This profile collates and analyses a wide range of publicly available data around tobacco smoking, alcohol use and drug use, including data on prevalence, risk factors, treatment demand and treatment response. The tool also features indicators around mental health prevalence and services. From December 2016, it also featured related indicators on mortality.

The tool is for:

  • commissioners
  • service providers
  • clinicians
  • service users and their families

Users can benchmark their area against England, region or similar populations.

Although we still lack good, direct local indicators of the levels of co-morbid substance misuse and mental health issues, the available research literature demonstrates strong links between mental health and smoking, alcohol use and drug use. Smoking is much more common among those with mental health disorders (McManus et al, 2010), and most users of drug and alcohol services also experience mental health problems (Weaver et al, 2003). Based on these associations, we have chosen, in lieu of more specific data, to release overall data around smoking, alcohol use and drug use, as well as data around mental health prevalence and services.

About the tool

Tool structure


Data is presented under the headings:

  • Prevalence and Risks
  • Treatment Demand
  • Treatment Response

Within these it is grouped by local authority area.

Tool content 

Data is drawn from various sources and varies by time period, population and presentation of values.

Interpretation of data should be done carefully. Detailed metadata and any caveats are set out in the Definitions section.

Data quality

Data items are included if viewed as robust, of sufficient quality, or they offer an important element that could not be otherwise gained. Each indicator has been assessed and labelled with its quality rank.


Supporting Documents


·         Fingertips user guide CESMMHI: helps navigate the CESMMHI tool

·         Profiling guide: guides assessment of data


Other sources

McManus, S., Meltzer, H., & Campion, J. (2010). Cigarette smoking and mental health in England. Data from the Adult Psychiatric Morbidity Survey. National Centre for Social Research.

Weaver, T., Madden, P., Charles, V., Stimson, G., Renton, A., Tyrer, P., ... & Ford, C. (2003). Comorbidity of substance misuse and mental illness in community mental health and substance misuse services. The British Journal of Psychiatry183(4), 304-313.


 [RE1]This is already said.