Section 6 PE Tables – Results from the 2021 National Survey on Drug Use and Health: Detailed Tables, SAMHSA, CBHSQ

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Table 6.1A – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Numbers in Thousands, 2021
Age Category	Total (2021)	Male (2021)	Female (2021)
TOTAL	57,805	22,350	35,455
18-25	11,265	4,283	6,983
18-20	4,219	1,512	2,707
21-25	7,046	2,771	4,275
26 or Older	46,539	18,067	28,472
26-49	28,793	11,698	17,095
26-29	5,818	2,219	3,600
30-34	7,457	3,338	4,119
35-39	6,261	2,473	3,788
40-44	4,973	1,877	3,096
45-49	4,283	1,792	2,491
50 or Older	17,746	6,369	11,377
50-54	4,247	1,596	2,651
55-59	3,531	1,322	2,208
60-64	3,469	1,238	2,231
65 or Older	6,500	2,213	4,287
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.1B – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Percentages, 2021
Age Category	Total (2021)	Male (2021)	Female (2021)
TOTAL	22.8	18.1	27.2
18-25	33.7	25.6	41.7
18-20	32.3	22.3	43.0
21-25	34.6	27.9	41.0
26 or Older	21.1	16.9	25.1
26-49	28.1	23.0	33.2
26-29	33.4	25.9	40.7
30-34	32.8	29.3	36.3
35-39	28.0	22.1	34.0
40-44	24.4	18.9	29.5
45-49	22.1	18.5	25.7
50 or Older	15.0	11.4	18.3
50-54	21.9	17.0	26.5
55-59	16.6	12.2	21.2
60-64	15.4	11.5	18.9
65 or Older	11.9	8.9	14.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.2A – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	57,805	11,265	46,539	28,793	17,746
GENDER
Male	22,350	4,283	18,067	11,698	6,369
Female	35,455	6,983	28,472	17,095	11,377
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	48,880	9,005	39,875	24,162	15,712
White	37,696	6,761	30,936	18,521	12,414
Black or African American	6,572	1,157	5,415	3,219	2,196
AIAN	432	*	294	*	*
NHOPI	160	*	*	*	*
Asian	2,456	552	1,904	1,319	585
Two or More Races	1,564	350	1,214	811	403
Hispanic or Latino	8,925	2,260	6,665	4,631	2,034
EMPLOYMENT STATUS
Full-Time	24,674	4,129	20,545	15,873	4,672
Part-Time	9,007	3,092	5,915	3,871	2,043
Unemployed	4,256	1,174	3,082	2,254	828
Other¹	19,868	2,870	16,998	6,795	10,203
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.2B – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	22.8	33.7	21.1	28.1	15.0
GENDER
Male	18.1	25.6	16.9	23.0	11.4
Female	27.2	41.7	25.1	33.2	18.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	23.2	35.1	21.5	29.8	15.1
White	23.9	38.2	22.1	32.4	15.0
Black or African American	21.4	25.3	20.7	24.0	17.2
AIAN	26.6	*	22.7	*	*
NHOPI	18.1	*	*	*	*
Asian	16.4	28.3	14.6	17.9	10.2
Two or More Races	34.9	38.5	34.0	39.9	26.3
Hispanic or Latino	20.7	28.9	18.9	21.8	14.5
EMPLOYMENT STATUS
Full-Time	21.6	32.8	20.2	24.7	12.5
Part-Time	29.5	37.8	26.4	37.6	16.9
Unemployed	32.2	37.3	30.6	34.5	23.3
Other¹	20.7	30.1	19.7	32.0	15.7
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.3A – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	57,805	11,265	46,539	28,793	17,746
GEOGRAPHIC REGION
Northeast	9,121	1,812	7,309	4,668	2,642
Midwest	12,150	2,523	9,627	6,188	3,440
South	21,998	4,155	17,843	10,646	7,197
West	14,535	2,776	11,760	7,291	4,468
COUNTY TYPE
Large Metro	30,646	6,019	24,627	15,955	8,672
Small Metro	18,586	3,766	14,820	8,981	5,839
Nonmetro	8,573	1,481	7,092	3,857	3,235
Urbanized	3,443	753	2,691	1,618	1,072
Less Urbanized	4,218	617	3,602	1,902	1,700
Completely Rural	911	*	799	336	463
POVERTY LEVEL¹
Less Than 100%	10,913	2,768	8,144	4,719	3,425
100-199%	13,237	2,749	10,488	5,857	4,631
200% or More	33,613	5,706	27,907	18,217	9,690
EDUCATION LEVEL
< High School	5,778	1,060	4,718	2,129	2,589
High School Graduate	13,968	3,229	10,739	5,857	4,882
Some College/Associate’s Degree	20,674	5,250	15,424	9,702	5,722
College Graduate	17,385	1,727	15,658	11,105	4,554
HEALTH INSURANCE²
Private	31,784	6,810	24,974	16,182	8,792
Medicaid/CHIP	14,666	2,674	11,992	7,502	4,490
Other³	13,925	909	13,016	3,462	9,554
No Coverage	6,146	1,392	4,754	3,771	983
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.3B – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	22.8	33.7	21.1	28.1	15.0
GEOGRAPHIC REGION
Northeast	20.4	31.7	18.7	26.8	12.2
Midwest	23.1	35.5	21.2	30.1	13.8
South	22.8	32.7	21.3	27.4	16.1
West	24.2	35.0	22.6	28.6	16.8
COUNTY TYPE
Large Metro	22.1	33.5	20.4	27.2	14.0
Small Metro	24.0	34.4	22.2	29.7	16.0
Nonmetro	22.7	32.8	21.4	28.5	16.4
Urbanized	24.0	38.8	21.7	31.4	14.8
Less Urbanized	21.8	29.1	21.0	27.1	16.7
Completely Rural	22.4	*	22.2	24.9	20.5
POVERTY LEVEL¹
Less Than 100%	29.0	32.5	28.0	30.4	25.2
100-199%	26.3	34.7	24.8	29.2	20.8
200% or More	20.3	33.7	18.7	27.3	11.8
EDUCATION LEVEL
< High School	20.1	28.3	18.9	21.5	17.2
High School Graduate	20.0	30.4	18.1	24.1	14.0
Some College/Associate’s Degree	26.8	37.3	24.5	32.5	17.3
College Graduate	22.2	34.4	21.4	29.1	13.0
HEALTH INSURANCE²
Private	20.6	35.8	18.4	25.9	12.0
Medicaid/CHIP	31.5	31.6	31.5	34.8	27.3
Other³	18.5	35.9	17.9	38.2	15.0
No Coverage	24.2	27.9	23.2	25.7	16.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.4A – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Numbers in Thousands, 2021
Age Category	Total (2021)	Male (2021)	Female (2021)
TOTAL	14,087	4,916	9,170
18-25	3,822	1,146	2,677
18-20	1,463	396	1,067
21-25	2,360	750	1,610
26 or Older	10,264	3,771	6,494
26-49	7,256	2,870	4,386
26-29	1,662	534	1,128
30-34	1,811	730	1,081
35-39	1,706	697	1,009
40-44	983	425	558
45-49	1,095	484	611
50 or Older	3,008	901	2,108
50-54	923	293	629
55-59	805	304	501
60-64	582	126	456
65 or Older	698	177	521
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.4B – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Percentages, 2021
Age Category	Total (2021)	Male (2021)	Female (2021)
TOTAL	5.5	4.0	7.0
18-25	11.4	6.9	16.0
18-20	11.2	5.8	16.9
21-25	11.6	7.5	15.4
26 or Older	4.7	3.5	5.7
26-49	7.1	5.7	8.5
26-29	9.5	6.2	12.8
30-34	8.0	6.4	9.5
35-39	7.6	6.2	9.1
40-44	4.8	4.3	5.3
45-49	5.6	5.0	6.3
50 or Older	2.5	1.6	3.4
50-54	4.8	3.1	6.3
55-59	3.8	2.8	4.8
60-64	2.6	1.2	3.9
65 or Older	1.3	0.7	1.7
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.5A – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	14,087	3,822	10,264	7,256	3,008
GENDER
Male	4,916	1,146	3,771	2,870	901
Female	9,170	2,677	6,494	4,386	2,108
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	11,899	3,059	8,839	6,236	2,604
White	9,579	2,351	7,228	5,052	2,176
Black or African American	1,320	352	968	706	263
AIAN	152	*	72	33	*
NHOPI	56	*	*	*	*
Asian	426	131	294	234	*
Two or More Races	366	128	238	173	65
Hispanic or Latino	2,188	763	1,425	1,020	404
EMPLOYMENT STATUS
Full-Time	5,597	1,322	4,275	3,459	815
Part-Time	2,416	1,051	1,364	1,062	303
Unemployed	1,197	461	736	613	123
Other¹	4,878	988	3,889	2,122	1,767
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.5B – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	5.5	11.4	4.7	7.1	2.5
GENDER
Male	4.0	6.9	3.5	5.7	1.6
Female	7.0	16.0	5.7	8.5	3.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5.6	11.9	4.8	7.7	2.5
White	6.1	13.3	5.2	8.8	2.6
Black or African American	4.3	7.7	3.7	5.3	2.1
AIAN	9.3	*	5.6	5.5	*
NHOPI	6.3	*	*	*	*
Asian	2.8	6.7	2.3	3.2	*
Two or More Races	8.2	14.0	6.7	8.5	4.2
Hispanic or Latino	5.1	9.8	4.0	4.8	2.9
EMPLOYMENT STATUS
Full-Time	4.9	10.5	4.2	5.4	2.2
Part-Time	7.9	12.8	6.1	10.3	2.5
Unemployed	9.0	14.6	7.3	9.4	3.4
Other¹	5.1	10.4	4.5	10.0	2.7
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.6A – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	14,087	3,822	10,264	7,256	3,008
GEOGRAPHIC REGION
Northeast	2,079	563	1,516	1,137	379
Midwest	2,935	798	2,137	1,615	521
South	5,428	1,474	3,954	2,672	1,282
West	3,644	987	2,657	1,831	826
COUNTY TYPE
Large Metro	6,932	1,982	4,950	3,614	1,336
Small Metro	4,956	1,308	3,648	2,590	1,058
Nonmetro	2,199	533	1,666	1,052	614
Urbanized	923	262	661	490	172
Less Urbanized	1,099	214	885	497	388
Completely Rural	177	58	119	65	54
POVERTY LEVEL¹
Less Than 100%	3,079	903	2,176	1,407	769
100-199%	3,391	1,028	2,363	1,616	747
200% or More	7,614	1,888	5,726	4,233	1,493
EDUCATION LEVEL
< High School	1,231	325	906	483	423
High School Graduate	3,335	1,184	2,152	1,319	833
Some College/Associate’s Degree	6,048	1,850	4,198	3,061	1,137
College Graduate	3,473	464	3,009	2,393	615
HEALTH INSURANCE²
Private	7,014	2,319	4,695	3,587	1,109
Medicaid/CHIP	3,986	886	3,100	2,164	936
Other³	3,001	298	2,703	1,130	1,574
No Coverage	1,670	468	1,202	1,001	202
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.6B – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	5.5	11.4	4.7	7.1	2.5
GEOGRAPHIC REGION
Northeast	4.6	9.8	3.9	6.5	1.7
Midwest	5.6	11.2	4.7	7.9	2.1
South	5.6	11.6	4.7	6.9	2.9
West	6.1	12.4	5.1	7.2	3.1
COUNTY TYPE
Large Metro	5.0	11.0	4.1	6.2	2.2
Small Metro	6.4	11.9	5.5	8.6	2.9
Nonmetro	5.8	11.8	5.0	7.8	3.1
Urbanized	6.4	13.5	5.3	9.5	2.4
Less Urbanized	5.7	10.1	5.1	7.1	3.8
Completely Rural	4.4	12.7	3.3	4.8	2.4
POVERTY LEVEL¹
Less Than 100%	8.2	10.6	7.5	9.1	5.7
100-199%	6.7	13.0	5.6	8.1	3.3
200% or More	4.6	11.2	3.8	6.3	1.8
EDUCATION LEVEL
< High School	4.3	8.7	3.6	4.9	2.8
High School Graduate	4.8	11.1	3.6	5.4	2.4
Some College/Associate’s Degree	7.9	13.1	6.7	10.2	3.4
College Graduate	4.4	9.2	4.1	6.3	1.8
HEALTH INSURANCE²
Private	4.5	12.2	3.5	5.7	1.5
Medicaid/CHIP	8.6	10.5	8.2	10.0	5.7
Other³	4.0	11.8	3.7	12.5	2.5
No Coverage	6.6	9.4	5.9	6.8	3.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.7A – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness (2021)
TOTAL	57,805	14,087	43,718	196,020
AGE GROUP
18-25	11,265	3,822	7,443	22,193
26 or Older	46,539	10,264	36,275	173,827
26-49	28,793	7,256	21,537	73,520
50 or Older	17,746	3,008	14,738	100,307
GENDER
Male	22,350	4,916	17,434	101,126
Female	35,455	9,170	26,284	94,894
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	48,880	11,899	36,981	161,810
White	37,696	9,579	28,117	120,261
Black or African American	6,572	1,320	5,252	24,160
AIAN	432	152	280	1,190
NHOPI	160	56	104	723
Asian	2,456	426	2,031	12,563
Two or More Races	1,564	366	1,198	2,913
Hispanic or Latino	8,925	2,188	6,737	34,210
EMPLOYMENT STATUS
Full-Time	24,674	5,597	19,078	89,546
Part-Time	9,007	2,416	6,591	21,546
Unemployed	4,256	1,197	3,059	8,972
Other¹	19,868	4,878	14,990	75,956
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.7B – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness (2021)
TOTAL	22.8	5.5	17.2	77.2
AGE GROUP
18-25	33.7	11.4	22.2	66.3
26 or Older	21.1	4.7	16.5	78.9
26-49	28.1	7.1	21.0	71.9
50 or Older	15.0	2.5	12.5	85.0
GENDER
Male	18.1	4.0	14.1	81.9
Female	27.2	7.0	20.2	72.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	23.2	5.6	17.6	76.8
White	23.9	6.1	17.8	76.1
Black or African American	21.4	4.3	17.1	78.6
AIAN	26.6	9.3	17.3	73.4
NHOPI	18.1	6.3	11.8	81.9
Asian	16.4	2.8	13.5	83.6
Two or More Races	34.9	8.2	26.7	65.1
Hispanic or Latino	20.7	5.1	15.6	79.3
EMPLOYMENT STATUS
Full-Time	21.6	4.9	16.7	78.4
Part-Time	29.5	7.9	21.6	70.5
Unemployed	32.2	9.0	23.1	67.8
Other¹	20.7	5.1	15.6	79.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.8A – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness (2021)
TOTAL	57,805	14,087	43,718	196,020
GEOGRAPHIC REGION
Northeast	9,121	2,079	7,042	35,665
Midwest	12,150	2,935	9,215	40,390
South	21,998	5,428	16,569	74,438
West	14,535	3,644	10,891	45,528
COUNTY TYPE
Large Metro	30,646	6,932	23,714	107,860
Small Metro	18,586	4,956	13,630	59,005
Nonmetro	8,573	2,199	6,374	29,155
Urbanized	3,443	923	2,520	10,909
Less Urbanized	4,218	1,099	3,120	15,095
Completely Rural	911	177	734	3,151
POVERTY LEVEL¹
Less Than 100%	10,913	3,079	7,834	26,677
100-199%	13,237	3,391	9,846	37,036
200% or More	33,613	7,614	25,999	132,252
EDUCATION LEVEL
< High School	5,778	1,231	4,547	22,973
High School Graduate	13,968	3,335	10,633	55,844
Some College/Associate’s Degree	20,674	6,048	14,626	56,324
College Graduate	17,385	3,473	13,912	60,879
HEALTH INSURANCE²
Private	31,784	7,014	24,770	122,683
Medicaid/CHIP	14,666	3,986	10,680	31,832
Other³	13,925	3,001	10,924	61,245
No Coverage	6,146	1,670	4,476	19,303
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.8B – Levels of Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness (2021)
TOTAL	22.8	5.5	17.2	77.2
GEOGRAPHIC REGION
Northeast	20.4	4.6	15.7	79.6
Midwest	23.1	5.6	17.5	76.9
South	22.8	5.6	17.2	77.2
West	24.2	6.1	18.1	75.8
COUNTY TYPE
Large Metro	22.1	5.0	17.1	77.9
Small Metro	24.0	6.4	17.6	76.0
Nonmetro	22.7	5.8	16.9	77.3
Urbanized	24.0	6.4	17.6	76.0
Less Urbanized	21.8	5.7	16.2	78.2
Completely Rural	22.4	4.4	18.1	77.6
POVERTY LEVEL¹
Less Than 100%	29.0	8.2	20.8	71.0
100-199%	26.3	6.7	19.6	73.7
200% or More	20.3	4.6	15.7	79.7
EDUCATION LEVEL
< High School	20.1	4.3	15.8	79.9
High School Graduate	20.0	4.8	15.2	80.0
Some College/Associate’s Degree	26.8	7.9	19.0	73.2
College Graduate	22.2	4.4	17.8	77.8
HEALTH INSURANCE²
Private	20.6	4.5	16.0	79.4
Medicaid/CHIP	31.5	8.6	23.0	68.5
Other³	18.5	4.0	14.5	81.5
No Coverage	24.2	6.6	17.6	75.8
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.9A – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	19,375	4,508	14,867	10,471	4,396
GENDER
Male	8,844	1,958	6,885	4,937	1,948
Female	10,531	2,550	7,982	5,533	2,448
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	16,273	3,638	12,635	8,695	3,940
White	12,472	2,765	9,707	6,611	3,096
Black or African American	2,287	489	1,798	1,169	629
AIAN	168	*	80	74	*
NHOPI	90	*	*	*	*
Asian	524	140	384	355	29
Two or More Races	731	143	588	416	*
Hispanic or Latino	3,102	870	2,232	1,776	456
EMPLOYMENT STATUS
Full-Time	8,340	1,744	6,596	5,312	1,284
Part-Time	3,319	1,282	2,037	1,450	587
Unemployed	1,746	561	1,184	975	210
Other¹	5,970	920	5,050	2,734	2,316
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.9B – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	7.6	13.5	6.7	10.2	3.7
GENDER
Male	7.2	11.7	6.4	9.7	3.5
Female	8.1	15.2	7.0	10.7	3.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	7.7	14.2	6.8	10.7	3.8
White	7.9	15.6	6.9	11.5	3.7
Black or African American	7.4	10.7	6.9	8.7	4.9
AIAN	10.4	*	6.1	12.2	*
NHOPI	10.2	*	*	*	*
Asian	3.5	7.2	2.9	4.8	0.5
Two or More Races	16.3	15.7	16.5	20.5	*
Hispanic or Latino	7.2	11.1	6.3	8.4	3.2
EMPLOYMENT STATUS
Full-Time	7.3	13.8	6.5	8.3	3.4
Part-Time	10.9	15.7	9.1	14.1	4.9
Unemployed	13.2	17.9	11.7	14.9	5.9
Other¹	6.2	9.7	5.9	12.9	3.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.10A – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	19,375	4,508	14,867	10,471	4,396
GEOGRAPHIC REGION
Northeast	2,882	699	2,183	1,575	608
Midwest	4,154	1,037	3,118	2,204	913
South	7,123	1,551	5,572	3,821	1,750
West	5,216	1,221	3,995	2,870	1,124
COUNTY TYPE
Large Metro	10,649	2,381	8,268	6,062	2,205
Small Metro	5,854	1,527	4,326	3,056	1,270
Nonmetro	2,873	600	2,273	1,352	921
Urbanized	1,186	305	881	579	301
Less Urbanized	1,345	243	1,102	626	476
Completely Rural	342	52	290	146	144
POVERTY LEVEL¹
Less Than 100%	3,873	1,111	2,762	1,873	889
100-199%	4,746	1,146	3,600	2,286	1,315
200% or More	10,750	2,246	8,505	6,311	2,193
EDUCATION LEVEL
< High School	2,008	401	1,607	906	701
High School Graduate	4,801	1,343	3,457	2,329	1,128
Some College/Associate’s Degree	7,736	2,080	5,656	4,007	1,649
College Graduate	4,830	684	4,146	3,229	917
HEALTH INSURANCE²
Private	9,346	2,659	6,687	4,745	1,942
Medicaid/CHIP	5,980	1,061	4,918	3,444	1,474
Other³	3,931	447	3,484	1,471	2,013
No Coverage	2,343	548	1,795	1,624	171
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.10B – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	7.6	13.5	6.7	10.2	3.7
GEOGRAPHIC REGION
Northeast	6.4	12.2	5.6	9.1	2.8
Midwest	7.9	14.6	6.9	10.7	3.7
South	7.4	12.2	6.7	9.8	3.9
West	8.7	15.4	7.7	11.3	4.2
COUNTY TYPE
Large Metro	7.7	13.2	6.9	10.3	3.6
Small Metro	7.5	13.9	6.5	10.1	3.5
Nonmetro	7.6	13.3	6.8	10.0	4.7
Urbanized	8.3	15.7	7.1	11.2	4.2
Less Urbanized	7.0	11.4	6.4	8.9	4.7
Completely Rural	8.4	11.4	8.0	10.8	6.4
POVERTY LEVEL¹
Less Than 100%	10.3	13.1	9.5	12.1	6.5
100-199%	9.4	14.5	8.5	11.4	5.9
200% or More	6.5	13.3	5.7	9.5	2.7
EDUCATION LEVEL
< High School	7.0	10.7	6.4	9.1	4.6
High School Graduate	6.9	12.6	5.8	9.6	3.2
Some College/Associate’s Degree	10.0	14.8	9.0	13.4	5.0
College Graduate	6.2	13.6	5.7	8.5	2.6
HEALTH INSURANCE²
Private	6.1	14.0	4.9	7.6	2.7
Medicaid/CHIP	12.9	12.5	12.9	16.0	9.0
Other³	5.2	17.7	4.8	16.2	3.2
No Coverage	9.2	11.0	8.8	11.1	2.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.11A – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	6,376	1,802	4,573	3,370	1,203
GENDER
Male	2,570	604	1,965	1,466	499
Female	3,806	1,198	2,608	1,904	704
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5,223	1,410	3,813	2,801	1,012
White	4,187	1,089	3,098	2,294	805
Black or African American	678	186	493	321	171
AIAN	67	*	25	24	*
NHOPI	36	*	*	*	*
Asian	78	36	41	41	*
Two or More Races	177	54	123	87	36
Hispanic or Latino	1,153	393	760	569	191
EMPLOYMENT STATUS
Full-Time	2,323	659	1,664	1,353	311
Part-Time	1,235	476	759	603	156
Unemployed	684	278	406	342	65
Other¹	2,134	390	1,744	1,072	672
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.11B – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	2.5	5.4	2.1	3.3	1.0
GENDER
Male	2.1	3.6	1.8	2.9	0.9
Female	2.9	7.2	2.3	3.7	1.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	2.5	5.5	2.1	3.5	1.0
White	2.7	6.1	2.2	4.0	1.0
Black or African American	2.2	4.1	1.9	2.4	1.3
AIAN	4.2	*	1.9	3.9	*
NHOPI	4.1	*	*	*	*
Asian	0.5	1.9	0.3	0.6	*
Two or More Races	3.9	5.9	3.4	4.3	2.3
Hispanic or Latino	2.7	5.0	2.2	2.7	1.4
EMPLOYMENT STATUS
Full-Time	2.0	5.2	1.6	2.1	0.8
Part-Time	4.0	5.8	3.4	5.9	1.3
Unemployed	5.2	8.8	4.0	5.2	1.8
Other¹	2.2	4.1	2.0	5.1	1.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.12A – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	6,376	1,802	4,573	3,370	1,203
GEOGRAPHIC REGION
Northeast	908	268	640	515	125
Midwest	1,290	395	896	696	200
South	2,395	647	1,748	1,187	560
West	1,783	493	1,290	972	318
COUNTY TYPE
Large Metro	3,105	910	2,194	1,718	476
Small Metro	2,255	642	1,613	1,231	382
Nonmetro	1,016	250	766	422	344
Urbanized	407	118	289	202	87
Less Urbanized	511	99	412	183	229
Completely Rural	98	33	65	37	28
POVERTY LEVEL¹
Less Than 100%	1,500	461	1,039	703	336
100-199%	1,615	497	1,119	770	348
200% or More	3,260	844	2,416	1,897	519
EDUCATION LEVEL
< High School	615	127	488	256	232
High School Graduate	1,579	575	1,003	681	322
Some College/Associate’s Degree	2,795	875	1,920	1,503	417
College Graduate	1,386	225	1,162	931	231
HEALTH INSURANCE²
Private	2,607	991	1,615	1,239	376
Medicaid/CHIP	2,119	449	1,669	1,221	448
Other³	1,403	160	1,243	638	605
No Coverage	918	258	660	548	112
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.12B – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	2.5	5.4	2.1	3.3	1.0
GEOGRAPHIC REGION
Northeast	2.0	4.7	1.6	3.0	0.6
Midwest	2.5	5.6	2.0	3.4	0.8
South	2.5	5.1	2.1	3.1	1.2
West	3.0	6.2	2.5	3.8	1.2
COUNTY TYPE
Large Metro	2.2	5.1	1.8	2.9	0.8
Small Metro	2.9	5.9	2.4	4.1	1.0
Nonmetro	2.7	5.5	2.3	3.1	1.7
Urbanized	2.8	6.1	2.3	3.9	1.2
Less Urbanized	2.6	4.6	2.4	2.6	2.3
Completely Rural	2.4	7.3	1.8	2.7	1.2
POVERTY LEVEL¹
Less Than 100%	4.0	5.4	3.6	4.5	2.5
100-199%	3.2	6.3	2.6	3.8	1.6
200% or More	2.0	5.0	1.6	2.8	0.6
EDUCATION LEVEL
< High School	2.1	3.4	2.0	2.6	1.5
High School Graduate	2.3	5.4	1.7	2.8	0.9
Some College/Associate’s Degree	3.6	6.2	3.1	5.0	1.3
College Graduate	1.8	4.5	1.6	2.4	0.7
HEALTH INSURANCE²
Private	1.7	5.2	1.2	2.0	0.5
Medicaid/CHIP	4.6	5.3	4.4	5.7	2.7
Other³	1.9	6.3	1.7	7.0	1.0
No Coverage	3.6	5.2	3.2	3.7	1.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.13A – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	12,999	2,705	10,294	7,100	3,194
GENDER
Male	6,274	1,354	4,920	3,471	1,449
Female	6,725	1,352	5,374	3,629	1,744
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	11,050	2,228	8,822	5,894	2,928
White	8,285	1,676	6,609	4,318	2,292
Black or African American	1,609	304	1,306	848	457
AIAN	100	*	55	50	*
NHOPI	54	*	*	*	*
Asian	447	104	343	314	29
Two or More Races	554	89	465	329	*
Hispanic or Latino	1,949	477	1,472	1,206	266
EMPLOYMENT STATUS
Full-Time	6,017	1,085	4,932	3,959	973
Part-Time	2,085	806	1,278	847	432
Unemployed	1,062	284	778	633	145
Other¹	3,836	530	3,306	1,662	1,644
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.13B – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	5.1	8.1	4.7	6.9	2.7
GENDER
Male	5.1	8.1	4.6	6.8	2.6
Female	5.2	8.1	4.7	7.0	2.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5.2	8.7	4.8	7.3	2.8
White	5.2	9.5	4.7	7.5	2.8
Black or African American	5.2	6.7	5.0	6.3	3.6
AIAN	6.2	*	4.3	8.3	*
NHOPI	6.1	*	*	*	*
Asian	3.0	5.3	2.6	4.3	0.5
Two or More Races	12.4	9.8	13.0	16.2	*
Hispanic or Latino	4.5	6.1	4.2	5.7	1.9
EMPLOYMENT STATUS
Full-Time	5.3	8.6	4.9	6.2	2.6
Part-Time	6.8	9.9	5.7	8.2	3.6
Unemployed	8.0	9.0	7.7	9.7	4.1
Other¹	4.0	5.6	3.8	7.8	2.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.14A – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	12,999	2,705	10,294	7,100	3,194
GEOGRAPHIC REGION
Northeast	1,974	431	1,543	1,060	483
Midwest	2,864	642	2,222	1,509	713
South	4,728	904	3,824	2,634	1,190
West	3,433	728	2,705	1,898	807
COUNTY TYPE
Large Metro	7,544	1,470	6,073	4,344	1,729
Small Metro	3,599	885	2,714	1,826	888
Nonmetro	1,857	350	1,507	930	577
Urbanized	778	187	591	377	214
Less Urbanized	834	144	690	443	247
Completely Rural	244	19	226	110	116
POVERTY LEVEL¹
Less Than 100%	2,373	650	1,723	1,170	553
100-199%	3,131	649	2,482	1,516	966
200% or More	7,490	1,401	6,089	4,414	1,674
EDUCATION LEVEL
< High School	1,392	274	1,119	649	469
High School Graduate	3,222	768	2,454	1,648	806
Some College/Associate’s Degree	4,941	1,205	3,736	2,504	1,232
College Graduate	3,444	459	2,985	2,298	686
HEALTH INSURANCE²
Private	6,739	1,668	5,072	3,506	1,566
Medicaid/CHIP	3,861	612	3,249	2,223	1,026
Other³	2,528	287	2,241	833	1,408
No Coverage	1,425	290	1,135	1,076	59
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.14B – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	5.1	8.1	4.7	6.9	2.7
GEOGRAPHIC REGION
Northeast	4.4	7.5	4.0	6.1	2.2
Midwest	5.5	9.0	4.9	7.3	2.9
South	4.9	7.1	4.6	6.8	2.7
West	5.7	9.2	5.2	7.5	3.0
