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Arkansas; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 190 13 56 122 177
Prescription Pain Reliever Use Disorder3 27 1 2 24 26
Alcohol Use Disorder 213 5 53 155 208
Substance Use Disorder2,3 355 15 90 250 339
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
181 9 49 123 172
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
212 4 55 153 208
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
326 15 81 230 311
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

ARKANSAS

Table 18A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Arkansas; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.85 7.20 21.69 10.87 12.35
Past Year Marijuana Use 14.81 12.16 30.94 12.60 15.09
Past Month Marijuana Use 10.48 6.31 22.12 9.16 10.92
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.18 21.68 12.54 23.77 22.23
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.16 5.07 8.05 0.68 1.65
Past Month Illicit Drug Use Other Than Marijuana1,2 3.22 2.10 4.38 3.18 3.34
Past Year Cocaine Use 1.36 0.27 3.51 1.16 1.48
Perceptions of Great Risk from Using Cocaine Once a Month 74.52 54.44 65.98 78.30 76.63
Past Year Heroin Use5 -- -- 0.29 0.28 0.28
Perceptions of Great Risk from Trying Heroin Once or Twice 86.18 61.70 85.28 89.29 88.74
Past Year Methamphetamine Use 1.60 0.16 1.34 1.82 1.76
Past Year Prescription Pain Reliever Misuse2 3.36 2.50 4.99 3.21 3.46
ALCOHOL          
Past Month Alcohol Use 43.27 8.15 48.50 46.74 46.98
Past Month Binge Alcohol Use6 21.45 4.44 30.48 22.12 23.25
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
41.90 40.59 38.20 42.64 42.03
Past Month Alcohol Use7 (People Aged 12 to 20) 15.90 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 9.61 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 26.91 4.34 30.41 29.13 29.30
Past Month Cigarette Use 21.33 2.81 20.24 23.77 23.29
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
66.76 60.65 58.05 68.88 67.41
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 31.53 21.21 22.61
Serious Mental Illness4,9,10 -- -- 12.00 6.58 7.32
Received Mental Health Services11 -- -- 17.28 18.50 18.34
Major Depressive Episode4,10,12 -- 14.97 16.89 8.24 9.41
Had Serious Thoughts of Suicide10,13 -- -- 13.88 4.29 5.59
Made Any Suicide Plans10,14 -- -- 4.07 1.08 1.48
Attempted Suicide10,14 -- -- 1.98 0.28 0.51
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

ARKANSAS

Table 18B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Arkansas; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 7.52 5.35 17.89 6.17 7.75
Prescription Pain Reliever Use Disorder3 1.08 0.52 0.79 1.19 1.14
Alcohol Use Disorder 8.44 2.07 17.15 7.87 9.12
Substance Use Disorder2,3 14.03 6.29 28.91 12.67 14.85
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
7.16 3.81 15.81 6.23 7.52
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
8.39 1.62 17.85 7.76 9.12
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
12.91 6.21 26.21 11.67 13.62
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

CALIFORNIA

Table 19A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in California; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 5,391 293 1,137 3,961 5,098
Past Year Marijuana Use 7,133 393 1,580 5,160 6,740
Past Month Marijuana Use 4,798 261 1,026 3,510 4,536
Perceptions of Great Risk from Smoking Marijuana Once a Month 8,179 722 522 6,935 7,457
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
448 150 178 120 299
Past Month Illicit Drug Use Other Than Marijuana1,2 1,279 50 273 956 1,229
Past Year Cocaine Use 836 24 276 537 812
Perceptions of Great Risk from Using Cocaine Once a Month 21,562 1,686 2,368 17,508 19,876
Past Year Heroin Use5 -- -- 7 73 80
Perceptions of Great Risk from Trying Heroin Once or Twice 27,039 1,873 3,243 21,923 25,166
Past Year Methamphetamine Use 321 3 24 294 318
Past Year Prescription Pain Reliever Misuse2 1,223 69 193 961 1,154
ALCOHOL          
Past Month Alcohol Use 16,381 268 2,081 14,032 16,113
Past Month Binge Alcohol Use6 7,244 128 1,242 5,874 7,116
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
15,858 1,410 1,793 12,656 14,449
Past Month Alcohol Use7 (People Aged 12 to 20) 729 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 413 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 4,632 56 621 3,955 4,576
Past Month Cigarette Use 3,942 25 486 3,431 3,917
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
25,060 2,100 2,955 20,006 22,961
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 1,166 5,004 6,169
Serious Mental Illness4,9,10 -- -- 325 1,048 1,373
Received Mental Health Services11 -- -- 609 3,492 4,101
Major Depressive Episode4,10,12 -- 447 557 1,656 2,213
Had Serious Thoughts of Suicide10,13 -- -- 423 900 1,323
Made Any Suicide Plans10,14 -- -- 148 235 383
Attempted Suicide10,14 -- -- 62 77 139
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

CALIFORNIA

Table 19B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in California; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 2,145 124 549 1,472 2,021
Prescription Pain Reliever Use Disorder3 232 13 43 176 219
Alcohol Use Disorder 3,959 111 591 3,257 3,848
Substance Use Disorder2,3 5,227 200 901 4,126 5,027
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
2,075 195 613 1,267 1,880
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
3,716 114 584 3,018 3,602
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
5,149 211 951 3,987 4,938
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

CALIFORNIA

Table 20A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in California; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 16.28 9.73 27.77 15.23 16.93
Past Year Marijuana Use 21.54 13.04 38.59 19.84 22.39
Past Month Marijuana Use 14.49 8.67 25.07 13.49 15.07
Perceptions of Great Risk from Smoking Marijuana Once a Month 24.68 23.96 12.75 26.66 24.76
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.54 5.68 8.26 0.94 1.99
Past Month Illicit Drug Use Other Than Marijuana1,2 3.86 1.67 6.68 3.67 4.08
Past Year Cocaine Use 2.52 0.80 6.74 2.06 2.70
Perceptions of Great Risk from Using Cocaine Once a Month 65.11 55.92 57.84 67.30 66.02
Past Year Heroin Use5 -- -- 0.17 0.28 0.27
Perceptions of Great Risk from Trying Heroin Once or Twice 81.67 62.13 79.21 84.28 83.59
Past Year Methamphetamine Use 0.97 0.09 0.59 1.13 1.06
Past Year Prescription Pain Reliever Misuse2 3.69 2.28 4.72 3.69 3.83
ALCOHOL          
Past Month Alcohol Use 49.46 8.88 50.84 53.94 53.52
Past Month Binge Alcohol Use6 21.87 4.24 30.33 22.58 23.64
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
47.88 46.76 43.79 48.65 47.99
Past Month Alcohol Use7 (People Aged 12 to 20) 16.06 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 9.10 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 13.99 1.87 15.17 15.20 15.20
Past Month Cigarette Use 11.90 0.82 11.88 13.19 13.01
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
75.66 69.65 72.18 76.90 76.26
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 28.48 19.23 20.49
Serious Mental Illness4,9,10 -- -- 7.95 4.03 4.56
Received Mental Health Services11 -- -- 14.88 13.42 13.62
Major Depressive Episode4,10,12 -- 14.83 13.60 6.37 7.34
Had Serious Thoughts of Suicide10,13 -- -- 10.32 3.46 4.39
Made Any Suicide Plans10,14 -- -- 3.63 0.90 1.27
Attempted Suicide10,14 -- -- 1.52 0.30 0.46
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

CALIFORNIA

Table 20B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in California; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.48 4.12 13.55 5.65 6.72
Prescription Pain Reliever Use Disorder3 0.70 0.43 1.07 0.67 0.73
Alcohol Use Disorder 11.96 3.68 14.59 12.51 12.79
Substance Use Disorder2,3 15.79 6.64 22.23 15.84 16.70
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.27 6.49 15.14 4.86 6.25
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
11.22 3.77 14.42 11.59 11.97
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
15.55 7.00 23.47 15.31 16.41
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

COLORADO

Table 21A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Colorado; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 942 40 186 716 901
Past Year Marijuana Use 1,300 70 282 948 1,230
Past Month Marijuana Use 923 37 189 697 886
Perceptions of Great Risk from Smoking Marijuana Once a Month 935 92 53 790 843
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
69 22 33 13 47
Past Month Illicit Drug Use Other Than Marijuana1,2 203 9 39 155 194
Past Year Cocaine Use 130 2 44 84 128
Perceptions of Great Risk from Using Cocaine Once a Month 3,038 229 332 2,477 2,810
Past Year Heroin Use5 -- -- 1 23 24
Perceptions of Great Risk from Trying Heroin Once or Twice 3,961 266 471 3,225 3,695
Past Year Methamphetamine Use 47 1 4 42 46
Past Year Prescription Pain Reliever Misuse2 180 7 29 144 173
ALCOHOL          
Past Month Alcohol Use 2,788 45 371 2,373 2,744
Past Month Binge Alcohol Use6 1,208 22 229 958 1,187
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,044 184 220 1,641 1,861
Past Month Alcohol Use7 (People Aged 12 to 20) 149 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 90 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 810 14 116 680 796
Past Month Cigarette Use 657 10 87 560 647
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
3,549 301 395 2,852 3,247
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 200 827 1,028
Serious Mental Illness4,9,10 -- -- 64 199 264
Received Mental Health Services11 -- -- 135 727 862
Major Depressive Episode4,10,12 -- 74 107 290 397
Had Serious Thoughts of Suicide10,13 -- -- 78 189 267
Made Any Suicide Plans10,14 -- -- 24 40 64
Attempted Suicide10,14 -- -- 10 10 19
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

COLORADO

Table 21B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Colorado; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 428 25 121 282 403
Prescription Pain Reliever Use Disorder3 45 2 5 39 44
Alcohol Use Disorder 608 13 110 485 595
Substance Use Disorder2,3 799 28 158 613 771
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
412 29 119 265 383
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
593 17 108 468 576
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
773 29 157 587 744
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

COLORADO

Table 22A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Colorado; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 19.32 9.25 31.47 18.60 20.31
Past Year Marijuana Use 26.68 16.01 47.82 24.65 27.72
Past Month Marijuana Use 18.94 8.45 32.13 18.11 19.97
Perceptions of Great Risk from Smoking Marijuana Once a Month 19.18 21.07 8.99 20.53 18.99
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
3.36 6.50 13.30 0.96 2.71
Past Month Illicit Drug Use Other Than Marijuana1,2 4.16 1.98 6.53 4.04 4.37
Past Year Cocaine Use 2.66 0.38 7.48 2.18 2.88
Perceptions of Great Risk from Using Cocaine Once a Month 62.38 52.53 56.39 64.38 63.32
Past Year Heroin Use5 -- -- 0.12 0.60 0.54
Perceptions of Great Risk from Trying Heroin Once or Twice 81.34 61.20 79.81 83.81 83.28
Past Year Methamphetamine Use 0.96 0.16 0.72 1.09 1.04
Past Year Prescription Pain Reliever Misuse2 3.70 1.60 4.86 3.75 3.90
ALCOHOL          
Past Month Alcohol Use 57.25 10.23 62.92 61.67 61.84
Past Month Binge Alcohol Use6 24.80 4.96 38.76 24.91 26.74
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
41.96 42.21 37.32 42.64 41.94
Past Month Alcohol Use7 (People Aged 12 to 20) 22.52 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 13.56 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 16.63 3.29 19.68 17.66 17.93
Past Month Cigarette Use 13.48 2.28 14.72 14.55 14.57
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
72.84 69.18 67.07 74.12 73.19
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 33.99 21.50 23.16
Serious Mental Illness4,9,10 -- -- 10.94 5.18 5.94
Received Mental Health Services11 -- -- 22.90 18.90 19.42
Major Depressive Episode4,10,12 -- 17.05 18.10 7.55 8.94
Had Serious Thoughts of Suicide10,13 -- -- 13.25 4.91 6.01
Made Any Suicide Plans10,14 -- -- 4.05 1.03 1.43
Attempted Suicide10,14 -- -- 1.62 0.25 0.43
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

