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Mental Health & Substance Abuse Centers in the US - Market Research Report (2015-2030)

Marley Brocker Marley Brocker New York, United States Last Updated: July 2025 NAICS 62322

Revenue

$31.4bn

2025

$31.4bn

Past 5-Year Growth

Profit

$X.Xbn

Employees

249k

Businesses

5,269

Wages

$XX.Xbn

Mental Health & Substance Abuse Centers in the US industry analysis

Inpatient mental health centers are currently navigating a complex environment marked by an increased need for services amid workforce shortages and financial challenges. The heightened attention to mental health issues, partly exacerbated by COVID-19, has led to a surge in individuals seeking inpatient care. However, this demand surge coincides with significant labor shortages across the health sector, resulting in longer wait times for patients and overburdened staff. Mental health centers are grappling with the dual challenges of meeting this growing demand while managing the financial constraints of operating with limited personnel. Mental health centers have prioritized resource optimization strategies, like telehealth and group therapy sessions, to enhance service delivery efficiency, supporting the industry’s revenue growth. Injections of federal funding in recent years have also played a crucial role in supporting revenue growth and helping centers address these mounting operating pressures. Revenue has been expanding at a CAGR of 5.9% to an estimated $31.4 billion over the past five years, including expected growth of 3.0% in 2025.

Trends and Insights

  • Behavioral health funding saw strong growth in recent years, but that trend is reversing under renewed political pressure. The Trump administration and current GOP proposals to roll back behavioral health investments, cut Medicaid and tighten eligibility threaten key funding streams at a time when providers face rising demand, workforce shortages and mounting operating pressures.
  • Inpatient mental health centers could see significant funding losses under proposed $800 billion Medicaid cuts. Tighter eligibility rules and limits on state financing may reduce patient volume and strain mental health and substance abuse centers.
  • States with higher per capita behavioral health spending consistently operate more inpatient centers. This reflects the capital-intensive nature of inpatient care, where funding directly supports workforce expansion, licensing compliance and long-term facility operation.
  • Payers exert the greatest pressure on residential treatment providers. Limiting coverage and tightening medical necessity criteria directly impact service viability. Financial sustainability increasingly depends on navigating reimbursement complexity instead of outcompeting competitors on scale or service.
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Industry Statistics and Trends

Market size and recent performance (2015-2030)

Industry revenue has grown at a CAGR of 5.9 % over the past five years, to reach an estimated $31.4bn in 2025.

Trends and Insights

Mental health centers confront an unprecedented demand for inpatient treatment

  • Mental health and substance abuse centers have been confronting an unprecedented demand for inpatient treatment. Data from Mental Health America (MHA) shows nearly 24.0% of adults experienced a mental illness in the past year, while 18.0% reported a substance use disorder in 2024. Both percentages are up from 2023. While multiple factors drive these increases, the ongoing impact of COVID-19 and economic and political stressors remain central, creating a heightened need for inpatient services.
  • Additional trends and insights available with purchase
Mental Health & Substance Abuse Centers in the US
Revenue (2015-2030)
IBISWorld Logo Source: IBISWorld

Industry outlook (2025-2030)

Market size is projected to grow over the next five years.

Trends and Insights

Shrinking resources would add to operating challenges

  • Federal and state funding for inpatient behavioral health centers faces major uncertainty through 2030. Medicaid remains the single largest payer for mental health and addiction treatment, making the field highly sensitive to federal policy changes. Current proposals to cut, cap or block grant Medicaid under the Trump administration threaten to reduce or restructure these essential funding streams.

Biggest companies in the Mental Health & Substance Abuse Centers in the US

Company
Market Share (%)
2025
Revenue ($short_0)
2025
Profit ($short_0)
2025
Profit Margin (%)
2025

There are no companies that hold a large enough market share in the Mental Health & Substance Abuse Centers in the US industry for IBISWorld to include in this product.

