Treatment FAQ

how many people with mental illness and sud get treatment

by Rashawn Turcotte Published 2 years ago Updated 2 years ago
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Around 36.7 percent of individuals with co-occurring disorders receive only mental care treatment, while around 4.4 percent receive only substance abuse treatment. Only about 6.8 percent of those with co-occurring disorders receive treatment for both the mental health condition and substance use disorder.

Mental illness and addiction often overlap. In fact, nearly 9 million people have a co-occurring disorder according to the Substance Abuse and Mental Health Services Administration. Yet, only 7 percent of these individuals get treatment for both conditions.Jul 16, 2021

Full Answer

What percentage of the US population receives mental health treatment?

In 2019, 19.2% of U.S. adults received any mental health treatment in the past 12 months, including 15.8% who had taken prescription medication for their mental health and 9.5% who had received counseling or therapy from a mental health professional.

How many adults with serious mental illness don’t receive mental health treatment?

In 2018-2019, approximately one-third (35.0%) of adults with serious mental illness (SMI) in the past year did not receive mental health treatment.

What percentage of people with mental illness have substance use disorders?

18.4% of U.S. adults with mental illness also experienced a substance use disorder in 2019 (9.5 million individuals) The rate of unemployment is higher among U.S. adults who have mental illness (5.8%) compared to those who do not (3.6%)

How many people go to jail for mental illness each year?

About 2 million times each year, people with serious mental illness are booked into jails. About 2 in 5 people who are incarcerated have a history of mental illness (37% in state and federal prisons and 44% held in local jails). 66% of women in prison reported having a history of mental illness, almost twice the percentage of men in prison.

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What percent of people with a substance use disorder actually receive treatment?

Only about 10 percent of people with a substance use disorder receive any type of specialty treatment. Further, over 40 percent of people with a substance use disorder also have a mental health condition, yet fewer than half (48.0 percent) receive treatment for either disorder.

What percentage of mentally ill people get help?

Half of all mental disorders begin by age 14 and three-quarters by age 24. In the United States, only 41 percent of the people who had a mental disorder in the past year received professional health care or other services.

What percentage of individuals with a substance use disorder do not receive treatment?

An estimated 17.7 million adults needed substance use treatment but did not receive specialty treatment, of whom only 4.5 percent (806,000) felt that they needed substance use treatment.

What percentage of people with substance use disorders receive treatment from mental health professionals?

Among the 9.5 million adults aged 18 or older in 2019 who had a co-occurring SUD and AMI in the past year, 48.6 percent (or 4.6 million people) received either substance use treatment at a specialty facility or mental health services in the past year, 38.7 percent (or 3.7 million people) received only mental health ...

What is the success rate of therapy?

Research shows that most people who receive psychotherapy experience symptom relief and are better able to function in their lives. About 75 percent of people who enter psychotherapy show some benefit from it.

How many people that are diagnosed with a mental illness seek help?

Mental Health Services — SMI In 2020, among the 14.2 million adults with SMI, 9.1 million (64.5%) received mental health treatment in the past year. More females with SMI (69.9%) received mental health treatment than males with SMI (54.9%).

How many mentally ill people have addictions?

Mental illness and addiction often overlap. In fact, nearly 9 million people have a co-occurring disorder according to the Substance Abuse and Mental Health Services Administration. Yet, only 7 percent of these individuals get treatment for both conditions.

What is the percentage of people with a substance use disorder who have a co-occurring mental illness?

Of the 20.3 million adults with substance use disorders, 37.9% also had mental illnesses.

How common is substance abuse disorder?

Around 20 million people in the United States suffer from a substance use disorder. A substance use disorder often refers to substances that unnaturally increase dopamine levels in the reward pathway. These substances include prescription painkillers, illicit substances, nicotine or alcohol (alcoholism).

What percentage of the US has an addiction?

The study, funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institutes of Health, found that about 4 percent of Americans met the criteria for drug use disorder in the past year and about 10 percent have had drug use disorder at some time in their lives.

Can mental illness cause drug addiction?

Mental illnesses can contribute to drug use and addiction. Certain mental disorders are established risk factors for developing a substance use disorder. It is commonly hypothesized that individuals with severe, mild, or even subclinical mental disorders may use drugs as a form of self-medication.

