Alcohol and Substance Use Disorders (ASUDs)
ASUDs include the misuse, dependence, and addiction to alcohol and/or legal or illegal drugs. The severity of ASUDs encompasses problem use to dependence and addiction. ASUDS often result in significant impairment to daily life or noticeable distress, including health problems, disability, and failure to meet major responsibilities at work, school, and/or home.
In 2018, approximately 22 million people (12 years and older) had at least one ASUD.
- An estimated 15 million people had alcohol use disorder, which equates to 5.4% of the population.
- Approximately 2.7 million qualify as having an opioid use disorder.
In the military Veteran population,
- Higher environmental stressors associated with combat level increase the likelihood of Veterans to engage in binge drinking by 54.8% compared to the civilian population.
- At their first treatment at a VA healthcare facility, 11% met criteria for an ASUD diagnosis.
- Substance Abuse and Mental Health Services Administration (SAMHSA). Substance use disorders. Retrieved from https://www.samhsa.gov/data/sites/default/files/
- Hoggatt, K. J., Harris, A. H. S., Washington, D. L., & Williams, E. C. (2021). Prevalence of substance use and substance-related disorders among US Veterans Health Administration patients. Drug and Alcohol Dependence, 225, 108791. https://doi.org/10.1016/j.drugalcdep.2021.108791
- (NCDAS: Substance Abuse and Addiction Statistics  (drugabusestatistics.org))
- Teeters, J. B., Lancaster, C. L., Brown, D. G., & Back, S. E. (2017). Substance use disorders in military veterans: prevalence and treatment challenges. Substance abuse and rehabilitation, 8, 69-77.
- Bray RM, Brown JM, Williams J. Trends in binge and heavy drinking, alcohol-related problems, and combat exposure in the U.S. military. Subst Use Misuse. 2013 Jul;48(10):799-810. doi: 10.3109/10826084.2013.796990. PMID: 23869454.
- Nicholas CR., Wang JB, Coker A, Mitchell JM, Klaire SS, Yazar-Klosinski B, Emerson A, Brown RT & Doblin R. The effects of MDMA-assisted therapy on alcohol and substance use in a phase 3 trial for treatment of severe PTSD. ScienceDirect. 2022 April; vol 233. https://doi.org/10.1016/j.drugalcdep.2022.109356
- Norman SB, Haller M, Hamblen JL, Southwick SM, Pietrzak RH. The burden of co-occurring alcohol use disorder and PTSD in U.S. Military veterans: Comorbidities, functioning, and suicidality. Psychol Addict Behav. 2018 Mar;32(2):224-229. doi: 10.1037/adb0000348. PMID: 29553778.
- Substance Abuse and Mental Health Services Administration (SAMHSA). Substance use disorders. Retrieved from http://www.samhsa.gov/disorders/substance-use
- Institute of Medicine. (2013). Returning home from Iraq and Afghanistan: Assessment of readjustment needs of veterans, service members, and their families. Washington, D.C.: National Academies Press.