Substance Use Disorder Statistics in New Jersey

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

3 min read
8.7%[2]
of New Jersey adults experienced a Substance Use Disorder in the past year

This figure, which translates to nearly 1 in 12 adults, highlights the significant public health challenge the state faces regarding substance use and addiction<sup class="citation-ref" data-citation-hash="cite-substanceuse" data-source="Nj" data-year="2023" data-url="https://www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2023/Statewide.pdf" data-ama="Substance Use Overview 2023 Statewide. Nj. Published 2023. Accessed January 2026. https://www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2023/Statewide.pdf"></sup>.

2023

Key Takeaways on Substance Use in New Jersey

  • New Jersey's adult SUD prevalence of 8.5% is higher than the national average of 7.4%.8.5%
  • Young adults aged 18-25 are disproportionately affected, with a prevalence rate of 12.5%.12.5%
  • A significant treatment gap persists, with 65% of individuals with SUD in New Jersey not receiving any form of treatment.65%
  • The state saw a notable decline in overdose deaths, from 3,054 in 2022 to 2,564 in 2023, suggesting progress in harm reduction efforts.2,564 deaths
  • Urban counties in New Jersey report higher SUD prevalence (9.1%) compared to rural areas (6.7%).9.1% vs 6.7%
  • New Jersey faces a significant shortage of mental health providers, with an estimated ratio of one provider for every 1,500 residents.

Understanding Substance Use Disorder in New Jersey

Substance Use Disorder (SUD) represents a significant public health issue across the United States and within New Jersey. Nationally, approximately 16.8% of the population aged 12 or older, or 48.4 million people, meet the criteria for an SUD[8]. In New Jersey, the challenge is compounded by factors like economic instability and stigma surrounding behavioral health[7]. This page provides a data-driven overview of SUD prevalence, treatment access, and demographic trends within the state, drawing from authoritative sources to offer a clear picture of the current landscape.

Substance Use Disorder (SUD)

A medical condition characterized by the recurrent use of alcohol or other drugs leading to clinically significant impairment or distress. It involves a pattern of symptoms resulting from substance use despite experiencing related problems.

Source: Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5)

SUD Prevalence and Co-Occurring Conditions

Understanding the prevalence of SUD is the first step in addressing its impact. In New Jersey, the rate of SUD is slightly higher than the national average, with data showing 8.2% of adults in the state meeting criteria compared to 7.1% nationally in recent years[9]. Substance use is often intertwined with other mental health challenges. A substantial portion of the state's population grapples with these issues, which can complicate diagnosis and treatment. Furthermore, the state's suicide rate, while lower than the national average at 12 per 100,000 residents, remains a serious concern connected to both SUD and mental illness[10].

20%[3]
of adults experience any mental illness annually
2023
5%[3]
of adults live with a Serious Mental Illness (SMI)
2023
12%[11]
of the population is affected by anxiety disorders
2023
84.4[5]
Opioid-related deaths per 100,000 in Essex County
2023

Demographic Disparities in Substance Use

Substance Use Disorder does not affect all populations equally. Significant disparities exist across age, race, and geography within New Jersey. Young adults are particularly vulnerable, with prevalence rates nearly double that of older adults[4]. Opioid use disorder specifically affects about 3.2% of this young adult demographic[7]. Geographic and racial disparities are also evident, with urban areas and certain racial groups experiencing higher rates. While rural areas show lower overall prevalence, they often face unique barriers to care, such as transportation issues and fewer qualified providers[13].

SUD Prevalence by Age Group
14%
Young Adults (18-25)
7%
Older Adults
Young adults are twice as likely to have an SUD.
This highlights the critical need for early intervention and prevention programs targeted at younger populations in New Jersey.
SUD Prevalence by Geography
9.1%
Urban Counties
6.7%
Rural Counties
Urban areas have a 36% higher prevalence rate.
Higher population density and socioeconomic factors in urban centers may contribute to increased rates of substance use.
SUD Prevalence by Race
9.0%
Black Adults
8.2%
White Adults
Black adults have a nearly 10% higher prevalence rate.
This disparity points to the need for culturally competent care and addressing systemic factors that affect different racial groups.

The Treatment Gap: Access to Care in New Jersey

Despite having a higher density of treatment providers than the national average, a significant portion of New Jersey residents with SUD do not receive care[1]. Less than half of individuals with a diagnosed SUD—around 38-45% depending on the survey—report receiving any treatment in the past year[7]. Systemic barriers, including stigma, provider shortages in certain areas, and financial constraints, contribute to this gap[4]. Even among the 85% of adults with insurance coverage for mental health, many face challenges securing timely appointments[3].

Of individuals with SUD do not receive any treatment

This treatment gap is slightly better than the national figure of 70% but still represents a major public health failure.