COUNTY TYPE
Large Metro	5.4	8.2	5.0	7.4	2.8
Small Metro	4.6	8.1	4.1	6.0	2.4
Nonmetro	4.9	7.7	4.5	6.9	2.9
Urbanized	5.4	9.6	4.8	7.3	2.9
Less Urbanized	4.3	6.8	4.0	6.3	2.4
Completely Rural	6.0	4.1	6.3	8.1	5.1
POVERTY LEVEL¹
Less Than 100%	6.3	7.6	5.9	7.5	4.1
100-199%	6.2	8.2	5.9	7.6	4.3
200% or More	4.5	8.3	4.1	6.6	2.0
EDUCATION LEVEL
< High School	4.8	7.3	4.5	6.5	3.1
High School Graduate	4.6	7.2	4.1	6.8	2.3
Some College/Associate’s Degree	6.4	8.6	5.9	8.4	3.7
College Graduate	4.4	9.1	4.1	6.0	2.0
HEALTH INSURANCE²
Private	4.4	8.8	3.7	5.6	2.1
Medicaid/CHIP	8.3	7.2	8.5	10.3	6.2
Other³	3.4	11.3	3.1	9.2	2.2
No Coverage	5.6	5.8	5.5	7.3	1.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.15A – Co-Occurring Use Disorder and Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group, Numbers in Thousands, 2021
Co-Occurring Use Disorder and Level of Mental Illness	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
Substance Use Disorder and Any Mental Illness^1,2	19,375	4,508	14,867	10,471	4,396
Illicit Drug or Alcohol Use Disorder and Any Mental Illness³	17,863	4,415	13,447	9,880	3,567
Substance Use Disorder and Serious Mental Illness^1,2	6,376	1,802	4,573	3,370	1,203
Illicit Drug or Alcohol Use Disorder and Serious Mental Illness³	5,820	1,764	4,056	3,129	927
Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness^1,2	12,999	2,705	10,294	7,100	3,194
Illicit Drug or Alcohol Use Disorder and Any Mental Illness Excluding Serious Mental Illness³	12,043	2,651	9,391	6,751	2,640
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. ² These estimates include prescription drug use disorder data from all past year users of prescription drugs. ³ These estimates do not include prescription drug use disorder data from the past year users of prescription drugs who were not also misusers of prescription drugs. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.15B – Co-Occurring Use Disorder and Mental Illness in Past Year: Among People Aged 18 or Older; by Age Group, Percentages, 2021
Co-Occurring Use Disorder and Level of Mental Illness	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
Substance Use Disorder and Any Mental Illness^1,2	7.6	13.5	6.7	10.2	3.7
Illicit Drug or Alcohol Use Disorder and Any Mental Illness³	7.0	13.2	6.1	9.7	3.0
Substance Use Disorder and Serious Mental Illness^1,2	2.5	5.4	2.1	3.3	1.0
Illicit Drug or Alcohol Use Disorder and Serious Mental Illness³	2.3	5.3	1.8	3.1	0.8
Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness^1,2	5.1	8.1	4.7	6.9	2.7
Illicit Drug or Alcohol Use Disorder and Any Mental Illness Excluding Serious Mental Illness³	4.7	7.9	4.3	6.6	2.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. ² These estimates include prescription drug use disorder data from all past year users of prescription drugs. ³ These estimates do not include prescription drug use disorder data from the past year users of prescription drugs who were not also misusers of prescription drugs. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.16A – Any Mental Illness and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Past Year Probation Status and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Any Mental Illness Among Adults 18+¹ (2021)	Any Mental Illness Among Adults On Probation (2021)	Any Mental Illness Among Adults Not on Probation (2021)	Serious Mental Illness Among Adults 18+¹ (2021)	Serious Mental Illness Among Adults On Probation (2021)	Serious Mental Illness Among Adults Not on Probation (2021)
TOTAL 18 OR OLDER	57,805	1,199	55,478	14,087	399	13,577
AGE GROUP
18-49	40,058	973	38,356	11,079	320	10,659
18-25	11,265	196	10,939	3,822	57	3,750
26-34	13,275	363	12,621	3,473	92	3,319
35-49	15,518	414	14,795	3,783	171	3,589
GENDER/AGE GROUP
Male 18 or Older	22,350	688	21,117	4,916	163	4,720
Male 18-49	15,981	581	15,062	4,016	161	3,821
Female 18 or Older	35,455	*	34,361	9,170	*	8,858
Female 18-49	24,078	392	23,294	7,063	159	6,838
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The 18+ column includes respondents with unknown past year probation status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.16B – Any Mental Illness and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Past Year Probation Status and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Any Mental Illness Among Adults 18+¹ (2021)	Any Mental Illness Among Adults On Probation (2021)	Any Mental Illness Among Adults Not on Probation (2021)	Serious Mental Illness Among Adults 18+¹ (2021)	Serious Mental Illness Among Adults On Probation (2021)	Serious Mental Illness Among Adults Not on Probation (2021)
TOTAL 18 OR OLDER	22.8	39.6	22.5	5.5	13.2	5.5
AGE GROUP
18-49	29.5	43.5	29.2	8.2	14.3	8.1
18-25	33.7	41.7	33.6	11.4	12.2	11.5
26-34	33.1	42.4	32.7	8.6	10.7	8.6
35-49	25.0	45.4	24.6	6.1	18.8	6.0
GENDER/AGE GROUP
Male 18 or Older	18.1	33.9	17.7	4.0	8.0	4.0
Male 18-49	23.7	38.3	23.3	5.9	10.6	5.9
Female 18 or Older	27.2	*	26.9	7.0	*	6.9
Female 18-49	35.3	54.5	35.0	10.3	22.1	10.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The 18+ column includes respondents with unknown past year probation status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.17A – Any Mental Illness and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Past Year Parole/Supervised Release Status and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Any Mental Illness Among Adults 18+¹ (2021)	Any Mental Illness Among Adults On Parole/ Supervised Release (2021)	Any Mental Illness Among Adults Not on Parole/ Supervised Release (2021)	Serious Mental Illness Among Adults 18+¹ (2021)	Serious Mental Illness Among Adults On Parole/ Supervised Release (2021)	Serious Mental Illness Among Adults Not on Parole/ Supervised Release (2021)
TOTAL 18 OR OLDER	57,805	542	56,233	14,087	*	13,779
AGE GROUP
18-49	40,058	372	38,980	11,079	140	10,840
18-25	11,265	*	11,090	3,822	*	3,777
26-34	13,275	*	12,829	3,473	*	3,397
35-49	15,518	*	15,060	3,783	*	3,666
GENDER/AGE GROUP
Male 18 or Older	22,350	322	21,574	4,916	*	4,815
Male 18-49	15,981	*	15,419	4,016	*	3,916
Female 18 or Older	35,455	*	34,659	9,170	*	8,964
Female 18-49	24,078	*	23,561	7,063	*	6,924
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The 18+ column includes respondents with unknown past year parole/supervised release status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.17B – Any Mental Illness and Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Past Year Parole/Supervised Release Status and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Any Mental Illness Among Adults 18+¹ (2021)	Any Mental Illness Among Adults On Parole/ Supervised Release (2021)	Any Mental Illness Among Adults Not on Parole/ Supervised Release (2021)	Serious Mental Illness Among Adults 18+¹ (2021)	Serious Mental Illness Among Adults On Parole/ Supervised Release (2021)	Serious Mental Illness Among Adults Not on Parole/ Supervised Release (2021)
TOTAL 18 OR OLDER	22.8	39.7	22.6	5.5	*	5.5
AGE GROUP
18-49	29.5	41.8	29.4	8.2	15.7	8.2
18-25	33.7	*	33.7	11.4	*	11.5
26-34	33.1	*	32.8	8.6	*	8.7
35-49	25.0	*	24.8	6.1	*	6.0
GENDER/AGE GROUP
Male 18 or Older	18.1	34.6	17.9	4.0	*	4.0
Male 18-49	23.7	*	23.5	5.9	*	6.0
Female 18 or Older	27.2	*	27.0	7.0	*	7.0
Female 18-49	35.3	*	35.1	10.3	*	10.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The 18+ column includes respondents with unknown past year parole/supervised release status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.18A – Received Mental Health Services Including Virtual Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	46,533	26,502	9,109	17,393	20,031
AGE GROUP
18-25	7,348	4,918	2,194	2,724	2,430
26 or Older	39,184	21,584	6,914	14,670	17,600
26-49	21,473	13,397	4,797	8,600	8,075
50 or Older	17,712	8,187	2,117	6,070	9,525
GENDER
Male	16,435	8,651	2,986	5,665	7,784
Female	30,097	17,851	6,123	11,728	12,246
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	41,172	23,474	7,870	15,604	17,698
White	34,460	19,385	6,530	12,855	15,075
Black or African American	4,012	2,506	817	1,689	1,507
AIAN	270	*	*	*	117
NHOPI	*	*	*	*	*
Asian	1,212	599	*	401	614
Two or More Races	1,119	781	250	531	338
Hispanic or Latino	5,361	3,028	1,239	1,790	2,332
EMPLOYMENT STATUS
Full-Time	19,328	10,875	3,381	7,494	8,453
Part-Time	7,174	4,540	1,563	2,977	2,634
Unemployed	2,526	1,695	735	960	831
Other²	17,505	9,392	3,430	5,962	8,113
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.18B – Received Mental Health Services Including Virtual Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	18.8	47.2	65.4	41.2	10.5
AGE GROUP
18-25	22.5	44.6	57.9	37.6	11.2
26 or Older	18.2	47.8	68.2	41.9	10.4
26-49	21.6	48.1	67.0	41.5	11.3
50 or Older	15.3	47.4	71.0	42.4	9.7
GENDER
Male	13.7	40.0	61.3	33.8	7.9
Female	23.6	51.7	67.6	46.0	13.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	20.0	49.1	66.6	43.4	11.2
White	22.2	52.4	68.6	46.8	12.8
Black or African American	13.5	39.4	62.3	33.4	6.5
AIAN	17.1	*	*	*	10.0
NHOPI	*	*	*	*	*
Asian	8.3	25.4	*	20.7	5.0
Two or More Races	25.8	52.2	68.6	47.0	11.9
Hispanic or Latino	12.9	36.1	58.6	28.5	7.0
EMPLOYMENT STATUS
Full-Time	17.3	45.2	61.2	40.5	9.7
Part-Time	24.0	52.0	65.4	47.0	12.5
Unemployed	19.8	41.2	62.4	32.7	9.6
Other²	18.7	48.7	71.0	41.2	10.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.19A – Received Mental Health Services Including Virtual Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	46,533	26,502	9,109	17,393	20,031
GEOGRAPHIC REGION
Northeast	8,433	4,248	1,267	2,980	4,185
Midwest	10,249	5,986	1,995	3,991	4,263
South	16,525	9,804	3,593	6,211	6,721
West	11,325	6,464	2,253	4,211	4,861
COUNTY TYPE
Large Metro	25,096	13,856	4,497	9,359	11,240
Small Metro	14,792	8,403	3,111	5,292	6,389
Nonmetro	6,645	4,243	1,501	2,743	2,402
Urbanized	2,554	1,582	605	977	972
Less Urbanized	3,382	2,155	760	1,395	1,227
Completely Rural	709	*	*	*	203
POVERTY LEVEL²
Less Than 100%	7,613	4,840	1,993	2,848	2,773
100-199%	8,884	5,760	2,198	3,563	3,123
200% or More	30,021	15,889	4,918	10,971	14,131
EDUCATION LEVEL
< High School	3,674	2,005	*	1,291	1,669
High School Graduate	9,804	5,494	1,952	3,543	4,310
Some College/Associate's Degree	16,255	10,170	3,871	6,299	6,085
College Graduate	16,799	8,832	2,571	6,261	7,967
HEALTH INSURANCE³
Private	28,605	15,286	4,766	10,520	13,320
Medicaid/CHIP	11,089	7,071	2,693	4,378	4,018
Other⁴	13,317	6,916	2,156	4,759	6,401
No Coverage	2,443	1,705	727	978	738
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.19B – Received Mental Health Services Including Virtual Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	18.8	47.2	65.4	41.2	10.5
GEOGRAPHIC REGION
Northeast	19.4	48.3	62.1	44.2	12.1
Midwest	19.8	50.4	68.5	44.5	10.7
South	17.6	45.8	66.6	38.7	9.2
West	19.4	45.9	63.0	40.1	11.0
COUNTY TYPE
Large Metro	18.6	46.5	65.9	40.7	10.7
Small Metro	19.5	46.8	63.4	40.5	11.0
Nonmetro	17.9	50.6	68.5	44.2	8.4
Urbanized	18.2	46.8	65.8	39.7	9.1
Less Urbanized	17.7	51.9	69.3	45.7	8.2
Completely Rural	17.8	*	*	*	6.5
POVERTY LEVEL²
Less Than 100%	20.9	46.0	65.5	38.0	10.7
100-199%	18.1	44.9	65.6	37.6	8.6
200% or More	18.5	48.5	65.3	43.4	10.9
EDUCATION LEVEL
< High School	13.2	35.7	*	29.3	7.5
High School Graduate	14.4	40.9	59.0	35.0	7.9
Some College/Associate's Degree	21.6	50.7	64.9	44.7	11.0
College Graduate	21.9	51.7	74.7	45.9	13.3
HEALTH INSURANCE³
Private	18.9	49.4	68.7	43.8	11.1
Medicaid/CHIP	24.6	49.8	68.6	42.6	13.0
Other⁴	18.1	50.7	72.3	44.7	10.7
No Coverage	9.9	29.0	43.8	23.1	3.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.20A – Received Mental Health Services (Inpatient, Outpatient, or Prescription Medication) in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	41,656	24,062	8,501	15,561	17,594
AGE GROUP
18-25	6,269	4,326	2,022	2,304	1,943
26 or Older	35,387	19,736	6,479	13,256	15,651
26-49	18,653	11,957	4,422	7,535	6,696
50 or Older	16,734	7,779	2,057	5,721	8,955
GENDER
Male	14,482	7,717	2,747	4,970	6,765
Female	27,175	16,345	5,754	10,591	10,829
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	37,232	21,492	7,391	14,101	15,740
White	31,571	17,934	6,150	11,784	13,638
Black or African American	3,435	2,201	770	1,431	1,234
AIAN	259	*	*	*	107
NHOPI	*	*	*	*	*
Asian	872	444	*	266	428
Two or More Races	1,000	714	*	497	286
Hispanic or Latino	4,424	2,570	1,110	1,460	1,854
EMPLOYMENT STATUS
Full-Time	16,524	9,516	3,090	6,426	7,008
Part-Time	6,299	4,048	1,426	2,622	2,251
Unemployed	2,276	1,564	685	879	712
Other²	16,557	8,934	3,300	5,634	7,624
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.20B – Received Mental Health Services (Inpatient, Outpatient, or Prescription Medication) in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	16.9	43.1	61.4	37.0	9.2
AGE GROUP
18-25	19.2	39.4	53.6	32.0	9.0
26 or Older	16.5	43.9	64.3	38.1	9.2
26-49	18.8	43.2	62.2	36.6	9.4
50 or Older	14.5	45.2	69.2	40.2	9.1
GENDER
Male	12.1	35.8	57.0	29.7	6.9
Female	21.4	47.6	63.8	41.8	11.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	18.1	45.2	62.8	39.4	10.0
White	20.4	48.6	64.8	43.0	11.6
Black or African American	11.6	34.9	59.4	28.6	5.3
AIAN	16.3	*	*	*	9.2
NHOPI	*	*	*	*	*
Asian	6.0	19.2	*	14.0	3.5
Two or More Races	23.1	47.9	*	44.1	10.1
Hispanic or Latino	10.7	30.9	53.4	23.4	5.6
EMPLOYMENT STATUS
Full-Time	14.9	39.9	56.0	35.0	8.0
Part-Time	21.2	46.8	61.0	41.5	10.7
Unemployed	17.8	38.0	58.4	29.9	8.2
Other²	17.7	46.4	68.5	39.0	10.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.21A – Received Mental Health Services (Inpatient, Outpatient, or Prescription Medication) in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	41,656	24,062	8,501	15,561	17,594
GEOGRAPHIC REGION
Northeast	7,369	3,657	1,149	2,508	3,712
Midwest	9,455	5,542	1,871	3,671	3,913
South	15,070	9,126	3,441	5,685	5,944
West	9,762	5,738	2,040	3,697	4,025
COUNTY TYPE
Large Metro	21,875	12,283	4,223	8,060	9,593
Small Metro	13,470	7,739	2,859	4,880	5,731
Nonmetro	6,311	4,041	1,420	2,620	2,270
Urbanized	2,360	1,456	546	910	904
Less Urbanized	3,269	2,095	740	1,355	1,174
Completely Rural	682	*	*	*	192
POVERTY LEVEL²
Less Than 100%	7,024	4,564	1,909	2,655	2,460
100-199%	8,092	5,340	2,062	3,279	2,751
200% or More	26,531	14,151	4,531	9,620	12,381
EDUCATION LEVEL
< High School	3,477	1,895	*	1,200	1,582
High School Graduate	9,175	5,176	1,890	3,286	3,998
Some College/Associate's Degree	14,660	9,239	3,617	5,622	5,421
College Graduate	14,345	7,752	2,299	5,453	6,594
HEALTH INSURANCE³
Private	25,182	13,567	4,367	9,200	11,615
Medicaid/CHIP	10,206	6,572	2,584	3,987	3,634
Other⁴	12,663	6,641	2,065	4,576	6,022
No Coverage	2,167	1,574	673	902	593
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.21B – Received Mental Health Services (Inpatient, Outpatient, or Prescription Medication) in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	16.9	43.1	61.4	37.0	9.2
GEOGRAPHIC REGION
Northeast	17.0	41.9	56.6	37.4	10.7
Midwest	18.3	46.7	64.7	40.9	9.8
South	16.0	42.7	64.1	35.5	8.2
West	16.8	41.2	57.4	35.6	9.1
COUNTY TYPE
Large Metro	16.3	41.4	62.1	35.3	9.2
Small Metro	17.8	43.3	58.9	37.4	9.9
Nonmetro	17.0	48.3	64.9	42.4	7.9
Urbanized	16.9	43.1	59.4	37.0	8.5
Less Urbanized	17.2	50.5	67.6	44.4	7.9
Completely Rural	17.2	*	*	*	6.2
POVERTY LEVEL²
Less Than 100%	19.3	43.4	62.8	35.5	9.5
100-199%	16.5	42.0	61.8	34.9	7.6
200% or More	16.4	43.4	60.6	38.3	9.6
EDUCATION LEVEL
< High School	12.5	33.8	*	27.2	7.1
High School Graduate	13.5	38.7	57.2	32.6	7.3
Some College/Associate's Degree	19.5	46.4	61.1	40.2	9.8
College Graduate	18.8	45.6	67.3	40.2	11.1
HEALTH INSURANCE³
Private	16.7	44.1	63.2	38.5	9.7
Medicaid/CHIP	22.7	46.5	66.1	39.0	11.8
Other⁴	17.2	48.9	69.5	43.1	10.0
No Coverage	8.8	26.8	41.2	21.3	3.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.22A – Received Inpatient Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Demographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	2,478	1,750	966	784	728
AGE GROUP
18-25	539	428	279	148	111
26 or Older	1,939	1,322	687	636	617
26-49	1,082	790	430	360	292
50 or Older	857	532	257	275	325
GENDER
Male	1,129	729	349	380	400
Female	1,350	1,021	617	404	328
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	2,027	1,469	840	629	558
White	1,312	1,004	687	317	307
Black or African American	515	350	108	243	165
AIAN	35	*	*	*	29
NHOPI	*	*	*	*	*
Asian	54	43	17	26	11
Two or More Races	103	57	22	*	*
Hispanic or Latino	451	281	126	155	170
HEALTH INSURANCE²
Private	680	452	265	187	228
Medicaid/CHIP	1,197	825	394	431	372
Other³	1,010	647	332	316	363
No Coverage	258	217	116	102	41
EMPLOYMENT STATUS
Full-Time	595	415	195	221	179
Part-Time	296	216	101	115	81
Unemployed	336	221	130	91	115
Other⁴	1,251	897	540	357	353
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.22B – Received Inpatient Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Percentages, 2021
Demographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	1.0	3.1	6.9	1.9	0.4
AGE GROUP
18-25	1.6	3.9	7.3	2.0	0.5
26 or Older	0.9	2.9	6.8	1.8	0.4
26-49	1.1	2.8	6.0	1.7	0.4
50 or Older	0.7	3.1	8.6	1.9	0.3
GENDER
Male	0.9	3.4	7.2	2.3	0.4
Female	1.1	2.9	6.8	1.6	0.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1.0	3.1	7.1	1.7	0.4
White	0.8	2.7	7.2	1.2	0.3
Black or African American	1.7	5.5	8.2	4.8	0.7
AIAN	2.2	*	*	*	2.5
NHOPI	*	*	*	*	*
Asian	0.4	1.8	4.2	1.3	0.1
Two or More Races	2.4	3.8	5.9	*	*
Hispanic or Latino	1.1	3.3	5.9	2.5	0.5
HEALTH INSURANCE²
Private	0.4	1.5	3.8	0.8	0.2
Medicaid/CHIP	2.6	5.8	10.0	4.2	1.2
Other³	1.4	4.7	11.1	3.0	0.6
No Coverage	1.0	3.7	7.0	2.4	0.2
EMPLOYMENT STATUS
Full-Time	0.5	1.7	3.5	1.2	0.2
Part-Time	1.0	2.5	4.2	1.8	0.4
Unemployed	2.6	5.4	11.0	3.1	1.3
Other⁴	1.3	4.6	11.2	2.5	0.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.23A – Received Outpatient Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Demographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	20,108	13,432	5,523	7,909	6,676
AGE GROUP
18-25	3,697	2,749	1,377	1,372	948
26 or Older	16,411	10,683	4,146	6,537	5,728
26-49	9,401	6,746	2,729	4,017	2,655
50 or Older	7,010	3,937	1,417	2,520	3,074
GENDER
Male	6,923	4,307	1,640	2,667	2,617
Female	13,184	9,125	3,883	5,242	4,059
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	17,788	11,868	4,831	7,037	5,920
White	14,541	9,673	3,959	5,714	4,867
Black or African American	2,015	1,447	546	901	568
AIAN	100	*	*	*	50
NHOPI	59	*	*	*	*
Asian	598	291	*	156	307
Two or More Races	476	365	*	231	111
Hispanic or Latino	2,320	1,564	692	872	756
HEALTH INSURANCE²
Private	12,217	7,795	2,918	4,877	4,422
Medicaid/CHIP	5,065	3,695	1,640	2,055	1,370
Other³	5,341	3,320	1,372	1,948	2,022
No Coverage	1,130	802	358	445	327
EMPLOYMENT STATUS
Full-Time	8,421	5,578	2,021	3,558	2,843
Part-Time	3,181	2,260	888	1,372	921
Unemployed	1,238	905	387	518	333
Other⁴	7,268	4,689	2,227	2,461	2,579
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.23B – Received Outpatient Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Percentages, 2021
Demographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	8.1	24.2	40.5	18.9	3.5
AGE GROUP
18-25	11.3	25.1	36.6	19.1	4.4
26 or Older	7.7	24.0	42.0	18.9	3.4
26-49	9.5	24.6	39.2	19.6	3.7
50 or Older	6.1	23.1	48.6	17.8	3.1
GENDER
Male	5.8	20.1	34.6	16.0	2.7
Female	10.4	26.8	43.6	20.8	4.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.7	25.1	41.7	19.8	3.7
White	9.4	26.4	42.2	21.0	4.1
Black or African American	6.8	23.3	44.4	18.1	2.4
AIAN	6.3	*	*	*	4.2
NHOPI	7.3	*	*	*	*
Asian	4.1	12.6	*	8.2	2.5
Two or More Races	11.0	24.6	*	20.5	3.9
Hispanic or Latino	5.6	19.0	33.7	14.1	2.3
HEALTH INSURANCE²
Private	8.1	25.6	43.2	20.6	3.7
Medicaid/CHIP	11.3	26.3	42.4	20.2	4.4
Other³	7.3	24.8	47.0	18.6	3.4
No Coverage	4.6	13.7	22.1	10.5	1.7
EMPLOYMENT STATUS
Full-Time	7.6	23.6	37.4	19.5	3.3
Part-Time	10.7	26.3	38.2	21.9	4.4
Unemployed	9.7	22.2	33.5	17.8	3.8
Other⁴	7.8	24.6	46.9	17.2	3.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.24A – Received Prescription Medication as a Type of Mental Health Service in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Demographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	34,447	20,297	7,406	12,890	14,151
AGE GROUP
18-25	4,756	3,381	1,659	1,722	1,375
26 or Older	29,691	16,916	5,747	11,168	12,776
26-49	15,406	10,143	3,926	6,217	5,263
50 or Older	14,285	6,772	1,821	4,952	7,512
GENDER
Male	11,732	6,494	2,360	4,134	5,237
Female	22,716	13,802	5,047	8,756	8,914
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	31,215	18,343	6,520	11,823	12,872
White	27,073	15,623	5,543	10,080	11,450
Black or African American	2,554	1,640	604	1,037	913
AIAN	234	*	*	*	93
NHOPI	*	*	*	*	*
Asian	459	290	*	189	169
Two or More Races	808	609	*	411	199
Hispanic or Latino	3,232	1,954	887	1,067	1,279
HEALTH INSURANCE²
Private	20,589	11,284	3,716	7,568	9,304
Medicaid/CHIP	8,481	5,600	2,274	3,326	2,881
Other³	10,845	5,704	1,860	3,843	5,142
No Coverage	1,679	1,327	604	723	352
EMPLOYMENT STATUS
Full-Time	13,234	7,856	2,701	5,155	5,378
Part-Time	5,318	3,400	1,249	2,151	1,918
Unemployed	1,756	1,281	566	715	476
Other⁴	14,139	7,760	2,891	4,869	6,379
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.24B – Received Prescription Medication as a Type of Mental Health Service in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Percentages, 2021
Demographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	13.9	36.1	53.2	30.5	7.4
AGE GROUP
18-25	14.5	30.6	43.8	23.7	6.3
26 or Older	13.8	37.4	56.6	31.8	7.5
26-49	15.4	36.3	54.8	30.0	7.3
50 or Older	12.4	39.1	61.1	34.5	7.6
GENDER
Male	9.7	30.0	48.5	24.7	5.3
Female	17.8	39.9	55.6	34.3	9.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	15.1	38.4	55.2	32.8	8.1
White	17.5	42.2	58.3	36.6	9.7
Black or African American	8.6	25.8	46.2	20.5	3.9
AIAN	14.7	*	*	*	7.9
NHOPI	*	*	*	*	*
Asian	3.1	12.3	*	9.8	1.4
Two or More Races	18.5	40.7	*	36.3	7.0
Hispanic or Latino	7.7	23.1	41.8	16.9	3.8
HEALTH INSURANCE²
Private	13.6	36.4	53.5	31.5	7.7
Medicaid/CHIP	18.7	39.3	57.9	32.3	9.3
Other³	14.7	41.7	62.4	36.0	8.6
No Coverage	6.8	22.5	36.4	17.1	1.9
EMPLOYMENT STATUS
