Costs and Outcomes of Mental Health and Substance Use Disorders in the U.S.

1. 17.9%
21.2%
14.3%
21.7%
20.9%
14.0% 14.5%
19.3%
15.4%
12.0%
14.8%
21.2%
0%
5%
10%
15%
20%
25%
Overall Female Male Ages 18-
25
Ages 26-
49
Ages 50+ Hispanic White Black Asian NH/OPI* AI/AN**
*NH/OPI = Native Hawaiian/Other Pacific Islander ** AI/AN = American Indian/Alaska Native
Source: National Institute of Mental Health, Health and Education Statistics, available at: http://www.nimh.nih.gov/health/statistics/prevalence/any-
mental-illness-ami-among-us-adults.shtml (Accessed on February 13, 2017); and SAMHSA 2015 NSDUH, available at:
https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015.pdf
(Accessed on February 13, 2017)
Eighteen percent of adults in the United States have a
mental, behavioral, or emotional disorder
12-month prevalence of any mental illness among adults ages 18+, by gender, age, and race, 2015

2. 2.9%
2.0%
3.8%
3.4%
7.2%
2.1%
3.0%
2.8%
3.5%
1.2%
4.5%
4.1%
0%
1%
2%
3%
4%
5%
6%
7%
8%
Overall Female Male Ages 12-
17
Ages 18-
25
Ages 26+ Hispanic
or Latino
White Black Asian NH/OPI* AI/AN*
*NH/OPI = Native Hawaiian/Other Pacific Islander **AI/AN = American Indian/Alaska Native
Source: Substance Abuse and Mental Health Services Administration, National Survey on Drug Use and Health. Available at:
https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015.pdf
(Accessed on February 14, 2017) Note: Includes marijuana use.
Three percent of people age 12 or older reported illicit
drug dependence or abuse in the past year
12-month prevalence among population age 12+, by gender, age, and race/ethnicity, 2015

3. 12.4
2.5
0
2
4
6
8
10
12
14
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
United States Comparable Country Average
Source: Kaiser Family Foundation analysis of data from OECD (2017), “Health Status", OECD Health Statistics (database) (Accessed
on 13 February 2017). Notes: Comparable countries are defined as those with above median GDP and above median GDP per
capita in at least one of the past 10 years. Where data were unavailable (United Kingdom in 2000, Australia in 2005, and Canada
from 2012-2013), the previous year’s data were used. Data for Switzerland omitted. Break in series for Austria in 2002, Canada and
France in 2000, and the United Kingdom in 2001.
Relative to comparable countries, the U.S. has higher rates of
death from accidental poisonings, such as drug overdoses
Standardized mortality rate for accidental poisonings per 100,000 population, 2000-2013

4. 624
642
1,050
1,463
1,827
2,357
2,419
3,065
3,131
3,355
- 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000
Sense organ disease
Skin diseases
Chronic respiratory
Nervous System
Endocrine (diabetes)
Musculoskeletal disorders
Injuries
Cardiovascular disease
Cancers and tumors (Neoplasms)
Mental health and substance use disorders
Source: Institute for Health Metrics and Evaluation. Global Burden of Disease Study 2015 (GBD 2015). Available at:
http://ghdx.healthdata.org/gbd-2015
Mental health and substance use disorders are the leading
cause of disease burden in the U.S.
Age standardized disability adjusted life years (DALYs) rate per 100,000 population, both sexes, 2015

5. Source: Kaiser Family Foundation Health Tracking Poll: April 2016. Available at:
http://kff.org/report-section/kaiser-health-tracking-poll-april-2016-substance-abuse-and-mental-health/
One in five Americans report they or a family member did
not receive needed mental health services
Don’t know/
Refused
1%
Yes
21%
No
78%
Was there ever a time when you or another family
member in your household thought you might need
mental health services but did not get them?
8%
10%
12%
13%
0% 5% 10% 15%
Didn't know where to
go to get care
Afraid or
embarrassed to seek
care
Insurance wouldn't
cover it
Couldn't afford the
cost
Of those who reported not receiving
care, the following percentage reported
the reason for foregoing care as:
Percentage of respondents with the following answers to questions asked in April 2016:

6. $45
$47
$70
$89
$89
$114
$114
$118
$127
$136
$142
$161
$190
$236
$254
$- $50 $100 $150 $200 $250 $300
Dermatological
Pregnancy/childbirth complications
Infectious diseases
Mental illness
Other
Digestive
Genitourinary
Injury and poisoning
Cancers and tumors
Nervous system
Endocrine
Respiratory
Musculoskeletal
Circulatory
Ill-defined conditions
Source: Bureau of Economic Analysis Health Care Satellite Account (Blended Account) (Accessed February 14, 2017). Note:
Expenditures on nursing home and dental care are not included in health services spending by disease. Data does not include
spending on institutionalized population.
Spending on mental illness treatment accounts for $89
billion of total health spending
Total expenditures in $ billions by disease category, 2013