COLORADO

Table 22B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Colorado; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 8.72 5.77 20.53 7.26 9.01
Prescription Pain Reliever Use Disorder3 0.92 0.39 0.78 1.00 0.97
Alcohol Use Disorder 12.40 2.90 18.58 12.52 13.32
Substance Use Disorder2,3 16.29 6.37 26.72 15.81 17.25
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
8.39 6.56 20.07 6.83 8.57
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
12.10 4.01 18.30 12.06 12.88
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
15.76 6.58 26.64 15.13 16.65
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

CONNECTICUT

Table 23A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Connecticut; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 465 29 127 309 436
Past Year Marijuana Use 626 37 172 417 589
Past Month Marijuana Use 413 27 116 270 386
Perceptions of Great Risk from Smoking Marijuana Once a Month 555 45 35 476 511
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
41 13 19 8 27
Past Month Illicit Drug Use Other Than Marijuana1,2 108 4 24 80 104
Past Year Cocaine Use 62 1 23 38 61
Perceptions of Great Risk from Using Cocaine Once a Month 1,998 133 219 1,647 1,865
Past Year Heroin Use5 -- -- 1 6 7
Perceptions of Great Risk from Trying Heroin Once or Twice 2,579 163 308 2,107 2,416
Past Year Methamphetamine Use 9 0 1 8 9
Past Year Prescription Pain Reliever Misuse2 107 3 18 85 103
ALCOHOL          
Past Month Alcohol Use 1,729 28 229 1,472 1,702
Past Month Binge Alcohol Use6 754 13 155 586 741
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,377 111 126 1,140 1,266
Past Month Alcohol Use7 (People Aged 12 to 20) 100 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 66 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 513 7 74 431 506
Past Month Cigarette Use 382 2 54 326 380
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
2,284 169 266 1,849 2,114
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 109 415 524
Serious Mental Illness4,9,10 -- -- 38 95 134
Received Mental Health Services11 -- -- 76 390 466
Major Depressive Episode4,10,12 -- 42 69 165 233
Had Serious Thoughts of Suicide10,13 -- -- 40 83 123
Made Any Suicide Plans10,14 -- -- 13 23 36
Attempted Suicide10,14 -- -- 7 8 15
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

CONNECTICUT

Table 23B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Connecticut; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 201 14 61 126 187
Prescription Pain Reliever Use Disorder3 25 0 2 23 25
Alcohol Use Disorder 350 9 82 259 341
Substance Use Disorder2,3 485 20 115 351 465
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
183 17 57 109 166
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
341 10 72 259 331
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
453 17 112 325 436
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

CONNECTICUT

Table 24A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Connecticut; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 15.21 11.02 33.66 12.78 15.61
Past Year Marijuana Use 20.46 14.01 45.37 17.26 21.07
Past Month Marijuana Use 13.51 10.12 30.59 11.20 13.83
Perceptions of Great Risk from Smoking Marijuana Once a Month 18.15 16.82 9.20 19.71 18.28
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.82 6.33 11.59 0.75 2.17
Past Month Illicit Drug Use Other Than Marijuana1,2 3.53 1.60 6.28 3.31 3.71
Past Year Cocaine Use 2.02 0.25 6.02 1.59 2.19
Perceptions of Great Risk from Using Cocaine Once a Month 65.35 50.01 57.77 68.20 66.79
Past Year Heroin Use5 -- -- 0.28 0.25 0.26
Perceptions of Great Risk from Trying Heroin Once or Twice 84.37 61.60 81.54 87.27 86.50
Past Year Methamphetamine Use 0.30 0.06 0.37 0.31 0.32
Past Year Prescription Pain Reliever Misuse2 3.48 1.22 4.74 3.54 3.70
ALCOHOL          
Past Month Alcohol Use 56.55 10.53 60.56 60.98 60.92
Past Month Binge Alcohol Use6 24.67 5.05 41.06 24.25 26.53
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
45.04 41.77 33.38 47.22 45.34
Past Month Alcohol Use7 (People Aged 12 to 20) 23.40 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 15.37 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 16.76 2.64 19.66 17.86 18.11
Past Month Cigarette Use 12.51 0.87 14.32 13.50 13.61
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
74.68 63.77 70.26 76.56 75.71
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 28.78 17.20 18.77
Serious Mental Illness4,9,10 -- -- 10.12 3.95 4.78
Received Mental Health Services11 -- -- 19.99 16.17 16.69
Major Depressive Episode4,10,12 -- 15.64 18.17 6.82 8.35
Had Serious Thoughts of Suicide10,13 -- -- 10.59 3.44 4.40
Made Any Suicide Plans10,14 -- -- 3.42 0.94 1.27
Attempted Suicide10,14 -- -- 1.78 0.33 0.52
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

CONNECTICUT

Table 24B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Connecticut; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.57 5.18 16.15 5.23 6.70
Prescription Pain Reliever Use Disorder3 0.82 0.05 0.63 0.94 0.90
Alcohol Use Disorder 11.44 3.32 21.89 10.70 12.21
Substance Use Disorder2,3 15.87 7.50 30.48 14.51 16.66
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
5.99 6.47 15.13 4.52 5.94
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
11.16 3.68 19.16 10.73 11.86
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
14.82 6.37 29.71 13.43 15.62
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

DELAWARE

Table 25A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Delaware; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 101 5 22 75 97
Past Year Marijuana Use 140 7 34 99 133
Past Month Marijuana Use 86 4 20 61 82
Perceptions of Great Risk from Smoking Marijuana Once a Month 182 17 10 155 165
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
9 3 4 2 6
Past Month Illicit Drug Use Other Than Marijuana1,2 29 1 6 22 28
Past Year Cocaine Use 15 0 4 10 14
Perceptions of Great Risk from Using Cocaine Once a Month 588 38 58 491 550
Past Year Heroin Use5 -- -- 0 5 6
Perceptions of Great Risk from Trying Heroin Once or Twice 722 45 77 600 677
Past Year Methamphetamine Use 4 0 1 4 4
Past Year Prescription Pain Reliever Misuse2 28 1 4 23 27
ALCOHOL          
Past Month Alcohol Use 448 6 50 392 442
Past Month Binge Alcohol Use6 181 2 28 151 178
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
360 30 35 294 329
Past Month Alcohol Use7 (People Aged 12 to 20) 18 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 9 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 168 2 17 149 167
Past Month Cigarette Use 134 1 13 120 133
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
608 46 63 499 562
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 27 129 156
Serious Mental Illness4,9,10 -- -- 8 33 41
Received Mental Health Services11 -- -- 19 116 134
Major Depressive Episode4,10,12 -- 10 16 48 64
Had Serious Thoughts of Suicide10,13 -- -- 10 25 35
Made Any Suicide Plans10,14 -- -- 2 6 8
Attempted Suicide10,14 -- -- 2 2 4
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

DELAWARE

Table 25B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Delaware; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 47 2 13 31 44
Prescription Pain Reliever Use Disorder3 7 0 1 7 7
Alcohol Use Disorder 85 2 13 70 83
Substance Use Disorder2,3 123 4 21 98 120
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
47 2 13 32 45
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
80 2 14 64 77
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
115 3 19 93 112
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

DELAWARE

Table 26A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Delaware; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.20 6.67 24.12 11.13 12.70
Past Year Marijuana Use 16.79 10.00 36.66 14.76 17.41
Past Month Marijuana Use 10.29 5.45 22.26 9.15 10.73
Perceptions of Great Risk from Smoking Marijuana Once a Month 21.87 24.19 10.90 23.14 21.66
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.16 4.90 8.36 0.71 1.68
Past Month Illicit Drug Use Other Than Marijuana1,2 3.50 1.90 6.30 3.28 3.65
Past Year Cocaine Use 1.75 0.12 4.28 1.57 1.89
Perceptions of Great Risk from Using Cocaine Once a Month 70.68 54.46 63.62 73.32 72.14
Past Year Heroin Use5 -- -- 0.24 0.80 0.73
Perceptions of Great Risk from Trying Heroin Once or Twice 86.80 64.03 83.47 89.59 88.85
Past Year Methamphetamine Use 0.50 0.09 0.60 0.52 0.53
Past Year Prescription Pain Reliever Misuse2 3.34 1.54 4.29 3.39 3.50
ALCOHOL          
Past Month Alcohol Use 53.86 8.35 54.97 58.43 58.02
Past Month Binge Alcohol Use6 21.72 3.35 30.08 22.48 23.40
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
43.24 43.46 37.88 43.94 43.21
Past Month Alcohol Use7 (People Aged 12 to 20) 17.23 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 8.35 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 20.25 2.76 18.99 22.25 21.85
Past Month Cigarette Use 16.12 1.16 14.26 17.92 17.49
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
73.14 65.93 69.09 74.43 73.79
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 29.53 19.28 20.52
Serious Mental Illness4,9,10 -- -- 9.19 4.90 5.42
Received Mental Health Services11 -- -- 20.25 17.29 17.64
Major Depressive Episode4,10,12 -- 14.24 17.37 7.15 8.37
Had Serious Thoughts of Suicide10,13 -- -- 10.94 3.79 4.65
Made Any Suicide Plans10,14 -- -- 2.15 0.93 1.08
Attempted Suicide10,14 -- -- 2.17 0.33 0.55
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

DELAWARE

Table 26B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Delaware; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 5.59 3.30 14.37 4.62 5.79
Prescription Pain Reliever Use Disorder3 0.85 0.00 0.57 0.97 0.92
Alcohol Use Disorder 10.10 2.15 14.19 10.35 10.82
Substance Use Disorder2,3 14.70 5.13 23.29 14.51 15.57
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
5.55 2.50 14.01 4.72 5.83
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
9.52 3.20 14.85 9.44 10.10
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
13.75 4.52 21.21 13.68 14.59
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

DISTRICT OF COLUMBIA

Table 27A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the District of Columbia; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 124 3 26 94 120
Past Year Marijuana Use 181 5 41 135 176
Past Month Marijuana Use 110 3 23 84 107
Perceptions of Great Risk from Smoking Marijuana Once a Month 81 6 8 67 75
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
9 2 4 3 7
Past Month Illicit Drug Use Other Than Marijuana1,2 35 1 6 29 34
Past Year Cocaine Use 25 0 5 20 25
Perceptions of Great Risk from Using Cocaine Once a Month 343 19 48 276 324
Past Year Heroin Use5 -- -- 0 6 6
Perceptions of Great Risk from Trying Heroin Once or Twice 474 20 64 390 454
Past Year Methamphetamine Use 1 0 0 1 1
Past Year Prescription Pain Reliever Misuse2 22 1 3 18 21
ALCOHOL          
Past Month Alcohol Use 410 3 58 349 408
Past Month Binge Alcohol Use6 214 1 36 177 213
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
245 16 30 200 230
Past Month Alcohol Use7 (People Aged 12 to 20) 11 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 5 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 111 1 15 95 110
Past Month Cigarette Use 91 0 13 78 91
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
463 21 62 379 442
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 23 108 131
Serious Mental Illness4,9,10 -- -- 4 24 29
Received Mental Health Services11 -- -- 17 92 109
Major Depressive Episode4,10,12 -- 5 9 36 46
Had Serious Thoughts of Suicide10,13 -- -- 7 18 25
Made Any Suicide Plans10,14 -- -- 2 5 7
Attempted Suicide10,14 -- -- 1 2 3
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

DISTRICT OF COLUMBIA

Table 27B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the District of Columbia; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 57 1 16 40 56
Prescription Pain Reliever Use Disorder3 6 0 0 5 6
Alcohol Use Disorder 103 1 16 86 102
Substance Use Disorder2,3 123 1 23 99 122
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
42 1 16 26 41
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
115 0 16 98 114
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
122 1 21 100 121
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