Full-Time	11.9	32.7	48.9	27.8	6.1
Part-Time	17.8	39.0	52.3	33.9	9.1
Unemployed	13.7	31.0	47.6	24.3	5.5
Other⁴	15.1	40.1	59.9	33.5	8.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.25A – Received Virtual Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Demographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	28,139	17,785	6,930	10,855	10,354
AGE GROUP
18-25	5,081	3,561	1,759	1,802	1,520
26 or Older	23,058	14,224	5,171	9,053	8,834
26-49	14,344	9,536	3,691	5,845	4,808
50 or Older	8,714	4,688	1,480	3,208	4,026
GENDER
Male	9,856	5,857	2,162	3,696	3,999
Female	18,283	11,928	4,768	7,159	6,355
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	24,544	15,603	5,984	9,619	8,941
White	19,943	12,663	4,855	7,807	7,281
Black or African American	2,835	1,782	703	1,079	1,053
AIAN	123	*	*	*	45
NHOPI	51	*	*	*	*
Asian	837	487	*	314	350
Two or More Races	753	559	*	370	194
Hispanic or Latino	3,595	2,182	946	1,236	1,413
HEALTH INSURANCE²
Private	17,451	10,519	3,800	6,719	6,933
Medicaid/CHIP	6,940	4,760	2,022	2,737	2,180
Other³	6,977	4,160	1,549	2,611	2,817
No Coverage	1,410	943	432	511	467
EMPLOYMENT STATUS
Full-Time	12,094	7,440	2,587	4,853	4,654
Part-Time	4,657	3,131	1,217	1,914	1,526
Unemployed	1,676	1,174	543	631	502
Other⁴	9,712	6,040	2,583	3,457	3,671
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown virtual mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.25B – Received Virtual Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics, Percentages, 2021
Demographic/Socioeconomic Characteristic	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
TOTAL	11.3	31.6	49.7	25.6	5.4
AGE GROUP
18-25	15.5	32.2	46.3	24.9	7.0
26 or Older	10.7	31.5	51.0	25.8	5.2
26-49	14.4	34.2	51.6	28.2	6.7
50 or Older	7.5	27.1	49.6	22.4	4.1
GENDER
Male	8.2	27.1	44.5	22.0	4.1
Female	14.3	34.4	52.6	28.0	6.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	11.9	32.6	50.7	26.7	5.6
White	12.8	34.2	51.0	28.4	6.2
Black or African American	9.5	28.0	53.9	21.4	4.5
AIAN	7.7	*	*	*	3.8
NHOPI	6.4	*	*	*	*
Asian	5.7	20.7	*	16.2	2.9
Two or More Races	17.3	37.4	*	32.8	6.8
Hispanic or Latino	8.6	25.8	44.6	19.5	4.2
HEALTH INSURANCE²
Private	11.5	33.9	54.8	27.9	5.8
Medicaid/CHIP	15.3	33.4	51.3	26.5	7.0
Other³	9.5	30.4	52.0	24.4	4.7
No Coverage	5.7	16.0	26.0	12.1	2.5
EMPLOYMENT STATUS
Full-Time	10.8	30.9	46.8	26.2	5.3
Part-Time	15.6	35.9	51.2	30.2	7.2
Unemployed	13.1	28.4	45.6	21.5	5.8
Other⁴	10.3	31.2	53.4	23.8	4.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown virtual mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.26A – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services Including Virtual Services in Past Year: Among People Aged 18 or Older; by Past Year Co-Occurring Illicit Drug or Alcohol Use Disorder and Level of Mental Illness and Age Group, Numbers in Thousands, 2021
Co-Occurring Illicit Drug or Alcohol Use Disorder and Level of Mental Illness/Age Group	Received Substance Use Treatment (SU Tx) at a Specialty Facility OR Mental Health (MH) Services Including Virtual Services (VS) (2021)	Received SU Tx at a Specialty Facility BUT NOT MH Services Including VS (2021)	Received MH Services Including VS BUT NOT SU Tx at a Specialty Facility (2021)	Received SU Tx at a Specialty Facility AND MH Services Including VS (2021)	Received NEITHER SU Tx at a Specialty Facility NOR MH Services Including VS (2021)
Illicit Drug or Alcohol Use Disorder and Any Mental Illness	9,041	251	7,595	1,170	8,175
18-25	1,983	17	1,837	122	2,316
26 or Older	7,057	234	5,758	1,047	5,859
26-49	4,951	195	4,000	746	4,457
50 or Older	2,107	39	1,758	301	1,402
Illicit Drug or Alcohol Use Disorder and Serious Mental Illness	3,850	84	3,139	620	1,901
18-25	1,011	6	931	70	737
26 or Older	2,839	78	2,208	549	1,164
26-49	2,165	75	1,731	357	911
50 or Older	*	*	*	*	*
Illicit Drug or Alcohol Use Disorder and Any Mental Illness Excluding Serious Mental Illness	5,191	167	4,456	550	6,274
18-25	972	11	906	52	1,579
26 or Older	4,218	156	3,550	498	4,695
26-49	2,786	120	2,269	389	3,545
50 or Older	1,432	*	1,282	108	1,149
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Illicit drug or alcohol use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table do not include prescription drug use disorder data from the past year users of prescription drugs who were not also misusers of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. Substance use treatment questions are asked of respondents who used alcohol or illicit drugs in their lifetime. Respondents who used prescription drugs but who did not misuse prescription drugs in their lifetime may not receive these questions. NOTE: Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information who could not be classified on substance use treatment data were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.26B – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services Including Virtual Services in Past Year: Among People Aged 18 or Older; by Past Year Co-Occurring Illicit Drug or Alcohol Use Disorder and Level of Mental Illness and Age Group, Percentages, 2021
Co-Occurring Illicit Drug or Alcohol Use Disorder and Level of Mental Illness/Age Group	Received Substance Use Treatment (SU Tx) at a Specialty Facility OR Mental Health (MH) Services Including Virtual Services (VS) (2021)	Received SU Tx at a Specialty Facility BUT NOT MH Services Including VS (2021)	Received MH Services Including VS BUT NOT SU Tx at a Specialty Facility (2021)	Received SU Tx at a Specialty Facility AND MH Services Including VS (2021)	Received NEITHER SU Tx at a Specialty Facility NOR MH Services Including VS (2021)
Illicit Drug or Alcohol Use Disorder and Any Mental Illness	52.5	1.4	44.1	6.6	47.5
18-25	46.1	0.4	42.7	2.8	53.9
26 or Older	54.6	1.7	44.6	7.8	45.4
26-49	52.6	2.0	42.5	7.6	47.4
50 or Older	60.0	1.1	50.1	8.5	40.0
Illicit Drug or Alcohol Use Disorder and Serious Mental Illness	66.9	1.4	54.6	10.7	33.1
18-25	57.9	0.3	53.3	4.0	42.1
26 or Older	70.9	1.9	55.2	13.6	29.1
26-49	70.4	2.4	56.3	11.4	29.6
50 or Older	*	*	*	*	*
Illicit Drug or Alcohol Use Disorder and Any Mental Illness Excluding Serious Mental Illness	45.3	1.4	38.9	4.6	54.7
18-25	38.1	0.4	35.5	2.0	61.9
26 or Older	47.3	1.7	39.8	5.3	52.7
26-49	44.0	1.8	35.8	5.8	56.0
50 or Older	55.5	*	49.6	4.1	44.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Illicit drug or alcohol use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table do not include prescription drug use disorder data from the past year users of prescription drugs who were not also misusers of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. Substance use treatment questions are asked of respondents who used alcohol or illicit drugs in their lifetime. Respondents who used prescription drugs but who did not misuse prescription drugs in their lifetime may not receive these questions. NOTE: Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information who could not be classified on substance use treatment data were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.27A – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Inpatient, Outpatient, or Prescription Medication) in Past Year: Among People Aged 18 or Older; by Past Year Co-Occurring Illicit Drug or Alcohol Use Disorder and Level of Mental Illness and Age Group, Numbers in Thousands, 2021
Co-Occurring Illicit Drug or Alcohol Use Disorder and Level of Mental Illness/Age Group	Received Substance Use Treatment (SU Tx) at a Specialty Facility OR Mental Health (MH) Services (2021)	Received SU Tx at a Specialty Facility BUT NOT MH Services (2021)	Received MH Services BUT NOT SU Tx at a Specialty Facility (2021)	Received SU Tx at a Specialty Facility AND MH Services (2021)	Received NEITHER SU Tx at a Specialty Facility NOR MH Services (2021)
Illicit Drug or Alcohol Use Disorder and Any Mental Illness	8,344	336	6,898	1,084	8,750
18-25	1,745	22	1,599	117	2,543
26 or Older	6,599	314	5,299	967	6,207
26-49	4,566	245	3,615	695	4,756
50 or Older	2,033	68	1,684	272	1,451
Illicit Drug or Alcohol Use Disorder and Serious Mental Illness	3,588	89	2,877	614	2,114
18-25	915	6	836	70	828
26 or Older	2,673	83	2,042	544	1,287
26-49	2,007	80	1,573	351	1,028
50 or Older	*	*	*	*	*
Illicit Drug or Alcohol Use Disorder and Any Mental Illness Excluding Serious Mental Illness	4,756	247	4,021	470	6,636
18-25	830	17	763	47	1,716
26 or Older	3,926	231	3,258	423	4,920
26-49	2,559	166	2,042	344	3,728
50 or Older	1,367	65	1,216	80	1,192
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Illicit drug or alcohol use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table do not include prescription drug use disorder data from the past year users of prescription drugs who were not also misusers of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. Substance use treatment questions are asked of respondents who used alcohol or illicit drugs in their lifetime. Respondents who used prescription drugs but who did not misuse prescription drugs in their lifetime may not receive these questions. NOTE: Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information who could not be classified on substance use treatment data were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.27B – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Inpatient, Outpatient, or Prescription Medication) in Past Year: Among People Aged 18 or Older; by Past Year Co-Occurring Illicit Drug or Alcohol Use Disorder and Level of Mental Illness and Age Group, Percentages, 2021
Co-Occurring Illicit Drug or Alcohol Use Disorder and Level of Mental Illness/Age Group	Received Substance Use Treatment (SU Tx) at a Specialty Facility OR Mental Health (MH) Services (2021)	Received SU Tx at a Specialty Facility BUT NOT MH Services (2021)	Received MH Services BUT NOT SU Tx at a Specialty Facility (2021)	Received SU Tx at a Specialty Facility AND MH Services (2021)	Received NEITHER SU Tx at a Specialty Facility NOR MH Services (2021)
Illicit Drug or Alcohol Use Disorder and Any Mental Illness	48.8	1.9	40.4	6.1	51.2
18-25	40.7	0.5	37.3	2.7	59.3
26 or Older	51.5	2.3	41.4	7.2	48.5
26-49	49.0	2.5	38.8	7.0	51.0
50 or Older	58.3	1.9	48.3	7.7	41.7
Illicit Drug or Alcohol Use Disorder and Serious Mental Illness	62.9	1.5	50.5	10.6	37.1
18-25	52.5	0.3	47.9	4.0	47.5
26 or Older	67.5	2.0	51.6	13.4	32.5
26-49	66.1	2.5	51.9	11.2	33.9
50 or Older	*	*	*	*	*
Illicit Drug or Alcohol Use Disorder and Any Mental Illness Excluding Serious Mental Illness	41.7	2.1	35.3	3.9	58.3
18-25	32.6	0.6	30.0	1.8	67.4
26 or Older	44.4	2.5	36.8	4.5	55.6
26-49	40.7	2.5	32.5	5.1	59.3
50 or Older	53.4	2.5	47.5	3.0	46.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Illicit drug or alcohol use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table do not include prescription drug use disorder data from the past year users of prescription drugs who were not also misusers of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. Substance use treatment questions are asked of respondents who used alcohol or illicit drugs in their lifetime. Respondents who used prescription drugs but who did not misuse prescription drugs in their lifetime may not receive these questions. NOTE: Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information who could not be classified on substance use treatment data were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.28A – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Past Year Level of Mental Illness, Numbers in Thousands, 2021
Location of Mental Health Services¹	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness² (2021)
Outpatient Mental Health Clinic or Center	5,330	4,124	2,001	2,123	1,205
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	12,025	7,744	3,175	4,569	4,280
Doctor's Office - Not Part of a Clinic	2,981	2,080	783	1,297	901
Outpatient Medical Clinic	1,385	980	502	478	405
Partial Day Hospital or Day Treatment Program	248	202	138	64	46
School or University Setting/Clinic/Center^3,4	105	80	20	60	25
Some Other Place⁴	415	285	87	198	130
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. ² Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ³ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was one of the most commonly reported other locations for receiving outpatient mental health services. ⁴ Respondents with unknown or invalid responses to the write-in question were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.28B – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Past Year Level of Mental Illness, Percentages, 2021
Location of Mental Health Services¹	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness² (2021)
Outpatient Mental Health Clinic or Center	26.7	30.8	36.3	27.0	18.3
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	60.3	57.9	57.6	58.1	65.2
Doctor's Office - Not Part of a Clinic	14.9	15.5	14.2	16.5	13.7
Outpatient Medical Clinic	6.9	7.3	9.1	6.1	6.2
Partial Day Hospital or Day Treatment Program	1.2	1.5	2.5	0.8	0.7
School or University Setting/Clinic/Center^3,4	0.5	0.6	0.4	0.8	0.4
Some Other Place⁴	2.1	2.2	1.6	2.5	2.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. ² Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ³ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was one of the most commonly reported other locations for receiving outpatient mental health services. ⁴ Respondents with unknown or invalid responses to the write-in question were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.29A – Types and Locations of Mental Health Services Including Virtual Services Received in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness, Numbers in Thousands, 2021
Type and Location of Mental Health Services	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²	46,533	26,502	9,109	17,393	20,031
Inpatient, Outpatient, or Prescription Medication	41,656	24,062	8,501	15,561	17,594
Inpatient	2,478	1,750	966	784	728
Outpatient	20,108	13,432	5,523	7,909	6,676
Outpatient Mental Health Clinic or Center	5,330	4,124	2,001	2,123	1,205
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	12,025	7,744	3,175	4,569	4,280
Doctor's Office - Not Part of a Clinic	2,981	2,080	783	1,297	901
Outpatient Medical Clinic	1,385	980	502	478	405
Partial Day Hospital or Day Treatment Program	248	202	138	64	46
School or University Setting/Clinic/Center^3,4	105	80	20	60	25
Some Other Place⁴	415	285	87	198	130
Prescription Medication	34,447	20,297	7,406	12,890	14,151
Virtual Services	28,139	17,785	6,930	10,855	10,354
NONE OF THESE SERVICES	201,110	29,670	4,815	24,855	171,440
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple service types or locations; thus, these response categories are not mutually exclusive. ³ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was one of the most commonly reported other locations for receiving outpatient mental health services. ⁴ Respondents with unknown or invalid responses to the write-in question were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.29B – Types and Locations of Mental Health Services Including Virtual Services Received in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness, Percentages, 2021
Type and Location of Mental Health Services	Aged 18+ (2021)	Any Mental Illness (2021)	Serious Mental Illness (2021)	Any Mental Illness Excluding Serious Mental Illness (2021)	No Mental Illness¹ (2021)
MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²	18.8	47.2	65.4	41.2	10.5
Inpatient, Outpatient, or Prescription Medication	16.9	43.1	61.4	37.0	9.2
Inpatient	1.0	3.1	6.9	1.9	0.4
Outpatient	8.1	24.2	40.5	18.9	3.5
Outpatient Mental Health Clinic or Center	2.2	7.4	14.7	5.1	0.6
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	4.9	14.0	23.3	10.9	2.2
Doctor's Office - Not Part of a Clinic	1.2	3.8	5.7	3.1	0.5
Outpatient Medical Clinic	0.6	1.8	3.7	1.1	0.2
Partial Day Hospital or Day Treatment Program	0.1	0.4	1.0	0.2	0.0
School or University Setting/Clinic/Center^3,4	0.0	0.1	0.2	0.1	0.0
Some Other Place⁴	0.2	0.5	0.6	0.5	0.1
Prescription Medication	13.9	36.1	53.2	30.5	7.4
Virtual Services	11.3	31.6	49.7	25.6	5.4
NONE OF THESE SERVICES	81.2	52.8	34.6	58.8	89.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. ² Respondents could indicate multiple service types or locations; thus, these response categories are not mutually exclusive. ³ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was one of the most commonly reported other locations for receiving outpatient mental health services. ⁴ Respondents with unknown or invalid responses to the write-in question were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.30A – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Age Group, Numbers in Thousands, 2021
Location of Mental Health Services¹	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
Outpatient Mental Health Clinic or Center	5,330	909	4,421	2,442	1,979
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	12,025	2,617	9,407	5,830	3,577
Doctor’s Office - Not Part of a Clinic	2,981	402	2,578	1,280	1,298
Outpatient Medical Clinic	1,385	159	1,226	707	519
Partial Day Hospital or Day Treatment Program	248	65	183	112	71
School or University Setting/Clinic/Center^2,3	105	68	37	34	3
Some Other Place³	415	55	360	198	162
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. ¹ Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was one of the most commonly reported other locations for receiving outpatient mental health services. ³ Respondents with unknown or invalid responses to the write-in question were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.30B – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Age Group, Percentages, 2021
Location of Mental Health Services¹	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
Outpatient Mental Health Clinic or Center	26.7	24.7	27.2	26.2	28.5
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	60.3	71.1	57.8	62.5	51.6
Doctor’s Office - Not Part of a Clinic	14.9	10.9	15.9	13.7	18.7
Outpatient Medical Clinic	6.9	4.3	7.5	7.6	7.5
Partial Day Hospital or Day Treatment Program	1.2	1.8	1.1	1.2	1.0
School or University Setting/Clinic/Center^2,3	0.5	1.9	0.2	0.4	0.0
Some Other Place³	2.1	1.5	2.2	2.1	2.4
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. ¹ Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was one of the most commonly reported other locations for receiving outpatient mental health services. ³ Respondents with unknown or invalid responses to the write-in question were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.31A – Sources of Payment for Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Age Group, Numbers in Thousands, 2021
Source of Payment¹	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
Self or Family Member Living in Household	7,472	1,842	5,629	3,916	1,713
Family Member Not Living in Household	523	263	259	209	50
Private Health Insurance	7,523	1,469	6,054	3,644	2,410
Medicare	3,191	226	2,964	801	2,163
Medicaid	3,025	427	2,598	1,469	1,129
Rehabilitation Program	51	4	48	7	41
Employer	1,255	143	1,113	843	270
VA or Other Military Program	903	49	854	439	415
Other Public Source	561	118	443	258	185
Other Private Source	213	43	170	105	64
Free Treatment	955	262	693	447	246
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. ¹ Respondents could indicate multiple sources of payment for outpatient mental health services; thus, these response categories are not mutually exclusive. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.31B – Sources of Payment for Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; by Age Group, Percentages, 2021
Source of Payment¹	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
Self or Family Member Living in Household	37.8	51.2	34.8	41.9	25.1
Family Member Not Living in Household	2.6	7.3	1.6	2.2	0.7
Private Health Insurance	38.0	40.8	37.4	39.0	35.2
Medicare	16.1	6.3	18.3	8.6	31.6
Medicaid	15.3	11.9	16.1	15.7	16.5
Rehabilitation Program	0.3	0.1	0.3	0.1	0.6
Employer	6.3	4.0	6.9	9.0	4.0
VA or Other Military Program	4.6	1.3	5.3	4.7	6.1
Other Public Source	2.8	3.3	2.7	2.8	2.7
Other Private Source	1.1	1.2	1.0	1.1	0.9
Free Treatment	4.8	7.3	4.3	4.8	3.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown mental health services information were excluded. ¹ Respondents could indicate multiple sources of payment for outpatient mental health services; thus, these response categories are not mutually exclusive. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.32A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services Including Virtual Services and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+¹	Received	Not Received
	2021	2021	2021
TOTAL	19,688	9,714	9,898
AGE GROUP
18-25	6,036	2,786	3,228
26 or Older	13,652	6,929	6,670
26-49	10,261	5,110	5,098
50 or Older	3,391	1,819	1,572
GENDER
Male	6,667	2,801	3,842
Female	13,021	6,913	6,057
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	16,629	8,429	8,182
White	12,873	6,831	6,029
Black or African American	2,143	977	1,162
AIAN	226	*	163
NHOPI	19	*	18
Asian	652	245	407
Two or More Races	716	312	403
Hispanic or Latino	3,059	1,285	1,717
EMPLOYMENT STATUS
Full-Time	9,073	4,169	4,894
Part-Time	3,682	1,892	1,788
Unemployed	1,499	641	846
Other³	5,435	3,012	2,370
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Aged 18+ column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.32B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services Including Virtual Services and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+¹	Received	Not Received
	2021	2021	2021
TOTAL	7.9	20.9	4.9
AGE GROUP
18-25	18.5	38.0	12.8
26 or Older	6.3	17.7	3.8
26-49	10.3	23.8	6.5
50 or Older	2.9	10.3	1.6
GENDER
Male	5.5	17.1	3.7
Female	10.2	23.0	6.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.1	20.5	5.0
White	8.3	19.9	5.0
Black or African American	7.2	24.4	4.5
AIAN	14.2	*	12.4
NHOPI	2.3	*	2.6
Asian	4.5	20.3	3.1
Two or More Races	16.4	27.9	12.6
