Health Affairs December 2, 2022
Xavier Becerra, Andrea Palm, Rebecca L. Haffajee, January Contreras, Alison Barkoff, Dawn O'Connell, Robert Otto Valdez, Rochelle P. Walensky, Chiquita Brooks-LaSure, Robert M. Califf, Carole Johnson, Roselyn Tso, Lawrence A. Tabak, Rachel L. Levine, Micky Tripathi, Miriam Delphin-Rittmon, Vivek H. Murthy

Mental health and substance use disorders in the United States were on the rise even before the pandemic and COVID-19 exacerbated many behavioral health conditions. In 2020, 21 percent of adults (52.9 million) reported having a mental illness in the past year and 15 percent (37.9 million) reported having a substance use disorder in the past year, with almost 7 percent of adults having both conditions. Recently released Centers for Disease Control and Prevention (CDC) provisional data suggests that the rate of suicides in the U.S. increased 4 percent from 2020 to 2021, after two consecutive years of decline in 2019 and 2020.

Behavioral health conditions begin early in childhood, with 1 in 6 children aged 2-8 being diagnosed with...

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