DISTRICT OF COLUMBIA

Table 28A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in the District of Columbia; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 20.51 10.34 30.71 19.41 21.09
Past Year Marijuana Use 29.96 15.00 47.61 27.87 30.81
Past Month Marijuana Use 18.24 8.13 27.03 17.38 18.82
Perceptions of Great Risk from Smoking Marijuana Once a Month 13.35 17.17 9.54 13.78 13.14
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
4.39 7.48 13.85 1.84 3.93
Past Month Illicit Drug Use Other Than Marijuana1,2 5.78 1.73 6.48 5.93 6.01
Past Year Cocaine Use 4.21 0.66 6.08 4.12 4.41
Perceptions of Great Risk from Using Cocaine Once a Month 56.84 57.49 56.71 56.80 56.79
Past Year Heroin Use5 -- -- 0.01 1.32 1.13
Perceptions of Great Risk from Trying Heroin Once or Twice 78.68 61.59 75.09 80.41 79.62
Past Year Methamphetamine Use 0.16 0.09 0.15 0.17 0.16
Past Year Prescription Pain Reliever Misuse2 3.62 2.01 4.08 3.66 3.72
ALCOHOL          
Past Month Alcohol Use 68.05 8.25 68.45 71.98 71.45
Past Month Binge Alcohol Use6 35.46 3.12 42.33 36.41 37.30
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
40.67 48.05 35.28 41.12 40.24
Past Month Alcohol Use7 (People Aged 12 to 20) 23.58 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 11.28 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 18.43 2.14 18.16 19.57 19.36
Past Month Cigarette Use 15.09 0.72 15.36 16.02 15.92
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
76.75 63.96 73.16 78.21 77.46
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 26.96 22.24 22.95
Serious Mental Illness4,9,10 -- -- 5.18 4.97 5.00
Received Mental Health Services11 -- -- 19.81 19.01 19.14
Major Depressive Episode4,10,12 -- 16.32 11.10 7.50 8.03
Had Serious Thoughts of Suicide10,13 -- -- 7.80 3.69 4.30
Made Any Suicide Plans10,14 -- -- 2.19 1.06 1.23
Attempted Suicide10,14 -- -- 0.87 0.39 0.46
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

DISTRICT OF COLUMBIA

Table 28B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in the District of Columbia; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 9.31 2.61 19.04 8.10 9.70
Prescription Pain Reliever Use Disorder3 0.94 0.07 0.36 1.09 0.99
Alcohol Use Disorder 16.97 1.82 19.15 17.62 17.83
Substance Use Disorder2,3 20.26 3.94 27.03 20.21 21.21
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.94 2.78 18.30 5.26 7.19
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
18.94 1.25 18.80 20.15 19.95
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
20.16 4.13 25.09 20.40 21.08
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

FLORIDA

Table 29A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Florida; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 2,356 97 466 1,793 2,260
Past Year Marijuana Use 3,003 161 640 2,203 2,843
Past Month Marijuana Use 2,152 88 464 1,600 2,064
Perceptions of Great Risk from Smoking Marijuana Once a Month 4,823 337 254 4,231 4,485
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
174 63 78 34 112
Past Month Illicit Drug Use Other Than Marijuana1,2 573 32 122 420 542
Past Year Cocaine Use 304 3 87 215 302
Perceptions of Great Risk from Using Cocaine Once a Month 13,443 806 1,252 11,385 12,637
Past Year Heroin Use5 -- -- 2 38 40
Perceptions of Great Risk from Trying Heroin Once or Twice 16,000 912 1,621 13,467 15,088
Past Year Methamphetamine Use 109 2 13 94 107
Past Year Prescription Pain Reliever Misuse2 639 23 94 522 616
ALCOHOL          
Past Month Alcohol Use 9,643 135 934 8,574 9,508
Past Month Binge Alcohol Use6 4,204 49 513 3,642 4,155
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
8,263 652 791 6,820 7,611
Past Month Alcohol Use7 (People Aged 12 to 20) 380 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 205 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 3,743 38 387 3,318 3,705
Past Month Cigarette Use 2,893 21 285 2,587 2,872
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
13,834 986 1,362 11,486 12,847
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 509 2,475 2,985
Serious Mental Illness4,9,10 -- -- 133 745 878
Received Mental Health Services11 -- -- 288 1,993 2,282
Major Depressive Episode4,10,12 -- 225 295 951 1,245
Had Serious Thoughts of Suicide10,13 -- -- 207 520 727
Made Any Suicide Plans10,14 -- -- 63 113 176
Attempted Suicide10,14 -- -- 41 49 90
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

FLORIDA

Table 29B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Florida; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 1,353 71 332 950 1,282
Prescription Pain Reliever Use Disorder3 170 2 13 155 168
Alcohol Use Disorder 1,677 40 265 1,373 1,638
Substance Use Disorder2,3 2,628 87 481 2,060 2,541
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
1,357 56 331 969 1,301
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
1,540 44 267 1,229 1,496
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
2,554 81 451 2,022 2,473
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

FLORIDA

Table 30A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Florida; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.74 6.67 23.98 11.86 13.25
Past Year Marijuana Use 16.23 11.08 32.90 14.57 16.67
Past Month Marijuana Use 11.63 6.05 23.85 10.58 12.10
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.04 23.27 13.06 27.99 26.28
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
1.65 4.69 7.07 0.43 1.21
Past Month Illicit Drug Use Other Than Marijuana1,2 3.10 2.18 6.28 2.78 3.18
Past Year Cocaine Use 1.65 0.18 4.46 1.42 1.77
Perceptions of Great Risk from Using Cocaine Once a Month 72.62 55.64 64.35 75.31 74.05
Past Year Heroin Use5 -- -- 0.11 0.25 0.24
Perceptions of Great Risk from Trying Heroin Once or Twice 86.46 62.92 83.29 89.08 88.42
Past Year Methamphetamine Use 0.59 0.12 0.67 0.62 0.63
Past Year Prescription Pain Reliever Misuse2 3.45 1.58 4.84 3.45 3.61
ALCOHOL          
Past Month Alcohol Use 52.11 9.33 48.00 56.72 55.73
Past Month Binge Alcohol Use6 22.71 3.38 26.35 24.09 24.35
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
44.65 45.02 40.68 45.11 44.61
Past Month Alcohol Use7 (People Aged 12 to 20) 17.01 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 9.18 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 20.22 2.63 19.91 21.95 21.71
Past Month Cigarette Use 15.63 1.46 14.67 17.11 16.84
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
74.74 68.06 69.99 75.98 75.29
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 26.17 16.37 17.49
Serious Mental Illness4,9,10 -- -- 6.83 4.93 5.15
Received Mental Health Services11 -- -- 14.82 13.19 13.37
Major Depressive Episode4,10,12 -- 15.51 15.14 6.29 7.29
Had Serious Thoughts of Suicide10,13 -- -- 10.65 3.44 4.26
Made Any Suicide Plans10,14 -- -- 3.23 0.75 1.03
Attempted Suicide10,14 -- -- 2.12 0.33 0.53
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

FLORIDA

Table 30B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Florida; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 7.27 4.89 17.08 6.24 7.48
Prescription Pain Reliever Use Disorder3 0.91 0.15 0.66 1.02 0.98
Alcohol Use Disorder 9.02 2.72 13.65 9.01 9.55
Substance Use Disorder2,3 14.12 5.99 24.78 13.52 14.81
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
7.28 3.87 17.05 6.36 7.58
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
8.28 3.03 13.76 8.07 8.72
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
13.72 5.58 23.23 13.27 14.41
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

GEORGIA

Table 31A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Georgia; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 882 49 205 628 834
Past Year Marijuana Use 1,207 81 322 803 1,126
Past Month Marijuana Use 743 37 189 517 707
Perceptions of Great Risk from Smoking Marijuana Once a Month 2,304 241 166 1,896 2,062
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
98 33 45 20 66
Past Month Illicit Drug Use Other Than Marijuana1,2 270 15 44 211 255
Past Year Cocaine Use 112 1 33 78 111
Perceptions of Great Risk from Using Cocaine Once a Month 6,430 483 748 5,199 5,947
Past Year Heroin Use5 -- -- 3 13 16
Perceptions of Great Risk from Trying Heroin Once or Twice 7,613 560 941 6,112 7,053
Past Year Methamphetamine Use 53 1 6 46 52
Past Year Prescription Pain Reliever Misuse2 263 17 41 205 247
ALCOHOL          
Past Month Alcohol Use 3,970 59 487 3,424 3,911
Past Month Binge Alcohol Use6 1,707 27 273 1,408 1,680
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
4,211 422 480 3,308 3,789
Past Month Alcohol Use7 (People Aged 12 to 20) 181 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 104 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,697 20 204 1,473 1,677
Past Month Cigarette Use 1,370 10 149 1,211 1,360
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
6,184 556 746 4,882 5,628
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 258 1,139 1,397
Serious Mental Illness4,9,10 -- -- 62 316 378
Received Mental Health Services11 -- -- 159 920 1,079
Major Depressive Episode4,10,12 -- 127 127 437 564
Had Serious Thoughts of Suicide10,13 -- -- 106 206 313
Made Any Suicide Plans10,14 -- -- 37 54 91
Attempted Suicide10,14 -- -- 19 19 38
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

GEORGIA

Table 31B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Georgia; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 456 29 134 294 428
Prescription Pain Reliever Use Disorder3 59 1 9 48 57
Alcohol Use Disorder 660 16 131 513 644
Substance Use Disorder2,3 944 38 218 688 906
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
441 23 136 283 418
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
631 16 122 493 615
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
915 35 204 676 880
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

GEORGIA

Table 32A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Georgia; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.99 5.57 18.48 9.17 10.47
Past Year Marijuana Use 13.65 9.29 29.03 11.72 14.13
Past Month Marijuana Use 8.41 4.19 17.06 7.55 8.87
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.06 27.58 14.97 27.67 25.89
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
1.80 3.86 6.46 0.52 1.42
Past Month Illicit Drug Use Other Than Marijuana1,2 3.05 1.66 3.94 3.08 3.20
Past Year Cocaine Use 1.27 0.12 2.97 1.14 1.39
Perceptions of Great Risk from Using Cocaine Once a Month 72.78 55.22 67.35 75.87 74.68
Past Year Heroin Use5 -- -- 0.23 0.19 0.20
Perceptions of Great Risk from Trying Heroin Once or Twice 86.17 64.02 84.75 89.19 88.57
Past Year Methamphetamine Use 0.60 0.16 0.55 0.67 0.65
Past Year Prescription Pain Reliever Misuse2 2.98 1.89 3.72 3.00 3.10
ALCOHOL          
Past Month Alcohol Use 44.92 6.76 43.83 49.97 49.11
Past Month Binge Alcohol Use6 19.32 3.04 24.56 20.54 21.10
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
47.65 48.28 43.25 48.28 47.58
Past Month Alcohol Use7 (People Aged 12 to 20) 13.17 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 7.57 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 19.21 2.30 18.38 21.49 21.06
Past Month Cigarette Use 15.51 1.12 13.42 17.68 17.08
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
69.97 63.56 67.20 71.24 70.68
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 23.22 16.63 17.55
Serious Mental Illness4,9,10 -- -- 5.59 4.62 4.75
Received Mental Health Services11 -- -- 14.32 13.43 13.55
Major Depressive Episode4,10,12 -- 14.49 11.44 6.38 7.08
Had Serious Thoughts of Suicide10,13 -- -- 9.57 3.01 3.92
Made Any Suicide Plans10,14 -- -- 3.37 0.78 1.14
Attempted Suicide10,14 -- -- 1.76 0.27 0.48
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