At what age does 50% of all lifetime mental ill health Begin and 75% by what age?

50% of all lifetime mental illness begins by age 14, and 75% by age 24.

What percentage of the world has mental health issues 2022?

Adult Prevalence of Mental Illness (AMI) 2022 19.86% of adults are experiencing a mental illness. Equivalent to nearly 50 million Americans. 4.91% are experiencing a severe mental illness.

What percentage of the world's population has a mental illness?

Around 1-in-7 people globally (11-18 percent) have one or more mental or substance use disorders.

What is the most common mental illness?

Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults in the United States age 18 and older, or 18.1% of the population every year. Anxiety disorders are highly treatable, yet only 36.9% of those suffering receive treatment.

How many people with mental illness do not receive mental health treatment?

About 3 in 5 people ( 63%) with a history of mental illness do not receive mental health treatment while incarcerated in state and federal prisons. Less than half of people ( 45%) with a history of mental illness receive mental health treatment while held in local jails.

How many people have mental illness in 2019?

5.2 % of U.S. adults experienced serious mental illness in 2019 (13.1 million people). This represents 1 in 20 adults.

How much money does mental illness cost the economy?

Across the U.S. economy, serious mental illness causes $193.2 billion in lost earnings each year. 20.5% of people experiencing homelessness in the U.S. have a serious mental health condition. 37% of adults incarcerated in the state and federal prison system have a diagnosed mental illness.

How many people in prison have mental illness?

About 2 in 5 people who are incarcerated have a history of mental illness ( 37% in state and federal prisons and 44% held in local jails). 66% of women in prison reported having a history of mental illness, almost twice the percentage of men in prison.

How many emergency department visits are there for mental health?

Mental illness and substance use disorders are involved in 1 out of every 8 emergency department visits by a U.S. adult (estimated 12 million visits) Mood disorders are the most common cause of hospitalization for all people in the U.S. under age 45 ( after excluding hospitalization relating to pregnancy and birth)

Do non-white people go to jail?

Among incarcerated people with a mental health condition, non-white individuals are more likely to go to solitary confinement, be injured, and stay longer in jail.

Is depression a cardiovascular disease?

People with depression have a 40% higher risk of developing cardiovascular and metabolic diseases than the general population. People with serious mental illness are nearly twice as likely to develop these conditions.

Why do SUDs and other mental disorders occur together?

Research suggests three possibilities that could explain why SUDs and other mental disorders may occur together: Common risk factors can contribute to both SUDs and other mental disorders. Both SUDs and other mental disorders can run in families, suggesting that certain genes may be a risk factor. Environmental factors, such as stress ...

What are some examples of behavioral therapy for SUDs?

Some examples of effective behavioral therapies for adults with SUDs and different co-occurring mental disorders include the following: Cognitive Behavioral Therapy (CBT): CBT is a type of talk therapy aimed at helping people learn how to cope with difficult situations by challenging irrational thoughts and changing behaviors.

What are the factors that contribute to mental health?

Environmental factors, such as stress or trauma, can cause genetic changes that are passed down through generations and may contribute to the development of a mental disorder or a substance use disorder. Mental disorders can contribute to substance use and SUDs. Studies found that people with a mental disorder, such as anxiety, depression, ...

How does brain change affect mental health?

Additionally, brain changes in people with mental disorders may enhance the rewarding effects of substances, making it more likely they will continue to use the substance. Substance use and SUDs can contribute to the development of other mental disorders. Substance use may trigger changes in brain structure and function ...

What is a substance use disorder?

A substance use disorder (SUD) is a mental disorder that affects a person’s brain and behavior, leading to a person’s inability to control their use of substances such as legal or illegal drugs, alcohol, or medications. Symptoms can range from moderate to severe, with addiction being the most severe form of SUDs.

What is MDFT in therapy?

Multidimensional Family Therapy (MDFT): MDFT works with the whole family to simultaneously address multiple and interacting adolescent problem behaviors, such as substance use, mental disorders, school problems, delinquency, and others.

What is a therapeutic community?

Therapeutic Communities (TC): TCs are a common form of long-term residential treatment that focuses on helping people develop new and healthier values, attitudes, and behaviors. Contingency Management (CM): CM principles encourage healthy behaviors by offering vouchers or rewards for desired behaviors.

