Index Manuals Key Substance Use and Mental Health Indicators in the United States: Results from the 2020 National Survey on Drug Use and Health
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Table A.57B Perceived Unmet Need for Mental Health Services in the Past Year: Among Adults Aged 18 or Older; by Level of Mental Illness and Age Group, 2008-2020
Level of Mental
Illness/Age Group
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
AMI
20.6
(0.66)
22.1
(0.70)
21.0
(0.70)
20.7
(0.66)
20.8
(0.63)
19.3
(0.65)
20.8
(0.52)
20.3
(0.52)
20.7
(0.52)
23.7
(0.58)
23.6
(0.54)
26.0
(0.57)
30.5
(0.95)
18-25
30.2
(0.97)
29.4
(0.94)
29.8
(0.93)
28.8
(0.93)
28.1
(0.91)
27.8
(0.93)
28.9
(0.99)
29.0
(0.95)
32.4
(0.95)
35.3
(0.96)
37.9
(0.90)
40.7
(0.99)
47.1
(1.63)
26-49
23.3
(0.92)
24.8
(0.93)
22.5
(0.90)
24.6
(0.95)
24.4
(0.94)
21.7
(0.93)
23.3
(0.73)
22.5
(0.74)
23.0
(0.71)
24.5
(0.74)
25.3
(0.71)
28.0
(0.70)
30.5
(1.16)
50 or Older
11.8
(1.32)
14.8
(1.40)
15.2
(1.44)
12.0
(1.13)
13.2
(1.15)
12.6
(1.21)
14.3
(0.96)
13.0
(1.01)
12.3
(0.99)
16.1
(1.15)
13.2
(1.06)
13.9
(1.07)
20.3
(2.08)
SMI
43.7
(1.84)
46.3
(1.81)
42.0
(1.81)
43.1
(1.72)
41.6
(1.69)
38.6
(1.80)
42.9
(1.45)
38.2
(1.31)
39.7
(1.44)
44.2
(1.33)
45.1
(1.31)
47.7
(1.26)
49.7
(2.10)
18-25
50.0
(2.31)
52.2
(2.32)
53.1
(2.27)
55.0
(2.35)
49.8
(2.13)
51.5
(2.08)
53.6
(2.12)
50.3
(2.00)
53.7
(2.06)
55.9
(1.79)
59.5
(1.71)
62.5
(1.62)
63.4
(2.52)
26-49
44.8
(2.26)
49.2
(2.20)
44.3
(2.20)
45.2
(2.13)
46.2
(2.28)
42.4
(2.35)
45.4
(1.82)
43.3
(1.79)
39.7
(1.67)
45.2
(1.60)
45.2
(1.66)
47.6
(1.46)
48.0
(2.53)
50 or Older
38.2
(4.63)
37.5
(4.42)
32.7
(4.29)
33.9
(3.75)
30.1
(3.41)
27.1
(3.49)
33.9
(2.93)
23.2
(2.64)
30.4
(3.33)
32.5
(3.27)
31.9
(3.33)
35.1
(3.47)
41.4
(5.39)
AMI = any mental illness; SMI = serious mental illness.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance
testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug
Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
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 questions were asked of all respondents regardless of their mental
health status. Respondents with unknown perception of unmet need information were excluded.
NOTE: Mental Illness aligns with criteria from the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders 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 AMI because SMI is limited to people with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to
2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020 detailed tables.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019 and Quarters 1 and 4, 2020.