Hispanic or Latino	7.3	24.0	4.7
EMPLOYMENT STATUS
Full-Time	8.1	21.6	5.3
Part-Time	12.3	26.4	7.9
Unemployed	11.7	25.4	8.3
Other³	5.8	17.2	3.1
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Aged 18+ column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.33A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services Including Virtual Services and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+¹	Received	Not Received
	2021	2021	2021
TOTAL	19,688	9,714	9,898
GEOGRAPHIC REGION
Northeast	2,855	1,328	1,504
Midwest	4,050	2,161	1,885
South	7,624	3,817	3,796
West	5,160	2,408	2,713
COUNTY TYPE
Large Metro	10,648	5,126	5,458
Small Metro	6,511	3,257	3,244
Nonmetro	2,528	1,331	1,196
Urbanized	1,145	558	587
Less Urbanized	1,195	688	507
Completely Rural	189	85	103
POVERTY LEVEL³
Less Than 100%	3,820	1,965	1,804
100-199%	4,087	2,210	1,856
200% or More	11,751	5,526	6,221
EDUCATION LEVEL
< High School	1,378	654	674
High School Graduate	4,173	1,961	2,202
Some College/Associate’s Degree	7,644	3,868	3,761
College Graduate	6,493	3,231	3,262
HEALTH INSURANCE⁴
Private	11,162	5,527	5,631
Medicaid/CHIP	4,676	2,741	1,887
Other⁵	3,082	1,759	1,323
No Coverage	2,496	837	1,635
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Aged 18+ column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.33B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services Including Virtual Services and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+¹	Received	Not Received
	2021	2021	2021
TOTAL	7.9	20.9	4.9
GEOGRAPHIC REGION
Northeast	6.6	15.8	4.3
Midwest	7.8	21.1	4.6
South	8.1	23.1	4.9
West	8.8	21.3	5.8
COUNTY TYPE
Large Metro	7.9	20.4	5.0
Small Metro	8.6	22.1	5.3
Nonmetro	6.8	20.1	3.9
Urbanized	8.2	21.9	5.1
Less Urbanized	6.2	20.4	3.2
Completely Rural	4.7	12.0	3.2
POVERTY LEVEL³
Less Than 100%	10.4	25.9	6.3
100-199%	8.3	24.9	4.6
200% or More	7.2	18.4	4.7
EDUCATION LEVEL
< High School	4.9	17.8	2.8
High School Graduate	6.1	20.1	3.8
Some College/Associate’s Degree	10.2	23.8	6.4
College Graduate	8.5	19.2	5.4
HEALTH INSURANCE⁴
Private	7.4	19.4	4.6
Medicaid/CHIP	10.3	24.8	5.6
Other⁵	4.2	13.2	2.2
No Coverage	10.1	34.3	7.4
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Aged 18+ column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.34A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+¹	MENTAL HEALTH SERVICES²
	Aged 18+¹	Received	Not Received
	2021	2021	2021
TOTAL	19,688	8,725	10,736
AGE GROUP
18-25	6,036	2,435	3,548
26 or Older	13,652	6,290	7,188
26-49	10,261	4,539	5,573
50 or Older	3,391	1,751	1,615
GENDER
Male	6,667	2,492	4,079
Female	13,021	6,233	6,657
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	16,629	7,625	8,876
White	12,873	6,220	6,578
Black or African American	2,143	880	1,234
AIAN	226	*	163
NHOPI	19	*	18
Asian	652	182	448
Two or More Races	716	279	435
Hispanic or Latino	3,059	1,099	1,860
EMPLOYMENT STATUS
Full-Time	9,073	3,584	5,383
Part-Time	3,682	1,693	1,952
Unemployed	1,499	590	883
Other³	5,435	2,857	2,518
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Aged 18+ column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.34B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+¹	MENTAL HEALTH SERVICES²
	Aged 18+¹	Received	Not Received
	2021	2021	2021
TOTAL	7.9	21.0	5.2
AGE GROUP
18-25	18.5	39.0	13.5
26 or Older	6.3	17.8	4.0
26-49	10.3	24.4	6.9
50 or Older	2.9	10.5	1.6
GENDER
Male	5.5	17.2	3.9
Female	10.2	23.0	6.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.1	20.5	5.3
White	8.3	19.7	5.3
Black or African American	7.2	25.6	4.7
AIAN	14.2	*	12.3
NHOPI	2.3	*	2.5
Asian	4.5	21.0	3.3
Two or More Races	16.4	27.9	13.1
Hispanic or Latino	7.3	24.9	5.0
EMPLOYMENT STATUS
Full-Time	8.1	21.7	5.7
Part-Time	12.3	26.9	8.4
Unemployed	11.7	25.9	8.4
Other³	5.8	17.3	3.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Aged 18+ column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.35A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+¹	MENTAL HEALTH SERVICES²
	Aged 18+¹	Received	Not Received
	2021	2021	2021
TOTAL	19,688	8,725	10,736
GEOGRAPHIC REGION
Northeast	2,855	1,145	1,678
Midwest	4,050	1,991	2,033
South	7,624	3,511	4,067
West	5,160	2,079	2,957
COUNTY TYPE
Large Metro	10,648	4,462	5,990
Small Metro	6,511	3,046	3,438
Nonmetro	2,528	1,218	1,307
Urbanized	1,145	488	655
Less Urbanized	1,195	646	547
Completely Rural	189	84	105
POVERTY LEVEL³
Less Than 100%	3,820	1,872	1,893
100-199%	4,087	2,018	1,997
200% or More	11,751	4,827	6,824
EDUCATION LEVEL
< High School	1,378	626	700
High School Graduate	4,173	1,859	2,283
Some College/Associate’s Degree	7,644	3,538	4,068
College Graduate	6,493	2,702	3,685
HEALTH INSURANCE⁴
Private	11,162	4,796	6,244
Medicaid/CHIP	4,676	2,570	2,030
Other⁵	3,082	1,698	1,379
No Coverage	2,496	794	1,677
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Aged 18+ column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.35B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+¹	MENTAL HEALTH SERVICES²
	Aged 18+¹	Received	Not Received
	2021	2021	2021
TOTAL	7.9	21.0	5.2
GEOGRAPHIC REGION
Northeast	6.6	15.5	4.7
Midwest	7.8	21.1	4.8
South	8.1	23.3	5.2
West	8.8	21.3	6.1
COUNTY TYPE
Large Metro	7.9	20.4	5.3
Small Metro	8.6	22.7	5.5
Nonmetro	6.8	19.3	4.3
Urbanized	8.2	20.7	5.6
Less Urbanized	6.2	19.8	3.5
Completely Rural	4.7	12.3	3.2
POVERTY LEVEL³
Less Than 100%	10.4	26.8	6.4
100-199%	8.3	25.0	4.9
200% or More	7.2	18.2	5.1
EDUCATION LEVEL
< High School	4.9	18.0	2.9
High School Graduate	6.1	20.3	3.9
Some College/Associate’s Degree	10.2	24.2	6.7
College Graduate	8.5	18.8	5.9
HEALTH INSURANCE⁴
Private	7.4	19.1	5.0
Medicaid/CHIP	10.3	25.2	5.8
Other⁵	4.2	13.4	2.3
No Coverage	10.1	36.7	7.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ The Aged 18+ column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.36A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services Including Virtual Services and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ with Any Mental Illness¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+ with Any Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	15,530	8,342	7,148
AGE GROUP
18-25	4,840	2,434	2,394
26 or Older	10,691	5,908	4,754
26-49	8,236	4,347	3,860
50 or Older	2,455	1,561	894
GENDER
Male	5,140	2,367	2,749
Female	10,391	5,975	4,399
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	13,211	7,279	5,925
White	10,233	5,877	4,352
Black or African American	1,752	872	878
AIAN	*	*	*
NHOPI	*	*	*
Asian	444	*	252
Two or More Races	610	*	323
Hispanic or Latino	2,319	1,063	1,222
EMPLOYMENT STATUS
Full-Time	7,059	3,510	3,549
Part-Time	2,947	1,643	1,304
Unemployed	1,170	544	615
Other³	4,354	2,645	1,680
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Any Mental Illness column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.36B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services Including Virtual Services and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ with Any Mental Illness¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+ with Any Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	27.6	31.5	24.1
AGE GROUP
18-25	43.9	49.6	39.2
26 or Older	23.7	27.4	20.2
26-49	29.5	32.5	26.8
50 or Older	14.2	19.1	9.8
GENDER
Male	23.8	27.4	21.2
Female	30.0	33.5	26.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	27.7	31.1	24.4
White	27.7	30.4	24.8
Black or African American	27.5	34.8	22.8
AIAN	*	*	*
NHOPI	*	*	*
Asian	18.8	*	14.3
Two or More Races	40.8	*	45.3
Hispanic or Latino	27.4	35.2	22.8
EMPLOYMENT STATUS
Full-Time	29.4	32.3	27.0
Part-Time	33.9	36.3	31.4
Unemployed	28.3	32.1	25.4
Other³	22.5	28.2	17.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Any Mental Illness column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.37A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services Including Virtual Services and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ with Any Mental Illness¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+ with Any Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	15,530	8,342	7,148
GEOGRAPHIC REGION
Northeast	2,188	1,101	1,064
Midwest	3,189	1,826	1,360
South	6,073	3,327	2,745
West	4,080	2,088	1,978
COUNTY TYPE
Large Metro	8,144	4,262	3,842
Small Metro	5,342	2,904	2,437
Nonmetro	2,045	1,176	869
Urbanized	977	515	462
Less Urbanized	928	589	339
Completely Rural	140	72	*
POVERTY LEVEL³
Less Than 100%	3,061	1,717	1,318
100-199%	3,451	2,026	1,413
200% or More	8,992	4,587	4,401
EDUCATION LEVEL
< High School	1,060	547	488
High School Graduate	3,440	1,828	1,611
Some College/Associate’s Degree	6,246	3,321	2,910
College Graduate	4,784	2,645	2,138
HEALTH INSURANCE⁴
Private	8,616	4,647	3,966
Medicaid/CHIP	3,969	2,454	1,478
Other⁵	2,315	1,510	805
No Coverage	1,978	744	1,233
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Any Mental Illness column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.37B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services Including Virtual Services and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ with Any Mental Illness¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+ with Any Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	27.6	31.5	24.1
GEOGRAPHIC REGION
Northeast	24.8	25.9	23.5
Midwest	26.9	30.6	23.1
South	28.3	34.0	23.6
West	29.0	32.4	26.1
COUNTY TYPE
Large Metro	27.3	30.8	24.1
Small Metro	29.8	34.7	25.6
Nonmetro	24.3	27.7	21.0
Urbanized	28.9	32.6	25.7
Less Urbanized	22.2	27.4	17.0
Completely Rural	16.3	14.1	*
POVERTY LEVEL³
Less Than 100%	29.0	35.6	23.2
100-199%	26.9	35.3	20.1
200% or More	27.4	28.9	26.1
EDUCATION LEVEL
< High School	18.8	27.3	13.5
High School Graduate	25.6	33.4	20.4
Some College/Associate’s Degree	31.2	32.7	29.6
College Graduate	28.0	30.0	26.0
HEALTH INSURANCE⁴
Private	27.8	30.5	25.3
Medicaid/CHIP	27.9	34.8	20.8
Other⁵	16.9	21.8	12.0
No Coverage	33.6	43.7	29.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Any Mental Illness column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.38A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ with Any Mental Illness¹	MENTAL HEALTH SERVICES²
	Aged 18+ with Any Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	15,530	7,564	7,826
AGE GROUP
18-25	4,840	2,139	2,669
26 or Older	10,691	5,425	5,157
26-49	8,236	3,908	4,245
50 or Older	2,455	1,518	912
GENDER
Male	5,140	2,138	2,937
Female	10,391	5,426	4,889
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	13,211	6,625	6,493
White	10,233	5,370	4,816
Black or African American	1,752	805	920
AIAN	*	*	*
NHOPI	*	*	*
Asian	444	*	287
Two or More Races	610	*	350
Hispanic or Latino	2,319	939	1,333
EMPLOYMENT STATUS
Full-Time	7,059	3,062	3,936
Part-Time	2,947	1,473	1,446
Unemployed	1,170	511	643
Other³	4,354	2,518	1,802
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Any Mental Illness column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.38B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ with Any Mental Illness¹	MENTAL HEALTH SERVICES²
	Aged 18+ with Any Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	27.6	31.5	24.6
AGE GROUP
18-25	43.9	49.6	40.2
26 or Older	23.7	27.5	20.5
26-49	29.5	32.7	27.0
50 or Older	14.2	19.5	9.7
GENDER
Male	23.8	27.8	21.3
Female	30.0	33.3	27.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	27.7	30.9	24.9
White	27.7	30.0	25.5
Black or African American	27.5	36.6	22.4
AIAN	*	*	*
NHOPI	*	*	*
Asian	18.8	*	15.3
Two or More Races	40.8	*	45.1
Hispanic or Latino	27.4	36.6	23.3
EMPLOYMENT STATUS
Full-Time	29.4	32.2	27.5
Part-Time	33.9	36.5	31.6
Unemployed	28.3	32.7	25.2
Other³	22.5	28.2	17.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Any Mental Illness column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.39A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ with Any Mental Illness¹	MENTAL HEALTH SERVICES²
	Aged 18+ with Any Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	15,530	7,564	7,826
GEOGRAPHIC REGION
Northeast	2,188	928	1,228
Midwest	3,189	1,689	1,475
South	6,073	3,099	2,971
West	4,080	1,848	2,152
COUNTY TYPE
Large Metro	8,144	3,786	4,238
Small Metro	5,342	2,709	2,617
Nonmetro	2,045	1,070	971
Urbanized	977	448	528
Less Urbanized	928	553	374
Completely Rural	140	70	*
POVERTY LEVEL³
Less Than 100%	3,061	1,649	1,382
100-199%	3,451	1,868	1,521
200% or More	8,992	4,042	4,901
EDUCATION LEVEL
< High School	1,060	519	515
High School Graduate	3,440	1,745	1,674
Some College/Associate’s Degree	6,246	3,044	3,166
College Graduate	4,784	2,257	2,472
HEALTH INSURANCE⁴
Private	8,616	4,076	4,471
Medicaid/CHIP	3,969	2,313	1,592
Other⁵	2,315	1,461	849
No Coverage	1,978	714	1,263
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Any Mental Illness column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.39B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ with Any Mental Illness¹	MENTAL HEALTH SERVICES²
	Aged 18+ with Any Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	27.6	31.5	24.6
GEOGRAPHIC REGION
Northeast	24.8	25.4	24.3
Midwest	26.9	30.5	23.4
South	28.3	34.0	24.3
West	29.0	32.3	26.4
COUNTY TYPE
Large Metro	27.3	30.9	24.5
Small Metro	29.8	35.1	25.8
Nonmetro	24.3	26.5	22.4
Urbanized	28.9	30.8	27.5
Less Urbanized	22.2	26.4	18.2
Completely Rural	16.3	14.2	*
POVERTY LEVEL³
Less Than 100%	29.0	36.2	23.3
100-199%	26.9	35.1	20.7
200% or More	27.4	28.6	26.6
EDUCATION LEVEL
< High School	18.8	27.4	13.9
High School Graduate	25.6	33.8	20.5
Some College/Associate’s Degree	31.2	33.0	29.7
College Graduate	28.0	29.1	26.8
HEALTH INSURANCE⁴
Private	27.8	30.1	26.0
Medicaid/CHIP	27.9	35.3	21.1
Other⁵	16.9	22.0	12.2
No Coverage	33.6	45.3	29.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Any Mental Illness column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.40A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services Including Virtual Services and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ with Serious Mental Illness¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+ with Serious Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	7,171	4,314	2,843
AGE GROUP
18-25	2,465	1,355	1,099
26 or Older	4,706	2,959	1,744
26-49	3,514	2,159	1,351
50 or Older	1,193	800	*
GENDER
Male	2,295	1,272	1,024
Female	4,876	3,043	1,819
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5,924	3,636	2,285
White	4,642	2,963	1,676
Black or African American	769	*	*
AIAN	*	*	*
NHOPI	*	*	*
Asian	*	*	*
Two or More Races	*	*	*
Hispanic or Latino	1,247	678	559
EMPLOYMENT STATUS
Full-Time	2,739	1,504	1,235
Part-Time	1,405	883	*
Unemployed	614	342	*
Other³	2,414	1,585	826
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Serious Mental Illness column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.40B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services Including Virtual Services and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ with Serious Mental Illness¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+ with Serious Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	51.5	47.4	59.1
AGE GROUP
18-25	65.1	62.0	69.2
26 or Older	46.4	42.8	54.2
26-49	49.1	45.0	57.4
50 or Older	40.0	37.8	*
GENDER
Male	47.2	42.7	54.4
Female	53.8	49.7	62.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	50.2	46.3	58.1
White	48.9	45.4	56.4
Black or African American	58.5	*	*
AIAN	*	*	*
NHOPI	*	*	*
Asian	*	*	*
Two or More Races	*	*	*
Hispanic or Latino	58.7	54.8	63.8
EMPLOYMENT STATUS
Full-Time	49.5	44.5	57.5
Part-Time	58.9	56.5	*
Unemployed	51.6	46.6	*
Other³	50.0	46.3	59.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Serious Mental Illness column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.41A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services Including Virtual Services and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ with Serious Mental Illness¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+ with Serious Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	7,171	4,314	2,843
GEOGRAPHIC REGION
Northeast	971	557	*
Midwest	1,438	894	544
South	2,863	1,826	1,037
West	1,900	1,037	848
COUNTY TYPE
Large Metro	3,373	2,016	1,343
Small Metro	2,691	1,594	1,096
Nonmetro	1,108	704	*
Urbanized	482	*	*
Less Urbanized	564	*	*
Completely Rural	*	*	*
POVERTY LEVEL³
Less Than 100%	1,612	1,019	593
100-199%	1,743	1,085	647
200% or More	3,813	2,209	1,601
EDUCATION LEVEL
< High School	649	*	*
High School Graduate	1,732	1,057	675
Some College/Associate’s Degree	3,080	1,749	1,317
College Graduate	1,710	1,171	539
HEALTH INSURANCE⁴
Private	3,598	2,227	1,368
Medicaid/CHIP	2,020	1,333	677
Other⁵	1,188	806	*
No Coverage	1,058	*	572
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Serious Mental Illness column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.41B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services Including Virtual Services and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ with Serious Mental Illness¹	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES²
	Aged 18+ with Serious Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	51.5	47.4	59.1
GEOGRAPHIC REGION
Northeast	47.7	44.0	*
Midwest	49.5	44.9	59.6
South	53.0	50.8	57.5
West	53.0	46.1	64.2
COUNTY TYPE
Large Metro	49.3	44.8	57.7
Small Metro	55.0	51.4	61.3
Nonmetro	50.6	46.9	*
Urbanized	52.4	*	*
Less Urbanized	51.4	*	*
Completely Rural	*	*	*
POVERTY LEVEL³
Less Than 100%	53.2	51.3	56.6
100-199%	51.9	49.5	56.2
200% or More	50.6	44.9	61.4
EDUCATION LEVEL
< High School	53.5	*	*
High School Graduate	52.5	54.2	50.0
Some College/Associate’s Degree	51.6	45.3	63.0
College Graduate	49.7	45.6	62.2
HEALTH INSURANCE⁴
Private	51.9	46.8	63.0
Medicaid/CHIP	51.4	49.5	55.1
Other⁵	39.8	37.4	*
No Coverage	63.9	*	61.7
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Serious Mental Illness column includes respondents with unknown mental health services including virtual services information. ² Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.42A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ with Serious Mental Illness¹	MENTAL HEALTH SERVICES²
	Aged 18+ with Serious Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	7,171	3,995	3,129
AGE GROUP
18-25	2,465	1,228	1,218
26 or Older	4,706	2,767	1,911
26-49	3,514	1,983	1,508
50 or Older	1,193	784	*
GENDER
Male	2,295	1,169	1,112
Female	4,876	2,826	2,017
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5,924	3,371	2,521
White	4,642	2,745	1,869
Black or African American	769	*	*
AIAN	*	*	*
NHOPI	*	*	*
Asian	*	*	*
Two or More Races	*	*	*
Hispanic or Latino	1,247	*	608
EMPLOYMENT STATUS
Full-Time	2,739	1,340	1,393
Part-Time	1,405	803	580
Unemployed	614	*	*
Other³	2,414	1,536	875
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Serious Mental Illness column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.42B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ with Serious Mental Illness¹	MENTAL HEALTH SERVICES²
	Aged 18+ with Serious Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	51.5	47.0	58.6
AGE GROUP
18-25	65.1	61.0	69.8
26 or Older	46.4	42.7	53.2
26-49	49.1	44.8	56.3
50 or Older	40.0	38.1	*
GENDER
Male	47.2	42.7	53.6
Female	53.8	49.1	61.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	50.2	45.7	57.7
White	48.9	44.7	56.2
Black or African American	58.5	*	*
AIAN	*	*	*
NHOPI	*	*	*
Asian	*	*	*
Two or More Races	*	*	*
Hispanic or Latino	58.7	*	62.8
EMPLOYMENT STATUS
Full-Time	49.5	43.4	57.4
Part-Time	58.9	56.3	63.7
Unemployed	51.6	*	*
Other³	50.0	46.7	57.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Serious Mental Illness column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.43A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ with Serious Mental Illness¹	MENTAL HEALTH SERVICES²
	Aged 18+ with Serious Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	7,171	3,995	3,129
GEOGRAPHIC REGION
Northeast	971	499	*
Midwest	1,438	839	584
South	2,863	1,733	1,127
West	1,900	924	949
COUNTY TYPE
Large Metro	3,373	1,861	1,480
Small Metro	2,691	1,491	1,186
Nonmetro	1,108	643	463
Urbanized	482	*	*
Less Urbanized	564	*	*
Completely Rural	*	*	*
POVERTY LEVEL³
Less Than 100%	1,612	976	632
100-199%	1,743	1,018	709
200% or More	3,813	2,000	1,786
EDUCATION LEVEL
< High School	649	*	*
High School Graduate	1,732	1,014	718
Some College/Associate’s Degree	3,080	1,644	1,415
College Graduate	1,710	1,009	677
HEALTH INSURANCE⁴
Private	3,598	1,980	1,593
Medicaid/CHIP	2,020	1,300	705
Other⁵	1,188	781	*
No Coverage	1,058	*	592
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Serious Mental Illness column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.43B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Receipt of Past Year Mental Health Services (Inpatient, Outpatient, or Prescription Medication) and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ with Serious Mental Illness¹	MENTAL HEALTH SERVICES²
	Aged 18+ with Serious Mental Illness¹	Received	Not Received
	2021	2021	2021
TOTAL	51.5	47.0	58.6
GEOGRAPHIC REGION
Northeast	47.7	43.5	*
Midwest	49.5	45.0	57.4
South	53.0	50.4	58.5
West	53.0	45.3	62.6
COUNTY TYPE
Large Metro	49.3	44.1	57.4
Small Metro	55.0	52.3	59.6
Nonmetro	50.6	45.3	60.3
Urbanized	52.4	*	*
Less Urbanized	51.4	*	*
Completely Rural	*	*	*
POVERTY LEVEL³
Less Than 100%	53.2	51.4	56.1
100-199%	51.9	49.4	55.7
200% or More	50.6	44.2	60.9
EDUCATION LEVEL
< High School	53.5	*	*
High School Graduate	52.5	53.7	50.9
Some College/Associate’s Degree	51.6	45.5	61.4
College Graduate	49.7	43.9	60.9
HEALTH INSURANCE⁴
Private	51.9	45.4	62.7
Medicaid/CHIP	51.4	50.3	53.3
Other⁵	39.8	37.8	*
No Coverage	63.9	*	61.8
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ¹ The Aged 18+ with Serious Mental Illness column includes respondents with unknown mental health services information. ² Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.44A – Receipt of Mental Health Services Including Virtual Services in Past Year: Among People Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year; by Age Group, Numbers in Thousands, 2021