How many people have received mental health treatment in 2019?

In 2019, 19.2% of adults had received any mental health treatment in the past 12 months, including 15.8% who had taken prescription medication for their mental health and 9.5% who received counseling or therapy from a mental health professional.

Which group of people was more likely to receive mental health treatment than men?

Women were more likely than men to have received any mental health treatment.

What is NHIS survey?

Data from the 2019 NHIS were used for this analysis. NHIS is a nationally representative household survey of the U.S. civilian noninstitutionalized population. It is conducted continuously throughout the year by the National Center for Health Statistics (NCHS). Interviews are conducted in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone. For more information about NHIS, visit: https://www.cdc.gov/nchs/nhis.htm.

Which group of people took more medication for mental health?

Non-Hispanic white adults (19.1%) were more likely than non-Hispanic black (11.1%) and Hispanic (10.3%) adults to have taken medication for their mental health.

Do women have mental health issues?

Women were more likely than men to have received any treatment for their mental health, consistent with the higher prevalence of common mental health conditions, such as anxiety and depression, seen among women ( 3) as well as an increased willingness to seek mental health care ( 4 ). Receipt of any mental health treatment was higher among non-Hispanic white adults compared with non-Hispanic black and Hispanic adults. While the percentage of adults who had received counseling or therapy decreased as level of urbanization decreased, the percentage who had taken medication for their mental health increased with decreasing urbanization level.

How many families have taken advantage of mental health care?

Only 14% of families have taken advantage of mental health care because of issues related to the pandemic. Between the military and their families, over 50% have looked for mental health care. In other surveys about mental health care, the Cohen Veterans Network found that:

How many people have more than one addiction?

Just over 10 million people over the age of 18 have more than 1 addiction or mental health disorder

What is the leading cause of death for people over the age of 24?

Clinical depression (or major depression) Bipolar disorder (or manic depression) Diagnosable mental health conditions like substance abuse disorder or depressive disorders are common among individuals who commit suicide. For individuals from 15 to 24 years of age, suicide ranks as a leading cause of death.

Why is mental health important?

Good mental health is the cornerstone to being a complete and healthy individual, and raising awareness is crucial in the reduction of the stigma associated with mental health issues and mental health care.

What is the lowest incidence of a syphilis?

Lowest incidence – 18 to 25 at 38.9%

How many people believe mental health is equally important as physical health?

76% believe that their mental health is equally as important as their physical health. 52% of those in need of mental health care have tried to tough it out instead of seeking appropriate mental health care.

How many people know someone who has had to travel for more than an hour to get to and from recent appointments for mental?

46% either know someone who has, or they themselves have had to travel for more than an hour to get to and from recent appointments for mental health care

How many people have cognitive disabilities?

According to the Centers for Disease Control (CDC), 12% of people in the U.S. had a cognitive disability, even when adjusted for age. The percentage of people with cognitive disability ranged from 8.9% in some states to 19.6%.

How many states have a reduction in AMI?

Only twenty states saw a reduction in Adults with AMI who are uninsured in this year's dataset. The largest reductions were seen in Louisiana (5.0%), South Dakota (3.3%), Kentucky (2.4%) and Kansas (2.2%). The largest increases were seen in Iowa (5.1%), Mississippi (3.9%), Arkansas (3.7%) and Missouri (3.2%).

When did the ACA eliminate the individual mandate penalty?

The rankings for this indicator used data from the 2017-2018 NSDUH. In December 2017 , Congress passed the Tax Cuts and Jobs Act, which eliminated the individual mandate penalty from the ACA.

How do mental health disorders affect people?

Mental health and substance use disorders affect people from all walks of life and all age groups. These illnesses are common, recurrent, and often serious, but they are treatable and many people do recover. Mental disorders involve changes in thinking, mood, and/or behavior. These disorders can affect how we relate to others and make choices. Reaching a level that can be formally diagnosed often depends on a reduction in a person’s ability to function as a result of the disorder. For example: 1 Serious mental illness is defined by someone over 18 having (within the past year) a diagnosable mental, behavior, or emotional disorder that causes serious functional impairment that substantially interferes with or limits one or more major life activities. 2 For people under the age of 18, the term “Serious Emotional Disturbance” refers to a diagnosable mental, behavioral, or emotional disorder in the past year, which resulted in functional impairment that substantially interferes with or limits the child’s role or functioning in family, school, or community activities. 3 Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically significant impairment, including health problems, disability, and failure to meet major responsibilities at work, school, or home.

