| Mental
Health & Substance Abuse
Comorbidity/Co-occurring
Disorders/ Dual Diagnosis In
2001, for the first time, SAMHSA provided state-level estimates of serious mental
illness, including maps showing the prevalence ranks by States. In 2001,
the States with the highest rates of serious mental illness among adults age 18
and older were mostly in the South. However, Okalahoma had the highest rate
and Hawaii had the lowest rate of serious mental illness among adults. See
2001
State Estimates of Substance Use and Serious Mental Illness. The
latest available national data on serious mental illness are for 2003
and the latest State level data are for 2002. See Serious
Mental Illness Among Adults by State, 2002  2003:
Prevalence and Treatment of Mental Health Problems
Table
of Data on Serious Mental Illness Among Adults by State, 2002
Serious
Mental Illness and Its Co-Occurrence with Substance Use Disorders, 2002
 Data
Tables Full
Reports/Chapters
State
Level Data
Highlights
of Short Reports on Mental Health Issues: Youth
and Mental Health Issues Mental
Health Objectives in Healthy People 2010
Analyzing
mental health data in SAMHSA's OAS data sets SAMHSA's
National Mental Health Information Center
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| Full
Reports & Chapters on Mental Health |
- For
State-level estimates of rates of serious mental illness, see
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2002
National Survey on Drug Use & Health:
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Level Reports & Chapters on Mental Health |
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2002
Detailed Tables:
National Data on Mental Illness
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| All
of the following are in PDF format.
Click here to download the Acrobat Adobe Reader and follow the
instructions for the free reader. When printing, be sure to specify
whether you want to print the current page, a selected range of pages, or all
of the document. If you do not indicate differently, you will get all the
pages in the file printed. For Viewing PDF documents: your
Zoom In tool (a magnifying glass with a plus sign inside) can be used to enlarge
the print size any time you want. 2002
National Survey on Drug Use & Health Detailed Tables: Table
of Data on Serious Mental Illness Among Adults by State, 2002 |
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| Highlights
of Reports on Treatment and Mental Health Issues |
- Based
on SAMHSA's 2002 National Survey on Drug Use and Health, nearly 2 million women
aged 18 or older were estimated to have both serious mental illness (SMI) and
a substance use disorder during the past year. Women with co-occurring SMI and
a substance use disorder were more likely than men with co-occurring SMI and a
substance use disorder to have received treatment for a mental disorder and/or
specialty substance use treatment during the past year. See
The
NSDUH Report: Women with Co-Occurring Serious Mental Illness and a Substance
Use Disorder
- SAMHSA's 2002
National Survey on Drug Use and Health found that 17.5 million adults aged 18
or older (8%) were estimated to have a serious mental illness in the past year.
About 4 million of the adults with a serious mental illness in 2002 also were
dependent on or abused alcohol or an illicit drug; that is, they had a co-occurring
substance abuse and mental disorder. More
than half of the adults with co-occurring serious mental illness and a substance
use disorder received neither specialty substance use treatment nor mental health
treatment during the past year. Among adults with co-occurring disorders, 34%
received mental health treatment only, 2% received specialty substance use treatment
only, and 12% received both mental health and specialty substance use treatment
during the past year. See
The NSDUH
Report: Adults with Co-Occurring Serious Mental Illness and a Substance
Use Disorder
- Between
1995 and 2001, the proportion of substance abuse treatment admissions with co-occurring
substance abuse and psychiatric disorders reported to SAMHSA's Treatment Episode
Data Set (TEDS) increased from 12% to 16%. The proportion of females among admissions
with co-occurring disorders increased from 38% to 44%, while remaining stable
at about 30% among all other admissions. The proportion of admissions reporting
alcohol as the primary substance of abuse decreased for both admissions with co-occurring
disorders (from 51% to 45%) and all other admissions (from 45% to 38%). However,
primary use of opiates increased for admissions with co-occurring disorders (from
13% to 21%) while remaining stable for all other admissions at 25%. See The
DASIS Report:
Admissions with Co-Occurring Disorders, 1995 and 2001.
- Based
on SAMHSA's National Survey on Drug Use & Health (NSDUH), in 2002 there were
an estimated 17.5 million adults age 18 or older with a serious mental illness.
An estimated 4 million had both a serious mental illness and substance abuse or
dependence problems during the year, that is co-occurring disorders or dual diagnosis.