Table A.58B Did Not Receive Mental Health Services in the Past Year: Among Adults Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in the
Past Year; by Past Year Level of Mental Illness and Age Group, 2008-2020
Level of Mental
Illness/Age Group
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
AMI
42.1
(1.65)
44.9
(1.66)
40.1
(1.82)
42.1
(1.65)
42.1
(1.72)
39.9
(1.77)
40.3
(1.43)
40.8
(1.38)
42.5
(1.29)
44.8
(1.28)
44.4
(1.22)
43.8
(1.14)
48.0
(1.84)
18-25
55.3
(1.92)
56.7
(1.98)
52.4
(1.85)
53.7
(1.86)
52.0
(1.96)
53.0
(1.92)
50.1
(2.01)
52.7
(1.94)
51.2
(1.78)
50.5
(1.66)
54.3
(1.53)
53.1
(1.42)
52.7
(2.38)
26-49
41.4
(2.17)
43.3
(2.05)
37.0
(2.16)
43.2
(2.23)
44.0
(2.28)
38.5
(2.25)
43.7
(1.87)
40.3
(1.71)
43.1
(1.69)
44.1
(1.70)
44.2
(1.68)
42.5
(1.52)
48.0
(2.33)
50 or Older
28.1
(5.05)
38.8
(5.05)
36.4
(4.88)
27.4
(4.49)
28.9
(4.38)
30.8
(4.70)
25.4
(3.19)
28.7
(4.00)
30.2
(3.71)
39.2
(3.80)
29.2
(3.76)
31.1
(3.88)
41.5
(5.85)
SMI
30.1
(2.39)
29.7
(2.21)
27.9
(2.32)
31.8
(2.31)
34.2
(2.57)
32.7
(2.49)
31.5
(2.01)
30.7
(1.81)
33.5
(1.78)
32.6
(1.67)
36.1
(1.74)
32.8
(1.50)
37.6
(2.68)
18-25
49.1
(3.21)
47.5
(3.28)
42.3
(3.12)
43.5
(3.01)
41.8
(3.11)
43.6
(3.11)
40.6
(2.95)
43.3
(3.05)
44.2
(2.65)
40.8
(2.41)
47.0
(2.26)
43.2
(2.18)
43.8
(3.56)
26-49
27.4
(2.93)
32.8
(2.88)
26.8
(2.86)
33.8
(3.00)
36.3
(3.44)
29.6
(3.41)
34.1
(2.52)
30.7
(2.33)
32.0
(2.34)
32.4
(2.24)
34.0
(2.33)
31.9
(2.02)
39.1
(3.25)
50 or Older
(*)
(*)
(*)
(*)
(*)
(*)
19.3
(4.32)
(*)
(*)
21.2
(4.76)
(*)
19.5
(4.83)
(*)
* = low precision; AMI = any mental illness; SMI = serious mental illness.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance
testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug
Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown
mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and
Health: Methodological Summary and Definitions for details.
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need questions were asked of all respondents regardless of their mental
health status. Respondents with unknown perception of unmet need information were excluded.
NOTE: Mental Illness aligns with criteria from the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders 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 AMI because SMI is limited to people with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to
2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020 detailed tables.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019 and Quarters 1 and 4, 2020.
Table A.59B Detailed Reasons for Not Receiving Mental Health Services in the Past Year: Among Adults Aged 18 or Older with a Perceived Unmet Need for Mental Health
Services Who Did Not Receive Mental Health Services in the Past Year; by Past Year Level of Mental Illness, 2020
Reason for Not Receiving Services1
Any Mental Illness2
Serious Mental Illness2
Could Not Afford Cost
44.9
(2.57)
49.5
(4.38)
Might Cause Neighbors/Community to Have Negative Opinion
13.7
(1.69)
18.4
(3.83)
Might Have Negative Effect on Job
10.3
(1.24)
12.8
(2.24)
Health Insurance Does Not Cover Any Mental Health Services
11.0
(1.59)
12.0
(2.62)
Health Insurance Does Not Pay Enough for Mental Health Services
19.4
(2.12)
18.1
(3.66)
Did Not Know Where to Go for Services
32.7
(2.47)
33.5
(4.04)
Concerned about Confidentiality
10.1
(1.33)
11.6
(2.15)
Concerned about Being Committed/Having to Take Medicine
16.2
(1.80)
25.9
(3.97)
Did Not Feel Need for Treatment at the Time
11.5
(2.37)
7.9
(3.27)
Thought Could Handle the Problem Without Treatment
29.7
(2.73)
25.0
(4.13)
Treatment Would Not Help
16.2
(2.49)
16.9
(3.75)
Did Not Have Time
17.5
(1.88)
15.0
(2.74)
Did Not Want Others to Find Out
10.0
(2.16)
10.0
(2.28)
No Transportation/Inconvenient
4.1
(0.95)
4.0
(1.64)
Related to COVID-193
2.1
(1.14)
(*)
Some Other Reason4
9.5
(1.52)
8.5
(2.08)
* = low precision; COVID-19 = coronavirus disease 2019.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
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 2020 National
Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown reason for not receiving mental health service were excluded.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health.
Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these
questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need questions were asked of all respondents
regardless of their mental health status. Respondents with unknown perception of unmet need information were excluded.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020 detailed tables.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 Mental Illness aligns with criteria from the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders 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.
3 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.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as having provided a “no” response for some
other reason.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
Table A.60B Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in the Past Year: Among Adolescents Aged
12 to 17; by Past Year Substance Use Disorder (SUD) Status and Major Depressive Episode (MDE) Status, 2020
Received Substance Use
Received Substance Use
Received Mental Health
Received Substance Use
Received Neither
Treatment at a Specialty
Treatment at a Specialty
Services BUT NOT
Treatment at a Specialty
Substance Use Treatment
Facility OR
Facility BUT NOT
Substance Use Treatment
Facility AND
at a Specialty Facility NOR
Past Year SUD Status/MDE Status
Mental Health Services
Mental Health Services
at a Specialty Facility
Mental Health Services
Mental Health Services
SUD and MDE
69.0
(5.41)
(*)
66.8
(5.41)
0.9
(0.70)
31.0
(5.41)
SUD and No MDE
39.9
(5.35)
(*)
37.1
(5.28)
1.1
(0.68)
60.1
(5.35)
MDE and No SUD
48.7
(2.43)
(*)
48.6
(2.43)
0.1
(0.11)
51.3
(2.43)
No SUD and No MDE
19.1
(0.90)
(*)
19.1
(0.90)
0.0
(0.04)
80.9
(0.90)
* = low precision.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
NOTE: SUD estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition. SUD and related estimates are not comparable between 2020 and prior years
of NSDUH because prior years’ estimates were based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Due to these changes, significance testing between
2020 and prior years was not performed. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. See the 2020 National Survey on Drug Use and Health: Methodological
Summary and Definitions for details.
NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental Health Services for adolescents aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental
health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National
Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown past year MDE data were excluded.
NOTE: Estimates of 0.0 percent round to less than 0.1 percent when shown to the nearest tenth of a percent.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020 detailed tables.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
Table A.61B Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty, Nonspecialty, or Virtual) in the Past Year: Among
Adolescents Aged 12 to 17; by Past Year Substance Use Disorder (SUD) Status and Major Depressive Episode (MDE) Status, Quarter 4, 2020
Received Substance Use
Received Substance Use
Received Mental Health
Received Substance Use
Received Neither
Treatment at a Specialty
Treatment at a Specialty
Services BUT NOT
Treatment at a Specialty
Substance Use Treatment
Facility OR
Facility BUT NOT
Substance Use Treatment
Facility AND
at a Specialty Facility NOR
Past Year SUD Status/MDE Status
Mental Health Services
Mental Health Services
at a Specialty Facility
Mental Health Services
Mental Health Services
SUD and MDE
(*)
(*)
(*)
(*)
(*)
SUD and No MDE
(*)
(*)
(*)
(*)
(*)
MDE and No SUD
53.0
(4.72)
(*)
52.7
(4.72)
0.3
(0.24)
47.0
(4.72)
No SUD and No MDE
18.3
(1.48)
(*)
18.2
(1.47)
0.1
(0.08)
81.7
(1.48)
* = low precision.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
NOTE: SUD estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition. SUD and related estimates are not comparable between 2020 and prior years
of NSDUH because prior years’ estimates were based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Because of these changes, significance testing between
2020 and prior years was not performed. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. See the 2020 National Survey on Drug Use and Health: Methodological
Summary and Definitions for details.
NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental Health Services for adolescents aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental
health service information were excluded. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown past year MDE data were excluded.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020 detailed tables.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
Table A.62B Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Inpatient, Outpatient, or Prescription Medication) in the Past Year:
Among Adults Aged 18 or Older; by Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness and Age Group, 2020
Received Substance Use
Received Substance Use
Received Mental Health
Received Substance Use
Received Neither
Co-Occurring Substance Use
Treatment at a Specialty
Treatment at a Specialty
Services BUT NOT
Treatment at a Specialty
Substance Use Treatment
Disorder (SUD) and Level of
Facility OR
Facility BUT NOT
Substance Use Treatment
Facility AND
at a Specialty Facility NOR
Mental Illness/Age Group
Mental Health Services
Mental Health Services
at a Specialty Facility
Mental Health Services
Mental Health Services
SUD and Any Mental Illness
50.5
(1.91)
2.5
(0.70)
42.3
(1.85)
5.7
(0.84)
49.5
(1.91)
18-25
44.9
(2.47)
1.8
(1.10)
40.5
(2.34)
2.6
(0.83)
55.1
(2.47)
26-49
48.1
(2.17)
2.4
(0.65)
39.6
(2.09)
6.0
(1.10)
51.9
(2.17)
50 or Older
63.0
(5.75)
(*)
51.3
(5.88)
8.2
(2.66)
37.0
(5.75)
SUD and Serious Mental Illness
66.4
(2.60)
1.6
(0.64)
55.4
(2.86)
9.3
(1.92)
33.6
(2.60)
18-25
59.6
(3.81)
0.3
(0.18)
54.9
(3.88)
4.4
(1.75)
40.4
(3.81)
26-49
64.0
(3.54)
2.6
(1.12)
51.1
(3.62)
10.2
(2.33)
36.0
(3.54)
50 or Older
(*)
(*)
(*)
(*)
(*)
* = low precision.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
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 2020 National
Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: SUD estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition. SUD and related estimates are not comparable between 2020 and prior years
of NSDUH because prior years’ estimates were based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). The 2020 estimates reflect additional
methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health:
Methodological Summary and Definitions for details.
NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health.
Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these
questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of
serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness
estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020 detailed tables.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
Table A.63B Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Inpatient, Outpatient, Prescription Medication, or Virtual) in the
Past Year: Among Adults Aged 18 or Older; by Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness and Age Group, Quarter 4, 2020
Received Substance Use
Received Substance Use
Received Mental Health
Received Substance Use
Received Neither
Co-Occurring Substance Use
Treatment at a Specialty
Treatment at a Specialty
Services BUT NOT
Treatment at a Specialty
Substance Use Treatment
Disorder (SUD) and Level of
Facility OR
Facility BUT NOT
Substance Use Treatment
Facility AND
at a Specialty Facility NOR
Mental Illness and Age Group
Mental Health Services
Mental Health Services
at a Specialty Facility
Mental Health Services
Mental Health Services
SUD and Any Mental Illness
55.0
(2.58)
1.2
(0.49)
45.9
(2.55)
7.9
(1.43)
45.0
(2.58)
18-25
57.5
(3.82)
1.0
(0.77)
51.6
(3.82)
4.8
(1.77)
42.5
(3.82)
26-49
50.8
(2.87)
1.5
(0.80)
40.9
(2.71)
8.4
(1.85)
49.2
(2.87)
50 or Older
(*)
0.3
(0.24)
(*)
(*)
(*)
SUD and Serious Mental Illness
67.7
(3.61)
1.3
(0.79)
52.6
(3.79)
13.8
(3.25)
32.3
(3.61)
18-25
68.0
(5.23)
0.6
(0.38)
60.7
(5.55)
(*)
32.0
(5.23)
26-49
64.3
(4.71)
(*)
47.2
(4.72)
15.4
(3.87)
35.7
(4.71)
50 or Older
(*)
(*)
(*)
(*)
(*)
* = low precision.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
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 2020 National
Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: SUD estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition. SUD and related estimates are not comparable between 2020 and prior years
of NSDUH because prior years’ estimates were based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). Due to these changes, significance testing
between 2020 and prior years was not performed. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. See the 2020 National Survey on Drug Use and Health:
Methodological Summary and Definitions for details.
NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health.
Respondents with unknown mental health service information were excluded. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of
serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness
estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020 detailed tables.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
Table A.64B Perceived Ever Having Had a Substance Use Problem or Mental Health Issue: Among Adults Aged 18 or Older; by Age Group, 2020
Characteristic
Ever Had a Substance Use Problem1 (2020)
Ever Had a Mental Health Issue2 (2020)
TOTAL
11.6
(0.34)
22.0
(0.40)
AGE
18-25
7.5
(0.47)
34.7
(0.88)
26 or Older
12.3
(0.38)
20.0
(0.44)
NOTE: Estimates shown are percentages with standard errors included in parentheses.
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 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020
detailed tables.
1 Excluded were respondents with unknown information for ever having a problem with their drug or alcohol use.
2 Excluded were respondents with unknown information for ever having a problem with their mental health.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
Table A.65B Perceived Recovery from a Substance Use Problem: Among Adults Aged 18 or Older Who Perceived Ever Having a Substance Use Problem and Perceived
Recovery from a Mental Health Issue among Adults Aged 18 or Older Who Perceived Ever Having a Mental Health Issue; by Age Group, 2020
Characteristic
In Recovery from a Substance Use Problem1 (2020)
In Recovery from a Mental Health Issue2 (2020)
TOTAL
72.5
(1.25)
65.9
(0.95)
AGE
18-25
63.4
(3.16)
61.8
(1.41)
26 or Older
73.4
(1.35)
66.9
(1.13)
NOTE: Estimates shown are percentages with standard errors included in parentheses.
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 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020
detailed tables.
1 Respondents were asked if they perceived themselves to be in recovery or to have recovered from a substance use problem only if they reported ever having a drug or alcohol use
problem. Excluded were respondents with unknown information for ever having a substance use problem or for perceived recovery from their substance use problem.
2 Respondents were asked if they perceived themselves to be in recovery or to have recovered from a mental health issue only if they reported ever having a mental health issue. Excluded
were respondents with unknown information for ever having a mental health issue or for perceived recovery from their mental health issue.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarters 1 and 4, 2020.
Table A.66B Perceived COVID-19 Pandemic Negative Effect on Emotional or Mental Health: Among Adolescents Aged 12 to 17; by Past Year Major Depressive Episode
(MDE) and MDE with Severe Impairment Status, Quarter 4, 2020
Perceived Negative Effect on Emotional or Mental Health
Aged 12-17
PERCEPTION OF THE COVID-19 PANDEMIC’S NEGATIVE EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG TOTAL POPULATION
Not at all
30.8
(1.64)
A little or some
50.8
(1.66)
Quite a bit or a lot
18.3
(1.23)
PERCEPTION OF THE COVID-19 PANDEMIC’S NEGATIVE EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE1
Not at all
10.5
(2.20)
A little or some
40.8
(3.84)
Quite a bit or a lot
48.7
(4.11)
PERCEPTION OF THE COVID-19 PANDEMIC’S NEGATIVE EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE WITH SEVERE IMPAIRMENT1,2
Not at all
9.6
(2.39)
A little or some
35.1
(4.51)
Quite a bit or a lot
55.3
(4.95)
PERCEPTION OF THE COVID-19 PANDEMIC’S NEGATIVE EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR MDE1
Not at all
35.1
(1.93)
A little or some
52.2
(1.92)
Quite a bit or a lot
12.7
(1.17)
COVID-19 = coronavirus disease 2019.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s negative effect on their emotional or mental health were excluded.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020
detailed tables.
