Demographics of People in the US Receiving Mental Health Services Who Have a Co-Occurring Substance Use Disorder, by Age and Gender

"Individuals Served

Tables 1.2a and 6.1a. States reported a total of 1,663,657 individuals with co-occurring mental health and substance use disorders aged 12 years and older who were served in the 2020 reporting period, accounting for 24.0 percent of all individuals served during this period.

"Mental health diagnoses for individuals with co-occurring mental health and substance use disorders aged 12 and older who were served in the 2020 reporting period differed somewhat by gender, age group, race, ethnicity, living arrangements, employment, not in labor force details, service setting, and timing of admission. Mental health diagnoses for this cohort were largely similar across SMI/ SED [Severe Mental Illness / Severe Emotional Disturbance] status.

"Gender

"Tables 6.2a–c. For males with co-occurring mental health and substance use disorders aged 12 years or older served during the 2020 reporting period, the most frequently reported diagnoses were depressive disorders (31.9 percent), schizophrenia and other psychotic disorders (24.1 percent), and anxiety disorders (19.8 percent). Among their female counterparts, the most frequently reported diagnoses were depressive disorders (40.8 percent), anxiety disorders (27.6 percent), and traumaand stressor-related disorders (23.8 percent).

"Age

"Tables 6.2a–c. Among individuals with co-occurring mental health and substance use disorders served in the 2020 reporting period, for all age categories except the 12 to 14 years age group, the most frequently reported diagnoses were depressive disorders, ranging between 34.5 percent in the 30 to 34 years age group and 40.8 percent in the 55 to 59 years age group. Among individuals with co-occurring mental health and substance use disorders in the 12 to 14 years age group, the most frequently reported diagnoses were trauma- and stressor-related disorders (28.9 percent).

"Race

"Tables 6.3a–c. Among individuals with co-occurring mental health and substance use disorders served during the 2020 reporting period, the most frequently reported diagnoses were depressive disorders for American Indian or Alaska Natives (42.5 percent), Whites (37.9 percent), Native Hawaiians or Other Pacific Islanders (34.1 percent), Blacks or African Americans (32.1 percent), and Asians (31.6 percent).

"Ethnicity

"Tables 6.3a–c. Among individuals with co-occurring mental health and substance use disorders served in the 2020 reporting period, the most frequently reported diagnoses were depressive disorders for both those of Hispanic origin (37.3 percent) and non-Hispanic origin (36.6 percent).

"Substance Use Diagnosis

"Tables 6.4a–c. Among individuals with co-occurring mental health and substance use disorders served during the 2020 reporting period, mental health diagnoses showed no major differences by substance use diagnosis. Depressive disorders were the most frequently reported diagnoses for individuals who had co-occurring alcohol dependence (43.0 percent), opioid dependence (41.7 percent), cocaine dependence (37.0 percent), and marijuana dependence (34.3 percent). Depressive disorders were also the most frequently reported mental health diagnoses for those who had cooccurring non-dependent use of opioids (43.2 percent), alcohol (39.3 percent), marijuana (36.3 percent), and cocaine (35.6 percent). Depressive disorders were also the most frequently reported diagnoses for individuals with alcohol intoxication (45.5 percent), alcoholic psychoses (44.3 percent), and drug psychoses (35.0 percent).

"Living Arrangements

"Tables 6.6a–c. Among individuals with co-occurring mental health and substance use diagnoses served during the 2020 reporting period, depressive disorders were the most frequently reported diagnoses for those who experienced homelessness (38.2 percent), those living in private residences (38.0 percent), and among those in other living arrangements (36.9 percent). Schizophrenia and other psychotic disorders were the most frequently reported diagnoses among those in residential care (44.7 percent) and institutional settings (37.6 percent). Trauma- and stressor-related disorders were the most frequently reported diagnoses among those in jail/correctional facilities (30.8 percent) and foster care (30.7 percent).

"SMI/SED Status

"Tables 6.6a–c. Among individuals who had co-occurring mental health and substance use disorders and were served during the 2020 reporting period, depressive disorders were the most frequently reported diagnoses among those with SMI (39.3 percent) and those with SED or at risk of it (41.7 percent). Trauma- and stressor-related disorders were the most frequently reported diagnoses among those without SMI/SED (30.9 percent)."