Millions did not seek treatment for mental-health and substance-abuse issues last year, not because they didn't want to address their problems, but because they lacked insurance coverage or couldn't afford it, according to a report released Thursday by the Substance Abuse and Mental Health Services Administration (SAMHSA) (PDF).
In 2013, 20.2 million people ages 12 and up were in need of substance-abuse treatment, according to the report. However, only a few people in this population agreed they needed help. Of those individuals, many didn't get treatment, the lead reason cited being they lacked coverage or couldn't afford it. In addition, an estimated 43.8 million adults 18 and over were dealing with a mental illnesses not related to substance abuse. However, 9.2 million of them did not receive mental healthcare, with a lack of coverage or affordability also believed to have played a part in these situations, said SAMHSA Administrator Pamela Hyde said at a news conference Thursday.