1 Respondents with unknown past year MDE data were excluded.
2 Respondents with unknown impairment data were excluded.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
Table A.67B Perceived COVID-19 Pandemic Negative Effect on Emotional or Mental Health: Among Adults Aged 18 or Older; by Age Group and Past Year Level of Mental
Illness, Quarter 4, 2020
Perceived Negative Effect on Emotional or Mental
Health1
Aged 18 or Older
Aged 18-25
Aged 26-49
Aged 50 or Older
PERCEPTION OF THE COVID-19 PANDEMIC’S
NEGATIVE EFFECT ON EMOTIONAL OR
MENTAL HEALTH AMONG TOTAL
POPULATION
Not at all
27.0
(0.67)
28.4
(1.26)
25.7
(0.90)
27.7
(1.18)
A little or some
54.7
(0.71)
48.5
(1.28)
52.9
(0.95)
58.0
(1.26)
Quite a bit or a lot
18.3
(0.57)
23.2
(0.96)
21.4
(0.79)
14.2
(0.96)
PERCEPTION OF THE COVID-19 PANDEMIC’S
NEGATIVE EFFECT ON EMOTIONAL OR
MENTAL HEALTH AMONG PEOPLE WITH
ANY MENTAL ILLNESS IN THE PAST YEAR
Not at all
10.4
(0.94)
9.3
(1.24)
10.0
(1.14)
11.4
(2.21)
A little or some
44.5
(1.45)
42.3
(2.18)
44.5
(1.67)
45.5
(3.42)
Quite a bit or a lot
45.2
(1.49)
48.5
(2.14)
45.5
(1.70)
43.0
(3.49)
PERCEPTION OF THE COVID-19 PANDEMIC’S
NEGATIVE EFFECT ON EMOTIONAL OR
MENTAL HEALTH AMONG PEOPLE WITH
SERIOUS MENTAL ILLNESS IN THE PAST
YEAR
Not at all
9.3
(1.55)
8.3
(1.74)
10.6
(2.31)
7.9
(2.99)
A little or some
35.8
(2.91)
38.9
(3.68)
34.8
(3.05)
(*)
Quite a bit or a lot
54.9
(2.93)
52.7
(3.82)
54.6
(3.18)
(*)
PERCEPTION OF THE COVID-19 PANDEMIC’S
NEGATIVE EFFECT ON EMOTIONAL OR
MENTAL HEALTH AMONG PEOPLE WITH NO
MENTAL ILLNESS IN THE PAST YEAR
Not at all
31.7
(0.80)
35.9
(1.58)
31.5
(1.14)
30.7
(1.30)
A little or some
57.6
(0.81)
50.9
(1.53)
56.0
(1.16)
60.3
(1.35)
Quite a bit or a lot
10.8
(0.54)
13.2
(0.96)
12.5
(0.76)
8.9
(0.87)
* = low precision; COVID-19 = coronavirus disease 2019.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
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 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020
detailed tables.
1 Respondents with unknown information on their perception of the COVID-19 pandemic’s negative effect on their emotional or mental health were excluded.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
Table A.68B Perceived COVID-19 Pandemic Effect on Alcohol Use: Among Past Year Alcohol Users Aged 12 or Older; by Age Group, Quarter 4, 2020
Used Alcohol a Little Less or Much Less
Used Alcohol about the Same
Used Alcohol a Little More or Much More
Demographic Characteristic
than before the COVID-19 Pandemic
as before the COVID-19 Pandemic
than before the COVID-19 Pandemic
TOTAL
25.2
(0.77)
59.4
(0.84)
15.4
(0.57)
AGE GROUP
12-17
38.7
(4.87)
46.8
(4.67)
14.5
(2.70)
18-25
29.3
(1.43)
52.4
(1.54)
18.2
(1.15)
26 or Older
24.3
(0.88)
60.6
(0.95)
15.0
(0.63)
COVID-19 = coronavirus disease 2019.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
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 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their alcohol use were excluded.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020
detailed tables.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
Table A.69B Perceived COVID-19 Pandemic Effect on Drug Use: Among Past Year Users of Drugs Other than Alcohol Aged 12 or Older; by Age Group, Quarter 4, 2020
Used Drugs a Little Less or Much Less
Used Drugs about the Same
Used Drugs a Little More or Much More
Demographic Characteristic
than before the COVID-19 Pandemic
as before the COVID-19 Pandemic
than before the COVID-19 Pandemic
TOTAL
32.2
(1.13)
57.5
(1.14)
10.3
(0.61)
AGE GROUP
12-17
46.4
(4.84)
38.4
(4.19)
15.2
(2.95)
18-25
31.8
(1.88)
49.5
(1.81)
18.7
(1.59)
26 or Older
31.5
(1.28)
59.7
(1.32)
8.8
(0.64)
COVID-19 = coronavirus disease 2019.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
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 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their drug use were excluded.