GEORGIA

Table 32B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Georgia; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 5.13 3.27 12.01 4.26 5.33
Prescription Pain Reliever Use Disorder3 0.66 0.16 0.78 0.70 0.71
Alcohol Use Disorder 7.42 1.82 11.79 7.43 8.03
Substance Use Disorder2,3 10.62 4.30 19.59 9.98 11.31
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
4.96 2.57 12.21 4.10 5.22
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
7.10 1.84 10.95 7.15 7.67
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
10.29 3.95 18.30 9.80 10.98
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

HAWAII

Table 33A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Hawaii; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 138 9 30 99 129
Past Year Marijuana Use 175 13 40 122 163
Past Month Marijuana Use 135 7 28 100 128
Perceptions of Great Risk from Smoking Marijuana Once a Month 273 21 15 237 252
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
12 4 5 4 8
Past Month Illicit Drug Use Other Than Marijuana1,2 34 2 7 25 32
Past Year Cocaine Use 21 1 6 15 20
Perceptions of Great Risk from Using Cocaine Once a Month 780 49 72 659 731
Past Year Heroin Use5 -- -- 0 2 2
Perceptions of Great Risk from Trying Heroin Once or Twice 949 55 95 799 895
Past Year Methamphetamine Use 10 0 0 9 9
Past Year Prescription Pain Reliever Misuse2 32 1 4 26 31
ALCOHOL          
Past Month Alcohol Use 520 7 63 450 513
Past Month Binge Alcohol Use6 247 3 36 208 244
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
506 42 48 416 464
Past Month Alcohol Use7 (People Aged 12 to 20) 20 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 10 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 179 2 17 160 177
Past Month Cigarette Use 154 1 15 138 153
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
819 61 81 677 758
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 40 149 189
Serious Mental Illness4,9,10 -- -- 13 33 46
Received Mental Health Services11 -- -- 16 90 106
Major Depressive Episode4,10,12 -- 17 20 51 71
Had Serious Thoughts of Suicide10,13 -- -- 15 34 49
Made Any Suicide Plans10,14 -- -- 6 9 15
Attempted Suicide10,14 -- -- 2 2 5
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

HAWAII

Table 33B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Hawaii; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 68 7 15 47 62
Prescription Pain Reliever Use Disorder3 9 0 1 8 9
Alcohol Use Disorder 111 2 17 92 109
Substance Use Disorder2,3 151 6 26 119 145
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
63 8 15 40 55
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
113 1 17 95 111
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
144 7 31 107 138
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

HAWAII

Table 34A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Hawaii; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.99 9.36 25.65 10.54 12.23
Past Year Marijuana Use 15.23 13.73 34.11 13.01 15.37
Past Month Marijuana Use 11.72 7.49 23.66 10.64 12.10
Perceptions of Great Risk from Smoking Marijuana Once a Month 23.73 22.44 12.95 25.21 23.84
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.05 5.39 7.60 0.82 1.58
Past Month Illicit Drug Use Other Than Marijuana1,2 2.93 1.87 5.55 2.71 3.03
Past Year Cocaine Use 1.83 0.73 4.80 1.57 1.93
Perceptions of Great Risk from Using Cocaine Once a Month 67.73 52.88 61.14 70.05 69.05
Past Year Heroin Use5 -- -- 0.02 0.26 0.23
Perceptions of Great Risk from Trying Heroin Once or Twice 82.42 58.51 80.95 84.98 84.53
Past Year Methamphetamine Use 0.83 0.10 0.42 0.95 0.89
Past Year Prescription Pain Reliever Misuse2 2.79 1.38 3.80 2.81 2.92
ALCOHOL          
Past Month Alcohol Use 45.10 7.62 53.41 47.83 48.46
Past Month Binge Alcohol Use6 21.46 3.55 30.47 22.14 23.06
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
43.98 45.18 40.47 44.28 43.86
Past Month Alcohol Use7 (People Aged 12 to 20) 14.86 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 7.43 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 15.52 1.73 14.76 17.02 16.76
Past Month Cigarette Use 13.34 0.56 12.72 14.71 14.49
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
71.07 64.69 68.83 71.99 71.64
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 33.84 15.87 17.86
Serious Mental Illness4,9,10 -- -- 10.99 3.52 4.35
Received Mental Health Services11 -- -- 13.59 9.59 10.03
Major Depressive Episode4,10,12 -- 18.36 17.23 5.42 6.72
Had Serious Thoughts of Suicide10,13 -- -- 12.44 3.65 4.62
Made Any Suicide Plans10,14 -- -- 5.35 0.92 1.40
Attempted Suicide10,14 -- -- 2.05 0.26 0.46
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

HAWAII

Table 34B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Hawaii; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 5.96 7.25 12.88 4.96 5.85
Prescription Pain Reliever Use Disorder3 0.82 0.38 0.64 0.88 0.85
Alcohol Use Disorder 9.69 2.63 14.67 9.75 10.31
Substance Use Disorder2,3 13.14 6.08 22.38 12.68 13.77
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
5.54 8.70 12.94 4.30 5.26
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
9.81 1.50 14.25 10.07 10.55
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
12.57 7.16 26.47 11.37 13.05
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

IDAHO

Table 35A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Idaho; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 162 10 38 114 152
Past Year Marijuana Use 239 18 57 164 221
Past Month Marijuana Use 145 10 36 98 135
Perceptions of Great Risk from Smoking Marijuana Once a Month 308 36 20 253 273
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
18 7 8 4 11
Past Month Illicit Drug Use Other Than Marijuana1,2 44 3 9 32 40
Past Year Cocaine Use 23 1 7 15 23
Perceptions of Great Risk from Using Cocaine Once a Month 1,013 79 113 821 934
Past Year Heroin Use5 -- -- 0 5 5
Perceptions of Great Risk from Trying Heroin Once or Twice 1,241 92 152 997 1,149
Past Year Methamphetamine Use 25 0 3 22 24
Past Year Prescription Pain Reliever Misuse2 55 4 11 41 52
ALCOHOL          
Past Month Alcohol Use 692 13 92 587 679
Past Month Binge Alcohol Use6 306 7 57 242 299
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
633 63 65 505 570
Past Month Alcohol Use7 (People Aged 12 to 20) 37 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 22 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 273 5 42 226 268
Past Month Cigarette Use 215 6 30 179 209
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
1,015 103 118 794 912
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 67 266 333
Serious Mental Illness4,9,10 -- -- 21 65 86
Received Mental Health Services11 -- -- 40 221 261
Major Depressive Episode4,10,12 -- 33 34 105 139
Had Serious Thoughts of Suicide10,13 -- -- 26 58 84
Made Any Suicide Plans10,14 -- -- 10 13 23
Attempted Suicide10,14 -- -- 3 4 7
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

IDAHO

Table 35B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Idaho; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 102 8 28 66 94
Prescription Pain Reliever Use Disorder3 14 1 2 11 13
Alcohol Use Disorder 152 4 32 116 147
Substance Use Disorder2,3 215 11 46 158 204
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
102 8 28 66 94
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
146 4 31 111 142
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
207 12 44 151 195
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

IDAHO

Table 36A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Idaho; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.83 6.05 20.62 9.90 11.40
Past Year Marijuana Use 15.99 11.53 30.65 14.23 16.52
Past Month Marijuana Use 9.69 6.29 19.60 8.55 10.09
Perceptions of Great Risk from Smoking Marijuana Once a Month 20.62 22.63 10.79 21.94 20.38
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.14 4.38 7.22 0.66 1.68
Past Month Illicit Drug Use Other Than Marijuana1,2 2.91 1.93 4.75 2.75 3.03
Past Year Cocaine Use 1.57 0.41 3.95 1.34 1.70
Perceptions of Great Risk from Using Cocaine Once a Month 67.80 50.38 60.72 71.31 69.84
Past Year Heroin Use5 -- -- 0.20 0.40 0.38
Perceptions of Great Risk from Trying Heroin Once or Twice 83.06 58.57 81.49 86.63 85.92
Past Year Methamphetamine Use 1.66 0.28 1.50 1.88 1.83
Past Year Prescription Pain Reliever Misuse2 3.71 2.45 5.87 3.54 3.86
ALCOHOL          
Past Month Alcohol Use 46.26 8.15 49.29 51.01 50.76
Past Month Binge Alcohol Use6 20.46 4.60 30.52 21.00 22.33
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
42.31 39.77 35.05 43.84 42.61
Past Month Alcohol Use7 (People Aged 12 to 20) 16.16 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 9.72 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 18.28 3.41 22.36 19.65 20.03
Past Month Cigarette Use 14.38 3.60 16.28 15.54 15.64
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
67.91 65.42 63.44 68.98 68.21
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 36.19 23.09 24.92
Serious Mental Illness4,9,10 -- -- 11.09 5.68 6.44
Received Mental Health Services11 -- -- 21.57 19.16 19.49
Major Depressive Episode4,10,12 -- 20.88 18.01 9.12 10.36
Had Serious Thoughts of Suicide10,13 -- -- 13.73 5.06 6.27
Made Any Suicide Plans10,14 -- -- 5.28 1.13 1.70
Attempted Suicide10,14 -- -- 1.64 0.33 0.51
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

IDAHO

Table 36B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Idaho; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.75 5.32 15.02 5.61 6.92
Prescription Pain Reliever Use Disorder3 0.92 0.83 0.92 0.93 0.93
Alcohol Use Disorder 10.02 2.78 16.86 9.91 10.87
Substance Use Disorder2,3 14.19 7.06 24.35 13.52 15.02
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.75 5.11 14.92 5.64 6.93
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
9.62 2.48 16.42 9.50 10.46
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
13.65 7.38 23.32 12.94 14.39
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

ILLINOIS

Table 37A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Illinois; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,606 92 358 1,156 1,514
Past Year Marijuana Use 2,125 135 495 1,494 1,989
Past Month Marijuana Use 1,428 69 337 1,022 1,359
Perceptions of Great Risk from Smoking Marijuana Once a Month 2,240 204 131 1,906 2,036
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
135 50 59 26 86
Past Month Illicit Drug Use Other Than Marijuana1,2 348 16 61 270 331
Past Year Cocaine Use 237 3 57 177 234
Perceptions of Great Risk from Using Cocaine Once a Month 7,035 482 778 5,775 6,553
Past Year Heroin Use5 -- -- 1 24 24
Perceptions of Great Risk from Trying Heroin Once or Twice 8,921 599 1,040 7,282 8,322
Past Year Methamphetamine Use 55 1 4 50 54
Past Year Prescription Pain Reliever Misuse2 322 16 52 255 307
ALCOHOL          
Past Month Alcohol Use 5,836 90 690 5,057 5,746
Past Month Binge Alcohol Use6 2,717 45 406 2,266 2,672
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
4,430 392 507 3,530 4,038
Past Month Alcohol Use7 (People Aged 12 to 20) 283 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 158 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 2,091 28 248 1,815 2,063
Past Month Cigarette Use 1,731 17 193 1,522 1,714
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
7,485 642 853 5,990 6,843
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 381 1,619 2,000
Serious Mental Illness4,9,10 -- -- 127 399 525
Received Mental Health Services11 -- -- 258 1,424 1,682
Major Depressive Episode4,10,12 -- 177 224 545 769
Had Serious Thoughts of Suicide10,13 -- -- 153 285 438
Made Any Suicide Plans10,14 -- -- 53 90 143
Attempted Suicide10,14 -- -- 24 30 54
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

ILLINOIS

Table 37B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Illinois; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 804 67 181 556 737
Prescription Pain Reliever Use Disorder3 60 3 3 54 58
Alcohol Use Disorder 1,143 34 181 929 1,109
Substance Use Disorder2,3 1,677 70 314 1,293 1,607
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
743 60 194 489 683
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
1,140 25 172 944 1,116
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
1,585 70 294 1,222 1,515
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