Receipt of Mental Health Services	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
RECEIVED MENTAL HEALTH SERVICES
Mental Health Services Including Virtual Services	9,714	2,786	6,929	5,110	1,819
Inpatient, Outpatient, or Prescription Medication	8,725	2,435	6,290	4,539	1,751
DID NOT RECEIVE MENTAL HEALTH SERVICES
No Mental Health Services Including Virtual Services	9,898	3,228	6,670	5,098	1,572
No Inpatient, Outpatient, or Prescription Medication	10,736	3,548	7,188	5,573	1,615
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.44B – Receipt of Mental Health Services Including Virtual Services in Past Year: Among People Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year; by Age Group, Percentages, 2021
Receipt of Mental Health Services	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
RECEIVED MENTAL HEALTH SERVICES
Mental Health Services Including Virtual Services	49.5	46.3	51.0	50.1	53.6
Inpatient, Outpatient, or Prescription Medication	44.8	40.7	46.7	44.9	52.0
DID NOT RECEIVE MENTAL HEALTH SERVICES
No Mental Health Services Including Virtual Services	50.5	53.7	49.0	49.9	46.4
No Inpatient, Outpatient, or Prescription Medication	55.2	59.3	53.3	55.1	48.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.45A – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services Including Virtual Services, Numbers in Thousands, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with a Perceived Unmet Need²	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES³
	Aged 18+ with a Perceived Unmet Need²	Received	Not Received
	2021	2021	2021
TOTAL POPULATION	19,688	9,714	9,898
Could Not Afford Cost	7,821	3,576	4,232
Might Cause Neighbors/Community to Have Negative Opinion	2,066	935	1,120
Might Have Negative Effect on Job	1,475	673	802
Health Insurance Does Not Cover Any Mental Health Services	1,580	666	900
Health Insurance Does Not Pay Enough for Mental Health Services	3,170	1,751	1,415
Did Not Know Where to Go for Services	5,854	2,332	3,498
Concerned about Confidentiality	2,258	915	1,332
Concerned about Being Committed/Having to Take Medicine	2,290	1,077	1,199
Did Not Feel Need for Treatment at the Time	2,220	919	1,301
Thought Could Handle the Problem Without Treatment	5,382	2,235	3,143
Treatment Would Not Help	2,349	1,054	1,292
Did Not Have Time	3,690	1,706	1,980
Did Not Want Others to Find Out	1,472	508	964
No Transportation/Inconvenient	988	537	451
COVID-19-Related⁴	427	246	181
Some Other Reason⁵	2,662	1,715	946
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with a Perceived Unmet Need column includes respondents with unknown mental health services including virtual services information. ³ Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.45B – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services Including Virtual Services, Percentages, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with a Perceived Unmet Need²	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES³
	Aged 18+ with a Perceived Unmet Need²	Received	Not Received
	2021	2021	2021
TOTAL POPULATION	100.0	100.0	100.0
Could Not Afford Cost	40.1	37.2	42.9
Might Cause Neighbors/Community to Have Negative Opinion	10.6	9.7	11.4
Might Have Negative Effect on Job	7.6	7.0	8.1
Health Insurance Does Not Cover Any Mental Health Services	8.1	6.9	9.1
Health Insurance Does Not Pay Enough for Mental Health Services	16.2	18.2	14.3
Did Not Know Where to Go for Services	30.0	24.2	35.4
Concerned about Confidentiality	11.6	9.5	13.5
Concerned about Being Committed/Having to Take Medicine	11.7	11.2	12.2
Did Not Feel Need for Treatment at the Time	11.4	9.6	13.2
Thought Could Handle the Problem Without Treatment	27.6	23.2	31.9
Treatment Would Not Help	12.1	11.0	13.1
Did Not Have Time	18.9	17.7	20.1
Did Not Want Others to Find Out	7.6	5.3	9.8
No Transportation/Inconvenient	5.1	5.6	4.6
COVID-19-Related⁴	2.2	2.5	1.8
Some Other Reason⁵	13.6	17.8	9.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with a Perceived Unmet Need column includes respondents with unknown mental health services including virtual services information. ³ Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.46A – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Numbers in Thousands, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with a Perceived Unmet Need²	MENTAL HEALTH SERVICES³
	Aged 18+ with a Perceived Unmet Need²	Received	Not Received
	2021	2021	2021
TOTAL POPULATION	19,688	8,725	10,736
Could Not Afford Cost	7,821	3,154	4,601
Might Cause Neighbors/Community to Have Negative Opinion	2,066	841	1,211
Might Have Negative Effect on Job	1,475	619	855
Health Insurance Does Not Cover Any Mental Health Services	1,580	573	967
Health Insurance Does Not Pay Enough for Mental Health Services	3,170	1,503	1,611
Did Not Know Where to Go for Services	5,854	1,943	3,822
Concerned about Confidentiality	2,258	828	1,416
Concerned about Being Committed/Having to Take Medicine	2,290	959	1,309
Did Not Feel Need for Treatment at the Time	2,220	814	1,402
Thought Could Handle the Problem Without Treatment	5,382	2,009	3,361
Treatment Would Not Help	2,349	952	1,391
Did Not Have Time	3,690	1,470	2,176
Did Not Want Others to Find Out	1,472	436	1,033
No Transportation/Inconvenient	988	491	496
COVID-19-Related⁴	427	232	195
Some Other Reason⁵	2,662	1,598	1,052
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with a Perceived Unmet Need column includes respondents with unknown mental health services information. ³ Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.46B – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Percentages, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with a Perceived Unmet Need²	MENTAL HEALTH SERVICES³
	Aged 18+ with a Perceived Unmet Need²	Received	Not Received
	2021	2021	2021
TOTAL POPULATION	100.0	100.0	100.0
Could Not Afford Cost	40.1	36.5	43.0
Might Cause Neighbors/Community to Have Negative Opinion	10.6	9.7	11.3
Might Have Negative Effect on Job	7.6	7.2	8.0
Health Insurance Does Not Cover Any Mental Health Services	8.1	6.6	9.0
Health Insurance Does Not Pay Enough for Mental Health Services	16.2	17.4	15.1
Did Not Know Where to Go for Services	30.0	22.5	35.8
Concerned about Confidentiality	11.6	9.6	13.2
Concerned about Being Committed/Having to Take Medicine	11.7	11.1	12.3
Did Not Feel Need for Treatment at the Time	11.4	9.4	13.2
Thought Could Handle the Problem Without Treatment	27.6	23.2	31.6
Treatment Would Not Help	12.1	11.0	13.1
Did Not Have Time	18.9	17.0	20.4
Did Not Want Others to Find Out	7.6	5.0	9.7
No Transportation/Inconvenient	5.1	5.7	4.7
COVID-19-Related⁴	2.2	2.7	1.8
Some Other Reason⁵	13.6	18.5	9.8
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with a Perceived Unmet Need column includes respondents with unknown mental health services information. ³ Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.47A – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services Including Virtual Services, Numbers in Thousands, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with Any Mental Illness and a Perceived Unmet Need²	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES³
		Received	Not Received
	2021	2021	2021
TOTAL POPULATION	15,530	8,342	7,148
Could Not Afford Cost	6,661	3,235	3,413
Might Cause Neighbors/Community to Have Negative Opinion	1,782	867	903
Might Have Negative Effect on Job	1,311	624	688
Health Insurance Does Not Cover Any Mental Health Services	1,392	621	757
Health Insurance Does Not Pay Enough for Mental Health Services	2,641	1,498	1,139
Did Not Know Where to Go for Services	4,796	2,049	2,733
Concerned about Confidentiality	1,967	842	1,114
Concerned about Being Committed/Having to Take Medicine	2,146	1,041	1,091
Did Not Feel Need for Treatment at the Time	1,658	732	926
Thought Could Handle the Problem Without Treatment	4,151	1,917	2,230
Treatment Would Not Help	1,961	913	1,044
Did Not Have Time	2,889	1,413	1,471
Did Not Want Others to Find Out	1,269	491	778
No Transportation/Inconvenient	956	529	427
COVID-19-Related⁴	356	219	137
Some Other Reason⁵	2,275	1,519	756
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with Any Mental Illness and a Perceived Unmet Need column includes respondents with unknown mental health services including virtual services information. ³ Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.47B – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services Including Virtual Services, Percentages, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with Any Mental Illness and a Perceived Unmet Need²	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES³
		Received	Not Received
	2021	2021	2021
TOTAL POPULATION	100.0	100.0	100.0
Could Not Afford Cost	43.2	39.1	47.8
Might Cause Neighbors/Community to Have Negative Opinion	11.6	10.5	12.7
Might Have Negative Effect on Job	8.5	7.5	9.6
Health Insurance Does Not Cover Any Mental Health Services	9.0	7.5	10.6
Health Insurance Does Not Pay Enough for Mental Health Services	17.1	18.1	16.0
Did Not Know Where to Go for Services	31.1	24.8	38.3
Concerned about Confidentiality	12.8	10.2	15.6
Concerned about Being Committed/Having to Take Medicine	13.9	12.6	15.3
Did Not Feel Need for Treatment at the Time	10.8	8.8	13.0
Thought Could Handle the Problem Without Treatment	27.0	23.2	31.4
Treatment Would Not Help	12.7	11.0	14.7
Did Not Have Time	18.8	17.1	20.7
Did Not Want Others to Find Out	8.2	5.9	11.0
No Transportation/Inconvenient	6.2	6.4	6.0
COVID-19-Related⁴	2.3	2.6	1.9
Some Other Reason⁵	14.7	18.3	10.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with Any Mental Illness and a Perceived Unmet Need column includes respondents with unknown mental health services including virtual services information. ³ Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.48A – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Numbers in Thousands, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with Any Mental Illness and a Perceived Unmet Need²	MENTAL HEALTH SERVICES³
		Received	Not Received
	2021	2021	2021
TOTAL POPULATION	15,530	7,564	7,826
Could Not Afford Cost	6,661	2,893	3,714
Might Cause Neighbors/Community to Have Negative Opinion	1,782	791	977
Might Have Negative Effect on Job	1,311	582	728
Health Insurance Does Not Cover Any Mental Health Services	1,392	531	821
Health Insurance Does Not Pay Enough for Mental Health Services	2,641	1,304	1,301
Did Not Know Where to Go for Services	4,796	1,723	3,004
Concerned about Confidentiality	1,967	757	1,195
Concerned about Being Committed/Having to Take Medicine	2,146	928	1,197
Did Not Feel Need for Treatment at the Time	1,658	654	1,000
Thought Could Handle the Problem Without Treatment	4,151	1,715	2,426
Treatment Would Not Help	1,961	835	1,120
Did Not Have Time	2,889	1,228	1,647
Did Not Want Others to Find Out	1,269	423	845
No Transportation/Inconvenient	956	488	467
COVID-19-Related⁴	356	206	149
Some Other Reason⁵	2,275	1,410	857
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with Any Mental Illness and a Perceived Unmet Need column includes respondents with unknown mental health services information. ³ Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.48B – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Percentages, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with Any Mental Illness and a Perceived Unmet Need²	MENTAL HEALTH SERVICES³
		Received	Not Received
	2021	2021	2021
TOTAL POPULATION	100.0	100.0	100.0
Could Not Afford Cost	43.2	38.5	47.6
Might Cause Neighbors/Community to Have Negative Opinion	11.6	10.5	12.5
Might Have Negative Effect on Job	8.5	7.8	9.3
Health Insurance Does Not Cover Any Mental Health Services	9.0	7.1	10.5
Health Insurance Does Not Pay Enough for Mental Health Services	17.1	17.4	16.7
Did Not Know Where to Go for Services	31.1	22.9	38.5
Concerned about Confidentiality	12.8	10.1	15.3
Concerned about Being Committed/Having to Take Medicine	13.9	12.4	15.3
Did Not Feel Need for Treatment at the Time	10.8	8.7	12.9
Thought Could Handle the Problem Without Treatment	27.0	22.8	31.2
Treatment Would Not Help	12.7	11.1	14.4
Did Not Have Time	18.8	16.4	21.2
Did Not Want Others to Find Out	8.2	5.6	10.9
No Transportation/Inconvenient	6.2	6.5	6.0
COVID-19-Related⁴	2.3	2.7	1.9
Some Other Reason⁵	14.7	18.8	11.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with Any Mental Illness and a Perceived Unmet Need column includes respondents with unknown mental health services information. ³ Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.49A – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services Including Virtual Services, Numbers in Thousands, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with Serious Mental Illness and a Perceived Unmet Need²	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES³
		Received	Not Received
	2021	2021	2021
TOTAL POPULATION	7,171	4,314	2,843
Could Not Afford Cost	3,336	1,774	1,548
Might Cause Neighbors/Community to Have Negative Opinion	898	550	337
Might Have Negative Effect on Job	653	407	245
Health Insurance Does Not Cover Any Mental Health Services	729	319	396
Health Insurance Does Not Pay Enough for Mental Health Services	1,366	822	541
Did Not Know Where to Go for Services	2,260	1,139	1,107
Concerned about Confidentiality	1,167	580	576
Concerned about Being Committed/Having to Take Medicine	1,439	837	588
Did Not Feel Need for Treatment at the Time	829	374	454
Thought Could Handle the Problem Without Treatment	1,984	966	1,015
Treatment Would Not Help	986	479	503
Did Not Have Time	1,261	661	596
Did Not Want Others to Find Out	665	285	380
No Transportation/Inconvenient	673	413	260
COVID-19-Related⁴	129	102	27
Some Other Reason⁵	1,086	760	326
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with Serious Mental Illness and a Perceived Unmet Need column includes respondents with unknown mental health services including virtual services information. ³ Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.49B – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services Including Virtual Services, Percentages, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with Serious Mental Illness and a Perceived Unmet Need²	MENTAL HEALTH SERVICES INCLUDING VIRTUAL SERVICES³
		Received	Not Received
	2021	2021	2021
TOTAL POPULATION	100.0	100.0	100.0
Could Not Afford Cost	46.7	41.4	54.5
Might Cause Neighbors/Community to Have Negative Opinion	12.6	12.8	11.9
Might Have Negative Effect on Job	9.1	9.5	8.6
Health Insurance Does Not Cover Any Mental Health Services	10.2	7.4	13.9
Health Insurance Does Not Pay Enough for Mental Health Services	19.1	19.2	19.0
Did Not Know Where to Go for Services	31.6	26.6	38.9
Concerned about Confidentiality	16.3	13.5	20.3
Concerned about Being Committed/Having to Take Medicine	20.1	19.5	20.7
Did Not Feel Need for Treatment at the Time	11.7	8.7	16.2
Thought Could Handle the Problem Without Treatment	27.9	22.5	36.1
Treatment Would Not Help	13.9	11.2	17.9
Did Not Have Time	17.7	15.4	21.2
Did Not Want Others to Find Out	9.3	6.6	13.5
No Transportation/Inconvenient	9.5	9.6	9.3
COVID-19-Related⁴	1.8	2.4	0.9
Some Other Reason⁵	15.2	17.7	11.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with Serious Mental Illness and a Perceived Unmet Need column includes respondents with unknown mental health services including virtual services information. ³ Mental health services including virtual services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication for problems with emotions, nerves, or mental health; and virtual services. Respondents with unknown mental health services including virtual services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.50A – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Numbers in Thousands, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with Serious Mental Illness and a Perceived Unmet Need²	MENTAL HEALTH SERVICES³
		Received	Not Received
	2021	2021	2021
TOTAL POPULATION	7,171	3,995	3,129
Could Not Afford Cost	3,336	1,637	1,678
Might Cause Neighbors/Community to Have Negative Opinion	898	530	357
Might Have Negative Effect on Job	653	380	272
Health Insurance Does Not Cover Any Mental Health Services	729	282	429
Health Insurance Does Not Pay Enough for Mental Health Services	1,366	762	597
Did Not Know Where to Go for Services	2,260	992	1,235
Concerned about Confidentiality	1,167	534	621
Concerned about Being Committed/Having to Take Medicine	1,439	757	666
Did Not Feel Need for Treatment at the Time	829	348	478
Thought Could Handle the Problem Without Treatment	1,984	885	1,090
Treatment Would Not Help	986	427	554
Did Not Have Time	1,261	595	659
Did Not Want Others to Find Out	665	259	404
No Transportation/Inconvenient	673	381	292
COVID-19-Related⁴	129	102	27
Some Other Reason⁵	1,086	725	354
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with Serious Mental Illness and a Perceived Unmet Need column includes respondents with unknown mental health services information. ³ Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.50B – Detailed Reasons for Not Receiving Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Receipt of Past Year Mental Health Services, Percentages, 2021
Reason Did Not Receive Mental Health Services¹	Aged 18+ with Serious Mental Illness and a Perceived Unmet Need²	MENTAL HEALTH SERVICES³
		Received	Not Received
	2021	2021	2021
TOTAL POPULATION	100.0	100.0	100.0
Could Not Afford Cost	46.7	41.1	53.8
Might Cause Neighbors/Community to Have Negative Opinion	12.6	13.3	11.5
Might Have Negative Effect on Job	9.1	9.5	8.7
Health Insurance Does Not Cover Any Mental Health Services	10.2	7.1	13.8
Health Insurance Does Not Pay Enough for Mental Health Services	19.1	19.1	19.1
Did Not Know Where to Go for Services	31.6	24.9	39.6
Concerned about Confidentiality	16.3	13.4	19.9
Concerned about Being Committed/Having to Take Medicine	20.1	19.0	21.4
Did Not Feel Need for Treatment at the Time	11.7	8.7	15.5
Thought Could Handle the Problem Without Treatment	27.9	22.2	35.3
Treatment Would Not Help	13.9	10.7	18.0
Did Not Have Time	17.7	14.9	21.4
Did Not Want Others to Find Out	9.3	6.5	13.1
No Transportation/Inconvenient	9.5	9.6	9.5
COVID-19-Related⁴	1.8	2.6	0.8
Some Other Reason⁵	15.2	18.2	11.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ¹ Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive. ² The Aged 18+ with Serious Mental Illness and a Perceived Unmet Need column includes respondents with unknown mental health services information. ³ Mental health services for adults includes inpatient treatment/counseling; outpatient treatment/counseling; and use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health services information were excluded. ⁴ Respondents were permitted to specify other reasons for not receiving mental health services. Reasons related to COVID-19 were collectively the most common write-in response. ⁵ Respondents with unknown or invalid responses to the write-in question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some other reason. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.51A – Major Depressive Episode in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Numbers in Thousands, 2021
Age Category	Total (2021)	Male (2021)	Female (2021)
TOTAL	21,040	7,674	13,366
18-25	6,226	2,098	4,128
18-20	2,490	790	1,700
21-25	3,736	1,308	2,427
26 or Older	14,814	5,575	9,238
26-49	9,533	3,812	5,721
26-29	2,201	826	1,375
30-34	2,320	948	1,372
35-39	1,977	837	1,140
40-44	1,455	550	904
45-49	1,580	651	930
50 or Older	5,280	1,763	3,517
50-54	1,408	497	911
55-59	1,164	379	785
60-64	1,152	387	764
65 or Older	1,557	500	1,057
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.51B – Major Depressive Episode in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Percentages, 2021
Age Category	Total (2021)	Male (2021)	Female (2021)
TOTAL	8.3	6.2	10.3
18-25	18.6	12.5	24.7
18-20	19.0	11.7	27.0
21-25	18.3	13.2	23.3
26 or Older	6.7	5.2	8.1
26-49	9.3	7.5	11.1
26-29	12.6	9.6	15.6
30-34	10.2	8.3	12.1
35-39	8.8	7.5	10.2
40-44	7.1	5.5	8.6
45-49	8.2	6.7	9.6
50 or Older	4.5	3.2	5.7
50-54	7.3	5.3	9.1
55-59	5.5	3.5	7.5
60-64	5.1	3.6	6.5
65 or Older	2.8	2.0	3.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.52A – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Numbers in Thousands, 2021
Age Category	Total (2021)	Male (2021)	Female (2021)
TOTAL	14,492	5,101	9,392
18-25	4,441	1,395	3,046
18-20	1,766	491	1,275
21-25	2,675	904	1,771
26 or Older	10,051	3,706	6,346
26-49	6,621	2,579	4,042
26-29	1,596	584	1,012
30-34	1,610	649	961
35-39	1,380	557	823
40-44	995	339	656
45-49	1,040	450	590
50 or Older	3,430	1,127	2,303
50-54	1,008	436	572
55-59	887	296	592
60-64	796	221	574
65 or Older	739	173	566
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.52B – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 18 or Older; by Gender and Detailed Age Category, Percentages, 2021
Age Category	Total (2021)	Male (2021)	Female (2021)
TOTAL	5.7	4.1	7.2
18-25	13.3	8.3	18.2
18-20	13.5	7.2	20.2
21-25	13.1	9.1	17.0
26 or Older	4.6	3.5	5.6
26-49	6.5	5.1	7.8
26-29	9.2	6.8	11.4
30-34	7.1	5.7	8.5
35-39	6.2	5.0	7.4
40-44	4.9	3.4	6.3
45-49	5.4	4.6	6.1
50 or Older	2.9	2.0	3.7
50-54	5.2	4.6	5.7
55-59	4.2	2.7	5.7
60-64	3.5	2.1	4.9
65 or Older	1.3	0.7	1.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.53A – Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with Major Depressive Episode (MDE) and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Gender and Age Group, Numbers in Thousands, 2021
Gender/Age Group	Received Treatment for Depression in Past Year among People with MDE (2021)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment (2021)
TOTAL	12,604	9,182
18-25	3,138	2,476
26 or Older	9,467	6,706
26-49	5,961	4,332
50 or Older	3,506	2,374
MALE	4,109	2,800
18-25	757	588
26 or Older	3,352	2,212
26-49	2,265	1,557
50 or Older	1,087	*
FEMALE	8,495	6,382
18-25	2,380	1,888
26 or Older	6,115	4,494
26-49	3,695	2,775
50 or Older	2,419	1,719