About
half of the adults with a serious mental illness (SMI) received treatment or counseling
for a mental health problem during the past year. See
2002 NSDUH:
Prevalence and Treatment of Mental Health Problems.
- Although
mental disorders account for 4 of the 10 leading causes of disability in the U.S.,
SAMHSA's Survey on Drug Use and Health found that less
than half of adults (age 18 and older) with a serious mental illness received
treatment or counseling for a mental health problem during the past year.
More
than 2 million adults with a serious mental illness reported that they did not
receive treatment. Cost of treatment was the primary reason for not
getting mental health treatment. Other
reasons included concerns about stigma, not knowing where to go for treatment,
fear of being committed or having to take medicine, and lack of time or transportation.
See The
NSDUH Report: Reasons for Not Receiving Treatment Among Adults with Serious
Mental Illness.
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Based on SAMHSA's National Survey of Substance Abuse Treatment
Services (N-SSATS), facilities with a specially designed treatment program were
likely to offer related services. For example, those with a specially designed
treatment program or group for clients with co-occurring substance abuse and mental
health disorders were likely to offer mental health assessment and pharmacotherapy;
those for pregnant women were likely to provide social services, child care
assistance, and domestic violence education; and those for persons with HIV/AIDS
to provide testing services, e.g., for HIV, TB, hepatitis, and STD. See
The DASIS Report: Services
Provided by Substance Abuse Treatment Facilities.
- Based
on SAMHSA's 2001 National Household Survey on Drug Abuse, less than half of adults
with a serious mental illness (SMI) received treatment or counseling for a mental
health problem during the past year. Among adults with a serious
mental illness, whites were more likely than blacks or Hispanics to have received
treatment or counseling during the past year. The rate of unmet treatment
need among adults with SMI who did not receive mental health treatment or counseling
in the past year was higher among persons aged 18 to 49 than those aged 50 or
older. The unmet need also was higher for females than for males.
See The
NHSDA Report: Treatment Among Adults with Serious Mental Illness.
- Co-occurring
disorders admissions were less likely to be in the labor force than substance
abuse only admissions (47 percent vs. 58 percent). Co-occurring
disorders admissions to substance abuse treatment were more likely to have been
referred through alcohol, drug abuse, and other health care providers. In
contrast, substance abuse only admissions were more likely to have
been referred to treatment by the criminal justice system. See The
DASIS Report: Admissions of Persons with Co-Occurring Disorders,
2000.
- Nationally,
61 percent of substance abuse treatment facilities focused on substance abuse
treatment services, 25 percent on a mix of mental health and substance abuse treatment
services, and 9 percent on mental health services, and 5 percent on general health
care or other services. See The
DASIS Report: Primary Focus of Facilities Treating Substance Abuse.
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| Highlights
of Reports on Prevalence of Mental Illness |
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- Based
on SAMHSA's 2002 National Survey on Drug Use and Health, nearly 2 million women
aged 18 or older were estimated to have both serious mental illness (SMI) and
a substance use disorder during the past year. Women with co-occurring SMI and
a substance use disorder were more likely than men with co-occurring SMI and a
substance use disorder to have received treatment for a mental disorder and/or
specialty substance use treatment during the past year. See
The
NSDUH Report: Women with Co-Occurring Serious Mental Illness and a Substance
Use Disorder
- Based
on SAMHSA's National Survey on Drug Use and Health, in 2002, there were 17.5 million
adults aged 18 or older with serious mental illness (SMI) during the 12 months
prior to being interviewed. This represents 8.3% of all adults in the United States.
On average, adults with SMI were younger, less educated, and more likely to be
female than adults without SMI. The two racial/ethnic groups with the highest
prevalence of SMI were those reporting more than one race (13.6%) and American
Indians and Alaska Natives (12.5%). The prevalence of SMI was more than
twice as high among those who used an illicit drug during the past year than it
was among those who did not (17.1 vs. 6.9%). This relationship was observed across
most demographic and socioeconomic subgroups and across most types of illicit
drugs used. In 2002, there were 5 million adults aged 18 or older who had
SMI and used an illicit drug in the past year; this represented 28.9% of all persons
with SMI. See Serious Mental
Illness and Its Co-Occurrence with Substance Use Disorders, 2002.
