There was greater variability in the DSM-5 diagnosis level among individuals with a DSM-IV abuse diagnosis, with the majority receiving a diagnosis of DSM-5 moderate SUD (i.e., 56%, 55%, 51%, and 56% for alcohol, cocaine, opioids, and cannabis, respectively). The rates of participants with DSM-IV abuse diagnoses receiving DSM-5 mild SUD diagnoses were 17%, 20%, 28%, and 23% for alcohol, cocaine, opioids, and cannabis, respectively, and 25%, 25%, 21%, and 21%, respectively received DSM-5 severe SUD diagnoses.