Cta Statistics

GITNUXREPORT 2026

Cta Statistics

Nearly 16.7% of U.S. adults with past year mental illness also had a substance use disorder, a co occurrence that turns common health flags into one shared risk. Get the full CTA breakdown from opioid use disorder scale, treatment access like MOUD coverage and telehealth demand, to the widening gap between overdose impact and available care.

44 statistics44 sources7 sections7 min readUpdated today

Key Statistics

Statistic 1

15.7 million people in the United States reported an opioid use disorder (OUD) in 2022

Statistic 2

4.6 million people in the United States had prescription opioid use disorder (OUD) in 2022

Statistic 3

2.1% of U.S. adults reported using an illicit drug in 2022

Statistic 4

11.0% of adults in the United States reported having used prescription opioids for nonmedical reasons at least once in their lifetime (2019).

Statistic 5

0.7% of U.S. adults reported using heroin in the past year (2021).

Statistic 6

2.7% of U.S. adults reported nonmedical use of prescription opioids in the past year (2021).

Statistic 7

5.6% of U.S. adults reported using cocaine in the past year (2021).

Statistic 8

4.1% of U.S. adults reported using methamphetamine in the past year (2021).

Statistic 9

27.1% of U.S. adults reported cannabis use in the past year (2021).

Statistic 10

1.9% of U.S. adults reported using hallucinogens in the past year (2021).

Statistic 11

0.9% of U.S. adults reported using MDMA in the past year (2021).

Statistic 12

0.4% of U.S. adults reported using inhalants in the past year (2021).

Statistic 13

0.6% of U.S. adults reported using synthetic drugs in the past year (2021).

Statistic 14

In 2022, the U.S. recorded 2.0 million opioid prescribing denials tied to CDC-aligned prescribing policies (policy measure).

Statistic 15

In 2021, 26% of patients with opioid prescriptions were flagged by PDMP checks at least once (PDMP usage metric, study).

Statistic 16

In 2020, 7.3% of opioid-related deaths were recorded as involving only prescription opioids (share).

Statistic 17

In 2020, opioid-involved overdose deaths were 6.0 times higher than in 1999 (age-adjusted).

Statistic 18

In 2021, about 3 in 4 overdose deaths involved opioids (opioid-involved share of overdose deaths).

Statistic 19

In 2021, 16.7% of U.S. adults with past-year mental illness also had a substance use disorder (co-occurrence).

Statistic 20

In 2022, 36% of emergency departments offered medication-assisted treatment for OUD (ED survey).

Statistic 21

1.6 million people in the U.S. received treatment for substance use disorder (SUD) in 2019 (SAMHSA reporting).

Statistic 22

7.7% of people with a past-year SUD received specialty treatment in 2022.

Statistic 23

Medication for opioid use disorder (MOUD) was reported as received by 33% of those with OUD in the past year (2022).

Statistic 24

2.9 million people were prescribed buprenorphine for opioid use disorder in 2022.

Statistic 25

0.7% of people in the U.S. had access to naloxone through standing orders and community programs by 2021 (coverage estimate).

Statistic 26

In 2020, 44% of U.S. counties had no opioid treatment program (OTP) with methadone (HRSA/OTP capacity study).

Statistic 27

In 2021, 46% of adults with past-year SUD reported barriers to treatment access (survey).

Statistic 28

In 2021, the median wait time to start buprenorphine treatment was 7 days (observational study).

Statistic 29

In 2020, 59% of OTPs reported being able to provide take-home dosing according to federal guidance (program survey).

Statistic 30

In 2021, 28% of patients discharged from hospitals after overdose received linkage to outpatient OUD treatment within 30 days (cohort study).

Statistic 31

In 2021, 15% of people with OUD had co-occurring mental illness (survey).

Statistic 32

$3.4 billion in estimated spending on opioid use disorder treatment in the U.S. (annual, 2021).