ILLINOIS

Table 38A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Illinois; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 15.11 9.38 27.82 13.82 15.68
Past Year Marijuana Use 19.99 13.86 38.49 17.86 20.61
Past Month Marijuana Use 13.44 7.08 26.21 12.21 14.08
Perceptions of Great Risk from Smoking Marijuana Once a Month 21.07 20.89 10.17 22.78 21.09
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.46 6.00 8.96 0.68 1.82
Past Month Illicit Drug Use Other Than Marijuana1,2 3.27 1.65 4.74 3.23 3.43
Past Year Cocaine Use 2.23 0.29 4.43 2.11 2.42
Perceptions of Great Risk from Using Cocaine Once a Month 66.20 49.41 60.48 69.02 67.88
Past Year Heroin Use5 -- -- 0.06 0.28 0.25
Perceptions of Great Risk from Trying Heroin Once or Twice 83.96 61.41 80.84 87.04 86.21
Past Year Methamphetamine Use 0.52 0.14 0.34 0.59 0.56
Past Year Prescription Pain Reliever Misuse2 3.03 1.61 4.02 3.05 3.18
ALCOHOL          
Past Month Alcohol Use 54.92 9.23 53.61 60.44 59.53
Past Month Binge Alcohol Use6 25.57 4.59 31.55 27.09 27.68
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
41.68 40.19 39.43 42.20 41.83
Past Month Alcohol Use7 (People Aged 12 to 20) 18.72 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 10.43 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 19.68 2.87 19.27 21.70 21.37
Past Month Cigarette Use 16.29 1.74 14.97 18.19 17.76
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
70.43 65.80 66.29 71.60 70.89
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 29.60 19.35 20.72
Serious Mental Illness4,9,10 -- -- 9.85 4.76 5.44
Received Mental Health Services11 -- -- 20.08 17.02 17.43
Major Depressive Episode4,10,12 -- 18.10 17.38 6.51 7.96
Had Serious Thoughts of Suicide10,13 -- -- 11.91 3.41 4.54
Made Any Suicide Plans10,14 -- -- 4.14 1.08 1.48
Attempted Suicide10,14 -- -- 1.86 0.36 0.56
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

ILLINOIS

Table 38B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Illinois; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 7.58 6.89 14.16 6.65 7.65
Prescription Pain Reliever Use Disorder3 0.57 0.27 0.26 0.65 0.60
Alcohol Use Disorder 10.78 3.47 14.16 11.11 11.51
Substance Use Disorder2,3 15.82 7.19 24.65 15.47 16.69
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
7.00 6.15 15.22 5.85 7.09
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
10.76 2.55 13.49 11.29 11.58
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
14.95 7.16 23.04 14.62 15.73
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

INDIANA

Table 39A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Indiana; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 725 40 198 486 685
Past Year Marijuana Use 873 54 251 568 819
Past Month Marijuana Use 615 32 196 386 583
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,179 121 82 975 1,058
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
74 24 35 15 49
Past Month Illicit Drug Use Other Than Marijuana1,2 175 11 40 124 164
Past Year Cocaine Use 103 2 31 70 101
Perceptions of Great Risk from Using Cocaine Once a Month 3,996 287 457 3,252 3,710
Past Year Heroin Use5 -- -- 4 10 14
Perceptions of Great Risk from Trying Heroin Once or Twice 4,840 338 609 3,894 4,502
Past Year Methamphetamine Use 46 1 7 38 45
Past Year Prescription Pain Reliever Misuse2 183 13 35 135 170
ALCOHOL          
Past Month Alcohol Use 2,722 45 406 2,271 2,677
Past Month Binge Alcohol Use6 1,337 25 263 1,049 1,311
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,297 227 248 1,821 2,070
Past Month Alcohol Use7 (People Aged 12 to 20) 130 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 77 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,427 22 208 1,197 1,405
Past Month Cigarette Use 1,134 15 145 974 1,119
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
3,698 340 453 2,904 3,357
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 214 895 1,109
Serious Mental Illness4,9,10 -- -- 70 278 348
Received Mental Health Services11 -- -- 137 844 981
Major Depressive Episode4,10,12 -- 83 112 332 445
Had Serious Thoughts of Suicide10,13 -- -- 92 204 296
Made Any Suicide Plans10,14 -- -- 29 41 70
Attempted Suicide10,14 -- -- 13 12 26
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

INDIANA

Table 39B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Indiana; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 368 25 120 223 343
Prescription Pain Reliever Use Disorder3 41 2 8 31 38
Alcohol Use Disorder 528 16 110 403 512
Substance Use Disorder2,3 780 35 202 543 745
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
327 22 108 197 305
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
511 13 111 387 498
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
709 33 185 490 676
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

INDIANA

Table 40A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Indiana; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.88 7.47 26.96 11.18 13.46
Past Year Marijuana Use 15.53 10.11 34.05 13.08 16.11
Past Month Marijuana Use 10.93 5.97 26.67 8.89 11.46
Perceptions of Great Risk from Smoking Marijuana Once a Month 20.97 22.55 11.15 22.44 20.80
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.34 4.75 8.81 0.65 1.87
Past Month Illicit Drug Use Other Than Marijuana1,2 3.11 2.11 5.39 2.85 3.22
Past Year Cocaine Use 1.83 0.30 4.19 1.62 1.99
Perceptions of Great Risk from Using Cocaine Once a Month 71.10 53.30 62.13 74.83 72.99
Past Year Heroin Use5 -- -- 0.50 0.24 0.27
Perceptions of Great Risk from Trying Heroin Once or Twice 86.12 62.81 82.69 89.59 88.59
Past Year Methamphetamine Use 0.81 0.13 1.01 0.87 0.89
Past Year Prescription Pain Reliever Misuse2 3.26 2.36 4.80 3.11 3.35
ALCOHOL          
Past Month Alcohol Use 48.38 8.36 55.14 52.26 52.67
Past Month Binge Alcohol Use6 23.76 4.70 35.66 24.13 25.80
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
40.86 42.23 33.74 41.91 40.72
Past Month Alcohol Use7 (People Aged 12 to 20) 16.07 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 9.60 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 25.36 4.16 28.25 27.53 27.64
Past Month Cigarette Use 20.16 2.82 19.70 22.42 22.02
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
65.79 63.24 61.59 66.82 66.06
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 29.09 20.60 21.83
Serious Mental Illness4,9,10 -- -- 9.52 6.39 6.84
Received Mental Health Services11 -- -- 18.61 19.42 19.31
Major Depressive Episode4,10,12 -- 15.45 15.25 7.65 8.75
Had Serious Thoughts of Suicide10,13 -- -- 12.49 4.70 5.82
Made Any Suicide Plans10,14 -- -- 3.93 0.95 1.38
Attempted Suicide10,14 -- -- 1.80 0.28 0.50
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

INDIANA

Table 40B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Indiana; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.53 4.68 16.36 5.12 6.73
Prescription Pain Reliever Use Disorder3 0.72 0.46 1.07 0.70 0.75
Alcohol Use Disorder 9.35 2.97 14.96 9.23 10.05
Substance Use Disorder2,3 13.82 6.49 27.52 12.45 14.61
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
5.80 4.17 14.69 4.52 5.98
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
9.04 2.37 15.09 8.87 9.76
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
12.56 6.13 25.23 11.24 13.25
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

IOWA

Table 41A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Iowa; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 276 20 78 178 256
Past Year Marijuana Use 389 28 120 241 361
Past Month Marijuana Use 242 14 75 153 228
Perceptions of Great Risk from Smoking Marijuana Once a Month 488 47 32 409 441
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
34 11 16 8 23
Past Month Illicit Drug Use Other Than Marijuana1,2 77 5 20 52 72
Past Year Cocaine Use 50 1 18 31 49
Perceptions of Great Risk from Using Cocaine Once a Month 1,794 122 198 1,474 1,671
Past Year Heroin Use5 -- -- 0 4 5
Perceptions of Great Risk from Trying Heroin Once or Twice 2,147 139 264 1,744 2,008
Past Year Methamphetamine Use 22 0 3 19 21
Past Year Prescription Pain Reliever Misuse2 84 6 15 63 79
ALCOHOL          
Past Month Alcohol Use 1,491 23 212 1,257 1,469
Past Month Binge Alcohol Use6 716 14 141 561 702
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
950 88 106 755 861
Past Month Alcohol Use7 (People Aged 12 to 20) 95 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 61 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 586 11 98 477 575
Past Month Cigarette Use 478 8 72 398 470
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
1,721 160 213 1,348 1,560
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 106 397 503
Serious Mental Illness4,9,10 -- -- 33 110 142
Received Mental Health Services11 -- -- 77 393 469
Major Depressive Episode4,10,12 -- 42 54 152 206
Had Serious Thoughts of Suicide10,13 -- -- 42 87 129
Made Any Suicide Plans10,14 -- -- 16 23 40
Attempted Suicide10,14 -- -- 5 8 13
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

IOWA

Table 41B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Iowa; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 173 13 64 96 161
Prescription Pain Reliever Use Disorder3 22 2 4 16 20
Alcohol Use Disorder 261 7 72 181 254
Substance Use Disorder2,3 394 16 117 261 378
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
158 11 54 93 147
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
257 5 70 182 252
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
354 16 107 231 338
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

IOWA

Table 42A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Iowa; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.43 7.97 22.33 8.69 10.68
Past Year Marijuana Use 14.70 11.15 34.26 11.79 15.07
Past Month Marijuana Use 9.17 5.81 21.29 7.50 9.51
Perceptions of Great Risk from Smoking Marijuana Once a Month 18.49 19.14 9.17 20.02 18.42
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.12 4.42 8.08 0.65 1.73
Past Month Illicit Drug Use Other Than Marijuana1,2 2.92 2.17 5.64 2.55 3.00
Past Year Cocaine Use 1.89 0.30 5.19 1.52 2.05
Perceptions of Great Risk from Using Cocaine Once a Month 67.97 49.37 56.38 72.17 69.87
Past Year Heroin Use5 -- -- 0.13 0.21 0.20
Perceptions of Great Risk from Trying Heroin Once or Twice 81.38 56.38 75.27 85.40 83.92
Past Year Methamphetamine Use 0.83 0.19 0.71 0.92 0.89
Past Year Prescription Pain Reliever Misuse2 3.18 2.23 4.38 3.09 3.28
ALCOHOL          
Past Month Alcohol Use 56.51 9.15 60.49 61.54 61.38
Past Month Binge Alcohol Use6 27.13 5.85 40.10 27.47 29.32
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
35.97 35.77 30.19 36.99 35.99
Past Month Alcohol Use7 (People Aged 12 to 20) 22.93 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 14.86 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22.20 4.45 27.97 23.34 24.02
Past Month Cigarette Use 18.11 3.31 20.64 19.47 19.64
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
65.18 64.85 60.67 65.99 65.21
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 30.13 19.44 21.00
Serious Mental Illness4,9,10 -- -- 9.27 5.38 5.95
Received Mental Health Services11 -- -- 21.83 19.23 19.62
Major Depressive Episode4,10,12 -- 17.10 15.38 7.42 8.58
Had Serious Thoughts of Suicide10,13 -- -- 11.99 4.25 5.38
Made Any Suicide Plans10,14 -- -- 4.63 1.15 1.65
Attempted Suicide10,14 -- -- 1.44 0.39 0.54
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

IOWA

Table 42B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Iowa; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.53 5.15 18.26 4.71 6.67
Prescription Pain Reliever Use Disorder3 0.83 0.65 1.17 0.80 0.85
Alcohol Use Disorder 9.83 2.78 20.65 8.85 10.55
Substance Use Disorder2,3 14.87 6.52 33.27 12.76 15.73
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
5.95 4.45 15.44 4.52 6.11
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
9.70 2.08 19.88 8.90 10.49
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
13.36 6.36 30.58 11.29 14.08
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