What is considered serious mental illness?

Serious mental illness is defined by someone over 18 having (within the past year) a diagnosable mental, behavior, or emotional disorder that causes serious functional impairment that substantially interferes with or limits one or more major life activities.

What is serious emotional disturbance?

For people under the age of 18, the term “Serious Emotional Disturbance” refers to a diagnosable mental, behavioral, or emotional disorder in the past year, which resulted in functional impairment that substantially interferes with or limits the child’s role or functioning in family, school, or community activities.

What is SAMHSA mission?

SAMHSA’s mission is to reduce the impact of mental and substance use disorders on America’s communities. SAMHSA works to prevent and treat mental and substance use disorders and provide supports for people seeking or already in recovery. Related Links.

What is substance use disorder?

Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically significant impairment, including health problems, disability, and failure to meet major responsibilities at work, school, or home.

Can mental illness be treated?

These illnesses are common, recurrent, and often serious, but they are treatable and many people do recover. Mental disorders involve changes in thinking, mood, and/or behavior. These disorders can affect how we relate to others and make choices. Reaching a level that can be formally diagnosed often depends on a reduction in a person’s ability ...

Is mental health a co-occurring disorder?

The coexistence of both a mental health and a substance use disorder is referred to as co-occurring disorders. The National Institute for Mental Health’s Mental Health Information page has information about specific conditions and disorders as well as their symptoms.

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Key Findings

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Data from the National Health Interview Survey 1. In 2019, 19.2% of adults had received any mental health treatment in the past 12 months, including 15.8% who had taken prescription medication for their mental health and 9.5% who received counseling or therapy from a mental health professional. 2. Women were more lik…
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Women Were More Likely Than Men to Have Received Any Mental Health Treatment.

  1. Nearly one in four women received any mental health treatment (24.7%) in the past 12 months, compared with 13.4% of men (Figure 2).
  2. Women were more likely than men to have taken medication for their mental health (20.6% and 10.7%, respectively) and to have received counseling or therapy from a mental health professional (11.7%...
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Summary

  • In 2019, 19.2% of U.S. adults received any mental health treatment in the past 12 months, including 15.8% who had taken prescription medication for their mental health and 9.5% who had received counseling or therapy from a mental health professional. While the percentage of adults who had taken medication for their mental health increased with age,...
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Definitions

  • Any mental health treatment: A composite measure of adults who reported having taken medication for their mental health, received counseling or therapy from a mental health professional, or both in the past 12 months. Race and Hispanic origin: Adults categorized as Hispanic may be of any race or combination of races. Adults categorized as non-Hispanic white …
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Data Source and Methods

  • Data from the 2019 NHIS were used for this analysis. NHIS is a nationally representative household survey of the U.S. civilian noninstitutionalized population. It is conducted continuously throughout the year by the National Center for Health Statistics (NCHS). Interviews are conducted in respondents’ homes, but follow-ups to complete interviews may be conducted over the teleph…
See more on cdc.gov

About The Authors

  • Emily P. Terlizzi and Benjamin Zablotsky are with the National Center for Health Statistics, Division of Health Interview Statistics.
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References

  1. Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Healthexternal...
  2. American Psychiatric Association. DSM–IV: Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC. 1994.
  1. Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Healthexternal...
  2. American Psychiatric Association. DSM–IV: Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC. 1994.
  3. Eaton NR, Keyes KM, Krueger RF, Balsis S, Skodol AE, Markon KE, et al. An invariant dimensional liability model of gender differences in mental disorder prevalence: Evidence from a national sample....
  4. MacKenzie CS, Gekoski WL, Knox VJ. Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes. Aging Ment Health 10(6):574–82. 2006.

Suggested Citation

  • Terlizzi EP, Zablotsky B. Mental health treatment among adults: United States, 2019. NCHS Data Brief, no 380. Hyattsville, MD: National Center for Health Statistics. 2020.
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