This section discusses estimates of the perceived unmet need for mental health services among adults aged 18 or older with past year AMI or SMI. The section also discusses the reasons adults with AMI or SMI did not receive these services in the past year if they had a perceived unmet need. Among the 3.6 million adults aged 50 or older who had a past year MDE https://ecosoberhouse.com/ with severe impairment, 83.6 percent (or 3.0 million people) received treatment for depression in the past year (2019 DT 10.33 and 10.35). Among the 3.4 million young adults aged 18 to 25 in 2019 who had a past year MDE with severe impairment, 56.4 percent (or 1.9 million people) received treatment for depression in the past year (2019 DT 10.33 and 10.35).
Reasons for Not Receiving Substance Use Treatment
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The Monitoring the Future investigators noted that schools opt-in to participate in the survey, and some schools that normally participate opted-out this year as they continued to operationally recover from the pandemic. All participating students took the survey via the web – either on tablets or on a computer – with between 95-99% of respondents taking the survey in-person in school. Although the centers are primarily substance use treatment centers, other sites, such as driving while intoxicated centers, probation offices, or any site using the ASI-MV tool that agrees to share aggregate substance abuse in older adults assessment data might also be included. Among the 49,138 ASI-MV adults assessed for substance use treatment planning, the majority were men (63.4%), non-Hispanic White persons (65.8%), had a high school education or less (65.4%), and were assessed in metropolitan areas (66.6%) and in the South U.S. Census Bureau region (62.2%) (Table 1). Active-duty military, residents of institutions, and people who are homeless but not in shelters are not included in the survey population. NIDA uses multiple sources to monitor the prevalence and trends regarding drug use in the United States.
Drug Overdose Death Statistics
Among adults aged 26 or older, past year misuse of prescription tranquilizers or sedatives declined from 2.2 percent in 2015 to 1.9 percent in 2019 (Figure 19 and 2019 DT 7.14). The percentage of adults aged 26 or older in 2019 who misused prescription tranquilizers or sedatives in the past year was similar to those in 2017 and 2018, but it was lower than those in 2015 and 2016. Among young adults aged 18 to 25, the percentage who misused prescription tranquilizers or sedatives in the past year declined from 5.7 percent (or 2.0 million people) in 2015 to 4.2 percent (or 1.4 million people) in 2019 (Figure 19 and 2019 DT 7.11). Among adolescents aged 12 to 17 in 2019, 1.8 percent (or 436,000 people) misused prescription tranquilizers or sedatives in the past year (Figure 19 and 2019 DT 7.5). The 2019 NSDUH assessed the use and misuse of psychotherapeutic drugs currently or recently available by prescription in the United States, including prescription stimulants, tranquilizers or sedatives (e.g., benzodiazepines), and pain relievers.
Cocaine Use Disorder
The calculation of NSDUH weights for analysis includes a step that yields weights consistent with population totals obtained from the U.S. Since 2008, NSDUH respondents aged 18 or older have been asked if at any time during the past 12 months they had thought seriously about trying to kill themselves (serious thoughts of suicide). Adults who had serious thoughts of suicide in the past 12 months were asked whether they made a plan to kill themselves (suicide plan) or tried to kill themselves (suicide attempt) in that period. This information helps guide suicide prevention programs and clinical intervention efforts.
- Among adults aged 18 or older in 2019, 11.4 percent (or 28.2 million people) perceived that they ever had a problem with their use of alcohol or other drugs (Table A.6B and 2019 DT 6.32), which was similar to the percentage in 2018 (11.0 percent).
- Among people aged 12 or older, the number of past year initiates of prescription tranquilizer misuse declined from 1.4 million people in 2015 to 949,000 people in 2019 (Figure 26 and 2019 DT 7.40).
- Among young adults aged 18 to 25 in 2019, 0.2 percent (or 62,000 people) had a heroin use disorder in the past year (Figure 41 and 2019 DT 7.49).
- The percentage of adults aged 18 or older in 2019 who attempted suicide in the past year did not differ from the percentage in each year from 2008 through 2018.
- The percentages of young adults with a past year illicit drug use disorder remained stable between 2015 and 2019.
- The tables include estimates from 2021 and 2022 where appropriate, including statistical tests of differences between the two years.
The tables provide comprehensive statistics on substance use, mental health, and treatment in the United States. This is because changes in survey methodology mean the indicators are not comparable to past NSDUH estimates. 26 The estimated numbers of current users of different illicit drugs are not mutually exclusive because people could have used more than one type of illicit drug in the past month. Among adolescents aged 12 to 17 who had a past year MDE with severe impairment, receipt of treatment for depression in the past year increased from 43.9 percent (or 601,000 people) in 2007 to 49.7 percent (or 1.3 million people) in 2019 (Figure 71 and 2019 DT 11.5).
Drug Abuse Among States
In 2019, 12.3 percent of adults in this age group received prescription medication in the past year for a mental health issue, 6.3 percent received outpatient mental health services, and 0.7 percent received inpatient mental health services (2019 DT 10.16). Among adults aged 26 to 49, the percentage who received mental health services in the past year increased from 14.5 percent (or 14.5 million people) in 2002 to 17.8 percent (or 17.9 million people) in 2019 (2019 DT 10.7). These estimates in 2019 were higher than the estimates in each year from 2002 through 2018. In 2019, 14.3 percent of adults in this age group received prescription medication in the past year for a mental health issue, 9.8 percent received outpatient mental health services, and 0.9 percent received inpatient mental health services (2019 DT 10.16). Among young adults aged 18 to 25, the percentage who received mental health services in the past year increased from 10.5 percent (or 3.3 million people) in 2002 to 17.2 percent (or 5.8 million people) in 2019 (2019 DT 10.7). In 2019, 12.4 percent of young adults received prescription medication in the past year for a mental health issue, 10.3 percent received outpatient mental health services, and 1.7 percent received inpatient mental health services (2019 DT 10.16).
Signs of an Overdose
This number in 2019 was higher than the numbers in most years from 2002 through 2008, but it was similar to the numbers in 2009 to 2018. The number of people aged 12 or older in 2019 who initiated alcohol use in the past year averaged to approximately 13,400 people each day (Table A.3A). Among people aged 12 or older, the percentage who were past year inhalant users increased from 0.6 percent (or 1.7 million people) in 2016 to 0.8 percent (or 2.1 million people) in 2019 (Figure 17 and 2019 DT 7.2).
- Among people aged 12 or older in 2019, 184,000 people initiated methamphetamine use in the past year (Figure 31 and 2019 DT 7.40), or an average of about 510 new methamphetamine users each day (Table A.3A).
- These estimates in 2019 were higher than the estimates in most years from 2008 through 2015, but they were similar to the estimates in 2016 to 2018.
- Among adolescents aged 12 to 17 in 2019, 381,000 people initiated inhalant use in the past year, which was higher than the numbers in 2016 and 2017, but it was similar to the numbers in 2015 and 2018 (2019 DT 7.41).
- Among adolescents aged 12 to 17, the percentage who were past year marijuana users decreased from 15.8 percent (or 3.9 million people) in 2002 to 13.2 percent (or 3.3 million people) in 2019 (Figure 12 and 2019 DT 7.5).
- More than one third of people who misused pain relievers in the past year (37.5 percent) obtained pain relievers the last time through prescription(s) or stole pain relievers from a health care provider, typically getting the pain relievers through a prescription from one doctor (35.7 percent).