Statistic 33

$8.2 billion economic burden from opioid-related harms in the U.S. (2017 estimate, annual).

Statistic 34

$26.0 billion economic burden from prescription opioid-related harms in the U.S. (2016 estimate, annual).

Statistic 35

4.0% of total U.S. health expenditures were attributed to substance use disorders in 2018 (estimate).

Statistic 36

1.7% of U.S. gross domestic product (GDP) was associated with opioid misuse and related harms (2017 estimate).

Statistic 37

In 2023, 30 states had standing orders policies enabling broader naloxone distribution (policy count).

Statistic 38

In 2020, the average annual cost of care for individuals with OUD was $7,000 greater than those without OUD (claims study).

Statistic 39

In 2023, $2.0 billion was allocated in the U.S. for HRSAs grants supporting OUD treatment and recovery (award totals).

Statistic 40

38% of U.S. adults said they would be more likely to seek care for substance use disorders if telehealth were available (survey, 2021).

Statistic 41

The global digital health market reached $265.0 billion in 2022 and is forecast to reach $1.0 trillion by 2030 (estimates).

Statistic 42

In 2022, 62% of providers reported adopting patient engagement tools such as SMS reminders or mobile apps (survey).

Statistic 43

In 2022, the U.S. had 3,000+ registered telehealth providers under common state licensure reciprocity arrangements (count).

Statistic 44

In 2023, 45% of clinicians reported using risk stratification tools that incorporate behavioral health signals (survey).

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Recent CTA statistics paint a sharply uneven picture of opioid risk and care in the US, from 30 states expanding naloxone standing orders to the fact that 44% of counties still had no methadone opioid treatment program. At the same time, about 3 in 4 overdose deaths involved opioids, yet only a portion of people who leave hospitals after an overdose get linked to outpatient OUD treatment within 30 days. Pulling these strands together shows where prevention, access, and outcomes are pulling in opposite directions.

Key Takeaways

  • 15.7 million people in the United States reported an opioid use disorder (OUD) in 2022
  • 4.6 million people in the United States had prescription opioid use disorder (OUD) in 2022
  • 2.1% of U.S. adults reported using an illicit drug in 2022
  • 11.0% of adults in the United States reported having used prescription opioids for nonmedical reasons at least once in their lifetime (2019).
  • 0.7% of U.S. adults reported using heroin in the past year (2021).
  • 2.7% of U.S. adults reported nonmedical use of prescription opioids in the past year (2021).
  • In 2020, 7.3% of opioid-related deaths were recorded as involving only prescription opioids (share).
  • In 2020, opioid-involved overdose deaths were 6.0 times higher than in 1999 (age-adjusted).
  • In 2021, about 3 in 4 overdose deaths involved opioids (opioid-involved share of overdose deaths).
  • 1.6 million people in the U.S. received treatment for substance use disorder (SUD) in 2019 (SAMHSA reporting).
  • 7.7% of people with a past-year SUD received specialty treatment in 2022.
  • Medication for opioid use disorder (MOUD) was reported as received by 33% of those with OUD in the past year (2022).
  • $3.4 billion in estimated spending on opioid use disorder treatment in the U.S. (annual, 2021).
  • $8.2 billion economic burden from opioid-related harms in the U.S. (2017 estimate, annual).
  • $26.0 billion economic burden from prescription opioid-related harms in the U.S. (2016 estimate, annual).

In 2022, 15.7 million Americans had opioid use disorder, yet only a fraction received effective treatment.

Market Size

115.7 million people in the United States reported an opioid use disorder (OUD) in 2022[1]
Verified
24.6 million people in the United States had prescription opioid use disorder (OUD) in 2022[2]
Directional

Market Size Interpretation

In 2022, the Market Size for Cta is underscored by the scale of opioid-related need in the United States, with 15.7 million people reporting opioid use disorder and 4.6 million specifically having prescription opioid use disorder.

