Receipt of Services among Adults in the US with Co-Occurring Any Mental Illness and a Substance Use Disorder

"Among the 21.2 million adults aged 18 or older in 2024 with co-occurring AMI [Any Mental Illness] and an SUD [Substance Use Disorder] in the past year (Figures 57 and 80 and Table A.43A), 58.8 percent (or 12.5 million people) received either substance use treatment or mental health treatment in the past year, and 41.2 percent (or 8.8 million people) received neither type of treatment (Table A.70B). Stated another way, about 2 in 5 adults aged 18 or older with co-occurring AMI and an SUD in the past year did not receive treatment for either condition. An estimated 41.0 percent of adults aged 18 or older with co-occurring AMI and an SUD in the past year (or 8.7 million people) received only mental health treatment, 3.2 percent (or 681,000 people) received only substance use treatment, and 14.5 percent (or 3.1 million people) received both types of treatment.

"Among the 12.5 million adults aged 18 or older in 2024 with co-occurring AMI and an SUD who received either substance use treatment or mental health treatment in the past year (Figure 80), most received only mental health treatment (69.8 percent).22 An estimated 5.5 percent of these adults aged 18 or older received only substance use treatment, and 24.8 percent received both types of treatment.22

"Percentages of adults aged 18 or older in 2024 with co-occurring AMI and an SUD in the past year who received either substance use treatment or mental health treatment in the past year ranged from 56.1 percent of young adults aged 18 to 25 (or 2.6 million people) to 60.0 percent of adults aged 50 or older (or 2.8 million people) (Table A.70B). An estimated 59.3 percent of adults aged 26 to 49 with co-occurring AMI and an SUD in the past year (or 7.1 million people) received either type of treatment."