Improving the Quality of Health Care for Mental and Substance-Use ConditionsImproving the Quality of Health Care for Mental and Substance Use Conditions Each year, more than 33 million Americans receive health care for mental or substanceuse conditions, or both. Together, mental and substanceuse illnesses are the leading cause of death and disability for women, the highest for men ages 15 44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health