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What the Evidence Does Not Support

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Internal organs are visible, and circles mark the locations where smoking causes damage

Department of Health and Human Services Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality Populations Survey Branch Publication Number PEP21-07-01-003 October 2021 Survey Background Data Collection in the First Quarter of 2020 Changes to Data Collection Methods Because of the COVID-19 Pandemic Data Presentation and Interpretation Presentation of National Estimates for 2020 Interpretation of Estimates for 2020 General Substance Use in the Past Month Tobacco Use or Nicotine Vaping in the Past Month Tobacco Product Use Cigarette Use Daily Cigarette Use Nicotine Vaping Underage Tobacco Use or Nicotine Vaping Alcohol Use in the Past Month Any Alcohol Use Binge Alcohol Use Heavy Alcohol Use Underage Alcohol Use Illicit Drug Use in the Past Year Any Illicit Drug Use Marijuana Use Cocaine Use Heroin Use Methamphetamine Use Hallucinogen Use Inhalant Use Misuse of Psychotherapeutic Drugs Stimulant Misuse Tranquilizer or Sedative Misuse Benzodiazepine Misuse Pain Reliever Misuse Misuse of Subtypes of Pain Relievers Main Reasons for the Last Misuse of Pain Relievers Source of the Last Pain Reliever That Was Misused Opioid Misuse Central Nervous System Stimulant Misuse Other Substance Use in the Past Year GHB Use Nonprescription Cough and Cold Medicine Misuse Kratom Use Synthetic Marijuana Use Synthetic Stimulant Use Initiation of Substance Use Initiation of Cigarette Use Initiation of Alcohol Use Initiation of Marijuana Use Initiation of Cocaine Use Initiation of Heroin Use Initiation of Methamphetamine Use Initiation of Hallucinogen Use Initiation of Inhalant Use Initiation of Prescription Stimulant Misuse Initiation of Prescription Tranquilizer or Sedative Misuse Initiation of Prescription Tranquilizer Misuse Initiation of Prescription Sedative Misuse Initiation of Prescription Pain Reliever Misuse Perceived Risk from Substance Use Substance Use Disorders in the Past Year Alcohol Use Disorder Illicit Drug Use Disorder Marijuana Use Disorder Cocaine Use Disorder Heroin Use Disorder Methamphetamine Use Disorder Prescription Stimulant Use Disorder Prescription Tranquilizer Use Disorder or Sedative Use Disorder Prescription Pain Reliever Use Disorder Opioid Use Disorder Central Nervous System Stimulant Use Disorder Major Depressive Episode in the Past Year MDE and MDE with Severe Impairment among Adolescents MDE and MDE with Severe Impairment among Adults Any Mental Illness among Adults in the Past Year Serious Mental Illness among Adults in the Past Year Co-Occurring MDE and SUD among Adolescents Substance Use among Adolescents with MDE Co-Occurring Mental Health Issues and SUD among Adults Co-Occurring AMI and SUD Co-Occurring SMI and SUD Substance Use among Adults, by Mental Illness Status Suicidal Thoughts and Behaviors among Adults Serious Thoughts of Suicide among Adults Suicide Plans among Adults Suicide Attempts among Adults Suicidal Thoughts and Behaviors among Adults Because of COVID-19 Suicidal Thoughts and Behaviors among Adolescents Substance Use Treatment in the Past Year Need for Substance Use Treatment Receipt of Substance Use Treatment Receipt of Any Substance Use Treatment Receipt of Any Substance Use Treatment among People with a Past Year SUD Receipt of Substance Use Treatment at a Specialty Facility Receipt of Substance Use Treatment at a Specialty Facility among People Who Needed Substance Use Treatment Receipt of Virtual (Telehealth) Services for Substance Use Treatment Perceived Need for Substance Use Treatment Reasons for Not Receiving Substance Use Treatment Medication-Assisted Treatment for Alcohol Use or Opioid Misuse Medication-Assisted Treatment for Alcohol Use Medication-Assisted Treatment for Opioid Misuse Mental Health Service Use in the Past Year Treatment for Depression among Adolescents Treatment for Depression among Adults Mental Health Service Use among Adolescents Receipt of Mental Health Services in Specialty and Nonspecialty Settings among Adolescents Receipt of Virtual (Telehealth) Mental Health Services among Adolescents Mental Health Service Use among Adults Receipt of Inpatient or Outpatient Mental Health Services or Prescription Medication among Adults Receipt of Virtual (Telehealth) Mental Health Services among Adults Mental Health Service Use among Adults with AMI Receipt of Inpatient or Outpatient Mental Health Services or Prescription Medication among Adults with AMI Receipt of Virtual (Telehealth) Mental Health Services among Adults with AMI Mental Health Service Use among Adults with SMI Receipt of Inpatient or Outpatient Mental Health Services or Prescription Medication among Adults with SMI Receipt of Virtual (Telehealth) Mental Health Services among Adults with SMI Perceived Unmet Need for Mental Health Services among Adults with Mental Illness Perceived Unmet Need for Mental Health Services among Adults with AMI Perceived Unmet Need for Mental Health Services among Adults with SMI Reasons for Not Receiving Mental Health Services among Adults with Mental Illness and a Perceived Unmet Need Receipt of Services for Co-Occurring Substance Use Disorder and Mental Health Issues Receipt of Services among Adolescents with Co-Occurring SUD and an MDE Receipt of Services among Adults with Co-Occurring SUD and AMI Receipt of Services among Adults with Co-Occurring SUD and SMI Substance Use, Mental Health Issues, and the COVID-19 Pandemic Perceived Negative Effects on Mental Health Because of the COVID-19 Pandemic Perceived Negative Effects on Mental Health Because of the COVID-19 Pandemic among Adolescents Aged 12 to 17 Perceived Negative Effects on Mental Health Because of the COVID-19 Pandemic among Adults Aged 18 or Older Perceived Effects on Substance Use Because of the COVID-19 Pandemic Perceived Effects on Alcohol Use Perceived Effects on the Use of Drugs Other than Alcohol Perceived Effects on Access to Services Because of the COVID-19 Pandemic Access to Substance Use Treatment Access to Mental Health Services Access to Medical Services The National Survey on Drug Use and Health (NSDUH) underwent some major methodological changes for 2020, including a shift to web-based interviewing in Quarter 4 (i.e., October to December)