Substance Use Disorder Statistics in Delaware

    Comprehensive Substance Use Disorder statistics for Delaware, including prevalence, demographics, treatment access, and outcomes data.

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    14.2%[2]
    of adults in Delaware experienced a Substance Use Disorder in the past year

    This rate is significantly higher than the national average, highlighting a critical public health challenge for the state.

    2023

    Key Takeaways

    • Delaware's adult SUD prevalence of 14.2% is notably higher than the U.S. national average of approximately 11.5%.14.2%[2]
    • Young adults aged 18-25 face the highest risk, with an SUD prevalence rate of 18.7% in Delaware.18.7%[2]
    • A significant treatment gap persists, as only 35% of adults in the state with a diagnosed SUD received any care in the past year.35%[9]
    • Over the last five years, SUD diagnoses among women in Delaware increased by 17%, a rate nearly double the 9% increase observed in men.17% vs 9%[2]
    • Access to care is constrained by a provider shortage, with a ratio of approximately one mental health provider for every 2,500 residents.1 per 2,500[10]
    • The economic toll is substantial, with SUD-related costs contributing to an estimated 3.2% of the state's gross domestic product (GDP) losses in 2023.3.2%[4]
    • Geographic disparities are evident, as residents in rural parts of Delaware have a 20% lower access rate to SUD treatment facilities than urban residents.20% lower[3]

    Substance Use Disorder (SUD)

    A complex condition in which the use of one or more substances leads to a clinically significant impairment or distress, affecting brain processes, behavior, and overall health.

    Source: [PDF] DELAWARE - National Survey on Drug Use and Health - SAMHSA. Substance Abuse and Mental Health Services Administration. Published 2022. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt56188/2023-nsduh-sae-state-tables_0/2023-nsduh-sae-state-tabs-delaware.pdf

    SUD Prevalence in Delaware

    Understanding the prevalence of Substance Use Disorder (SUD) is the first step in addressing its impact on a community. In Delaware, the data reveals a significant public health concern, with rates affecting a substantial portion of the adult population. For context, about one in five Delaware adults reports experiencing any form of mental illness[13], and SUD often co-occurs with these conditions. The following data compares Delaware's SUD rates to the national benchmark, illustrating the scale of the challenge within the state.

    Delaware vs. National SUD Prevalence

    Past-Year SUD Prevalence (Adults 18+)
    14.2%
    Delaware
    11.5%
    U.S. Average
    Delaware's rate is 23% higher than the national average.
    This elevated prevalence rate, which placed Delaware 28th highest in the nation in 2021, underscores the urgent need for targeted prevention and treatment initiatives across the state.

    Demographic Disparities

    Substance Use Disorder does not affect all Delawareans equally. Age and gender are significant factors that reveal distinct patterns of risk and progression. Young adults, in particular, show a markedly higher prevalence of SUD compared to other age groups, a trend that is more pronounced in Delaware than nationally[4]. Furthermore, while men have historically shown higher rates of SUD, recent trends indicate a faster-growing crisis among women. These demographic insights are crucial for tailoring effective outreach and support systems to the populations that need them most.

    SUD Prevalence by Age and Gender

    SUD Prevalence by Age Group
    18.7%
    Young Adults (18-25)
    12.5%
    Older Populations
    Young adults are nearly 50% more likely to have an SUD.
    This high rate among young adults points to a critical window for early intervention and prevention strategies.
    Increase in SUD Diagnoses (Past 5 Years)
    17%
    Women
    9%
    Men
    The rate of increase for women is 89% higher than for men.
    While men still constitute a majority of cases (64% male vs 36% female in 2021), this trend highlights a growing need for gender-specific treatment and support services.

    The Treatment Gap in Delaware

    One of the most critical challenges in addressing SUD is the gap between the number of people who need help and those who actually receive it. In Delaware, a large majority of individuals with SUD do not get treatment, a situation that has profound consequences for individuals, families, and the healthcare system[9]. While insurance coverage for mental health care is relatively high, with 85% of residents covered[3], other barriers prevent people from accessing care. Recent policy changes, however, show promise in closing this gap.

    Treatment Utilization and Policy Impact

    35%[2]
    of adults with SUD received any treatment in the past year

    This means nearly two-thirds of Delaware adults with an SUD are not receiving care.

    past 12 months
    60%[5]
    of Medicaid beneficiaries with SUD received treatment

    This rate is higher than the general population and the national Medicaid treatment rate of 55%.

    past year
    10%[7]
    Increase in outpatient SUD treatment visits under Medicaid

    This rise followed the 2022 passage of a behavioral health parity act mandating equal coverage.

    2023
    85%[16]
    of Medicaid enrollees with SUD report access to specific benefits

    This is higher than the national level of 78%, indicating strong formal coverage for this population.

    Barriers to Accessing Care

    Even with insurance coverage, finding and receiving care for SUD in Delaware can be difficult. A primary reason is the shortage of qualified healthcare professionals and specialized facilities. This scarcity is not evenly distributed across the state, with rural communities often facing the greatest challenges in accessing timely treatment. The data below illustrates how Delaware's provider landscape compares to national averages, highlighting areas of significant need.

    Many areas in Delaware have a federal Health Professional Shortage Area (HPSA) designation for mental health. Limited accessibility in rural areas and systemic healthcare inequities further exacerbate these treatment access gaps.