Products & Services Segmentation

Mental Health & Substance Abuse Centers in the US
Products & Services
IBISWorld Logo Source: IBISWorld

Industry revenue is measured across several distinct product and services lines, including Residential treatment programs (mental illnesses), Residential treatment programs (detoxification & substance abuse) and Independent living services. Residential treatment programs (mental illnesses) is the largest segment of the Mental Health & Substance Abuse Centers in the US.

Trends and Insights

Detoxification and substance abuse therapy services are growing to meet challenges

  • Substance abuse facilities primarily provide psychotherapeutic treatment and, on a secondary basis, medical treatment for those struggling with drug addiction. In addition to intensive counseling, facilities provide educational support, vocational training, health and fitness classes and opportunities to socialize with other residents.
  • More insights available in the full report

Table of Contents

About this industry

Industry definition

Mental health and substance abuse centers provide residential care and treatment for patients with mental health disorders, substance use disorders or co-occurring conditions. These centers offer various services, including therapy, medication management, detoxification, crisis intervention and long-term recovery support.

What's included in this industry?

Products and services covered in the Mental Health & Substance Abuse Centers industry in the United States include Residential treatment programs for mental health conditions, Residental treatment programs for subtance use disorders , Independent living services and Residential treatment with counseling services.

Companies

Companies covered in the Mental Health & Substance Abuse Centers industry in the United States include .

Purchase this report to view all major companies in this industry.

Related Terms

Related terms covered in the Mental Health & Substance Abuse Centers industry in the United States include managed behavioral health organization (mbho), serious mental illness (smi), acute care, substance abuse, outpatient care and managed care.

Industry Code

NAICS 2017

NAICS 62322 - Mental Health & Substance Abuse Centers in the US

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

Behavioral health funding saw strong growth in recent years, but that trend is reversing under renewed political pressure. The Trump administration and current GOP proposals ...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2015-2024) and forecast (2025-2030)
  • Employees, including historical (2015-2024) and forecast (2025-2030)
  • Businesses, including historical (2015-2024) and forecast (2025-2030)
  • Profit, including historical (2015-2025)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

Inpatient mental health centers could see significant funding losses under proposed $800 billion Medicaid cuts. Tighter eligibility rules and limits on state financing may re...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2025
  • Product innovation level

Charts

  • Products & services segmentation in 2025
  • Major market segmentation in 2025

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

States with higher per capita behavioral health spending consistently operate more inpatient centers. This reflects the capital-intensive nature of inpatient care, where fund...

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each state
  • Share of population compared to establishments in each region in 2025

Tables

  • Number and share of establishments in each state in 2025
  • Number and share of revenue each state accounts for in 2025
  • Number and share of wages each state accounts for in 2025
  • Number and share of employees in each state in 2025

Detailed analysis

  • Geographic spread of the industry across North America, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

Payers exert the greatest pressure on residential treatment providers. Limiting coverage and tightening medical necessity criteria directly impact service viability. Financia...

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2020-2025
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

Learn about the performance of the top companies in the industry.

Analyst insights

Residential mental health and substance abuse treatment remains fragmented. Despite some consolidation activity, no single provider controls this market. Most providers are i...

In this chapter

  • Market Share Concentration
  • Companies
  • Company Spotlights

Charts

  • Industry market share by company in 2021 through 2025
  • Major companies in the industry, including market share, revenue, profit and profit margin in 2025

Detailed analysis

    External Environment

    Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

    Analyst insights

    A threat of funding cuts raises growing uncertainty around access to care. Without reliable financial support, many inpatient facilities may struggle to serve individuals who...

    In this chapter

    • External Drivers
    • Regulation & Policy
    • Assistance

    Key metrics

    • Regulation & policy level and trend
    • Assistance level and trend

    Charts

    • Regulation & Policy historical data and forecast (2015-2030) 
    • Assistance historical data and forecast (2015-2030) 

    Detailed analysis

    • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
    • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
    • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

    Financial Benchmarks

    View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

    Analyst insights

    Profit hinges on a mental health center’s ability to balance competing priorities. The industry has experienced weakening profit as inpatient facilities navigate a challengin...