KANSAS

Table 43A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Kansas; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 291 18 74 200 274
Past Year Marijuana Use 387 29 105 253 358
Past Month Marijuana Use 249 15 69 166 235
Perceptions of Great Risk from Smoking Marijuana Once a Month 460 46 31 383 414
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
31 10 14 7 21
Past Month Illicit Drug Use Other Than Marijuana1,2 89 5 19 66 85
Past Year Cocaine Use 52 1 16 36 52
Perceptions of Great Risk from Using Cocaine Once a Month 1,621 124 185 1,311 1,497
Past Year Heroin Use5 -- -- 1 11 13
Perceptions of Great Risk from Trying Heroin Once or Twice 1,992 144 255 1,593 1,848
Past Year Methamphetamine Use 27 0 3 24 26
Past Year Prescription Pain Reliever Misuse2 82 5 18 59 77
ALCOHOL          
Past Month Alcohol Use 1,274 22 187 1,065 1,252
Past Month Binge Alcohol Use6 603 15 122 466 588
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
988 97 102 789 891
Past Month Alcohol Use7 (People Aged 12 to 20) 68 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 48 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 544 9 83 452 535
Past Month Cigarette Use 406 7 56 343 399
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
1,573 148 199 1,227 1,425
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 111 450 560
Serious Mental Illness4,9,10 -- -- 42 103 145
Received Mental Health Services11 -- -- 70 360 429
Major Depressive Episode4,10,12 -- 43 62 150 213
Had Serious Thoughts of Suicide10,13 -- -- 48 91 139
Made Any Suicide Plans10,14 -- -- 15 20 35
Attempted Suicide10,14 -- -- 5 5 10
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

KANSAS

Table 43B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Kansas; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 165 14 49 103 151
Prescription Pain Reliever Use Disorder3 19 1 4 14 18
Alcohol Use Disorder 298 7 58 233 291
Substance Use Disorder2,3 419 22 92 305 398
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
157 11 42 104 146
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
298 7 54 237 291
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
403 19 89 294 383
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

KANSAS

Table 44A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Kansas; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.17 7.37 23.22 10.88 12.70
Past Year Marijuana Use 16.20 12.32 32.91 13.80 16.62
Past Month Marijuana Use 10.42 6.19 21.57 9.04 10.88
Perceptions of Great Risk from Smoking Marijuana Once a Month 19.23 19.27 9.69 20.89 19.23
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.27 4.85 8.14 0.71 1.80
Past Month Illicit Drug Use Other Than Marijuana1,2 3.73 2.03 5.82 3.59 3.92
Past Year Cocaine Use 2.19 0.30 4.90 1.96 2.40
Perceptions of Great Risk from Using Cocaine Once a Month 67.80 52.22 58.17 71.46 69.51
Past Year Heroin Use5 -- -- 0.46 0.62 0.60
Perceptions of Great Risk from Trying Heroin Once or Twice 83.33 60.60 80.09 86.79 85.80
Past Year Methamphetamine Use 1.12 0.20 0.89 1.28 1.22
Past Year Prescription Pain Reliever Misuse2 3.43 2.10 5.63 3.21 3.57
ALCOHOL          
Past Month Alcohol Use 53.26 9.24 58.71 58.02 58.11
Past Month Binge Alcohol Use6 25.24 6.32 38.32 25.41 27.32
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
41.31 40.70 32.14 42.99 41.38
Past Month Alcohol Use7 (People Aged 12 to 20) 19.55 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 13.71 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22.77 3.75 26.05 24.65 24.86
Past Month Cigarette Use 16.97 2.84 17.62 18.69 18.52
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
65.78 62.18 62.37 66.84 66.18
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 34.79 24.50 26.02
Serious Mental Illness4,9,10 -- -- 13.28 5.60 6.73
Received Mental Health Services11 -- -- 21.85 19.61 19.94
Major Depressive Episode4,10,12 -- 17.94 19.55 8.19 9.87
Had Serious Thoughts of Suicide10,13 -- -- 15.07 4.95 6.44
Made Any Suicide Plans10,14 -- -- 4.71 1.09 1.63
Attempted Suicide10,14 -- -- 1.69 0.28 0.49
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

KANSAS

Table 44B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Kansas; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.89 5.82 15.29 5.58 7.00
Prescription Pain Reliever Use Disorder3 0.80 0.47 1.23 0.77 0.84
Alcohol Use Disorder 12.45 3.07 18.17 12.69 13.48
Substance Use Disorder2,3 17.50 9.05 29.10 16.59 18.42
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.55 4.64 13.30 5.63 6.76
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
12.43 2.96 16.93 12.89 13.47
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
16.82 8.14 28.12 16.00 17.77
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

KENTUCKY

Table 45A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Kentucky; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 399 20 98 281 379
Past Year Marijuana Use 557 33 146 377 524
Past Month Marijuana Use 354 19 93 242 335
Perceptions of Great Risk from Smoking Marijuana Once a Month 857 85 48 724 772
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
45 16 19 10 29
Past Month Illicit Drug Use Other Than Marijuana1,2 102 6 22 75 96
Past Year Cocaine Use 60 1 17 43 60
Perceptions of Great Risk from Using Cocaine Once a Month 2,736 193 287 2,257 2,544
Past Year Heroin Use5 -- -- 3 9 12
Perceptions of Great Risk from Trying Heroin Once or Twice 3,245 227 388 2,630 3,018
Past Year Methamphetamine Use 48 0 5 43 48
Past Year Prescription Pain Reliever Misuse2 128 8 22 98 120
ALCOHOL          
Past Month Alcohol Use 1,632 30 237 1,365 1,602
Past Month Binge Alcohol Use6 774 15 157 601 758
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,567 141 167 1,258 1,426
Past Month Alcohol Use7 (People Aged 12 to 20) 97 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 60 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,027 19 145 864 1,009
Past Month Cigarette Use 831 10 100 720 820
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
2,449 219 267 1,964 2,230
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 126 616 742
Serious Mental Illness4,9,10 -- -- 40 178 218
Received Mental Health Services11 -- -- 87 556 643
Major Depressive Episode4,10,12 -- 51 59 216 275
Had Serious Thoughts of Suicide10,13 -- -- 50 116 166
Made Any Suicide Plans10,14 -- -- 21 30 51
Attempted Suicide10,14 -- -- 12 8 20
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

KENTUCKY

Table 45B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Kentucky; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 224 19 72 133 205
Prescription Pain Reliever Use Disorder3 39 1 6 32 38
Alcohol Use Disorder 304 8 67 229 296
Substance Use Disorder2,3 463 22 116 324 441
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
202 15 66 121 187
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
283 9 68 207 275
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
441 24 108 309 417
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

KENTUCKY

Table 46A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Kentucky; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.69 5.84 21.44 9.58 11.19
Past Year Marijuana Use 14.92 9.72 31.94 12.87 15.45
Past Month Marijuana Use 9.50 5.72 20.38 8.24 9.89
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.98 25.02 10.45 24.71 22.77
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.12 5.10 7.58 0.64 1.60
Past Month Illicit Drug Use Other Than Marijuana1,2 2.73 1.66 4.76 2.54 2.84
Past Year Cocaine Use 1.62 0.22 3.66 1.46 1.76
Perceptions of Great Risk from Using Cocaine Once a Month 73.38 56.61 62.65 77.01 75.07
Past Year Heroin Use5 -- -- 0.58 0.32 0.36
Perceptions of Great Risk from Trying Heroin Once or Twice 87.03 66.74 84.65 89.75 89.06
Past Year Methamphetamine Use 1.30 0.12 1.17 1.45 1.42
Past Year Prescription Pain Reliever Misuse2 3.44 2.46 4.72 3.36 3.54
ALCOHOL          
Past Month Alcohol Use 43.73 8.82 51.63 46.59 47.27
Past Month Binge Alcohol Use6 20.73 4.56 34.25 20.52 22.38
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
42.02 41.48 36.51 42.95 42.07
Past Month Alcohol Use7 (People Aged 12 to 20) 18.29 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 11.28 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 27.53 5.45 31.63 29.48 29.77
Past Month Cigarette Use 22.26 3.02 21.82 24.59 24.21
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
65.68 64.27 58.16 67.02 65.82
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 27.53 21.03 21.91
Serious Mental Illness4,9,10 -- -- 8.62 6.08 6.42
Received Mental Health Services11 -- -- 18.93 18.98 18.97
Major Depressive Episode4,10,12 -- 14.89 12.90 7.36 8.10
Had Serious Thoughts of Suicide10,13 -- -- 10.91 3.95 4.89
Made Any Suicide Plans10,14 -- -- 4.57 1.04 1.51
Attempted Suicide10,14 -- -- 2.65 0.27 0.59
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

KENTUCKY

Table 46B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Kentucky; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 5.98 5.45 15.76 4.52 6.04
Prescription Pain Reliever Use Disorder3 1.05 0.44 1.26 1.09 1.11
Alcohol Use Disorder 8.12 2.22 14.72 7.79 8.72
Substance Use Disorder2,3 12.39 6.59 25.44 11.04 12.98
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
5.41 4.46 14.34 4.12 5.50
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
7.57 2.53 14.81 7.04 8.09
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
11.79 6.97 23.60 10.52 12.28
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

LOUISIANA

Table 47A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Louisiana; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 426 21 109 296 405
Past Year Marijuana Use 552 34 144 374 518
Past Month Marijuana Use 359 18 106 236 341
Perceptions of Great Risk from Smoking Marijuana Once a Month 856 81 64 710 775
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
39 14 17 9 26
Past Month Illicit Drug Use Other Than Marijuana1,2 147 6 22 120 141
Past Year Cocaine Use 58 1 14 44 58
Perceptions of Great Risk from Using Cocaine Once a Month 2,774 194 306 2,274 2,580
Past Year Heroin Use5 -- -- 1 18 18
Perceptions of Great Risk from Trying Heroin Once or Twice 3,250 213 383 2,654 3,037
Past Year Methamphetamine Use 41 0 2 38 40
Past Year Prescription Pain Reliever Misuse2 130 8 18 104 122
ALCOHOL          
Past Month Alcohol Use 1,841 31 235 1,576 1,811
Past Month Binge Alcohol Use6 949 16 133 800 933
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,654 158 190 1,307 1,496
Past Month Alcohol Use7 (People Aged 12 to 20) 105 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 61 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,035 13 121 901 1,022
Past Month Cigarette Use 827 7 79 742 821
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
2,611 230 307 2,074 2,381
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 115 618 733
Serious Mental Illness4,9,10 -- -- 30 162 192
Received Mental Health Services11 -- -- 75 509 584
Major Depressive Episode4,10,12 -- 58 57 201 259
Had Serious Thoughts of Suicide10,13 -- -- 48 108 156
Made Any Suicide Plans10,14 -- -- 19 26 45
Attempted Suicide10,14 -- -- 10 8 18
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

LOUISIANA

Table 47B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Louisiana; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 264 16 68 181 248
Prescription Pain Reliever Use Disorder3 46 0 4 41 45
Alcohol Use Disorder 379 10 56 312 369
Substance Use Disorder2,3 591 22 101 468 569
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
238 13 59 166 225
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
367 8 61 299 359
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
532 20 83 428 512
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