NOTE: Drugs other than alcohol for these data include the use of marijuana, 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: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020
detailed tables.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
Table A.70B Perceived COVID-19 Pandemic Effect on Access to Mental Health Services: Among Adults Aged 18 or Older Who Received Mental Health Services in the Past
Year (Including Virtual Services); by Age Group, Quarter 4, 2020
Perceived Effect on Access to
Mental Health Services1,2
Aged 18 or Older
Aged 18-25
Aged 26 or Older
Aged 26-49
Aged 50 or Older
PERCEIVED EFFECT
AMONG PEOPLE WHO
RECEIVED MENTAL
HEALTH SERVICES IN THE
PAST YEAR (INCLUDING
VIRTUAL SERVICES)3
Appointments moved from
in person to telehealth
58.3
(1.48)
62.7
(2.37)
57.4
(1.69)
63.7
(1.69)
49.8
(3.18)
Delays or cancellations in
appointments
38.7
(1.44)
38.6
(2.40)
38.7
(1.69)
38.7
(1.82)
38.7
(3.07)
Delays in getting prescriptions
16.0
(1.19)
14.8
(1.60)
16.2
(1.39)
18.0
(1.43)
14.0
(2.35)
Unable to access needed care
resulting in moderate to
severe impact on health
10.7
(0.90)
9.7
(1.36)
10.9
(1.02)
13.7
(1.46)
7.5
(1.56)
COVID-19 = coronavirus disease 2019.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
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 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020
detailed tables.
1 Respondents could report that the questions about access to mental health services did not apply to them. Respondents who reported that the respective question did not apply to them
were classified as not having experienced that effect.
2 Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on mental health services were excluded.
3 Mental Health Services (Including Virtual Services) for adults includes inpatient treatment/counseling, outpatient treatment/counseling, virtual mental health services, or use of
prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
Table A.71B Perceived COVID-19 Pandemic Effect on Access to Medical Care: Among People Aged 12 or Older; by Age Group, Quarter 4, 2020
Perceived Effect on Access to Medical Care
Aged 12 or Older
Aged 12-17
Aged 18-25
Aged 26 or Older
PERCEIVED EFFECT AMONG TOTAL POPULATION1,2
Appointments moved from in person to telehealth
31.3
(0.66)
15.1
(1.28)
24.4
(1.10)
34.2
(0.80)
Delays or cancellations in appointments or preventive services
29.4
(0.62)
19.3
(1.31)
20.2
(0.98)
32.0
(0.75)
Delays in getting prescriptions
8.9
(0.42)
5.4
(0.84)
7.8
(0.77)
9.4
(0.51)
Unable to access needed care resulting in moderate to severe impact on health
5.6
(0.33)
1.4
(0.34)
5.3
(0.59)
6.1
(0.39)
COVID-19 = coronavirus disease 2019.
NOTE: Estimates shown are percentages with standard errors included in parentheses.
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 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Additional estimates may be found in the detailed tables for the 2020 NSDUH at https://www.samhsa.gov/data/. Measures and terms are defined in Appendix A of the 2020
detailed tables.
1 Respondents could report that the questions about access to medical care did not apply to them. Respondents who reported that the respective question did not apply to them were
classified as not having experienced that effect.
2 Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their medical care were excluded.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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