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For
the first time, SAMHSA's National Household Survey on Drug Abuse provides state-level
estimates of serious mental illness and includes maps showing the prevalence ranks
by States. The States with the highest rates of serious mental illness among
adults age 18 and older were mostly in the South. However, Okalahoma had
the highest rate and Hawaii had the lowest rate of serious mental illness among
adults. Also, State-level data and the average yearly change between 1999
and 2001 are presented for 18 measures of substance use, dependence, and treatment.
See 2001
State Estimates of Substance Use.
- In
2000, Hispanic females aged 12 to 17 were at higher risk for suicide than other
youths. Rates of suicide risk were similar among Hispanic female youths
across regions and ethnic subgroups (e.g., Mexican, Puerto Rican, Central or South
American and Cuban). Only 32 percent of Hispanic female youths at risk for
suicide during the past year, however, received mental health treatment during
this same time period. See The
NHSDA Report: Risk of Suicide Among Hispanic Females Aged 12 to
17.
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Among youths aged 12 to 17, those aged 14 or 15 reported
higher rates than those younger or older for the following violent behaviors:
serious fighting at school or work, group-against-group fights, and attacking
others with the intent of seriously hurting them. See The
NHSDA Report: Youth Violence and Substance Use, 2001 Update.
- In
2001, an estimated 15.9 million Americans age 12 years or older used an illicit
drug in the month immediately prior to the survey interview. About 10.1
million persons age 12 to 20 years reported current alcohol use, i.e., were
underage drinkers. In the 12 months preceding the interview in 2001, an
estimated 3.1 million persons age 12 or older received some kind of treatment
for a problem related to the use of alcohol or illicit drugs; of these, 1.6 million
received treatment at a self-help group. In 2001, there were an estimated
14.8 million adults age 18 or older with a serious mental illness; an estimated
3 million had both a serious mental illness and substance abuse or dependence
problems during the year. See 2001
National Household Survey on Drug Abuse.
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| Youth
& Mental Health Issues |
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Among youths aged 12 to 17, those aged 14 or 15 reported
higher rates than those younger or older for the following violent behaviors:
serious fighting at school or work, group-against-group fights, and attacking
others with the intent of seriously hurting them. See The
NHSDA Report: Youth Violence and Substance Use, 2001 Update.
- Based
on SAMHSA's 2002 National Survey on Drug Use and Health, approximately 1.6 million
youth (7%) aged 12 to 17 had run away from home and slept on the street in the
past 12 months. Among youths aged 12 or 13, 6% had run away and among those aged
16 or 17, 10% had run away from home in the past 12 months. Youths who had run
away from home in the past 12 months were more likely to have used alcohol, marijuana,
or an illicit drug other than marijuana in the past year than youths who had not
run away. Alcohol was used in the past year by 50% of the runaway youths aged
12 to 17 and 33% of those who had not run away from home. Marijuana was used in
the past year by 23% of the runaways aged 12 to 18 and 12% of those who had not
run away from home. See
The
NSDUH Report: Substance Use Among Youths Who Had Run Away From Home
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2000, approximately 3 million youths were at risk for suicide during the
past year. Youths who reported past year alcohol or illicit drug use
were more likely than youths who did not use these substances to be at risk for
suicide. See The
NHSDA Report: Substance Use and the Risk of Suicide Among Youths.
- In
2000, Hispanic females aged 12 to 17 were at higher risk for suicide than other
youths. Only 32 percent of Hispanic female youths at risk for suicide during
the past year, however, received mental health treatment during this same time
period. See The
NHSDA Report: Risk of Suicide Among Hispanic Females Aged 12 to
17.
- Adolescent
(age 12-17) mental health treatment/counseling, 2000 & 2001 (PDF format)
-- Number & percent receiving mental health treatment,
sources of treatment, and reasons for mental health treatment/counseling by age
groups within adolescence (Tables 8.51A - 8.56B).
- Adolescents'
self reported emotional problems associated with marijuana use, 1994-1996 NHSDA
-- Percent reporting each item by frequency of marijuana use:
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| Data
Tables on Mental Health Issues |
Also
see:
Detailed Tables - - Prevalence and Treatment of Mental Health Problems:
Results from 2002 National Survey on Drug Use & Health
- Mental
Health Data Tables, 2001 NHSDA - - Number &
percent with serious mental illness and receiving specific types of mental health
treatment/counseling by age groups and socioeconomic demographics and geographic
variables (Adults Tables H.71 - H.80; Youth
Tables H.81-H85).
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