LOUISIANA

Table 48A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Louisiana; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.15 5.91 23.51 9.88 11.70
Past Year Marijuana Use 14.45 9.47 31.17 12.47 14.97
Past Month Marijuana Use 9.40 5.00 22.85 7.86 9.86
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.38 22.54 13.87 23.69 22.37
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
1.68 3.90 6.22 0.51 1.30
Past Month Illicit Drug Use Other Than Marijuana1,2 3.86 1.67 4.72 3.98 4.08
Past Year Cocaine Use 1.53 0.21 3.01 1.46 1.67
Perceptions of Great Risk from Using Cocaine Once a Month 72.60 53.80 66.24 75.82 74.54
Past Year Heroin Use5 -- -- 0.12 0.59 0.52
Perceptions of Great Risk from Trying Heroin Once or Twice 85.05 58.97 83.03 88.47 87.74
Past Year Methamphetamine Use 1.06 0.13 0.51 1.26 1.16
Past Year Prescription Pain Reliever Misuse2 3.39 2.12 3.91 3.46 3.52
ALCOHOL          
Past Month Alcohol Use 48.18 8.47 50.94 52.53 52.31
Past Month Binge Alcohol Use6 24.83 4.52 28.77 26.67 26.95
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
43.28 43.70 41.04 43.57 43.23
Past Month Alcohol Use7 (People Aged 12 to 20) 18.02 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 10.44 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 27.09 3.59 26.28 30.04 29.54
Past Month Cigarette Use 21.65 1.85 17.13 24.72 23.71
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
68.30 63.62 66.46 69.15 68.79
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 24.93 20.60 21.18
Serious Mental Illness4,9,10 -- -- 6.59 5.39 5.55
Received Mental Health Services11 -- -- 16.32 16.96 16.88
Major Depressive Episode4,10,12 -- 16.18 12.40 6.71 7.46
Had Serious Thoughts of Suicide10,13 -- -- 10.30 3.62 4.50
Made Any Suicide Plans10,14 -- -- 4.05 0.87 1.29
Attempted Suicide10,14 -- -- 2.16 0.28 0.53
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

LOUISIANA

Table 48B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Louisiana; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.91 4.31 14.74 6.02 7.18
Prescription Pain Reliever Use Disorder3 1.20 0.12 0.87 1.38 1.31
Alcohol Use Disorder 9.90 2.73 12.25 10.40 10.65
Substance Use Disorder2,3 15.45 6.00 22.06 15.57 16.43
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.22 3.49 12.91 5.52 6.50
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
9.61 2.23 13.25 9.94 10.38
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
13.90 5.51 18.16 14.26 14.78
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MAINE

Table 49A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Maine; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 220 9 42 169 210
Past Year Marijuana Use 283 13 54 216 270
Past Month Marijuana Use 201 9 42 150 192
Perceptions of Great Risk from Smoking Marijuana Once a Month 196 15 7 174 181
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
15 5 7 3 10
Past Month Illicit Drug Use Other Than Marijuana1,2 37 2 8 27 35
Past Year Cocaine Use 25 0 8 17 25
Perceptions of Great Risk from Using Cocaine Once a Month 805 47 68 691 759
Past Year Heroin Use5 -- -- 1 8 9
Perceptions of Great Risk from Trying Heroin Once or Twice 1,007 57 99 851 950
Past Year Methamphetamine Use 11 0 2 9 11
Past Year Prescription Pain Reliever Misuse2 35 1 6 28 34
ALCOHOL          
Past Month Alcohol Use 608 9 69 529 599
Past Month Binge Alcohol Use6 239 4 38 197 235
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
514 34 40 440 480
Past Month Alcohol Use7 (People Aged 12 to 20) 25 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 13 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 234 4 30 200 230
Past Month Cigarette Use 187 3 26 159 184
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
836 60 76 701 776
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 39 196 234
Serious Mental Illness4,9,10 -- -- 12 53 65
Received Mental Health Services11 -- -- 28 200 228
Major Depressive Episode4,10,12 -- 18 21 76 97
Had Serious Thoughts of Suicide10,13 -- -- 15 40 56
Made Any Suicide Plans10,14 -- -- 6 9 15
Attempted Suicide10,14 -- -- 3 4 7
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

MAINE

Table 49B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Maine; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 86 5 21 59 80
Prescription Pain Reliever Use Disorder3 19 0 1 18 19
Alcohol Use Disorder 130 3 22 105 127
Substance Use Disorder2,3 195 7 38 150 188
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
75 5 18 53 70
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
124 3 20 102 122
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
185 7 34 143 178
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MAINE

Table 50A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Maine; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 18.73 10.43 34.50 17.52 19.40
Past Year Marijuana Use 24.16 15.16 44.84 22.40 24.89
Past Month Marijuana Use 17.10 9.83 34.89 15.55 17.69
Perceptions of Great Risk from Smoking Marijuana Once a Month 16.73 16.92 6.21 18.03 16.72
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.57 6.26 11.73 0.72 1.97
Past Month Illicit Drug Use Other Than Marijuana1,2 3.16 2.31 6.44 2.83 3.23
Past Year Cocaine Use 2.16 0.11 6.52 1.80 2.33
Perceptions of Great Risk from Using Cocaine Once a Month 68.68 52.35 56.25 71.71 69.99
Past Year Heroin Use5 -- -- 0.82 0.85 0.85
Perceptions of Great Risk from Trying Heroin Once or Twice 85.84 63.88 81.92 88.31 87.60
Past Year Methamphetamine Use 0.95 0.14 1.64 0.93 1.01
Past Year Prescription Pain Reliever Misuse2 3.01 1.53 5.23 2.87 3.13
ALCOHOL          
Past Month Alcohol Use 51.86 10.27 57.63 54.93 55.24
Past Month Binge Alcohol Use6 20.36 4.19 31.56 20.45 21.67
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
43.84 38.63 32.89 45.67 44.27
Past Month Alcohol Use7 (People Aged 12 to 20) 18.83 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 10.24 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 19.96 4.43 25.28 20.74 21.23
Past Month Cigarette Use 15.98 3.33 21.35 16.47 17.01
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
71.30 67.37 62.70 72.71 71.61
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 32.21 20.29 21.61
Serious Mental Illness4,9,10 -- -- 10.14 5.53 6.04
Received Mental Health Services11 -- -- 23.22 20.79 21.05
Major Depressive Episode4,10,12 -- 19.85 17.61 7.91 8.97
Had Serious Thoughts of Suicide10,13 -- -- 12.79 4.17 5.12
Made Any Suicide Plans10,14 -- -- 4.68 0.98 1.39
Attempted Suicide10,14 -- -- 2.13 0.44 0.63
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

MAINE

Table 50B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Maine; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 7.28 5.80 17.82 6.11 7.40
Prescription Pain Reliever Use Disorder3 1.65 0.54 0.79 1.85 1.74
Alcohol Use Disorder 11.06 3.08 18.20 10.89 11.71
Substance Use Disorder2,3 16.58 7.46 31.68 15.53 17.32
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.38 5.33 14.77 5.45 6.48
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
10.58 2.97 16.80 10.50 11.20
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
15.71 7.82 28.68 14.82 16.35
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MARYLAND

Table 51A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Maryland; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 681 35 163 483 646
Past Year Marijuana Use 839 51 206 582 788
Past Month Marijuana Use 607 27 149 430 579
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,145 96 81 968 1,049
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
54 22 21 11 32
Past Month Illicit Drug Use Other Than Marijuana1,2 154 9 30 115 145
Past Year Cocaine Use 85 1 25 59 83
Perceptions of Great Risk from Using Cocaine Once a Month 3,595 237 381 2,976 3,357
Past Year Heroin Use5 -- -- 1 18 19
Perceptions of Great Risk from Trying Heroin Once or Twice 4,319 285 476 3,558 4,033
Past Year Methamphetamine Use 17 1 3 13 16
Past Year Prescription Pain Reliever Misuse2 174 6 23 145 168
ALCOHOL          
Past Month Alcohol Use 2,662 37 303 2,322 2,625
Past Month Binge Alcohol Use6 1,144 16 184 944 1,128
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,330 205 232 1,894 2,126
Past Month Alcohol Use7 (People Aged 12 to 20) 82 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 42 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 894 10 111 773 884
Past Month Cigarette Use 637 2 82 552 634
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
3,771 307 408 3,056 3,464
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 178 644 822
Serious Mental Illness4,9,10 -- -- 54 153 208
Received Mental Health Services11 -- -- 108 601 709
Major Depressive Episode4,10,12 -- 69 92 235 327
Had Serious Thoughts of Suicide10,13 -- -- 85 131 216
Made Any Suicide Plans10,14 -- -- 27 28 55
Attempted Suicide10,14 -- -- 14 10 24
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

MARYLAND

Table 51B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Maryland; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 323 14 90 219 309
Prescription Pain Reliever Use Disorder3 62 0 6 56 62
Alcohol Use Disorder 575 11 93 471 564
Substance Use Disorder2,3 730 24 137 569 706
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
308 13 92 203 295
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
556 14 92 450 542
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
705 20 139 546 685
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MARYLAND

Table 52A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Maryland; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 13.43 7.68 27.92 11.97 13.99
Past Year Marijuana Use 16.55 11.26 35.33 14.42 17.06
Past Month Marijuana Use 11.97 6.04 25.59 10.66 12.55
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.58 21.37 13.87 23.99 22.70
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.15 5.54 7.91 0.61 1.54
Past Month Illicit Drug Use Other Than Marijuana1,2 3.04 2.08 5.10 2.85 3.14
Past Year Cocaine Use 1.67 0.32 4.22 1.45 1.81
Perceptions of Great Risk from Using Cocaine Once a Month 70.91 52.59 65.29 73.76 72.69
Past Year Heroin Use5 -- -- 0.19 0.45 0.42
Perceptions of Great Risk from Trying Heroin Once or Twice 85.21 63.24 81.54 88.17 87.33
Past Year Methamphetamine Use 0.33 0.13 0.53 0.32 0.35
Past Year Prescription Pain Reliever Misuse2 3.43 1.30 3.95 3.59 3.64
ALCOHOL          
Past Month Alcohol Use 52.52 8.25 51.86 57.55 56.84
Past Month Binge Alcohol Use6 22.57 3.61 31.49 23.40 24.42
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
45.96 45.35 39.72 46.93 46.02
Past Month Alcohol Use7 (People Aged 12 to 20) 13.23 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 6.85 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 17.64 2.21 18.96 19.17 19.14
Past Month Cigarette Use 12.57 0.54 14.06 13.69 13.74
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
74.38 67.92 69.87 75.75 75.00
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 30.43 15.97 17.80
Serious Mental Illness4,9,10 -- -- 9.34 3.80 4.50
Received Mental Health Services11 -- -- 18.52 14.89 15.35
Major Depressive Episode4,10,12 -- 15.37 15.83 5.82 7.08
Had Serious Thoughts of Suicide10,13 -- -- 14.57 3.24 4.67
Made Any Suicide Plans10,14 -- -- 4.59 0.70 1.19
Attempted Suicide10,14 -- -- 2.42 0.24 0.51
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

MARYLAND

Table 52B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Maryland; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 6.36 3.04 15.49 5.42 6.69
Prescription Pain Reliever Use Disorder3 1.23 0.07 1.04 1.39 1.34
Alcohol Use Disorder 11.34 2.51 16.07 11.64 12.20
Substance Use Disorder2,3 14.38 5.27 23.54 14.08 15.27
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
6.06 2.92 15.78 5.02 6.37
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
10.96 3.10 15.88 11.13 11.73
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
13.90 4.43 23.98 13.51 14.83
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MASSACHUSETTS

Table 53A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Massachusetts; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,118 55 248 816 1,063
Past Year Marijuana Use 1,432 66 317 1,049 1,366
Past Month Marijuana Use 1,000 50 237 714 950
Perceptions of Great Risk from Smoking Marijuana Once a Month 910 79 72 759 832
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
91 27 45 19 64
Past Month Illicit Drug Use Other Than Marijuana1,2 255 10 53 192 244
Past Year Cocaine Use 132 2 45 85 130
Perceptions of Great Risk from Using Cocaine Once a Month 3,634 253 437 2,944 3,381
Past Year Heroin Use5 -- -- 1 10 11
Perceptions of Great Risk from Trying Heroin Once or Twice 4,914 294 586 4,033 4,620
Past Year Methamphetamine Use 16 0 2 13 15
Past Year Prescription Pain Reliever Misuse2 212 6 35 170 205
ALCOHOL          
Past Month Alcohol Use 3,505 47 449 3,009 3,458
Past Month Binge Alcohol Use6 1,545 25 291 1,229 1,520
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,592 207 298 2,087 2,384
Past Month Alcohol Use7 (People Aged 12 to 20) 152 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 86 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 969 13 147 809 956
Past Month Cigarette Use 724 5 117 602 720
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
4,409 331 531 3,547 4,078
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 239 933 1,172
Serious Mental Illness4,9,10 -- -- 78 209 288
Received Mental Health Services11 -- -- 179 955 1,134
Major Depressive Episode4,10,12 -- 84 142 395 537
Had Serious Thoughts of Suicide10,13 -- -- 87 173 260
Made Any Suicide Plans10,14 -- -- 27 44 71
Attempted Suicide10,14 -- -- 14 17 31
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

