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

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"Among the 2.6 million adults who had co‑occurring SMI [Serious Mental Illness] and an SUD [Substance Use Disorder] in the past year, 65.6 percent received either substance use treatment at a specialty facility or mental health care in the past year (Figure 31). Stated another way, about 1 in 3 adults with co‑occurring SMI and an SUD did not receive either type of care in the past year. Among adults with co‑occurring SMI and an SUD, 12.0 percent received both mental health care and specialty substance use treatment, 51.2 percent received only mental health care, and 2.3 percent received only specialty substance use treatment.

"In 2016, about 711,000 young adults, 1.4 million adults aged 26 to 49, and 496,000 adults aged 50 or older had SMI and an SUD in the past year. These numbers correspond to 2.1 percent of young adults, 1.4 percent of adults aged 26 to 49, and 0.4 percent of adults aged 50 or older who had co‑occurring SMI and an SUD in the past year.1

"Among adults with co‑occurring SMI and an SUD in 2016, 55.7 percent of young adults aged 18 to 25 and 69.0 percent of those aged 26 to 49 received either mental health care or specialty substance treatment in the past year (Table A.15B in Appendix A). In addition, 3.8 percent of young adults and 12.7 percent of adults aged 26 to 49 who had co‑occurring SMI and an SUD received both mental health care and specialty substance use treatment. An estimated 49.6 percent of young adults aged 18 to 25 with co‑occurring SMI and an SUD and 54.1 percent of adults aged 26 to 49 received only mental health care. (Estimates for the receipt of services among adults aged 50 or older with co‑occurring SMI and an SUD were not reported because of low precision.9)"

Source: 

Park‑Lee, E., Lipari, R. N., Hedden, S. L., Kroutil, L. A., & Porter, J. D. (2017, September). Receipt of services for substance use and mental health issues among adults: Results from the 2016 National Survey on Drug Use and Health. NSDUH Data Review. Retrieved from https://www.samhsa.gov/data/
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