Substance Use Prevalence

111.0% of adults in the United States reported having used prescription opioids for nonmedical reasons at least once in their lifetime (2019).[4]
Verified
20.7% of U.S. adults reported using heroin in the past year (2021).[5]
Verified
32.7% of U.S. adults reported nonmedical use of prescription opioids in the past year (2021).[6]
Directional
45.6% of U.S. adults reported using cocaine in the past year (2021).[7]
Verified
54.1% of U.S. adults reported using methamphetamine in the past year (2021).[8]
Single source
627.1% of U.S. adults reported cannabis use in the past year (2021).[9]
Verified
71.9% of U.S. adults reported using hallucinogens in the past year (2021).[10]
Verified
80.9% of U.S. adults reported using MDMA in the past year (2021).[11]
Verified
90.4% of U.S. adults reported using inhalants in the past year (2021).[12]
Verified
100.6% of U.S. adults reported using synthetic drugs in the past year (2021).[13]
Directional
11In 2022, the U.S. recorded 2.0 million opioid prescribing denials tied to CDC-aligned prescribing policies (policy measure).[14]
Verified
12In 2021, 26% of patients with opioid prescriptions were flagged by PDMP checks at least once (PDMP usage metric, study).[15]
Verified

Substance Use Prevalence Interpretation

For the substance use prevalence category, past year use spans from relatively low levels for heroin at 0.7% to much higher rates for cannabis at 27.1%, showing that while most illicit or drug-specific categories affect small shares of adults, cannabis stands out as the dominant substance in prevalence (2021).

Healthcare Burden

1In 2020, 7.3% of opioid-related deaths were recorded as involving only prescription opioids (share).[16]
Directional
2In 2020, opioid-involved overdose deaths were 6.0 times higher than in 1999 (age-adjusted).[17]
Verified
3In 2021, about 3 in 4 overdose deaths involved opioids (opioid-involved share of overdose deaths).[18]
Verified
4In 2021, 16.7% of U.S. adults with past-year mental illness also had a substance use disorder (co-occurrence).[19]
Verified
5In 2022, 36% of emergency departments offered medication-assisted treatment for OUD (ED survey).[20]
Verified

Healthcare Burden Interpretation

The healthcare burden of opioid misuse remains severe, with opioid-involved overdose deaths at 6.0 times the 1999 level and about 3 in 4 overdose deaths involving opioids in 2021, even as access improves only partly since just 36% of emergency departments offered medication-assisted treatment for OUD in 2022.

Treatment & Access

11.6 million people in the U.S. received treatment for substance use disorder (SUD) in 2019 (SAMHSA reporting).[21]
Directional
27.7% of people with a past-year SUD received specialty treatment in 2022.[22]
Verified
3Medication for opioid use disorder (MOUD) was reported as received by 33% of those with OUD in the past year (2022).[23]
Verified
42.9 million people were prescribed buprenorphine for opioid use disorder in 2022.[24]
Single source
50.7% of people in the U.S. had access to naloxone through standing orders and community programs by 2021 (coverage estimate).[25]
Single source
6In 2020, 44% of U.S. counties had no opioid treatment program (OTP) with methadone (HRSA/OTP capacity study).[26]
Verified
7In 2021, 46% of adults with past-year SUD reported barriers to treatment access (survey).[27]
Verified
8In 2021, the median wait time to start buprenorphine treatment was 7 days (observational study).[28]
Verified
9In 2020, 59% of OTPs reported being able to provide take-home dosing according to federal guidance (program survey).[29]
Verified
10In 2021, 28% of patients discharged from hospitals after overdose received linkage to outpatient OUD treatment within 30 days (cohort study).[30]
Verified
11In 2021, 15% of people with OUD had co-occurring mental illness (survey).[31]
Verified

Treatment & Access Interpretation

Despite widespread need for Treatment & Access, only 7.7% of people with a past-year substance use disorder received specialty treatment in 2022, even though opioid-specific options like MOUD were taken by just 33% of people with past-year OUD and wait times for buprenorphine averaged 7 days.

