Nearly 70% of U.S. adolescents between the ages of 12 and 17 who needed treatment for substance use disorder in 2023 and 2024 did not receive it, according to KFF data derived from the Substance Abuse and Mental Health Services Administration’s National Survey on Drug Use and Health.
Participants were classified as needing treatment if they met criteria for a drug or alcohol use disorder outlined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders or had received treatment through inpatient or outpatient counseling, medication-assisted treatment, telehealth services or care provided in a prison, jail or juvenile detention center.
Here are the 50 states and the District of Columbia ranked by highest to lowest share of resident adolescents who did not receive needed treatment:
Hawaii — 86.2%
Arizona — 82.9%
California — 82.2%
Colorado — 79.1%
Massachusetts — 78.3%
Oregon — 77%
Utah — 76.5%
New Mexico — 76.2%
Washington — 76.2%
Nevada — 75.1%
Delaware — 75%
Wyoming — 74.1%
Idaho — 74%
New Jersey — 74%
New York — 73.3%
Connecticut — 72.6%
Montana — 72.5%
Maryland — 71.8%
Nebraska — 71.4%
Louisiana — 71.2%
Indiana — 70.6%
Kansas — 70.6%
Iowa — 70.4%
Minnesota — 70.4%
Texas — 69.6%
Rhode Island — 68.6%
Illinois — 68.3%
South Dakota — 68.3%
Kentucky — 67.6%
District of Columbia — 67%
Michigan — 66.9%
Wisconsin — 66.9%
Ohio — 66.3%
South Carolina — 66.3%
Vermont — 65.7%
New Hampshire — 65.4%
Florida — 64.8%
Oklahoma — 64.4%
Alabama — 62.6%
Virginia — 62.6%
Maine — 62.1%
Pennsylvania — 61.8%
West Virginia — 61.7%
North Dakota — 61.6%
Arkansas — 61.5%
Missouri — 61.2%
Mississippi — 59.7%
North Carolina — 59.7%
Tennessee — 58.8%
Georgia — 57.9%
Alaska — 57.5%
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