Substance Abuse and Mental Health Services Administration (2023)
65%[1]
Of individuals with SUD were covered by Medicaid

Highlights the critical role of public insurance in providing care, though systemic issues can undermine its effectiveness<sup class="citation-ref" data-citation-hash="cite-pdfsubstance" data-source="Nj" data-year="2022" data-url="https://www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2022/Statewide.pdf" data-ama="[PDF] Substance Use Overview 2022 Statewide - NJ.gov. Nj. Published 2022. Accessed January 2026. https://www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2022/Statewide.pdf"></sup>.

Nj (2022)
60%[7]
Treatment providers in New Jersey

This rate is higher than the national average of 18 per 100,000, yet access issues persist due to uneven distribution and other barriers.

Substance Abuse and Mental Health Services Administration (2023)
25 per 100,000[1]
Of counties have active SUD prevention programs

Indicates a strong commitment at the local level to harm reduction and prevention strategies.

Nj (2023)
85%[2]
Much of the state and national data on substance use comes from the National Survey on Drug Use and Health (NSDUH), conducted by SAMHSA. With a sample size of nearly 70,000 respondents annually, it provides robust and reliable data for understanding trends.

Economic Impact and Treatment Outcomes

The economic burden of untreated SUD is substantial, affecting healthcare costs, productivity, and public resources. In response, New Jersey has increased funding for behavioral health services by 20% since 2020 and ranks in the top 10 states for per capita mental health spending[11]. However, this funding is often unevenly allocated, leaving some communities underserved[11]. When treatment is accessed, outcomes can be positive, with nearly 60% of patients reporting significant improvements in quality of life[7]. The 40% who do not show marked improvement highlight ongoing gaps in treatment modalities and long-term support[16].

Frequently Asked Questions

Sources & References

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

1[PDF] 2023-nsduh-sae-state-tabs-new-jersey.pdf - SAMHSA. Substance Abuse and Mental Health Services Administration. Published 2023. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt56188/2023-nsduh-sae-state-tables_0/2023-nsduh-sae-state-tabs-new-jersey.pdf
2Substance Use Overview 2023 Statewide. Nj. Published 2023. Accessed January 2026. https://www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2023/Statewide.pdf
3[PDF] NewJersey 2023 Uniform Reporting System Mental Health Data .... Substance Abuse and Mental Health Services Administration. Published 2023. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt53133/NewJersey.pdf
4[PDF] M ental H ealth in N ew Jersey. National Alliance on Mental Illness. Published 2023. Accessed January 2026. https://www.nami.org/wp-content/uploads/2023/07/NewJerseyStateFactSheet.pdf
5National Drug and Alcohol Facts Week 2025 - CleanSlate Centers. Cleanslatecenters. Accessed January 2026. https://www.cleanslatecenters.com/blog/national-drug-and-alcohol-facts-week-2025/
6Estimated P. Prevalence of Depression Among Adults by County, New Jersey .... Www-doh. Accessed January 2026. https://www-doh.nj.gov/doh-shad/indicator/view/Depression.County.html
7[PDF] Substance Use Overview 2022 Statewide - NJ.gov. Nj. Published 2022. Accessed January 2026. https://www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2022/Statewide.pdf
8NCDAS: Substance Abuse and Addiction Statistics [2025]. Drugabusestatistics. Accessed January 2026. https://drugabusestatistics.org/
9New Jersey Substance Abuse Overview | Sunrise Detox Toms River. Sunrisedetoxtomsriver. Accessed January 2026. https://www.sunrisedetoxtomsriver.com/nj-addiction-statistics
10From F. Statistics on Mental Health Disorders in New Jersey. Njrecoverysolutions. Published 2023. Accessed January 2026. https://njrecoverysolutions.com/statistics-on-mental-health-disorders-in-new-jersey/
11In N. [PDF] M ental H ealth in N ew Jersey. National Alliance on Mental Illness. Published 2023. Accessed January 2026. https://www.nami.org/wp-content/uploads/2023/07/NewJerseyStateFactSheet.pdf
122023-nsduh-sae-state-tabs-new-jersey.pdf. Substance Abuse and Mental Health Services Administration. Published 2023. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt56188/2023-nsduh-sae-state-tables_0/2023-nsduh-sae-state-tabs-new-jersey.pdf
13Stigmatization of Mental Illness by Professionals. PubMed Central. PMC11555896. Accessed January 2026. https://pmc.ncbi.nlm.nih.gov/articles/PMC11555896/
14Alcohol and Drug Abuse Statistics (Facts About Addiction). Americanaddictioncenters. Accessed January 2026. https://americanaddictioncenters.org/rehab-guide/addiction-statistics-demographics
15Statistics on Mental Health Disorders in New Jersey. Njrecoverysolutions. Published 2021. Accessed January 2026. https://njrecoverysolutions.com/statistics-on-mental-health-disorders-in-new-jersey/
16[PDF] Behavioral Health Barometer, New Jersey, Volume 8 - SAMHSA. Substance Abuse and Mental Health Services Administration. Published 2021. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt56809/2023-nsduh-barometer-new-jersey.pdf