On January 4th, 2023, the U.S. Department of Health and Human Services’ (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA) released the results of its annual National Survey on Drug Use and Health (NSDUH), which shows how people living in America reported about their experience with mental health conditions, substance use, and pursuit of treatment in 2021. Some of the key findings from this year’s survey include:

  • 46.3 million people aged 12 or older (or 16.5 percent of the population) met the applicable DSM-5 criteria for having a substance use disorder in the past year
  • 94% of people aged 12 or older with a substance use disorder did not receive any treatment.
  • 1 in 5 adolescents had a major depressive episode (MDE) in the past year.
  • More than half of youth with an MDE did not receive treatment in the past year.
  • Nearly 1 in 3 adults had either a substance use disorder or any mental illness in the past year, and 46 percent of young adults 18-25 had either a substance use disorder or any mental illness.
  • 7 in 10 (72.2 percent or 20.9 million) adults who ever had a substance use problem considered themselves to be recovering or in recovery.