KFF June 6, 2022
Heather Saunders, Robin Rudowitz

The pandemic has worsened underlying mental illness and substance use disorders, particularly for some subgroups, and challenges accessing treatment may have increased. In this issue brief, we use 2020 data from the National Survey on Drug Use and Health (NSDUH) to examine key characteristics, coverage and health status of nonelderly adults with mental illness or substance use disorders to help inform ongoing federal and state efforts to improve quality and expand access.

This analysis relies on the NSDUH definitions of mild, moderate, or serious mental illness using DSM-IV criteria. Those with serious mental illness (SMI) often have difficulties with daily living activities, comorbid conditions like substance use disorders and physical conditions, and in general, people with mental illness die earlier...

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