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year treatment for depression data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.53B – Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with Major Depressive Episode (MDE) and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Gender and Age Group, Percentages, 2021
Gender/Age Group	Received Treatment for Depression in Past Year among People with MDE (2021)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment (2021)
TOTAL	61.0	64.8
18-25	51.1	56.7
26 or Older	65.2	68.3
26-49	63.5	66.6
50 or Older	68.2	71.8
MALE	54.3	56.1
18-25	36.8	43.4
26 or Older	60.9	60.8
26-49	60.1	61.1
50 or Older	62.5	*
FEMALE	64.9	69.5
18-25	58.3	62.8
26 or Older	67.8	72.8
26-49	65.8	70.1
50 or Older	71.1	77.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year treatment for depression data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.54A – Major Depressive Episode (MDE) and MDE with Severe Impairment in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Had MDE (2021)	Had MDE with Severe Impairment (2021)
TOTAL	21,040	14,492
GENDER
Male	7,674	5,101
Female	13,366	9,392
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	17,639	12,149
White	14,011	9,641
Black or African American	2,063	1,408
AIAN	181	124
NHOPI	45	42
Asian	717	490
Two or More Races	622	443
Hispanic or Latino	3,400	2,343
EMPLOYMENT STATUS
Full-Time	8,718	5,870
Part-Time	3,648	2,407
Unemployed	1,670	1,186
Other¹	7,004	5,030
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.54B – Major Depressive Episode (MDE) and MDE with Severe Impairment in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Had MDE (2021)	Had MDE with Severe Impairment (2021)
TOTAL	8.3	5.7
GENDER
Male	6.2	4.1
Female	10.3	7.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.4	5.8
White	8.9	6.1
Black or African American	6.7	4.6
AIAN	11.2	7.7
NHOPI	5.1	4.7
Asian	4.8	3.3
Two or More Races	13.9	9.9
Hispanic or Latino	7.9	5.4
EMPLOYMENT STATUS
Full-Time	7.6	5.1
Part-Time	11.9	7.9
Unemployed	12.6	9.0
Other¹	7.3	5.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.55A – Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with Major Depressive Episode (MDE) and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Received Treatment for Depression in Past Year among People with MDE (2021)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment (2021)
TOTAL	12,604	9,182
GENDER
Male	4,109	2,800
Female	8,495	6,382
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10,688	7,848
White	8,878	6,542
Black or African American	1,019	701
AIAN	*	*
NHOPI	*	*
Asian	*	*
Two or More Races	377	*
Hispanic or Latino	1,917	1,334
EMPLOYMENT STATUS
Full-Time	4,980	3,528
Part-Time	2,105	1,490
Unemployed	955	754
Other¹	4,564	3,411
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year treatment for depression data were excluded. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.55B – Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with Major Depressive Episode (MDE) and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Received Treatment for Depression in Past Year among People with MDE (2021)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment (2021)
TOTAL	61.0	64.8
GENDER
Male	54.3	56.1
Female	64.9	69.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	61.5	65.7
White	64.0	68.6
Black or African American	51.0	52.5
AIAN	*	*
NHOPI	*	*
Asian	*	*
Two or More Races	60.7	*
Hispanic or Latino	58.5	59.7
EMPLOYMENT STATUS
Full-Time	57.9	60.4
Part-Time	58.8	64.9
Unemployed	58.5	62.6
Other¹	66.6	70.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year treatment for depression data were excluded. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.56A – Major Depressive Episode (MDE) and MDE with Severe Impairment in Past Year: Among People Aged 18 or Older; by Geographic, Socioeconomic, and Health Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic/Health Characteristic	Had MDE (2021)	Had MDE with Severe Impairment (2021)
TOTAL	21,040	14,492
GEOGRAPHIC REGION
Northeast	3,173	2,193
Midwest	4,522	3,071
South	7,880	5,476
West	5,465	3,753
COUNTY TYPE
Large Metro	10,971	7,586
Small Metro	7,174	4,815
Nonmetro	2,895	2,091
POVERTY LEVEL¹
Less Than 100%	4,224	3,188
100-199%	4,814	3,414
200% or More	11,989	7,879
EDUCATION LEVEL
< High School	1,730	1,226
High School Graduate	4,778	3,214
Some College/Associate’s Degree	8,526	6,294
College Graduate	6,006	3,758
HEALTH INSURANCE²
Private	11,467	7,640
Medicaid/CHIP	5,407	4,048
Other³	4,468	3,097
No Coverage	2,263	1,381
OVERALL HEALTH⁴
Excellent	1,819	1,094
Very Good	5,779	3,679
Good	7,592	5,156
Fair/Poor	5,786	4,499
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Respondents with unknown health data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.56B – Major Depressive Episode (MDE) and MDE with Severe Impairment in Past Year: Among People Aged 18 or Older; by Geographic, Socioeconomic, and Health Characteristics, Percentages, 2021
Geographic/Socioeconomic/Health Characteristic	Had MDE (2021)	Had MDE with Severe Impairment (2021)
TOTAL	8.3	5.7
GEOGRAPHIC REGION
Northeast	7.1	4.9
Midwest	8.6	5.8
South	8.2	5.7
West	9.1	6.2
COUNTY TYPE
Large Metro	7.9	5.5
Small Metro	9.2	6.2
Nonmetro	7.7	5.5
POVERTY LEVEL¹
Less Than 100%	11.2	8.5
100-199%	9.6	6.8
200% or More	7.2	4.8
EDUCATION LEVEL
< High School	6.0	4.3
High School Graduate	6.8	4.6
Some College/Associate’s Degree	11.1	8.2
College Graduate	7.7	4.8
HEALTH INSURANCE²
Private	7.4	4.9
Medicaid/CHIP	11.6	8.7
Other³	5.9	4.1
No Coverage	8.9	5.4
OVERALL HEALTH⁴
Excellent	4.0	2.4
Very Good	6.6	4.2
Good	9.4	6.4
Fair/Poor	14.9	11.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Respondents with unknown health data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.57A – Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with Major Depressive Episode (MDE) and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Geographic, Socioeconomic, and Health Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic/Health Characteristic	Received Treatment for Depression in Past Year among People with MDE (2021)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment (2021)
TOTAL	12,604	9,182
GEOGRAPHIC REGION
Northeast	1,940	1,434
Midwest	2,921	2,094
South	4,571	3,429
West	3,172	2,226
COUNTY TYPE
Large Metro	6,503	4,587
Small Metro	4,273	3,139
Nonmetro	1,828	1,455
POVERTY LEVEL¹
Less Than 100%	2,595	2,067
100-199%	2,806	2,242
200% or More	7,200	4,870
EDUCATION LEVEL
< High School	959	660
High School Graduate	2,499	1,887
Some College/Associate’s Degree	5,208	4,090
College Graduate	3,939	2,545
HEALTH INSURANCE²
Private	7,317	4,977
Medicaid/CHIP	3,548	2,837
Other³	2,985	2,130
No Coverage	848	601
OVERALL HEALTH⁴
Excellent	839	525
Very Good	3,242	2,205
Good	4,475	3,141
Fair/Poor	4,000	3,266
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year treatment for depression data were excluded. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Respondents with unknown health data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.57B – Receipt of Treatment for Depression in Past Year: Among People Aged 18 or Older with Major Depressive Episode (MDE) and among People Aged 18 or Older with MDE with Severe Impairment in Past Year; by Geographic, Socioeconomic, and Health Characteristics, Percentages, 2021
Geographic/Socioeconomic/Health Characteristic	Received Treatment for Depression in Past Year among People with MDE (2021)	Received Treatment for Depression in Past Year among People with MDE with Severe Impairment (2021)
TOTAL	61.0	64.8
GEOGRAPHIC REGION
Northeast	62.9	66.9
Midwest	65.6	69.6
South	59.5	64.7
West	58.2	59.8
COUNTY TYPE
Large Metro	61.0	62.6
Small Metro	60.4	66.3
Nonmetro	62.4	68.8
POVERTY LEVEL¹
Less Than 100%	62.7	67.2
100-199%	59.8	67.2
200% or More	60.9	62.8
EDUCATION LEVEL
< High School	56.2	56.3
High School Graduate	54.0	60.8
Some College/Associate’s Degree	62.2	66.6
College Graduate	66.1	67.6
HEALTH INSURANCE²
Private	64.1	65.5
Medicaid/CHIP	66.8	72.1
Other³	67.6	71.0
No Coverage	39.9	46.0
OVERALL HEALTH⁴
Excellent	47.3	50.1
Very Good	56.7	60.7
Good	59.8	62.0
Fair/Poor	70.9	74.4
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Respondents with unknown past year treatment for depression data were excluded. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁴ Respondents with unknown health data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.58A – Levels of Mental Illness and Major Depressive Episode (MDE) and MDE with Severe Impairment Status in Past Year: Among People Aged 18 or Older; by Past Year Substance Use Disorder Status and Past Year Substance Use Disorder for Specific Substances, Numbers in Thousands, 2021
Substance Use Disorder Status	Aged 18+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	Had MDE (2021)	Had MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	253,825	57,805	14,087	43,718	196,020	21,040	14,492	232,785
DRUGS OR ALCOHOL²	44,027	19,375	6,376	12,999	24,652	8,069	6,286	35,958
DRUGS²	22,258	12,120	4,425	7,696	10,138	5,366	4,232	16,892
Marijuana	15,012	7,888	2,746	5,142	7,124	3,479	2,625	11,533
Cocaine	1,400	942	343	599	458	421	381	979
Heroin	1,005	*	151	*	*	*	*	*
Hallucinogens	445	*	*	*	*	*	*	*
Inhalants	*	*	*	*	*	*	*	*
Methamphetamine	1,582	1,085	442	643	497	441	360	1,141
Any Use of Prescription Psychotherapeutics	6,850	4,253	1,717	2,537	2,597	1,996	1,697	4,854
Pain Relievers	4,749	2,812	1,048	1,764	1,936	1,291	1,094	3,458
Stimulants	1,260	919	400	519	341	523	438	737
Tranquilizers or Sedatives	2,085	1,587	839	748	498	841	784	1,244
Tranquilizers	1,624	1,287	714	572	338	703	655	921
Sedatives	854	*	*	*	*	*	*	*
Any Use of Opioids	5,300	3,151	1,084	2,066	2,149	1,335	1,130	3,965
Any Use of Central Nervous System Stimulants	3,883	2,636	1,053	1,583	1,247	1,178	989	2,705
ALCOHOL	28,649	11,532	3,718	7,814	17,117	4,773	3,681	23,876
BOTH DRUGS AND ALCOHOL²	6,880	4,277	1,767	2,510	2,603	2,070	1,627	4,811
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	15,378	7,843	2,657	5,185	7,535	3,296	2,604	12,081
ALCOHOL ONLY (NO DRUG USE DISORDER)²	21,769	7,255	1,951	5,304	14,514	2,704	2,054	19,065
NO SUBSTANCE USE DISORDER²	209,798	38,430	7,711	30,719	171,368	12,970	8,207	196,828
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.58B – Levels of Mental Illness and Major Depressive Episode (MDE) and MDE with Severe Impairment Status in Past Year: Among People Aged 18 or Older; by Past Year Substance Use Disorder Status and Past Year Substance Use Disorder for Specific Substances, Percentages, 2021
Substance Use Disorder Status	Aged 18+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	Had MDE (2021)	Had MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	100.0	22.8	5.5	17.2	77.2	8.3	5.7	91.7
DRUGS OR ALCOHOL²	100.0	44.0	14.5	29.5	56.0	18.3	14.3	81.7
DRUGS²	100.0	54.5	19.9	34.6	45.5	24.1	19.0	75.9
Marijuana	100.0	52.5	18.3	34.3	47.5	23.2	17.5	76.8
Cocaine	100.0	67.3	24.5	42.8	32.7	30.1	27.2	69.9
Heroin	100.0	*	15.0	*	*	*	*	*
Hallucinogens	100.0	*	*	*	*	*	*	*
Inhalants	*	*	*	*	*	*	*	*
Methamphetamine	100.0	68.6	28.0	40.6	31.4	27.9	22.8	72.1
Any Use of Prescription Psychotherapeutics	100.0	62.1	25.1	37.0	37.9	29.1	24.8	70.9
Pain Relievers	100.0	59.2	22.1	37.2	40.8	27.2	23.0	72.8
Stimulants	100.0	72.9	31.7	41.2	27.1	41.5	34.8	58.5
Tranquilizers or Sedatives	100.0	76.1	40.2	35.9	23.9	40.3	37.6	59.7
Tranquilizers	100.0	79.2	44.0	35.2	20.8	43.3	40.3	56.7
Sedatives	100.0	*	*	*	*	*	*	*
Any Use of Opioids	100.0	59.4	20.5	39.0	40.6	25.2	21.3	74.8
Any Use of Central Nervous System Stimulants	100.0	67.9	27.1	40.8	32.1	30.3	25.5	69.7
ALCOHOL	100.0	40.3	13.0	27.3	59.7	16.7	12.9	83.3
BOTH DRUGS AND ALCOHOL²	100.0	62.2	25.7	36.5	37.8	30.1	23.7	69.9
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	100.0	51.0	17.3	33.7	49.0	21.4	16.9	78.6
ALCOHOL ONLY (NO DRUG USE DISORDER)²	100.0	33.3	9.0	24.4	66.7	12.4	9.4	87.6
NO SUBSTANCE USE DISORDER²	100.0	18.3	3.7	14.6	81.7	6.2	3.9	93.8
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.59A – Substance Use in Past Year and Past Month: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Numbers in Thousands, 2021
Substance	Aged 18+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
PAST YEAR USE
Illicit Drugs	57,542	22,932	7,070	15,862	34,609	9,402	6,879	48,140
Marijuana	49,730	19,547	5,866	13,681	30,183	7,799	5,667	41,931
Cocaine	4,725	2,526	718	1,807	2,199	922	769	3,802
Crack	993	597	165	432	396	152	135	841
Heroin	1,099	805	210	594	294	243	233	856
Hallucinogens	7,058	3,692	1,357	2,335	3,367	1,778	1,377	5,281
LSD	2,229	1,230	459	771	998	648	500	1,581
PCP	163	60	31	29	103	39	22	123
Ecstasy	2,107	1,207	374	834	900	496	373	1,611
Inhalants	1,552	815	292	523	736	382	321	1,169
Methamphetamine	2,512	1,440	517	923	1,072	531	430	1,981
Misuse of Prescription Psychotherapeutics	13,433	6,962	2,385	4,577	6,471	3,159	2,388	10,274
Pain Relievers	8,213	4,095	1,375	2,720	4,118	1,738	1,347	6,475
Stimulants	3,429	1,849	674	1,175	1,579	935	747	2,493
Tranquilizers or Sedatives	4,662	2,829	1,079	1,750	1,833	1,297	1,001	3,365
Tranquilizers	4,119	2,610	974	1,636	1,509	1,176	895	2,943
Sedatives	881	496	257	238	385	280	259	601
Benzodiazepines	3,760	2,375	885	1,490	1,385	1,090	822	2,670
Opioids	8,738	4,437	1,450	2,987	4,301	1,767	1,369	6,972
Central Nervous System Stimulants	8,838	4,667	1,539	3,128	4,171	1,893	1,548	6,945
Illicit Drugs Other Than Marijuana²	21,687	10,855	3,763	7,092	10,832	4,761	3,588	16,925
PAST MONTH USE
Alcohol	131,239	31,055	7,610	23,445	100,183	11,558	7,915	119,681
Binge Alcohol Use³	59,045	16,138	4,268	11,870	42,907	6,172	4,312	52,873
Heavy Alcohol Use	16,233	4,892	1,286	3,606	11,341	1,838	1,391	14,394
Cigarette Use	43,222	13,961	3,795	10,166	29,261	4,838	3,573	38,384
Daily Cigarette Use	26,961	8,521	2,403	6,117	18,441	2,885	2,215	24,076
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.59B – Substance Use in Past Year and Past Month: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Percentages, 2021
Substance	Aged 18+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
PAST YEAR USE
Illicit Drugs	22.7	39.7	50.2	36.3	17.7	44.7	47.5	20.7
Marijuana	19.6	33.8	41.6	31.3	15.4	37.1	39.1	18.0
Cocaine	1.9	4.4	5.1	4.1	1.1	4.4	5.3	1.6
Crack	0.4	1.0	1.2	1.0	0.2	0.7	0.9	0.4
Heroin	0.4	1.4	1.5	1.4	0.2	1.2	1.6	0.4
Hallucinogens	2.8	6.4	9.6	5.3	1.7	8.4	9.5	2.3
LSD	0.9	2.1	3.3	1.8	0.5	3.1	3.5	0.7
PCP	0.1	0.1	0.2	0.1	0.1	0.2	0.2	0.1
Ecstasy	0.8	2.1	2.7	1.9	0.5	2.4	2.6	0.7
Inhalants	0.6	1.4	2.1	1.2	0.4	1.8	2.2	0.5
Methamphetamine	1.0	2.5	3.7	2.1	0.5	2.5	3.0	0.9
Misuse of Prescription Psychotherapeutics	5.3	12.0	16.9	10.5	3.3	15.0	16.5	4.4
Pain Relievers	3.2	7.1	9.8	6.2	2.1	8.3	9.3	2.8
Stimulants	1.4	3.2	4.8	2.7	0.8	4.4	5.2	1.1
Tranquilizers or Sedatives	1.8	4.9	7.7	4.0	0.9	6.2	6.9	1.4
Tranquilizers	1.6	4.5	6.9	3.7	0.8	5.6	6.2	1.3
Sedatives	0.3	0.9	1.8	0.5	0.2	1.3	1.8	0.3
Benzodiazepines	1.5	4.1	6.3	3.4	0.7	5.2	5.7	1.1
Opioids	3.4	7.7	10.3	6.8	2.2	8.4	9.4	3.0
Central Nervous System Stimulants	3.5	8.1	10.9	7.2	2.1	9.0	10.7	3.0
Illicit Drugs Other Than Marijuana²	8.5	18.8	26.7	16.2	5.5	22.6	24.8	7.3
PAST MONTH USE
Alcohol	51.7	53.7	54.0	53.6	51.1	54.9	54.6	51.4
Binge Alcohol Use³	23.3	27.9	30.3	27.2	21.9	29.3	29.8	22.7
Heavy Alcohol Use	6.4	8.5	9.1	8.2	5.8	8.7	9.6	6.2
Cigarette Use	17.0	24.2	26.9	23.3	14.9	23.0	24.7	16.5
Daily Cigarette Use	10.6	14.7	17.1	14.0	9.4	13.7	15.3	10.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.60A – Substance Use in Past Year and Past Month: Among People Aged 18 to 25; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Numbers in Thousands, 2021
Substance	Aged 18-25 (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
PAST YEAR USE
Illicit Drugs	12,710	5,883	2,194	3,689	6,827	3,263	2,286	9,447
Marijuana	11,833	5,432	1,989	3,443	6,402	3,005	2,086	8,828
Cocaine	1,173	587	168	419	587	256	209	917
Crack	74	25	12	13	50	10	2	65
Heroin	66	51	25	26	15	29	28	37
Hallucinogens	2,361	1,346	532	814	1,015	746	544	1,615
LSD	1,012	592	219	372	421	339	251	673
PCP	55	34	25	9	20	30	16	25
Ecstasy	688	372	132	240	315	203	145	484
Inhalants	497	318	139	179	179	191	143	306
Methamphetamine	166	102	41	62	63	50	37	116
Misuse of Prescription Psychotherapeutics	2,486	1,457	601	856	1,029	846	620	1,640
Pain Relievers	1,018	598	239	359	419	333	247	684
Stimulants	1,244	678	259	419	567	365	277	879
Tranquilizers or Sedatives	874	604	302	302	270	372	273	502
Tranquilizers	810	557	266	292	253	331	245	479
Sedatives	141	119	82	36	23	84	67	58
Benzodiazepines	787	538	268	270	248	322	237	465
Opioids	1,035	611	249	361	425	338	252	697
Central Nervous System Stimulants	2,111	1,114	369	745	997	533	414	1,578
Illicit Drugs Other Than Marijuana²	4,614	2,558	1,033	1,525	2,055	1,419	1,003	3,195
PAST MONTH USE
Alcohol	16,774	6,495	2,214	4,281	10,279	3,515	2,482	13,259
Binge Alcohol Use³	9,754	3,775	1,280	2,495	5,980	1,974	1,381	7,780
Heavy Alcohol Use	2,371	1,024	278	745	1,347	478	346	1,893
Cigarette Use	3,839	1,727	631	1,096	2,112	940	680	2,899
Daily Cigarette Use	1,059	433	198	236	626	232	168	827
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.60B – Substance Use in Past Year and Past Month: Among People Aged 18 to 25; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Percentages, 2021
Substance	Aged 18-25 (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
PAST YEAR USE
Illicit Drugs	38.0	52.2	57.4	49.6	30.8	52.4	51.5	34.7
Marijuana	35.4	48.2	52.0	46.3	28.8	48.3	47.0	32.4
Cocaine	3.5	5.2	4.4	5.6	2.6	4.1	4.7	3.4
Crack	0.2	0.2	0.3	0.2	0.2	0.2	0.0	0.2
Heroin	0.2	0.5	0.7	0.3	0.1	0.5	0.6	0.1
Hallucinogens	7.1	11.9	13.9	10.9	4.6	12.0	12.3	5.9
LSD	3.0	5.3	5.7	5.0	1.9	5.4	5.7	2.5
PCP	0.2	0.3	0.7	0.1	0.1	0.5	0.4	0.1
Ecstasy	2.1	3.3	3.5	3.2	1.4	3.3	3.3	1.8
Inhalants	1.5	2.8	3.6	2.4	0.8	3.1	3.2	1.1
Methamphetamine	0.5	0.9	1.1	0.8	0.3	0.8	0.8	0.4
Misuse of Prescription Psychotherapeutics	7.4	12.9	15.7	11.5	4.6	13.6	14.0	6.0
Pain Relievers	3.0	5.3	6.3	4.8	1.9	5.4	5.6	2.5
Stimulants	3.7	6.0	6.8	5.6	2.6	5.9	6.2	3.2
Tranquilizers or Sedatives	2.6	5.4	7.9	4.1	1.2	6.0	6.2	1.8
Tranquilizers	2.4	4.9	6.9	3.9	1.1	5.3	5.5	1.8
Sedatives	0.4	1.1	2.2	0.5	0.1	1.3	1.5	0.2
Benzodiazepines	2.4	4.8	7.0	3.6	1.1	5.2	5.3	1.7
Opioids	3.1	5.4	6.5	4.9	1.9	5.4	5.7	2.6
Central Nervous System Stimulants	6.3	9.9	9.7	10.0	4.5	8.6	9.3	5.8
Illicit Drugs Other Than Marijuana²	13.8	22.7	27.0	20.5	9.3	22.8	22.6	11.7
PAST MONTH USE
Alcohol	50.1	57.7	57.9	57.5	46.3	56.5	55.9	48.7
Binge Alcohol Use³	29.2	33.5	33.5	33.5	26.9	31.7	31.1	28.6
Heavy Alcohol Use	7.1	9.1	7.3	10.0	6.1	7.7	7.8	7.0
Cigarette Use	11.5	15.3	16.5	14.7	9.5	15.1	15.3	10.6
Daily Cigarette Use	3.2	3.8	5.2	3.2	2.8	3.7	3.8	3.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.61A – Substance Use in Past Year and Past Month: Among People Aged 26 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Numbers in Thousands, 2021
Substance	Aged 26+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
PAST YEAR USE
Illicit Drugs	44,831	17,049	4,876	12,173	27,782	6,139	4,593	38,693
Marijuana	37,897	14,115	3,877	10,238	23,781	4,794	3,581	33,103
Cocaine	3,551	1,939	550	1,389	1,612	666	559	2,886
Crack	919	573	153	420	346	143	133	776
Heroin	1,033	754	185	569	279	215	204	818
Hallucinogens	4,697	2,346	825	1,521	2,351	1,032	833	3,665
LSD	1,216	639	240	399	578	309	249	907
PCP	108	26	6	20	82	9	7	99
Ecstasy	1,420	835	241	594	584	293	229	1,127
Inhalants	1,055	498	153	344	557	192	178	863
Methamphetamine	2,346	1,338	477	861	1,008	481	393	1,864
Misuse of Prescription Psychotherapeutics	10,947	5,505	1,785	3,720	5,442	2,313	1,767	8,634
Pain Relievers	7,195	3,497	1,136	2,361	3,698	1,405	1,100	5,791
Stimulants	2,184	1,172	415	757	1,013	570	471	1,614
Tranquilizers or Sedatives	3,788	2,225	777	1,448	1,563	925	728	2,862
Tranquilizers	3,309	2,053	708	1,345	1,256	845	649	2,464
Sedatives	740	377	175	202	363	196	192	543
Benzodiazepines	2,973	1,837	617	1,219	1,137	768	586	2,205
Opioids	7,703	3,826	1,201	2,626	3,877	1,429	1,118	6,274
Central Nervous System Stimulants	6,727	3,553	1,170	2,383	3,174	1,360	1,134	5,368
Illicit Drugs Other Than Marijuana²	17,073	8,296	2,730	5,566	8,776	3,342	2,585	13,731
PAST MONTH USE
Alcohol	114,464	24,560	5,396	19,164	89,904	8,043	5,433	106,421
Binge Alcohol Use³	49,290	12,363	2,988	9,375	36,927	4,198	2,931	45,093
Heavy Alcohol Use	13,862	3,868	1,008	2,860	9,994	1,360	1,045	12,501
Cigarette Use	39,383	12,234	3,164	9,071	27,149	3,897	2,894	35,485
Daily Cigarette Use	25,902	8,087	2,206	5,882	17,815	2,653	2,047	23,249
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.61B – Substance Use in Past Year and Past Month: Among People Aged 26 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Percentages, 2021
Substance	Aged 26+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
PAST YEAR USE
Illicit Drugs	20.3	36.6	47.5	33.6	16.0	41.4	45.7	18.8
Marijuana	17.2	30.3	37.8	28.2	13.7	32.4	35.6	16.1
Cocaine	1.6	4.2	5.4	3.8	0.9	4.5	5.6	1.4
Crack	0.4	1.2	1.5	1.2	0.2	1.0	1.3	0.4
Heroin	0.5	1.6	1.8	1.6	0.2	1.5	2.0	0.4
Hallucinogens	2.1	5.0	8.0	4.2	1.4	7.0	8.3	1.8
LSD	0.6	1.4	2.3	1.1	0.3	2.1	2.5	0.4
PCP	0.0	0.1	0.1	0.1	0.0	0.1	0.1	0.0
Ecstasy	0.6	1.8	2.4	1.6	0.3	2.0	2.3	0.5
Inhalants	0.5	1.1	1.5	0.9	0.3	1.3	1.8	0.4
Methamphetamine	1.1	2.9	4.6	2.4	0.6	3.2	3.9	0.9
Misuse of Prescription Psychotherapeutics	5.0	11.8	17.4	10.3	3.1	15.6	17.6	4.2
Pain Relievers	3.3	7.5	11.1	6.5	2.1	9.5	10.9	2.8
Stimulants	1.0	2.5	4.0	2.1	0.6	3.8	4.7	0.8
Tranquilizers or Sedatives	1.7	4.8	7.6	4.0	0.9	6.2	7.2	1.4
Tranquilizers	1.5	4.4	6.9	3.7	0.7	5.7	6.5	1.2
Sedatives	0.3	0.8	1.7	0.6	0.2	1.3	1.9	0.3
Benzodiazepines	1.3	3.9	6.0	3.4	0.7	5.2	5.8	1.1
Opioids	3.5	8.2	11.7	7.2	2.2	9.6	11.1	3.1
Central Nervous System Stimulants	3.1	7.6	11.4	6.6	1.8	9.2	11.3	2.6
Illicit Drugs Other Than Marijuana²	7.7	17.8	26.6	15.3	5.0	22.6	25.7	6.7
PAST MONTH USE
Alcohol	51.9	52.8	52.6	52.8	51.7	54.3	54.1	51.8
Binge Alcohol Use³	22.4	26.6	29.1	25.8	21.2	28.3	29.2	21.9
Heavy Alcohol Use	6.3	8.3	9.8	7.9	5.7	9.2	10.4	6.1
