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SAMHSA Releases Annual National Survey on Drug Use and Health

The 2024 NSDUH reveals new data on mental health and substance use trends in the United States.

July 28, 2025 at 07:28 PM
blur SAMHSA Releases Annual National Survey on Drug Use and Health

New data provides insights into mental health and substance use trends in the U.S.

SAMHSA Unveils Results of National Survey on Drug Use and Health

The Substance Abuse and Mental Health Services Administration released the 2024 National Survey on Drug Use and Health, offering significant findings on mental health and substance use in the United States. This year's survey reflects data from nearly 70,000 participants and marks the first time since 2020 that researchers can analyze four years of consistent data. Key findings indicate that 23.4% of adults reported having any mental illness, while rates of moderate and severe anxiety symptoms were recorded for the first time. Substance use trends show a decline in cocaine and prescription opioid misuse, yet an increase in marijuana and hallucinogens. The report highlights areas of concern, particularly in treatment access, with only 19.3% of those needing substance use treatment receiving it in the past year.

Key Takeaways

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23.4% of adults reported any mental illness, unchanged since 2021
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18.8% of adolescents experienced symptoms of anxiety in 2024
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Suicidal thoughts among adolescents declined from 2021 to 2024
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58.3% of people aged 12 and older engaged in substance use in the past month
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19.3% of those needing substance use treatment received it in 2024
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Increasing rates of marijuana and hallucinogen use noted since 2021

"These data are incredibly valuable to researchers, clinicians, policymakers, and others."

Dr. Art Kleinschmidt emphasizes the survey's importance for understanding behavioral health.

"The percentage of people engaging in substance use remains alarmingly high."

This comment reflects concerns about substance use trends from the survey findings.

"Significant gaps still exist in access to treatment services for those in need."

A highlight of the challenges identified in the survey regarding treatment access.

"Adolescents show declining rates of serious thoughts of suicide, a hopeful sign."

This points to progress in mental health amongst younger populations.

The 2024 National Survey on Drug Use and Health underscores ongoing challenges and progress in American behavioral health. The consistency in mental health disorders such as anxiety and depression amid a backdrop of increasing substance use, particularly marijuana, reveals a complex relationship between mental health treatment and substance use dynamics. Policymakers may find this data crucial as they design interventions targeted at increasing treatment access, especially when a significant number of those with substance use disorders remain untreated. The dual challenges of addressing substance use trends while ensuring effective mental health care make this survey not only a reflection of the past but also a guide for future health initiatives.

Highlights

  • Over 23 million adults consider themselves in recovery from substance use.
  • One in five adolescents reported symptoms of anxiety this year.
  • The rise in marijuana use calls for a reassessment of treatment strategies.
  • Treatment accessibility remains a pressing issue for many with substance use disorders.

Concerns Over Treatment Access and Substance Use Trends

Despite some positive trends, a significant number of individuals requiring treatment for substance use disorders remain unable to access services. This raises questions about healthcare policy and resource allocation.

The insights from this survey may inform future policies and initiatives aimed at improving mental health and substance use outcomes.

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