This Visualizing Health Policy infographic looks at costs and outcomes of mental health and substance use disorders in the United States (US). Nearly 18% of adults reported having a mental, behavioral, or emotional disorder in 2015, including more than 1 in 5 women. Furthermore, nearly 3% of people aged 12 years or older reported addiction to or misuse of an illicit drug in 2015, including more than 7% of people aged 18 to 25 years. However, 1 in 5 people say they or a family member had to forego needed mental health services because they couldn’t afford the cost, their insurance wouldn’t cover it, they were afraid or embarrassed, or they didn’t know where to go. Mental illness treatment accounted for $89 billion, or 5%, of total medical services spending in 2013, behind checkups/prevention and circulatory disorders. Mental health and substance use disorders together were the leading cause of disease burden in 2015, surpassing cancer and cardiovascular disease, among others. Relative to countries of similar size and wealth, the US has had higher rates of death from unintentional poisonings, the majority of which were due to drug overdoses. In 2013 the age-standardized rate of death from unintentional poisonings per 100 000 population was 12.4 in the US compared with 2.5 on average in comparable countries.
Visualizing Health Policy is an infographic series produced in partnership with the Journal of the American Medical Association (JAMA). The full-size infographic is freely available on JAMA’s website and is published in the print edition of the journal. For more information on trends in costs and outcomes of mental health and substance abuse disorders, go to the Peterson-Kaiser Health System Tracker.
It’s well past time to get addiction and mental health problems “out of the closet”. Unfortunately, this is a socio-cultural issue; not much physicians or policy makers can do about it. I guess the best thing to try to do is reassure our patients and take a charitable approach to their issues. Many mental illnesses have genetic traits and are passed through families, not just addiction. It’s a sad commentary on our society that this stigma is in place.