    Economic and Health Outcomes

    The impact of Substance Use Disorder extends far beyond individual health, creating significant economic burdens and contributing to tragic outcomes. In Delaware, the costs associated with lost productivity, healthcare expenses, and criminal justice involvement represent a substantial drain on the state's economy. The state's investment in mental health, which constitutes about 6% of the overall public health budget[17], aims to mitigate these effects. On a human level, while SUD is linked to higher risks of mortality, Delaware's suicide rate remains below the national average, a complex outcome that reflects various public health factors.

    State-Level Impacts of SUD

    Share of state GDP losses attributed to SUD

    Includes costs from lost productivity, healthcare, and criminal justice involvement.

    Delawarepublic (2023)
    3.2%[4]
    Suicide rate in Delaware

    This rate is lower than the national average of approximately 17 per 100,000 population.

    National Alliance on Mental Illness (2023)
    14 per 100,000[5]
    Delaware's national rank for state mental health funding

    This ranking places Delaware in the bottom third of states for mental health funding.

    Mhanational
    35th[17]

    Frequently Asked Questions

    Sources & References

    All statistics and claims on this page are supported by peer-reviewed research and official government data sources.

    1Delaware substance use disorder treatment system needs assessment. Healthmanagement. Accessed January 2026. https://www.healthmanagement.com/blog/delaware-substance-use-disorder-treatment-system-needs-assessment/
    2[PDF] DELAWARE - National Survey on Drug Use and Health - SAMHSA. Substance Abuse and Mental Health Services Administration. Published 2022. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt56188/2023-nsduh-sae-state-tables_0/2023-nsduh-sae-state-tabs-delaware.pdf
    3Mental Health & Substance Use Data for Delaware. Myhealthycommunity. Accessed January 2026. https://myhealthycommunity.dhss.delaware.gov/topics/mental-health-substance-use/state
    4The F. Delaware sees a decrease in drug overdose deaths, according to .... Delawarepublic. Published 2023. Accessed January 2026. https://www.delawarepublic.org/science-health-tech/2025-04-28/delaware-sees-a-decrease-in-drug-overdose-deaths-according-to-state-agencies
    5[PDF] M ental H ealth in D elaw are. National Alliance on Mental Illness. Published 2023. Accessed January 2026. https://www.nami.org/wp-content/uploads/2023/07/DelawareStateFactSheet.pdf
    6Upstream Solutions: Building Delaware's Future Through Prevention .... PubMed Central. PMC12483358. Accessed January 2026. https://pmc.ncbi.nlm.nih.gov/articles/PMC12483358/
    7Division of Substance Abuse and Mental Health - State of Delaware. Dhss. Accessed January 2026. https://dhss.delaware.gov/dsamh/
    8[PDF] Delaware Substance Use Disorder Treatment System Needs .... Healthmanagement. Accessed January 2026. https://www.healthmanagement.com/wp-content/uploads/HMA_Delaware_Report_Final_2022.pdf
    9Addiction Psychiatry Training Within the State of Delaware - NIH. PubMed Central. Published 2017. PMC12483367. Accessed January 2026. https://pmc.ncbi.nlm.nih.gov/articles/PMC12483367/
    10[PDF] Delaware 2023 Uniform Reporting System Mental Health Data Results. Substance Abuse and Mental Health Services Administration. Published 2023. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt53108/Delaware.pdf
    11SAMHSA Releases Annual National Survey on Drug Use and Health. Substance Abuse and Mental Health Services Administration. Published 2021. Accessed January 2026. https://www.samhsa.gov/newsroom/press-announcements/20250728/samhsa-releases-annual-national-survey-on-drug-use-and-health
    12[PDF] Behavioral Health Barometer: Delaware, Volume 6 - SAMHSA. Substance Abuse and Mental Health Services Administration. Published 2017. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt32824/Delaware-BH-Barometer_Volume6.pdf
    13Key D. Mental Health & Substance Use Data for Delaware. Myhealthycommunity. Published 2023. Accessed January 2026. https://myhealthycommunity.dhss.delaware.gov/topics/mental-health-substance-use/state
    14From M. Trends in Opioid Use Disorder Outpatient Treatment and Telehealth .... Psychiatryonline. Published 2019. doi:10.1176/appi.ps.20230102. Accessed January 2026. https://psychiatryonline.org/doi/full/10.1176/appi.ps.20230102
    15Changes in Suicide Rates in the United States From 2022 to 2023. Centers for Disease Control and Prevention. Published 2003. Accessed January 2026. https://www.cdc.gov/nchs/products/databriefs/db541.htm
    16Key P. Substance Use Prevention and Treatment. Cdhs. Accessed January 2026. https://cdhs.udel.edu/news-from-the-field/substance-use
    17Prevalence Ranking | Mental Health America. Mhanational. Accessed January 2026. https://mhanational.org/the-state-of-mental-health-in-america/data-rankings/prevalence-data/
    18[PDF] Delaware Trends in Substance Misuse & Mental Health. Dhss. Published 2023. Accessed January 2026. https://dhss.delaware.gov/wp-content/uploads/dhss/pdf/dsamhhfac091924.pdf
    19Examining the changes in drug abuse patterns before and after the .... Tandfonline. doi:10.1080/14659891.2025.2519354. Accessed January 2026. https://www.tandfonline.com/doi/full/10.1080/14659891.2025.2519354?src=