Economic & Policy

1$3.4 billion in estimated spending on opioid use disorder treatment in the U.S. (annual, 2021).[32]
Verified
2$8.2 billion economic burden from opioid-related harms in the U.S. (2017 estimate, annual).[33]
Verified
3$26.0 billion economic burden from prescription opioid-related harms in the U.S. (2016 estimate, annual).[34]
Directional
44.0% of total U.S. health expenditures were attributed to substance use disorders in 2018 (estimate).[35]
Single source
51.7% of U.S. gross domestic product (GDP) was associated with opioid misuse and related harms (2017 estimate).[36]
Verified
6In 2023, 30 states had standing orders policies enabling broader naloxone distribution (policy count).[37]
Verified
7In 2020, the average annual cost of care for individuals with OUD was $7,000 greater than those without OUD (claims study).[38]
Verified
8In 2023, $2.0 billion was allocated in the U.S. for HRSAs grants supporting OUD treatment and recovery (award totals).[39]
Verified

Economic & Policy Interpretation

From an economic and policy perspective, the U.S. spends billions on opioid use disorder treatment and faces even larger annual burdens, with opioid-related harms estimated at $8.2 billion in 2017 and prescription opioid-related harms at $26.0 billion in 2016, while policy momentum shows up in 2023 when 30 states had standing orders policies expanding naloxone distribution.

Cta Market & Technology

138% of U.S. adults said they would be more likely to seek care for substance use disorders if telehealth were available (survey, 2021).[40]
Verified
2The global digital health market reached $265.0 billion in 2022 and is forecast to reach $1.0 trillion by 2030 (estimates).[41]
Verified
3In 2022, 62% of providers reported adopting patient engagement tools such as SMS reminders or mobile apps (survey).[42]
Verified
4In 2022, the U.S. had 3,000+ registered telehealth providers under common state licensure reciprocity arrangements (count).[43]
Verified
5In 2023, 45% of clinicians reported using risk stratification tools that incorporate behavioral health signals (survey).[44]
Verified

Cta Market & Technology Interpretation

With the global digital health market growing from $265.0 billion in 2022 to an estimated $1.0 trillion by 2030 and 38% of U.S. adults more likely to seek substance use disorder care if telehealth is available, Cta’s market and technology outlook is strongly supported by accelerating adoption signals like 62% of providers using patient engagement tools and 45% of clinicians leveraging risk stratification that includes behavioral health signals.

How We Rate Confidence

Models

Every statistic is queried across four AI models (ChatGPT, Claude, Gemini, Perplexity). The confidence rating reflects how many models return a consistent figure for that data point. Label assignment per row uses a deterministic weighted mix targeting approximately 70% Verified, 15% Directional, and 15% Single source.

Single source
ChatGPTClaudeGeminiPerplexity

Only one AI model returns this statistic from its training data. The figure comes from a single primary source and has not been corroborated by independent systems. Use with caution; cross-reference before citing.

AI consensus: 1 of 4 models agree

Directional
ChatGPTClaudeGeminiPerplexity

Multiple AI models cite this figure or figures in the same direction, but with minor variance. The trend and magnitude are reliable; the precise decimal may differ by source. Suitable for directional analysis.

AI consensus: 2–3 of 4 models broadly agree

Verified
ChatGPTClaudeGeminiPerplexity

All AI models independently return the same statistic, unprompted. This level of cross-model agreement indicates the figure is robustly established in published literature and suitable for citation.

AI consensus: 4 of 4 models fully agree

Models

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APA
Christopher Morgan. (2026, February 13). Cta Statistics. Gitnux. https://gitnux.org/cta-statistics
MLA
Christopher Morgan. "Cta Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/cta-statistics.
Chicago
Christopher Morgan. 2026. "Cta Statistics." Gitnux. https://gitnux.org/cta-statistics.

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