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5 Key Facts on Adolescent Mental Health and Substance Use Disorders

Despite some modest improvements, many adolescents reported a major depressive episode or anxiety in the past year, while a smaller share reported a substance use disorder.

This brief analyzes the latest data (2024) from the CDC WONDER mortality database and the National Survey on Drug Use and Health to examine the prevalence of adolescent mental health conditions and substance use, related deaths, and access to behavioral health services.

At the Three-Year Mark, Demand for the 988 Suicide & Crisis Lifeline Continues to Grow

The Impact of Gun Violence on Youth Mental Health and Well-Being

Trends in Child and Adolescent Firearm Deaths

Tracking Key Mental Health and Substance Use Policy Actions Under the Trump Administration

Key CDC Data

Access and coverage

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  • SUD Treatment in Medicaid: Variation by Service Type, Demographics, States and Spending

    Issue Brief

    Substance use disorders contribute to a growing number of deaths, yet they often go undiagnosed and untreated. While nearly three-quarters of Medicaid enrollees with a diagnosed substance use disorder utilized some type of treatment service in 2020, medication treatment rates varied widely, being much lower for alcohol use disorder than opioid use disorder, and lower among Black enrollees and youth compared to their counterparts. Treatment rates varied considerably across states and average Medicaid spending for…

  • Recent Increases in Firearm Deaths of Children and Adolescents Have Been Driven by Gun Assaults, Black Youths Are Disproportionally Affected

    News Release

    A new KFF analysis of provisional 2022 data from the Centers for Disease Control shows that the recent increases in firearm death rates among children and adolescents ages 17 and under were driven largely by gun assaults, which accounted for 66% of firearm deaths among young people in 2022, up from 54% in 2019. Data also show that in 2022, seven children ages 17 and below per day died by firearm, similar to 2021. This…

  • Roughly 1 in 5 Adolescents Report Experiencing Symptoms of Anxiety or Depression

    News Release

    About 1 in 5 adolescents report symptoms of anxiety or depression, according to a KFF analysis of a new federal survey of teen health. While some teens are getting mental health care, a significant share say they are not receiving the therapy they need due to costs, fear of what others will think, and/or not knowing how to get help. Data from the recently released Teen National Health Interview Survey from July 2021 to December…

  • Recent Trends in Mental Health and Substance Use Concerns Among Adolescents

    Issue Brief

    About 1 in 5 adolescents report symptoms of anxiety or depression, according to a KFF analysis of a new federal survey of teen health. The data comes at a time of heightened concern about adolescent mental health and substance use, particularly in light of gun violence and rising drug overdose deaths among young people. This brief explores the state of adolescent mental health in recent years.

  • A Look at Substance Use and Mental Health Treatment Facilities Across the U.S.

    Issue Brief

    This brief uses 2022 data from the National Substance Use and Mental Health Services Survey (N-SUMHSS), an annual survey sent to all substance use and mental health treatment facilities to assess the supply and characteristics of these facilities at a national and state level. Despite the escalation of mental health needs and the increasing and evolving opioid epidemic, accessing treatment continues to be difficult--as indicated by consumer surveys and national data. Factors like the decline…

  • A Look at State Take-Up of ARPA Mobile Crisis Services in Medicaid

    Issue Brief

    Rising concerns about mental health and substance use disorder have led to new policy initiatives and funding to improve access and quality of services to address mental health crisis. While crisis call centers are accessible nationwide, the availability and characteristics of other components of the crisis continuum--mobile crisis units and stabilization centers--vary across and within states, as does the financing of these systems. The American Rescue Plan Act (ARPA), passed in 2021, had several Medicaid-focused…

  • 2023 Employer Health Benefits Chart Pack

    Feature

    This slideshow captures key data from the 2023 KFF Employer Health Benefits Survey survey, providing a detailed look at trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing, abortion coverage, offer rates, wellness programs, and other employer practices.

  • 2023 Employer Health Benefits Survey

    Report

    This annual survey of employers provides a detailed look at trends in employer-sponsored health coverage, including premiums, worker contributions, cost-sharing provisions, offer rates, and more. This year’s report also looks at how employers are addressing a growing need for mental health services.