MASSACHUSETTS

Table 53B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Massachusetts; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 453 20 117 316 433
Prescription Pain Reliever Use Disorder3 62 1 5 56 61
Alcohol Use Disorder 729 14 151 563 714
Substance Use Disorder2,3 987 32 209 746 955
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
422 24 117 281 399
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
716 14 120 582 702
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
933 31 196 705 901
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MASSACHUSETTS

Table 54A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Massachusetts; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 18.78 11.67 31.78 17.35 19.40
Past Year Marijuana Use 24.05 13.95 40.71 22.32 24.93
Past Month Marijuana Use 16.80 10.54 30.41 15.18 17.34
Perceptions of Great Risk from Smoking Marijuana Once a Month 15.28 16.63 9.28 16.15 15.17
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
3.19 6.56 11.52 0.90 2.58
Past Month Illicit Drug Use Other Than Marijuana1,2 4.28 2.20 6.75 4.08 4.46
Past Year Cocaine Use 2.22 0.47 5.76 1.82 2.38
Perceptions of Great Risk from Using Cocaine Once a Month 61.08 53.57 56.11 62.63 61.71
Past Year Heroin Use5 -- -- 0.18 0.21 0.21
Perceptions of Great Risk from Trying Heroin Once or Twice 82.59 62.29 75.30 85.80 84.31
Past Year Methamphetamine Use 0.26 0.09 0.32 0.27 0.28
Past Year Prescription Pain Reliever Misuse2 3.56 1.34 4.49 3.63 3.75
ALCOHOL          
Past Month Alcohol Use 58.90 10.03 57.62 64.02 63.11
Past Month Binge Alcohol Use6 25.97 5.35 37.33 26.16 27.75
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
43.54 43.88 38.23 44.39 43.51
Past Month Alcohol Use7 (People Aged 12 to 20) 20.77 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 11.81 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 16.29 2.74 18.93 17.21 17.46
Past Month Cigarette Use 12.16 0.97 15.06 12.81 13.13
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
74.09 70.15 68.13 75.46 74.42
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 30.66 19.85 21.39
Serious Mental Illness4,9,10 -- -- 10.07 4.45 5.25
Received Mental Health Services11 -- -- 22.95 20.32 20.69
Major Depressive Episode4,10,12 -- 17.74 18.29 8.39 9.80
Had Serious Thoughts of Suicide10,13 -- -- 11.21 3.67 4.74
Made Any Suicide Plans10,14 -- -- 3.52 0.93 1.30
Attempted Suicide10,14 -- -- 1.79 0.36 0.56
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

MASSACHUSETTS

Table 54B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Massachusetts; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 7.60 4.26 15.11 6.71 7.89
Prescription Pain Reliever Use Disorder3 1.04 0.15 0.70 1.19 1.12
Alcohol Use Disorder 12.23 3.00 19.50 11.96 13.02
Substance Use Disorder2,3 16.57 6.77 26.98 15.84 17.41
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
7.08 5.06 15.13 5.97 7.26
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
12.01 2.94 15.48 12.35 12.79
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
15.66 6.68 25.32 14.97 16.43
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MICHIGAN

Table 55A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Michigan; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,426 68 344 1,014 1,359
Past Year Marijuana Use 1,918 94 469 1,356 1,825
Past Month Marijuana Use 1,307 55 336 915 1,251
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,440 136 91 1,212 1,303
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
120 35 58 27 85
Past Month Illicit Drug Use Other Than Marijuana1,2 290 13 60 216 276
Past Year Cocaine Use 147 3 47 97 144
Perceptions of Great Risk from Using Cocaine Once a Month 5,906 393 636 4,877 5,513
Past Year Heroin Use5 -- -- 5 22 27
Perceptions of Great Risk from Trying Heroin Once or Twice 7,228 455 871 5,901 6,773
Past Year Methamphetamine Use 75 1 9 65 74
Past Year Prescription Pain Reliever Misuse2 281 15 52 215 267
ALCOHOL          
Past Month Alcohol Use 4,419 63 612 3,744 4,356
Past Month Binge Alcohol Use6 1,988 34 385 1,569 1,954
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
3,611 294 379 2,938 3,317
Past Month Alcohol Use7 (People Aged 12 to 20) 234 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 137 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,934 27 260 1,647 1,907
Past Month Cigarette Use 1,569 13 185 1,371 1,556
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
5,815 482 646 4,686 5,332
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 343 1,385 1,729
Serious Mental Illness4,9,10 -- -- 99 327 426
Received Mental Health Services11 -- -- 218 1,249 1,467
Major Depressive Episode4,10,12 -- 119 181 509 689
Had Serious Thoughts of Suicide10,13 -- -- 120 255 375
Made Any Suicide Plans10,14 -- -- 49 57 106
Attempted Suicide10,14 -- -- 21 24 45
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

MICHIGAN

Table 55B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Michigan; by Age Group, Estimated Numbers (in Thousands), 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 651 40 170 441 611
Prescription Pain Reliever Use Disorder3 61 2 9 49 59
Alcohol Use Disorder 895 19 174 702 876
Substance Use Disorder2,3 1,348 53 280 1,015 1,295
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
629 42 161 426 587
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
863 18 158 687 845
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
1,277 50 269 958 1,227
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MICHIGAN

Table 56A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Michigan; by Age Group, Average Percentages, 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 16.80 9.07 32.55 15.17 17.55
Past Year Marijuana Use 22.60 12.56 44.29 20.28 23.56
Past Month Marijuana Use 15.40 7.44 31.76 13.69 16.16
Perceptions of Great Risk from Smoking Marijuana Once a Month 16.95 18.30 8.61 18.14 16.82
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
2.89 5.37 11.57 0.87 2.40
Past Month Illicit Drug Use Other Than Marijuana1,2 3.41 1.79 5.70 3.23 3.57
Past Year Cocaine Use 1.73 0.40 4.41 1.45 1.86
Perceptions of Great Risk from Using Cocaine Once a Month 69.59 52.75 60.09 72.96 71.20
Past Year Heroin Use5 -- -- 0.44 0.33 0.35
Perceptions of Great Risk from Trying Heroin Once or Twice 85.18 61.07 82.30 88.28 87.46
Past Year Methamphetamine Use 0.88 0.13 0.89 0.97 0.96
Past Year Prescription Pain Reliever Misuse2 3.31 1.95 4.92 3.21 3.44
ALCOHOL          
Past Month Alcohol Use 52.06 8.48 57.85 56.00 56.25
Past Month Binge Alcohol Use6 23.43 4.59 36.41 23.47 25.24
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
42.54 39.49 35.83 43.94 42.83
Past Month Alcohol Use7 (People Aged 12 to 20) 19.79 -- -- -- --
Past Month Binge Alcohol Use6,7 (People Aged 12 to 20) 11.59 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22.78 3.59 24.55 24.64 24.63
Past Month Cigarette Use 18.49 1.77 17.52 20.50 20.10
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
68.50 64.68 61.04 70.10 68.86
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,9,10 -- -- 32.45 20.72 22.33
Serious Mental Illness4,9,10 -- -- 9.39 4.89 5.50
Received Mental Health Services11 -- -- 20.64 18.68 18.95
Major Depressive Episode4,10,12 -- 15.99 17.08 7.61 8.90
Had Serious Thoughts of Suicide10,13 -- -- 11.34 3.81 4.84
Made Any Suicide Plans10,14 -- -- 4.66 0.85 1.37
Attempted Suicide10,14 -- -- 1.98 0.36 0.58
-- = not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First use of marijuana in the past year among those at risk for initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent‘s age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the “2019-2020 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology” at https://www.samhsa.gov/data/.
5 Estimates for youths aged 12 to 17 are not available for past year heroin use because no respondents aged 12 to 17 used heroin in the past year in the 2019 or 2020 NSDUHs. As a result, estimates for people aged 12 or older are also not produced.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
7 Underage drinking is defined for individuals aged 12 to 20; therefore, the “12+” estimate reflects that age group and not individuals aged 12 or older.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
9 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. These estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
10 A subset of 2020 respondents who did not complete the questionnaire were excluded, and the analysis weights were adjusted for the reduced sample size.
11 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.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.
13 Respondents were asked, “At any time in the past 12 months, did you seriously think about trying to kill yourself?” If they answered “Yes,” they were categorized as having serious thoughts of suicide in the past year.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2019 and Quarters 1 and 4, 2020.
211015

MICHIGAN

Table 56B – Past Year Substance Use Disorder and Treatment: Among People Aged 12 or Older in Michigan; by Age Group, Percentages, 2020
Measure 12+ 12-17 18-25 26+ 18+
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT1          
Illicit Drug Use Disorder2,3 7.67 5.37 16.22 6.58 7.89
Prescription Pain Reliever Use Disorder3 0.72 0.31 0.90 0.74 0.76
Alcohol Use Disorder 10.55 2.63 16.60 10.48 11.30
Substance Use Disorder2,3 15.88 7.14 26.73 15.15 16.72
Needing But Not Receiving Treatment at a Specialty Facility for
   Illicit Drug Use2,3,4
7.41 5.66 15.34 6.36 7.58
Needing But Not Receiving Treatment at a Specialty Facility for
   Alcohol Use4
10.17 2.40 15.10 10.26 10.91
Needing But Not Receiving Treatment at a Specialty Facility for
   Substance Use2,3,4
15.05 6.73 25.66 14.31 15.84
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. For confidence intervals, see Tables 1 to 33 in “2019-2020 NSDUHs: Model-Based Prevalence Estimates (50 States and the District of Columbia)” at https://www.samhsa.gov/data/.
1 Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD and related estimates are based on only 2020 data because prior years‘ SUD data were based on DSM-IV criteria.
2 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
3 Prescription pain relievers are a type of prescription psychotherapeutic. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one‘s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
4 Respondents were classified as needing substance use treatment if they met the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for an illicit drug or alcohol use disorder or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol use treatment, but who did not receive illicit drug or alcohol use treatment at a specialty facility.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
211015

MINNESOTA

Table 57A – Substance Use, Perceptions of Great Risk, and Past Year Mental Health Measures: Among People Aged 12 or Older in Minnesota; by Age Group, Average Estimated Numbers (in Thousands), 2019 and 2020
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 470 28 117 326 442
Past Year Marijuana Use 776 45 199 532 731
Past Month Marijuana Use 431 22 106 303 409
Perceptions of Great Risk from Smoking Marijuana Once a Month 905 97 58 750 808
First Use of Marijuana in the Past Year among Those at Risk for
   Initiation of Marijuana Use3,4
59 19 26 14 40
Past Month Illicit Drug Use Other Than Marijuana1,2 128 8 27 93 120
Past Year Cocaine Use 70 2 19 50 68
Perceptions of Great Risk from Using Cocaine Once a Month 3,065 214 338 2,513 2,851
Past Year Heroin Use5 -- -- 1 8 8
Perceptions of Great Risk from Trying Heroin Once or Twice 3,877 257 444 3,177 3,621
Past Year Methamphetamine Use 28 1 4 23 27
Past Yea