Cigarette Use	17.9	26.3	30.8	25.0	15.6	26.3	28.8	17.3
Daily Cigarette Use	11.8	17.4	21.5	16.2	10.2	17.9	20.4	11.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.62A – Substance Use in Past Year and Past Month: Among People Aged 26 to 49; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Numbers in Thousands, 2021
Substance	Aged 26-49 (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
PAST YEAR USE
Illicit Drugs	28,947	12,562	3,747	8,814	16,386	4,579	3,423	24,369
Marijuana	25,147	10,850	3,148	7,702	14,297	3,821	2,818	21,326
Cocaine	2,542	1,413	405	1,009	1,129	487	380	2,056
Crack	415	297	82	215	118	99	89	316
Heroin	638	472	99	373	166	145	134	494
Hallucinogens	4,128	2,146	776	1,370	1,981	1,021	823	3,107
LSD	1,098	593	240	353	505	304	244	794
PCP	47	26	6	20	21	9	7	38
Ecstasy	1,334	764	241	523	570	292	229	1,042
Inhalants	862	456	145	312	405	177	164	685
Methamphetamine	1,453	973	344	629	480	379	312	1,074
Misuse of Prescription Psychotherapeutics	6,840	3,769	1,310	2,459	3,072	1,609	1,258	5,232
Pain Relievers	4,120	2,228	837	1,391	1,892	925	792	3,195
Stimulants	1,906	1,078	390	688	828	542	442	1,365
Tranquilizers or Sedatives	2,421	1,589	550	1,039	832	670	514	1,751
Tranquilizers	2,247	1,517	527	990	729	646	491	1,601
Sedatives	415	262	125	137	153	133	128	283
Benzodiazepines	2,078	1,416	478	938	662	613	469	1,465
Opioids	4,402	2,417	853	1,564	1,985	946	806	3,456
Central Nervous System Stimulants	4,808	2,698	918	1,781	2,109	1,100	895	3,708
Illicit Drugs Other Than Marijuana²	11,359	6,008	2,063	3,946	5,350	2,504	1,953	8,855
PAST MONTH USE
Alcohol	58,822	17,188	4,165	13,022	41,635	5,718	3,921	53,105
Binge Alcohol Use³	29,931	9,110	2,354	6,757	20,821	3,185	2,232	26,746
Heavy Alcohol Use	8,287	2,959	861	2,099	5,327	1,079	829	7,208
Cigarette Use	20,838	7,426	2,067	5,359	13,412	2,541	1,834	18,297
Daily Cigarette Use	12,784	4,792	1,387	3,404	7,993	1,642	1,279	11,143
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.62B – Substance Use in Past Year and Past Month: Among People Aged 26 to 49; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Percentages, 2021
Substance	Aged 26-49 (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
PAST YEAR USE
Illicit Drugs	28.3	43.6	51.6	40.9	22.3	48.0	51.7	26.3
Marijuana	24.6	37.7	43.4	35.8	19.4	40.1	42.6	23.0
Cocaine	2.5	4.9	5.6	4.7	1.5	5.1	5.7	2.2
Crack	0.4	1.0	1.1	1.0	0.2	1.0	1.3	0.3
Heroin	0.6	1.6	1.4	1.7	0.2	1.5	2.0	0.5
Hallucinogens	4.0	7.5	10.7	6.4	2.7	10.7	12.4	3.3
LSD	1.1	2.1	3.3	1.6	0.7	3.2	3.7	0.9
PCP	0.0	0.1	0.1	0.1	0.0	0.1	0.1	0.0
Ecstasy	1.3	2.7	3.3	2.4	0.8	3.1	3.5	1.1
Inhalants	0.8	1.6	2.0	1.4	0.6	1.9	2.5	0.7
Methamphetamine	1.4	3.4	4.7	2.9	0.7	4.0	4.7	1.2
Misuse of Prescription Psychotherapeutics	6.7	13.1	18.1	11.4	4.2	16.9	19.0	5.6
Pain Relievers	4.0	7.7	11.5	6.5	2.6	9.7	12.0	3.4
Stimulants	1.9	3.7	5.4	3.2	1.1	5.7	6.7	1.5
Tranquilizers or Sedatives	2.4	5.5	7.6	4.8	1.1	7.0	7.8	1.9
Tranquilizers	2.2	5.3	7.3	4.6	1.0	6.8	7.4	1.7
Sedatives	0.4	0.9	1.7	0.6	0.2	1.4	1.9	0.3
Benzodiazepines	2.0	4.9	6.6	4.4	0.9	6.4	7.1	1.6
Opioids	4.3	8.4	11.7	7.3	2.7	9.9	12.2	3.7
Central Nervous System Stimulants	4.7	9.4	12.6	8.3	2.9	11.5	13.5	4.0
Illicit Drugs Other Than Marijuana²	11.1	20.9	28.4	18.3	7.3	26.3	29.5	9.5
PAST MONTH USE
Alcohol	57.5	59.7	57.4	60.5	56.6	60.0	59.2	57.2
Binge Alcohol Use³	29.3	31.6	32.4	31.4	28.3	33.4	33.7	28.8
Heavy Alcohol Use	8.1	10.3	11.9	9.7	7.2	11.3	12.5	7.8
Cigarette Use	20.4	25.8	28.5	24.9	18.2	26.7	27.7	19.7
Daily Cigarette Use	12.5	16.6	19.1	15.8	10.9	17.2	19.3	12.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.63A – Substance Use in Past Year and Past Month: Among People Aged 50 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Numbers in Thousands, 2021
Substance	Aged 50+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
PAST YEAR USE
Illicit Drugs	15,884	4,488	1,129	3,359	11,396	1,560	1,170	14,324
Marijuana	12,750	3,265	729	2,536	9,485	973	763	11,777
Cocaine	1,009	526	145	380	483	179	179	830
Crack	504	276	*	205	229	44	*	460
Heroin	395	282	*	196	113	*	*	325
Hallucinogens	570	200	*	151	370	11	10	559
LSD	118	45	*	45	72	5	5	113
PCP	61	*	*	*	61	*	*	61
Ecstasy	86	71	*	71	15	1	*	85
Inhalants	193	41	8	33	152	15	14	178
Methamphetamine	893	365	133	232	528	102	82	791
Misuse of Prescription Psychotherapeutics	4,106	1,736	474	1,262	2,370	704	509	3,402
Pain Relievers	3,075	1,269	299	970	1,806	479	308	2,596
Stimulants	278	94	25	69	184	28	28	250
Tranquilizers or Sedatives	1,366	636	227	408	731	255	214	1,111
Tranquilizers	1,062	536	181	354	527	199	158	863
Sedatives	325	115	50	65	210	64	64	261
Benzodiazepines	895	421	139	281	475	155	116	740
Opioids	3,301	1,410	348	1,062	1,892	482	312	2,819
Central Nervous System Stimulants	1,919	854	253	602	1,065	259	239	1,660
Illicit Drugs Other Than Marijuana²	5,714	2,288	667	1,621	3,426	838	632	4,876
PAST MONTH USE
Alcohol	55,642	7,373	1,231	6,142	48,269	2,325	1,512	53,317
Binge Alcohol Use³	19,359	3,253	635	2,618	16,106	1,013	700	18,346
Heavy Alcohol Use	5,575	909	147	761	4,666	282	216	5,293
Cigarette Use	18,545	4,808	1,096	3,712	13,737	1,357	1,060	17,188
Daily Cigarette Use	13,118	3,296	818	2,477	9,822	1,011	768	12,106
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.63B – Substance Use in Past Year and Past Month: Among People Aged 50 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Percentages, 2021
Substance	Aged 50+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
PAST YEAR USE
Illicit Drugs	13.5	25.3	37.5	22.8	11.4	29.6	34.1	12.7
Marijuana	10.8	18.4	24.2	17.2	9.5	18.4	22.2	10.4
Cocaine	0.9	3.0	4.8	2.6	0.5	3.4	5.2	0.7
Crack	0.4	1.6	*	1.4	0.2	0.8	*	0.4
Heroin	0.3	1.6	*	1.3	0.1	*	*	0.3
Hallucinogens	0.5	1.1	*	1.0	0.4	0.2	0.3	0.5
LSD	0.1	0.3	*	0.3	0.1	0.1	0.1	0.1
PCP	0.1	*	*	*	0.1	*	*	0.1
Ecstasy	0.1	0.4	*	0.5	0.0	0.0	*	0.1
Inhalants	0.2	0.2	0.3	0.2	0.2	0.3	0.4	0.2
Methamphetamine	0.8	2.1	4.4	1.6	0.5	1.9	2.4	0.7
Misuse of Prescription Psychotherapeutics	3.5	9.8	15.8	8.6	2.4	13.3	14.8	3.0
Pain Relievers	2.6	7.2	10.0	6.6	1.8	9.1	9.0	2.3
Stimulants	0.2	0.5	0.8	0.5	0.2	0.5	0.8	0.2
Tranquilizers or Sedatives	1.2	3.6	7.6	2.8	0.7	4.8	6.2	1.0
Tranquilizers	0.9	3.0	6.0	2.4	0.5	3.8	4.6	0.8
Sedatives	0.3	0.6	1.7	0.4	0.2	1.2	1.9	0.2
Benzodiazepines	0.8	2.4	4.6	1.9	0.5	2.9	3.4	0.7
Opioids	2.8	7.9	11.6	7.2	1.9	9.1	9.1	2.5
Central Nervous System Stimulants	1.6	4.8	8.4	4.1	1.1	4.9	7.0	1.5
Illicit Drugs Other Than Marijuana²	4.8	12.9	22.2	11.0	3.4	15.9	18.4	4.3
PAST MONTH USE
Alcohol	47.1	41.5	40.9	41.7	48.1	44.0	44.1	47.3
Binge Alcohol Use³	16.4	18.3	21.1	17.8	16.1	19.2	20.4	16.3
Heavy Alcohol Use	4.7	5.1	4.9	5.2	4.7	5.3	6.3	4.7
Cigarette Use	15.7	27.1	36.4	25.2	13.7	25.7	30.9	15.2
Daily Cigarette Use	11.1	18.6	27.2	16.8	9.8	19.2	22.4	10.7
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.64A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Numbers in Thousands, 2021
Substance Use Disorder Status	Aged 18+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	253,825	57,805	14,087	43,718	196,020	21,040	14,492	232,785
DRUGS OR ALCOHOL²	44,027	19,375	6,376	12,999	24,652	8,069	6,286	35,958
DRUGS²	22,258	12,120	4,425	7,696	10,138	5,366	4,232	16,892
Marijuana	15,012	7,888	2,746	5,142	7,124	3,479	2,625	11,533
Cocaine	1,400	942	343	599	458	421	381	979
Heroin	1,005	759	151	609	245	238	219	767
Hallucinogens	445	356	166	190	89	179	153	266
Inhalants	251	183	57	127	67	76	58	175
Methamphetamine	1,582	1,085	442	643	497	441	360	1,141
Any Use of Prescription Psychotherapeutics	6,850	4,253	1,717	2,537	2,597	1,996	1,697	4,854
Pain Relievers	4,749	2,812	1,048	1,764	1,936	1,291	1,094	3,458
Stimulants	1,260	919	400	519	341	523	438	737
Tranquilizers or Sedatives	2,085	1,587	839	748	498	841	784	1,244
Tranquilizers	1,624	1,287	714	572	338	703	655	921
Sedatives	854	617	303	314	236	344	335	509
Any Use of Opioids	5,300	3,151	1,084	2,066	2,149	1,335	1,130	3,965
Any Use of Central Nervous System Stimulants	3,883	2,636	1,053	1,583	1,247	1,178	989	2,705
ALCOHOL	28,649	11,532	3,718	7,814	17,117	4,773	3,681	23,876
BOTH DRUGS AND ALCOHOL²	6,880	4,277	1,767	2,510	2,603	2,070	1,627	4,811
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	15,378	7,843	2,657	5,185	7,535	3,296	2,604	12,081
ALCOHOL ONLY (NO DRUG USE DISORDER)²	21,769	7,255	1,951	5,304	14,514	2,704	2,054	19,065
NO SUBSTANCE USE DISORDER²	209,798	38,430	7,711	30,719	171,368	12,970	8,207	196,828
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.64B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Percentages, 2021
Substance Use Disorder Status	Aged 18+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
DRUGS OR ALCOHOL²	17.3	33.5	45.3	29.7	12.6	38.4	43.4	15.4
DRUGS²	8.8	21.0	31.4	17.6	5.2	25.5	29.2	7.3
Marijuana	5.9	13.6	19.5	11.8	3.6	16.5	18.1	5.0
Cocaine	0.6	1.6	2.4	1.4	0.2	2.0	2.6	0.4
Heroin	0.4	1.3	1.1	1.4	0.1	1.1	1.5	0.3
Hallucinogens	0.2	0.6	1.2	0.4	0.0	0.9	1.1	0.1
Inhalants	0.1	0.3	0.4	0.3	0.0	0.4	0.4	0.1
Methamphetamine	0.6	1.9	3.1	1.5	0.3	2.1	2.5	0.5
Any Use of Prescription Psychotherapeutics	2.7	7.4	12.2	5.8	1.3	9.5	11.7	2.1
Pain Relievers	1.9	4.9	7.4	4.0	1.0	6.1	7.5	1.5
Stimulants	0.5	1.6	2.8	1.2	0.2	2.5	3.0	0.3
Tranquilizers or Sedatives	0.8	2.7	6.0	1.7	0.3	4.0	5.4	0.5
Tranquilizers	0.6	2.2	5.1	1.3	0.2	3.3	4.5	0.4
Sedatives	0.3	1.1	2.2	0.7	0.1	1.6	2.3	0.2
Any Use of Opioids	2.1	5.5	7.7	4.7	1.1	6.3	7.8	1.7
Any Use of Central Nervous System Stimulants	1.5	4.6	7.5	3.6	0.6	5.6	6.8	1.2
ALCOHOL	11.3	20.0	26.4	17.9	8.7	22.7	25.4	10.3
BOTH DRUGS AND ALCOHOL²	2.7	7.4	12.5	5.7	1.3	9.8	11.2	2.1
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	6.1	13.6	18.9	11.9	3.8	15.7	18.0	5.2
ALCOHOL ONLY (NO DRUG USE DISORDER)²	8.6	12.6	13.9	12.1	7.4	12.8	14.2	8.2
NO SUBSTANCE USE DISORDER²	82.7	66.5	54.7	70.3	87.4	61.6	56.6	84.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.65A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 18 to 25; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Numbers in Thousands, 2021
Substance Use Disorder Status	Aged 18-25 (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	33,458	11,265	3,822	7,443	22,193	6,226	4,441	27,232
DRUGS OR ALCOHOL²	8,550	4,508	1,802	2,705	4,042	2,437	1,855	6,113
DRUGS²	5,467	3,149	1,301	1,848	2,318	1,760	1,325	3,707
Marijuana	4,824	2,738	1,107	1,630	2,086	1,533	1,117	3,291
Cocaine	252	172	77	95	81	117	98	135
Heroin	63	52	19	33	11	27	27	36
Hallucinogens	201	154	50	104	47	93	79	108
Inhalants	87	67	35	31	20	38	20	49
Methamphetamine	111	61	34	27	49	40	32	71
Any Use of Prescription Psychotherapeutics	895	609	305	304	287	342	300	553
Pain Relievers	414	290	135	156	124	162	139	252
Stimulants	379	264	121	143	116	154	131	225
Tranquilizers or Sedatives	303	224	135	89	79	128	114	174
Tranquilizers	249	205	125	79	45	120	105	129
Sedatives	99	58	26	32	42	27	26	73
Any Use of Opioids	438	306	142	165	132	171	148	267
Any Use of Central Nervous System Stimulants	625	408	184	224	217	236	197	390
ALCOHOL	5,012	2,613	1,057	1,557	2,398	1,432	1,104	3,580
BOTH DRUGS AND ALCOHOL²	1,928	1,255	556	699	673	754	574	1,174
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	3,538	1,894	746	1,149	1,644	1,006	751	2,533
ALCOHOL ONLY (NO DRUG USE DISORDER)²	3,083	1,359	501	857	1,725	678	530	2,406
NO SUBSTANCE USE DISORDER²	24,908	6,757	2,020	4,738	18,151	3,789	2,586	21,120
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.65B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 18 to 25; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Percentages, 2021
Substance Use Disorder Status	Aged 18-25 (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
DRUGS OR ALCOHOL²	25.6	40.0	47.2	36.3	18.2	39.1	41.8	22.4
DRUGS²	16.3	28.0	34.0	24.8	10.4	28.3	29.8	13.6
Marijuana	14.4	24.3	29.0	21.9	9.4	24.6	25.2	12.1
Cocaine	0.8	1.5	2.0	1.3	0.4	1.9	2.2	0.5
Heroin	0.2	0.5	0.5	0.4	0.0	0.4	0.6	0.1
Hallucinogens	0.6	1.4	1.3	1.4	0.2	1.5	1.8	0.4
Inhalants	0.3	0.6	0.9	0.4	0.1	0.6	0.5	0.2
Methamphetamine	0.3	0.5	0.9	0.4	0.2	0.6	0.7	0.3
Any Use of Prescription Psychotherapeutics	2.7	5.4	8.0	4.1	1.3	5.5	6.8	2.0
Pain Relievers	1.2	2.6	3.5	2.1	0.6	2.6	3.1	0.9
Stimulants	1.1	2.3	3.2	1.9	0.5	2.5	3.0	0.8
Tranquilizers or Sedatives	0.9	2.0	3.5	1.2	0.4	2.1	2.6	0.6
Tranquilizers	0.7	1.8	3.3	1.1	0.2	1.9	2.4	0.5
Sedatives	0.3	0.5	0.7	0.4	0.2	0.4	0.6	0.3
Any Use of Opioids	1.3	2.7	3.7	2.2	0.6	2.7	3.3	1.0
Any Use of Central Nervous System Stimulants	1.9	3.6	4.8	3.0	1.0	3.8	4.4	1.4
ALCOHOL	15.0	23.2	27.7	20.9	10.8	23.0	24.9	13.1
BOTH DRUGS AND ALCOHOL²	5.8	11.1	14.5	9.4	3.0	12.1	12.9	4.3
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	10.6	16.8	19.5	15.4	7.4	16.2	16.9	9.3
ALCOHOL ONLY (NO DRUG USE DISORDER)²	9.2	12.1	13.1	11.5	7.8	10.9	11.9	8.8
NO SUBSTANCE USE DISORDER²	74.4	60.0	52.8	63.7	81.8	60.9	58.2	77.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.66A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 26 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Numbers in Thousands, 2021
Substance Use Disorder Status	Aged 26+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	220,366	46,539	10,264	36,275	173,827	14,814	10,051	205,553
DRUGS OR ALCOHOL²	35,477	14,867	4,573	10,294	20,610	5,632	4,431	29,845
DRUGS²	16,791	8,971	3,123	5,847	7,820	3,606	2,907	13,185
Marijuana	10,188	5,150	1,639	3,511	5,038	1,945	1,508	8,243
Cocaine	1,148	770	266	504	378	304	283	844
Heroin	942	707	132	575	235	210	192	731
Hallucinogens	244	202	116	86	42	86	74	158
Inhalants	164	117	21	95	47	38	37	126
Methamphetamine	1,471	1,024	408	616	447	401	328	1,070
Any Use of Prescription Psychotherapeutics	5,954	3,644	1,412	2,233	2,310	1,654	1,397	4,301
Pain Relievers	4,335	2,522	913	1,609	1,813	1,129	955	3,206
Stimulants	881	655	279	377	225	369	307	512
Tranquilizers or Sedatives	1,783	1,364	704	660	419	713	670	1,070
Tranquilizers	1,375	1,082	589	493	293	583	550	792
Sedatives	754	560	278	282	195	318	309	437
Any Use of Opioids	4,862	2,844	943	1,902	2,018	1,164	982	3,698
Any Use of Central Nervous System Stimulants	3,258	2,228	869	1,358	1,030	943	792	2,315
ALCOHOL	23,637	8,919	2,662	6,257	14,719	3,341	2,578	20,296
BOTH DRUGS AND ALCOHOL²	4,952	3,023	1,212	1,811	1,930	1,316	1,053	3,636
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	11,839	5,948	1,912	4,036	5,891	2,290	1,853	9,549
ALCOHOL ONLY (NO DRUG USE DISORDER)²	18,685	5,896	1,450	4,446	12,789	2,026	1,524	16,660
NO SUBSTANCE USE DISORDER²	184,890	31,672	5,691	25,981	153,218	9,182	5,620	175,708
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.66B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 26 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Percentages, 2021
Substance Use Disorder Status	Aged 26+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
DRUGS OR ALCOHOL²	16.1	31.9	44.6	28.4	11.9	38.0	44.1	14.5
DRUGS²	7.6	19.3	30.4	16.1	4.5	24.3	28.9	6.4
Marijuana	4.6	11.1	16.0	9.7	2.9	13.1	15.0	4.0
Cocaine	0.5	1.7	2.6	1.4	0.2	2.1	2.8	0.4
Heroin	0.4	1.5	1.3	1.6	0.1	1.4	1.9	0.4
Hallucinogens	0.1	0.4	1.1	0.2	0.0	0.6	0.7	0.1
Inhalants	0.1	0.3	0.2	0.3	0.0	0.3	0.4	0.1
Methamphetamine	0.7	2.2	4.0	1.7	0.3	2.7	3.3	0.5
Any Use of Prescription Psychotherapeutics	2.7	7.8	13.8	6.2	1.3	11.2	13.9	2.1
Pain Relievers	2.0	5.4	8.9	4.4	1.0	7.6	9.5	1.6
Stimulants	0.4	1.4	2.7	1.0	0.1	2.5	3.1	0.2
Tranquilizers or Sedatives	0.8	2.9	6.9	1.8	0.2	4.8	6.7	0.5
Tranquilizers	0.6	2.3	5.7	1.4	0.2	3.9	5.5	0.4
Sedatives	0.3	1.2	2.7	0.8	0.1	2.1	3.1	0.2
Any Use of Opioids	2.2	6.1	9.2	5.2	1.2	7.9	9.8	1.8
Any Use of Central Nervous System Stimulants	1.5	4.8	8.5	3.7	0.6	6.4	7.9	1.1
ALCOHOL	10.7	19.2	25.9	17.2	8.5	22.6	25.6	9.9
BOTH DRUGS AND ALCOHOL²	2.2	6.5	11.8	5.0	1.1	8.9	10.5	1.8
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	5.4	12.8	18.6	11.1	3.4	15.5	18.4	4.6
ALCOHOL ONLY (NO DRUG USE DISORDER)²	8.5	12.7	14.1	12.3	7.4	13.7	15.2	8.1
NO SUBSTANCE USE DISORDER²	83.9	68.1	55.4	71.6	88.1	62.0	55.9	85.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.67A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 26 to 49; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Numbers in Thousands, 2021
Substance Use Disorder Status	Aged 26-49 (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	102,313	28,793	7,256	21,537	73,520	9,533	6,621	92,780
DRUGS OR ALCOHOL²	22,125	10,471	3,370	7,100	11,654	4,114	3,213	18,011
DRUGS²	11,227	6,435	2,363	4,072	4,792	2,724	2,161	8,504
Marijuana	8,088	4,320	1,488	2,832	3,768	1,712	1,324	6,377
Cocaine	702	505	195	310	197	193	172	509
Heroin	557	443	95	348	114	139	124	418
Hallucinogens	156	127	72	54	30	86	74	70
Inhalants	145	98	21	77	47	34	33	111
Methamphetamine	1,079	802	323	480	277	349	293	730
Any Use of Prescription Psychotherapeutics	2,872	2,045	897	1,148	826	1,066	890	1,805
Pain Relievers	1,882	1,307	572	734	576	699	601	1,183
Stimulants	722	545	269	276	177	353	291	369
Tranquilizers or Sedatives	999	857	426	431	142	470	448	529
Tranquilizers	849	737	368	369	112	399	381	450
Sedatives	314	281	123	158	32	165	160	149
Any Use of Opioids	2,227	1,553	602	951	674	731	626	1,495
Any Use of Central Nervous System Stimulants	2,263	1,633	704	929	630	766	633	1,497
ALCOHOL	14,658	6,325	1,946	4,379	8,333	2,464	1,896	12,193
BOTH DRUGS AND ALCOHOL²	3,760	2,289	939	1,350	1,471	1,074	845	2,686
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	7,467	4,146	1,424	2,722	3,321	1,650	1,317	5,817
ALCOHOL ONLY (NO DRUG USE DISORDER)²	10,897	4,036	1,007	3,028	6,862	1,390	1,051	9,507
NO SUBSTANCE USE DISORDER²	80,189	18,322	3,886	14,437	61,866	5,419	3,409	74,770
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.67B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 26 to 49; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Percentages, 2021
Substance Use Disorder Status	Aged 26-49 (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
DRUGS OR ALCOHOL²	21.6	36.4	46.4	33.0	15.9	43.2	48.5	19.4
DRUGS²	11.0	22.3	32.6	18.9	6.5	28.6	32.6	9.2
Marijuana	7.9	15.0	20.5	13.2	5.1	18.0	20.0	6.9
Cocaine	0.7	1.8	2.7	1.4	0.3	2.0	2.6	0.5
Heroin	0.5	1.5	1.3	1.6	0.2	1.5	1.9	0.5
Hallucinogens	0.2	0.4	1.0	0.3	0.0	0.9	1.1	0.1
Inhalants	0.1	0.3	0.3	0.4	0.1	0.4	0.5	0.1
Methamphetamine	1.1	2.8	4.4	2.2	0.4	3.7	4.4	0.8
Any Use of Prescription Psychotherapeutics	2.8	7.1	12.4	5.3	1.1	11.2	13.4	1.9
Pain Relievers	1.8	4.5	7.9	3.4	0.8	7.3	9.1	1.3
Stimulants	0.7	1.9	3.7	1.3	0.2	3.7	4.4	0.4
Tranquilizers or Sedatives	1.0	3.0	5.9	2.0	0.2	4.9	6.8	0.6
Tranquilizers	0.8	2.6	5.1	1.7	0.2	4.2	5.8	0.5
Sedatives	0.3	1.0	1.7	0.7	0.0	1.7	2.4	0.2
Any Use of Opioids	2.2	5.4	8.3	4.4	0.9	7.7	9.4	1.6
Any Use of Central Nervous System Stimulants	2.2	5.7	9.7	4.3	0.9	8.0	9.6	1.6
ALCOHOL	14.3	22.0	26.8	20.3	11.3	25.9	28.6	13.1
BOTH DRUGS AND ALCOHOL²	3.7	8.0	12.9	6.3	2.0	11.3	12.8	2.9
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	7.3	14.4	19.6	12.6	4.5	17.3	19.9	6.3
ALCOHOL ONLY (NO DRUG USE DISORDER)²	10.7	14.0	13.9	14.1	9.3	14.6	15.9	10.2
NO SUBSTANCE USE DISORDER²	78.4	63.6	53.6	67.0	84.1	56.8	51.5	80.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.68A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 50 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Numbers in Thousands, 2021
Substance Use Disorder Status	Aged 50+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	118,053	17,746	3,008	14,738	100,307	5,280	3,430	112,773
DRUGS OR ALCOHOL²	13,352	4,396	1,203	3,194	8,955	1,518	1,218	11,834
DRUGS²	5,564	2,536	760	1,775	3,028	882	745	4,681
Marijuana	2,100	829	151	679	1,270	234	184	1,866
Cocaine	446	265	*	194	181	111	*	335
Heroin	384	264	*	227	120	*	*	313
Hallucinogens	88	76	*	32	12	*	*	88
Inhalants	19	18	*	18	*	4	4	15
Methamphetamine	392	222	86	136	171	52	35	340
Any Use of Prescription Psychotherapeutics	3,083	1,599	515	1,085	1,484	587	507	2,495
Pain Relievers	2,452	1,215	341	875	1,237	430	353	2,022
Stimulants	159	111	10	100	48	16	16	143
Tranquilizers or Sedatives	784	507	279	228	277	243	223	540
Tranquilizers	526	345	221	124	181	185	168	342
Sedatives	440	278	154	124	162	153	149	288
Any Use of Opioids	2,635	1,292	341	951	1,344	433	357	2,202
Any Use of Central Nervous System Stimulants	994	595	166	429	399	177	160	818
ALCOHOL	8,980	2,594	716	1,879	6,386	877	682	8,103
BOTH DRUGS AND ALCOHOL²	1,192	733	273	461	458	242	209	950
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	4,372	1,802	487	1,315	2,570	641	537	3,731
ALCOHOL ONLY (NO DRUG USE DISORDER)²	7,788	1,861	443	1,418	5,928	635	473	7,153
NO SUBSTANCE USE DISORDER²	104,701	13,350	1,805	11,545	91,351	3,763	2,212	100,938
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.68B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year: Among People Aged 50 or Older; by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Percentages, 2021
Substance Use Disorder Status	Aged 50+ (2021)	Any Mental Illness¹ (2021)	Serious Mental Illness¹ (2021)	Any Mental Illness Excluding Serious Mental Illness¹ (2021)	No Mental Illness¹ (2021)	MDE (2021)	MDE with Severe Impairment (2021)	No MDE (2021)
TOTAL POPULATION	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
DRUGS OR ALCOHOL²	11.3	24.8	40.0	21.7	8.9	28.7	35.5	10.5
DRUGS²	4.7	14.3	25.3	12.0	3.0	16.7	21.7	4.2
Marijuana	1.8	4.7	5.0	4.6	1.3	4.4	5.4	1.7
Cocaine	0.4	1.5	*	1.3	0.2	2.1	*	0.3
Heroin	0.3	1.5	*	1.5	0.1	*	*	0.3
Hallucinogens	0.1	0.4	*	0.2	0.0	*	*	0.1
Inhalants	0.0	0.1	*	0.1	*	0.1	0.1	0.0
Methamphetamine	0.3	1.2	2.8	0.9	0.2	1.0	1.0	0.3
Any Use of Prescription Psychotherapeutics	2.6	9.0	17.1	7.4	1.5	11.1	14.8	2.2
Pain Relievers	2.1	6.8	11.3	5.9	1.2	8.1	10.3	1.8
Stimulants	0.1	0.6	0.3	0.7	0.0	0.3	0.5	0.1
Tranquilizers or Sedatives	0.7	2.9	9.3	1.5	0.3	4.6	6.5	0.5
Tranquilizers	0.4	1.9	7.3	0.8	0.2	3.5	4.9	0.3
Sedatives	0.4	1.6	5.1	0.8	0.2	2.9	4.3	0.3
Any Use of Opioids	2.2	7.3	11.3	6.5	1.3	8.2	10.4	2.0
Any Use of Central Nervous System Stimulants	0.8	3.4	5.5	2.9	0.4	3.3	4.7	0.7
ALCOHOL	7.6	14.6	23.8	12.7	6.4	16.6	19.9	7.2
BOTH DRUGS AND ALCOHOL²	1.0	4.1	9.1	3.1	0.5	4.6	6.1	0.8
DRUGS ONLY (NO ALCOHOL USE DISORDER)²	3.7	10.2	16.2	8.9	2.6	12.1	15.6	3.3
ALCOHOL ONLY (NO DRUG USE DISORDER)²	6.6	10.5	14.7	9.6	5.9	12.0	13.8	6.3
