ArticleSubstance use : research and treatment
Alcohol and Cannabis Use Disorder Diagnoses in Mental Health Treatment 2013 to 2022: A Descriptive Epidemiological Study.
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Abstract
Background: Alcohol and cannabis use disorders are among the most prevalent substance use disorders in the United States. Both conditions are associated with mental health disorders. Most individuals with co-occurring mental health and substance use disorders who receive treatment encounter mental health treatment services. Objectives: This study examined national mental health treatment facility data over 10 years to describe persons with an alcohol or cannabis use disorder. Design: Annual cross-sectional data were used. Using a descriptive epidemiological approach, this study captured the "who," "when," and "where" regarding individuals with alcohol or cannabis use disorders receiving mental health treatment. Methods: Ten years of annual de-identified publicly available administrative data from the Mental Health Client-Level Data, a nationwide dataset based in the United States, were merged from 2013 to 2022. Sample selection criteria included having either an alcohol or cannabis use disorder diagnosis. These 2 samples were examined separately. Examined variables include year, region, treatment setting, age, sex, race and ethnicity, and co-occurring mental health disorder diagnoses. Results: The analytic sample was N = 3 947 802 cases, approximately 6.4% of the merged dataset before sample selection. This includes n = 2 315 686 cases with an alcohol use disorder and n = 1 632 116 cases with a cannabis use disorder. Both samples were majority male at 60%. Numerically, the year with the most alcohol use disorder cases in the dataset was 2020 (n = 278 550), and the year 2018 had the most cannabis use disorder cases in the dataset (n = 199 744). Depressive disorders were the most common co-occurring mental health disorder among the alcohol use disorder sample (n = 821 659; 35.5%) and the cannabis use disorder sample (n = 494 113; 30.3%). Conclusion: This descriptive study highlights the characteristics of individuals with alcohol and cannabis use disorders who received services from mental health treatment facilities during a 10-year period. Findings from this study provide a greater understanding of this population.
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