    In this chapter

    • Cost Structure
    • Financial Ratios
    • Key Ratios

    Key metrics

    • Profit margin, and how it compares to the sector-wide margin
    • Average wages, and how it compares to the sector-wide average wage
    • Largest cost component as a percentage of revenue
    • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

    Charts

    • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
    • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
    • Investment vs. share of economy

    Data tables

    • Industry Multiples (2018-2023)
    • Industry Tax Structure (2018-2023)
    • Income Statement (2018-2023)
    • Balance Sheet (2018-2023)
    • Liquidity Ratios (2018-2023)
    • Coverage Ratios (2018-2023)
    • Leverage Ratios  (2018-2023)
    • Operating Ratios (2018-2023)
    • Cash Flow & Debt Service Ratios (2015-2030)
    • Revenue per Employee (2015-2030)
    • Revenue per Enterprise (2015-2030)
    • Employees per Establishment (2015-2030)
    • Employees per Enterprise (2015-2030)
    • Average Wage (2015-2030)
    • Wages/Revenue (2015-2030)
    • Establishments per Enterprise (2015-2030)
    • IVA/Revenue (2015-2030)
    • Imports/Demand (2015-2030)
    • Exports/Revenue (2015-2030)

    Detailed analysis

    • Trends in the cost component for industry operators and their impact on industry costs and profitability 

    Key Statistics

    Industry Data

    Data Tables

    Including values and annual change:

    • Revenue (2015-2030)
    • IVA (2015-2030)
    • Establishments (2015-2030)
    • Enterprises (2015-2030)
    • Employment (2015-2030)
    • Exports (2015-2030)
    • Imports (2015-2030)
    • Wages (2015-2030)

    Top Questions Answered

    Unlock comprehensive answers and precise data upon purchase. View purchase options.

    What is the market size of the Mental Health & Substance Abuse Centers industry in the United States in 2025?

    The market size of the Mental Health & Substance Abuse Centers industry in the United States is $31.4bn in 2025.

    How many businesses are there in the Mental Health & Substance Abuse Centers industry in the United States in 2025?

    There are 5,269 businesses in the Mental Health & Substance Abuse Centers industry in the United States, which has grown at a CAGR of 3.7 % between 2020 and 2025.

    How may import tariffs affect the Mental Health & Substance Abuse Centers industry in the United States?

    The Mental Health & Substance Abuse Centers industry in the United States is unlikely to be materially impacted by import tariffs with imports accounting for a low share of industry revenue.

    How may export tariffs affect the Mental Health & Substance Abuse Centers industry in the United States?

    The Mental Health & Substance Abuse Centers industry in the United States is unlikely to be materially impacted by export tariffs with exports accounting for a low share of industry revenue.

    Has the Mental Health & Substance Abuse Centers industry in the United States grown or declined over the past 5 years?

    The market size of the Mental Health & Substance Abuse Centers industry in the United States has been growing at a CAGR of 5.9 % between 2020 and 2025.

    What is the forecast growth of the Mental Health & Substance Abuse Centers industry in the United States over the next 5 years?

    Over the next five years, the Mental Health & Substance Abuse Centers industry in the United States is expected to grow.

    What does the Mental Health & Substance Abuse Centers industry in the United States include?

    Residential treatment programs for mental health conditions and Residental treatment programs for subtance use disorders are part of the Mental Health & Substance Abuse Centers industry in the United States.

    How competitive is the Mental Health & Substance Abuse Centers industry in the United States?

    The level of competition is moderate and increasing in the Mental Health & Substance Abuse Centers industry in the United States.

    Methodology

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    Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

    IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

    What data sources do IBISWorld analysts use?

    Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

    Key data sources in the US include: 

    • US Census Bureau
    • US Bureau of Labor Statistics
    • US International Trade Commission

    Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

    These sources include:

    • Industry and trade associations
    • Industry federations or regulators
    • Major industry players annual or quarterly filings

    Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

    How does IBISWorld forecast its data?

    IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.

    IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.

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