NO SUBSTANCE USE DISORDER²	88.7	75.2	60.0	78.3	91.1	71.3	64.5	89.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. ¹ Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ² Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.69A – Types of Professionals Seen: Among People Aged 18 or Older with Major Depressive Episode in Past Year Who Saw or Talked to a Professional about Depression in Past Year; by Age Group, Numbers in Thousands, 2021
Type of Professional¹	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	11,512	2,923	8,589	5,508	3,081
HEALTH PROFESSIONAL	11,151	2,874	8,277	5,279	2,997
General Practitioner or Family Doctor	5,790	1,257	4,534	2,695	1,839
Other Medical Doctor²	1,001	255	747	512	235
Psychologist	3,871	1,129	2,741	1,808	933
Psychiatrist or Psychotherapist	4,521	1,250	3,271	2,144	1,128
Social Worker	1,322	261	1,061	781	279
Counselor	3,895	1,276	2,620	1,873	747
Other Mental Health Professional³	1,239	322	917	663	254
Nurse, Occupational Therapist, or Other Health Professional	1,053	282	771	507	264
ALTERNATIVE SERVICE PROFESSIONAL	1,644	206	1,438	851	588
Religious or Spiritual Advisor	1,203	156	1,046	598	449
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist	578	53	526	338	188
OTHER PROFESSIONAL⁴	135	33	102	93	9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple types of professionals; thus, these response categories are not mutually exclusive. Respondents with unknown type of professional data were excluded from the estimates for each specific type of professional but were included in the Total row. ² Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors. ³ Other Mental Health Professional includes mental health nurses and other therapists where type is not specified. ⁴ Respondents with unknown or invalid responses to the other-specify question on other types of professionals seen for depression were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.69B – Types of Professionals Seen: Among People Aged 18 or Older with Major Depressive Episode in Past Year Who Saw or Talked to a Professional about Depression in Past Year; by Age Group, Percentages, 2021
Type of Professional¹	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	100.0	100.0	100.0	100.0	100.0
HEALTH PROFESSIONAL	97.1	99.3	96.4	95.9	97.3
General Practitioner or Family Doctor	50.4	43.4	52.8	48.9	59.7
Other Medical Doctor²	8.7	8.8	8.7	9.3	7.6
Psychologist	33.7	39.0	31.9	32.8	30.3
Psychiatrist or Psychotherapist	39.4	43.2	38.1	38.9	36.6
Social Worker	11.5	9.0	12.4	14.2	9.1
Counselor	33.9	44.1	30.5	34.0	24.2
Other Mental Health Professional³	10.8	11.1	10.7	12.0	8.2
Nurse, Occupational Therapist, or Other Health Professional	9.2	9.7	9.0	9.2	8.6
ALTERNATIVE SERVICE PROFESSIONAL	14.3	7.1	16.7	15.4	19.1
Religious or Spiritual Advisor	10.5	5.4	12.2	10.9	14.6
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist	5.0	1.8	6.1	6.1	6.1
OTHER PROFESSIONAL⁴	1.2	1.1	1.2	1.7	0.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple types of professionals; thus, these response categories are not mutually exclusive. Respondents with unknown type of professional data were excluded from the estimates for each specific type of professional but were included in the Total row. ² Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors. ³ Other Mental Health Professional includes mental health nurses and other therapists where type is not specified. ⁴ Respondents with unknown or invalid responses to the other-specify question on other types of professionals seen for depression were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.70A – Types of Professionals Seen: Among People Aged 18 or Older with Major Depressive Episode with Severe Impairment in Past Year Who Saw or Talked to a Professional about Depression in Past Year; by Age Group, Numbers in Thousands, 2021
Type of Professional¹	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	8,367	2,305	6,062	3,987	2,074
HEALTH PROFESSIONAL	8,152	2,270	5,882	3,829	2,053
General Practitioner or Family Doctor	4,262	1,011	3,251	2,001	1,250
Other Medical Doctor²	737	196	541	385	156
Psychologist	3,029	913	2,115	1,376	739
Psychiatrist or Psychotherapist	3,801	1,048	2,753	1,779	974
Social Worker	1,106	205	900	660	241
Counselor	3,049	986	2,063	1,502	561
Other Mental Health Professional³	1,059	283	776	553	223
Nurse, Occupational Therapist, or Other Health Professional	901	237	664	435	229
ALTERNATIVE SERVICE PROFESSIONAL	1,200	170	1,030	706	324
Religious or Spiritual Advisor	870	130	739	483	257
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist	423	43	380	274	106
OTHER PROFESSIONAL⁴	106	31	75	73	2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple types of professionals; thus, these response categories are not mutually exclusive. Respondents with unknown type of professional data were excluded from the estimates for each specific type of professional but were included in the Total row. ² Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors. ³ Other Mental Health Professional includes mental health nurses and other therapists where type is not specified. ⁴ Respondents with unknown or invalid responses to the other-specify question on other types of professionals seen for depression were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.70B – Types of Professionals Seen: Among People Aged 18 or Older with Major Depressive Episode with Severe Impairment in Past Year Who Saw or Talked to a Professional about Depression in Past Year; by Age Group, Percentages, 2021
Type of Professional¹	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	100.0	100.0	100.0	100.0	100.0
HEALTH PROFESSIONAL	97.7	99.4	97.1	96.1	99.0
General Practitioner or Family Doctor	51.1	44.3	53.6	50.2	60.3
Other Medical Doctor²	8.8	8.6	8.9	9.7	7.5
Psychologist	36.3	40.0	34.9	34.5	35.6
Psychiatrist or Psychotherapist	45.6	45.9	45.4	44.6	46.9
Social Worker	13.3	9.0	14.9	16.6	11.6
Counselor	36.5	43.2	34.0	37.7	27.1
Other Mental Health Professional³	12.7	12.4	12.8	13.9	10.8
Nurse, Occupational Therapist, or Other Health Professional	10.8	10.4	11.0	10.9	11.0
ALTERNATIVE SERVICE PROFESSIONAL	14.4	7.5	17.0	17.7	15.6
Religious or Spiritual Advisor	10.4	5.7	12.2	12.1	12.4
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist	5.1	1.9	6.3	6.9	5.1
OTHER PROFESSIONAL⁴	1.3	1.4	1.3	1.9	0.1
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates in this table exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple types of professionals; thus, these response categories are not mutually exclusive. Respondents with unknown type of professional data were excluded from the estimates for each specific type of professional but were included in the Total row. ² Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors. ³ Other Mental Health Professional includes mental health nurses and other therapists where type is not specified. ⁴ Respondents with unknown or invalid responses to the other-specify question on other types of professionals seen for depression were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.71A – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Numbers in Thousands, 2021
Age Category	Had Serious Thoughts of Suicide (2021)	Made Any Suicide Plans (2021)	Attempted Suicide (2021)
TOTAL	12,303	3,525	1,748
18-25	4,355	1,641	902
18-20	1,781	793	475
21-25	2,575	848	427
26 or Older	7,947	1,884	846
26-49	5,534	1,485	672
26-29	1,501	304	169
30-34	1,380	307	116
35-39	1,130	344	120
40-44	827	306	131
45-49	698	225	136
50 or Older	2,413	400	173
50-54	765	91	41
55-59	468	99	10
60-64	437	119	21
65 or Older	743	91	102
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.71B – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Percentages, 2021
Age Category	Had Serious Thoughts of Suicide (2021)	Made Any Suicide Plans (2021)	Attempted Suicide (2021)
TOTAL	4.8	1.4	0.7
18-25	13.0	4.9	2.7
18-20	13.6	6.1	3.6
21-25	12.6	4.2	2.1
26 or Older	3.6	0.9	0.4
26-49	5.4	1.5	0.7
26-29	8.6	1.7	1.0
30-34	6.1	1.3	0.5
35-39	5.1	1.5	0.5
40-44	4.0	1.5	0.6
45-49	3.6	1.2	0.7
50 or Older	2.0	0.3	0.1
50-54	3.9	0.5	0.2
55-59	2.2	0.5	0.0
60-64	1.9	0.5	0.1
65 or Older	1.4	0.2	0.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.72A – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	12,303	4,355	7,947	5,534	2,413
GENDER
Male	5,513	1,680	3,833	2,719	1,114
Female	6,790	2,675	4,115	2,816	1,299
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10,187	3,378	6,809	4,732	2,077
White	7,813	2,486	5,327	3,540	1,787
Black or African American	1,413	498	915	726	189
AIAN	138	*	57	50	*
NHOPI	65	*	*	*	*
Asian	392	144	248	195	53
Two or More Races	366	147	218	179	39
Hispanic or Latino	2,116	977	1,138	802	336
EMPLOYMENT STATUS
Full-Time	4,976	1,603	3,373	2,582	792
Part-Time	2,162	1,183	979	778	201
Unemployed	1,373	563	810	593	216
Other¹	3,792	1,007	2,785	1,581	1,204
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.72B – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	4.8	13.0	3.6	5.4	2.0
GENDER
Male	4.5	10.0	3.6	5.4	2.0
Female	5.2	16.0	3.6	5.5	2.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	4.8	13.2	3.7	5.8	2.0
White	4.9	14.0	3.8	6.2	2.2
Black or African American	4.6	10.9	3.5	5.4	1.5
AIAN	8.5	*	4.4	8.2	*
NHOPI	7.4	*	*	*	*
Asian	2.6	7.4	1.9	2.7	0.9
Two or More Races	8.2	16.2	6.1	8.8	2.6
Hispanic or Latino	4.9	12.5	3.2	3.8	2.4
EMPLOYMENT STATUS
Full-Time	4.4	12.7	3.3	4.0	2.1
Part-Time	7.1	14.5	4.4	7.6	1.7
Unemployed	10.4	17.9	8.0	9.1	6.1
Other¹	4.0	10.6	3.2	7.5	1.8
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.73A – Made Any Suicide Plans in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	3,525	1,641	1,884	1,485	400
GENDER
Male	1,579	631	948	749	199
Female	1,946	1,010	936	736	201
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	2,775	1,203	1,572	1,197	375
White	2,154	886	1,268	929	339
Black or African American	345	173	172	164	8
AIAN	27	*	9	9	*
NHOPI	5	*	*	*	*
Asian	137	55	82	77	5
Two or More Races	107	66	41	18	*
Hispanic or Latino	750	438	312	288	24
EMPLOYMENT STATUS
Full-Time	1,199	571	629	558	70
Part-Time	658	389	269	267	2
Unemployed	502	321	181	144	37
Other¹	1,166	360	806	516	290
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.73B – Made Any Suicide Plans in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	1.4	4.9	0.9	1.5	0.3
GENDER
Male	1.3	3.8	0.9	1.5	0.4
Female	1.5	6.0	0.8	1.4	0.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1.3	4.7	0.8	1.5	0.4
White	1.4	5.0	0.9	1.6	0.4
Black or African American	1.1	3.8	0.7	1.2	0.1
AIAN	1.7	*	0.7	1.4	*
NHOPI	0.5	*	*	*	*
Asian	0.9	2.8	0.6	1.0	0.1
Two or More Races	2.4	7.3	1.1	0.9	*
Hispanic or Latino	1.7	5.6	0.9	1.4	0.2
EMPLOYMENT STATUS
Full-Time	1.0	4.5	0.6	0.9	0.2
Part-Time	2.2	4.8	1.2	2.6	0.0
Unemployed	3.8	10.2	1.8	2.2	1.1
Other¹	1.2	3.8	0.9	2.4	0.4
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.74A – Attempted Suicide in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	1,748	902	846	672	173
GENDER
Male	748	311	437	388	49
Female	1,000	591	409	284	124
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1,253	617	636	466	170
White	855	391	464	317	147
Black or African American	280	149	131	129	2
AIAN	22	*	7	7	*
NHOPI	6	*	2	*	*
Asian	48	34	13	13	*
Two or More Races	43	23	*	0	*
Hispanic or Latino	494	285	210	206	4
EMPLOYMENT STATUS
Full-Time	580	313	267	250	17
Part-Time	307	213	94	94	*
Unemployed	253	158	95	87	8
Other¹	607	218	390	241	149
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.74B – Attempted Suicide in Past Year: Among People Aged 18 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	0.7	2.7	0.4	0.7	0.1
GENDER
Male	0.6	1.9	0.4	0.8	0.1
Female	0.8	3.5	0.4	0.6	0.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.6	2.4	0.3	0.6	0.2
White	0.5	2.2	0.3	0.6	0.2
Black or African American	0.9	3.3	0.5	1.0	0.0
AIAN	1.3	*	0.5	1.1	*
NHOPI	0.7	*	0.2	*	*
Asian	0.3	1.8	0.1	0.2	*
Two or More Races	1.0	2.5	*	0.0	*
Hispanic or Latino	1.1	3.6	0.6	1.0	0.0
EMPLOYMENT STATUS
Full-Time	0.5	2.5	0.3	0.4	0.0
Part-Time	1.0	2.6	0.4	0.9	*
Unemployed	1.9	5.0	0.9	1.3	0.2
Other¹	0.6	2.3	0.5	1.1	0.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.75A – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	12,303	4,355	7,947	5,534	2,413
GEOGRAPHIC REGION
Northeast	1,646	656	990	750	241
Midwest	2,797	970	1,826	1,328	499
South	4,631	1,583	3,049	2,177	872
West	3,229	1,147	2,082	1,281	802
COUNTY TYPE
Large Metro	6,224	2,276	3,948	2,779	1,168
Small Metro	4,172	1,496	2,676	1,906	771
Nonmetro	1,907	584	1,324	849	474
Urbanized	761	278	483	323	161
Less Urbanized	963	256	707	475	232
Completely Rural	183	50	134	52	82
POVERTY LEVEL¹
Less Than 100%	2,780	1,066	1,713	1,188	525
100-199%	2,792	1,216	1,576	1,213	363
200% or More	6,729	2,070	4,659	3,134	1,525
EDUCATION LEVEL
< High School	1,226	532	695	425	270
High School Graduate	3,154	1,432	1,722	1,154	568
Some College/Associate’s Degree	4,984	1,958	3,027	2,179	848
College Graduate	2,938	434	2,504	1,776	728
HEALTH INSURANCE²
Private	6,279	2,461	3,818	2,602	1,216
Medicaid/CHIP	3,099	1,108	1,991	1,427	564
Other³	2,459	407	2,051	945	1,107
No Coverage	1,792	577	1,215	1,002	213
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.75B – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 26-49 (2021)	Aged 50+ (2021)
TOTAL	4.8	13.0	3.6	5.4	2.0
GEOGRAPHIC REGION
Northeast	3.7	11.5	2.5	4.3	1.1
Midwest	5.3	13.7	4.0	6.5	2.0
South	4.8	12.5	3.6	5.6	1.9
West	5.4	14.5	4.0	5.0	3.0
COUNTY TYPE
Large Metro	4.5	12.7	3.3	4.7	1.9
Small Metro	5.4	13.6	4.0	6.3	2.1
Nonmetro	5.1	12.9	4.0	6.3	2.4
Urbanized	5.3	14.3	3.9	6.3	2.2
Less Urbanized	5.0	12.1	4.1	6.8	2.3
Completely Rural	4.5	10.9	3.7	3.8	3.6
POVERTY LEVEL¹
Less Than 100%	7.4	12.5	5.9	7.7	3.9
100-199%	5.6	15.3	3.7	6.1	1.6
200% or More	4.1	12.2	3.1	4.7	1.9
EDUCATION LEVEL
< High School	4.3	14.2	2.8	4.3	1.8
High School Graduate	4.5	13.5	2.9	4.8	1.6
Some College/Associate’s Degree	6.5	13.9	4.8	7.3	2.6
College Graduate	3.8	8.6	3.4	4.6	2.1
HEALTH INSURANCE²
Private	4.1	12.9	2.8	4.2	1.7
Medicaid/CHIP	6.7	13.1	5.2	6.6	3.4
Other³	3.3	16.1	2.8	10.4	1.7
No Coverage	7.0	11.6	5.9	6.8	3.7
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ² Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ³ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.76A – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 18 or Older; by Demographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Demographic/Socioeconomic Characteristic	Had Serious Thoughts of Suicide (2021)	Made Any Suicide Plans (2021)	Attempted Suicide (2021)
TOTAL	12,303	3,525	1,748
AGE GROUP
18-25	4,355	1,641	902
26 or Older	7,947	1,884	846
26-49	5,534	1,485	672
50 or Older	2,413	400	173
GENDER
Male	5,513	1,579	748
Female	6,790	1,946	1,000
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10,187	2,775	1,253
White	7,813	2,154	855
Black or African American	1,413	345	280
AIAN	138	27	22
NHOPI	65	5	6
Asian	392	137	48
Two or More Races	366	107	43
Hispanic or Latino	2,116	750	494
HEALTH INSURANCE¹
Private	6,279	1,513	680
Medicaid/CHIP	3,099	1,193	630
Other²	2,459	615	352
No Coverage	1,792	605	243
EMPLOYMENT STATUS
Full-Time	4,976	1,199	580
Part-Time	2,162	658	307
Unemployed	1,373	502	253
Other³	3,792	1,166	607
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ² Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.76B – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 18 or Older; by Demographic and Socioeconomic Characteristics, Percentages, 2021
Demographic/Socioeconomic Characteristic	Had Serious Thoughts of Suicide (2021)	Made Any Suicide Plans (2021)	Attempted Suicide (2021)
TOTAL	4.8	1.4	0.7
AGE GROUP
18-25	13.0	4.9	2.7
26 or Older	3.6	0.9	0.4
26-49	5.4	1.5	0.7
50 or Older	2.0	0.3	0.1
GENDER
Male	4.5	1.3	0.6
Female	5.2	1.5	0.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	4.8	1.3	0.6
White	4.9	1.4	0.5
Black or African American	4.6	1.1	0.9
AIAN	8.5	1.7	1.3
NHOPI	7.4	0.5	0.7
Asian	2.6	0.9	0.3
Two or More Races	8.2	2.4	1.0
Hispanic or Latino	4.9	1.7	1.1
HEALTH INSURANCE¹
Private	4.1	1.0	0.4
Medicaid/CHIP	6.7	2.6	1.4
Other²	3.3	0.8	0.5
No Coverage	7.0	2.4	1.0
EMPLOYMENT STATUS
Full-Time	4.4	1.0	0.5
Part-Time	7.1	2.2	1.0
Unemployed	10.4	3.8	1.9
Other³	4.0	1.2	0.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ² Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.77A – Attempted Suicide in Past Year: Among People Aged 18 or Older; Received Medical Attention for Suicide Attempt or Stayed Overnight or Longer in a Hospital for Suicide Attempt in Past Year: Among People Aged 18 or Older Who Attempted Suicide in Past Year; by Demographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Demographic/Socioeconomic Characteristic	Attempted Suicide (2021)	Received Medical Attention for Suicide Attempt among People Who Attempted Suicide (2021)	Stayed Overnight or Longer in a Hospital for Suicide Attempt among People Who Attempted Suicide (2021)
TOTAL	1,748	808	517
AGE GROUP
18-25	902	355	225
26 or Older	846	*	*
26-49	672	*	*
50 or Older	173	*	*
GENDER
Male	748	*	*
Female	1,000	496	*
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1,253	662	427
White	855	*	*
Black or African American	280	*	*
AIAN	22	*	*
NHOPI	6	*	*
Asian	48	*	*
Two or More Races	43	*	*
Hispanic or Latino	494	*	*
HEALTH INSURANCE¹
Private	680	290	*
Medicaid/CHIP	630	*	207
Other²	352	*	*
No Coverage	243	*	*
EMPLOYMENT STATUS
Full-Time	580	*	*
Part-Time	307	*	*
Unemployed	253	*	*
Other³	607	*	*
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ² Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

220719

Table 6.77B – Attempted Suicide in Past Year: Among People Aged 18 or Older; Received Medical Attention for Suicide Attempt or Stayed Overnight or Longer in a Hospital for Suicide Attempt in Past Year: Among People Aged 18 or Older Who Attempted Suicide in Past Year; by Demographic and Socioeconomic Characteristics, Percentages, 2021
Demographic/Socioeconomic Characteristic	Attempted Suicide (2021)	Received Medical Attention for Suicide Attempt among People Who Attempted Suicide (2021)	Stayed Overnight or Longer in a Hospital for Suicide Attempt among People Who Attempted Suicide (2021)
TOTAL	0.7	46.3	29.6
AGE GROUP
18-25	2.7	39.3	24.9
26 or Older	0.4	*	*
26-49	0.7	*	*
50 or Older	0.1	*	*
GENDER
Male	0.6	*	*
Female	0.8	49.6	*
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.6	52.8	34.1
White	0.5	*	*
Black or African American	0.9	*	*
AIAN	1.3	*	*
NHOPI	0.7	*	*
Asian	0.3	*	*
Two or More Races	1.0	*	*
Hispanic or Latino	1.1	*	*
HEALTH INSURANCE¹
Private	0.4	42.7	*
Medicaid/CHIP	1.4	*	32.9
Other²	0.5	*	*
No Coverage	1.0	*	*
EMPLOYMENT STATUS
Full-Time	0.5	*	*
Part-Time	1.0	*	*
Unemployed	1.9	*	*
Other³	0.6	*	*
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ² Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ³ Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.78A – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 18 or Older; by Type of Illicit Drug Use in Past Year and Alcohol Use in Past Year and Past Month, Numbers in Thousands, 2021
Substance	Had Serious Thoughts of Suicide (2021)	Made Any Suicide Plans (2021)	Attempted Suicide (2021)
TOTAL	12,303	3,525	1,748
ILLICIT DRUGS	6,350	2,009	1,148
Marijuana	5,420	1,696	908
Cocaine	791	305	198
Crack	*	*	*
Heroin	*	76	56
Hallucinogens	1,356	448	254
LSD	529	217	127
PCP	*	*	*
Ecstasy	422	177	122
Inhalants	319	117	70
Methamphetamine	376	186	133
Misuse of Prescription Psychotherapeutics	1,968	758	448
Pain Relievers	1,107	485	326
Stimulants	556	223	121
Tranquilizers or Sedatives	878	372	218
Tranquilizers	797	357	207
Sedatives	188	77	50
Benzodiazepines	679	313	165
Opioids	1,239	526	359
Central Nervous System Stimulants	1,428	566	362
Illicit Drugs Other Than Marijuana¹	3,342	1,190	721
PAST YEAR ALCOHOL	9,459	2,667	1,317
PAST YEAR ALCOHOL OR ILLICIT DRUGS	10,227	2,950	1,482
PAST YEAR ALCOHOL AND ILLICIT DRUGS	5,582	1,726	984
PAST MONTH ALCOHOL	6,966	1,967	909
Binge Alcohol Use²	3,737	1,150	627
Heavy Alcohol Use	1,178	422	253
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.78B – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 18 or Older; by Type of Illicit Drug Use in Past Year and Alcohol Use in Past Year and Past Month, Percentages, 2021
Substance	Had Serious Thoughts of Suicide (2021)	Made Any Suicide Plans (2021)	Attempted Suicide (2021)
TOTAL	4.8	1.4	0.7
ILLICIT DRUGS	11.0	3.5	2.0
Marijuana	10.9	3.4	1.8
Cocaine	16.7	6.4	4.2
Crack	*	*	*
Heroin	*	6.9	5.0
Hallucinogens	19.2	6.4	3.6
LSD	23.7	9.7	5.7
PCP	*	*	*
Ecstasy	20.0	8.4	5.8
Inhalants	20.5	7.6	4.5
Methamphetamine	15.0	7.4	5.3
Misuse of Prescription Psychotherapeutics	14.6	5.6	3.3
Pain Relievers	13.5	5.9	4.0
Stimulants	16.2	6.5	3.5
Tranquilizers or Sedatives	18.8	8.0	4.7
Tranquilizers	19.4	8.7	5.0
Sedatives	21.3	8.8	5.6
Benzodiazepines	18.1	8.3	4.4
Opioids	14.2	6.0	4.1
Central Nervous System Stimulants	16.2	6.4	4.1
Illicit Drugs Other Than Marijuana¹	15.4	5.5	3.3
PAST YEAR ALCOHOL	5.6	1.6	0.8
PAST YEAR ALCOHOL OR ILLICIT DRUGS	5.7	1.7	0.8
PAST YEAR ALCOHOL AND ILLICIT DRUGS	11.4	3.5	2.0
PAST MONTH ALCOHOL	5.3	1.5	0.7
Binge Alcohol Use²	6.3	1.9	1.1
Heavy Alcohol Use	7.3	2.6	1.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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Table 6.79A – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 18 or Older; by Past Year Substance Use Disorder Status and Past Year Substance Use Disorder for Specific Substances, Numbers in Thousands, 2021
Substance Use Disorder Status	Had Serious Thoughts of Suicide (2021)	No Serious Thoughts of Suicide (2021)	Made Any Suicide Plans (2021)	Did Not Make Any Suicide Plans (2021)	Attempted Suicide (2021)	Did Not Attempt Suicide (2021)
TOTAL POPULATION	12,303	241,522	3,525	250,299	1,748	252,077
DRUGS OR ALCOHOL¹	5,643	38,383	1,851	42,175	948	43,079
DRUGS¹	3,877	18,381	1,378	20,880	708	21,550
Marijuana	2,698	12,314	947	14,064	501	14,511
Cocaine	342	1,058	173	1,227	131	1,270
Heroin	*	*	40	965	19	986
Hallucinogens	*	*	*	*	*	*
Inhalants	*	*	*	*