Access to Care Ranking 2020

The Access Ranking indicates how much access to mental health care exists within a state. The access measures include access to insurance, access to treatment, quality and cost of insurance, access to special education, and workforce availability. A high Access Ranking indicates that a state provides relatively more access to insurance and mental health treatment.

The 9 measures that make up the Access Ranking include:

Adults with AMI who Did Not Receive Treatment
Adults with AMI Reporting Unmet Need
Adults with AMI who are Uninsured
Adults with Disability who Could Not See a Doctor Due to Costs
Youth with MDE who Did Not Receive Mental Health Services
Youth with Severe MDE who Received Some Consistent Treatment
Children with Private Insurance that Did Not Cover Mental or Emotional Problems
Students Identified with Emotional Disturbance for an Individualized Education Program
Mental Health Workforce Availability

Rank Sort descending	State
01	Vermont
02	Massachusetts
03	Rhode Island
04	Iowa
05	Maine
06	Wisconsin
07	Minnesota
08	Connecticut
09	District of Columbia
10	New Hampshire
11	Ohio
12	Maryland
13	Pennsylvania
14	Delaware
15	Michigan
16	New York
17	Colorado
18	North Dakota
19	Hawaii
20	Illinois
21	New Mexico
22	Indiana
23	Alaska
24	Oregon
25	Washington
26	Missouri
27	California
28	Montana
29	West Virginia
30	South Dakota
31	Kentucky
32	Idaho
33	New Jersey
34	Nebraska
35	Arkansas
36	Arizona
37	Virginia
38	Utah
39	Oklahoma
40	Florida
41	Louisiana
42	Tennessee
43	Kansas
44	North Carolina
45	Wyoming
46	Alabama
47	South Carolina
48	Mississippi
49	Nevada
50	Georgia
51	Texas

Adults with AMI who are Uninsured 2020

10.3% (over 4.7 million) of adults with a mental illness remain uninsured.
Under the Affordable Care Act (ACA), the U.S. continues to see a decline in Americans who are uninsured. There was a 1.9 percent reduction from last year’s dataset.

Thirty-nine states saw a reduction in Adults with AMI who are uninsured. The largest reductions were seen in Louisiana (5.3%), New York (4.7%), Iowa (4.6%) and Arkansas (4.2%).

Each of the bottom 17 states, with the exception of Louisiana, are states that have not expanded Medicaid. Louisiana, however, has had the largest reductions in the rate of uninsured adults with AMI since the state expanded Medicaid in 2016, from 20 percent of adults with AMI to 14.7%.

The rankings for this indicator used data from the 2016-2017 NSDUH. Some states, such as Arkansas, that had a reduction in uninsured adults with AMI passed Medicaid work requirements in 2018, which may lead to a large change in coverage in future reports.

The state prevalence of uninsured adults with mental illness ranges from 2.4% in Massachusetts to 22.9% in Wyoming.

Rank Sort descending	State	Percentage	Number	Year
01	District of Columbia	2.5	3000	2021
02	Vermont	3.9	4000	2021
03	Massachusetts	4.2	51000	2021
04	Connecticut	4.6	25000	2021
05	Kentucky	4.8	37000	2021
06	New York	5.1	139000	2021
07	Rhode Island	5.8	11000	2021
08	Pennsylvania	6	108000	2021
09	Michigan	6.4	93000	2021
10	New Mexico	6.4	19000	2021
11	Hawaii	6.4	12000	2021
12	Delaware	6.8	10000	2021
13	Maryland	7	55000	2021
14	Ohio	7.1	138000	2021
15	Minnesota	7.3	58000	2021
16	Wisconsin	7.4	62000	2021
17	New Hampshire	7.5	17000	2021
18	California	7.8	434000	2021
19	South Dakota	8.2	9000	2021
20	West Virginia	8.3	31000	2021
21	Iowa	8.4	39000	2021
22	New Jersey	8.8	94000	2021
23	North Dakota	8.8	9000	2021
24	Illinois	8.9	151000	2021
25	Colorado	9	84000	2021
26	Oregon	9	67000	2021
27	Arizona	9.6	97000	2021
28	Louisiana	9.7	72000	2021
29	Nebraska	10.3	25000	2021
30	Montana	10.3	17000	2021
31	Nevada	10.5	51000	2021
32	Washington	10.6	140000	2021
33	Arkansas	10.9	51000	2021
34	Indiana	11.4	134000	2021
35	Alaska	11.6	12000	2021
36	Utah	11.7	67000	2021
37	Kansas	12.4	52000	2021
38	South Carolina	12.5	85000	2021
39	Maine	12.7	29000	2021
40	Virginia	13.5	147000	2021
41	Idaho	13.7	46000	2021
42	North Carolina	13.8	204000	2021
43	Oklahoma	15.9	92000	2021
44	Missouri	16.2	169000	2021
45	Florida	17.4	503000	2021
46	Georgia	18.5	255000	2021
47	Alabama	18.8	154000	2021
48	Tennessee	19	171000	2021
49	Texas	20.1	664000	2021
50	Mississippi	22.2	95000	2021
51	Wyoming	23	21000	2021
52	National	10.8	511,400	2021

Adults with AMI who Did Not Receive Treatment 2020

57.2% of adults with a mental illness received no treatment.
Over 26 million individuals experiencing a mental health illness are going untreated.
The state prevalence of untreated adults with mental illness ranges from 40.7% in Vermont to 64.8% in California.

Rank Sort descending	State	Percentage	Number	Year
01	Vermont	42.8	45000	2021
02	Arkansas	47.5	221000	2021
03	Rhode Island	49	89000	2021
04	Wisconsin	49.2	412000	2021
05	Massachusetts	49.5	597000	2021
06	Delaware	49.7	75000	2021
07	Iowa	49.8	231000	2021
08	Maine	49.9	114000	2021
09	Ohio	50.7	978000	2021
10	Kentucky	50.9	392000	2021
11	Colorado	50.9	475000	2021
12	Kansas	51.1	213000	2021
13	Utah	51.2	294000	2021
14	South Carolina	51.4	349000	2021
15	Tennessee	51.7	463000	2021
16	New Hampshire	51.9	116000	2021
17	West Virginia	52.2	193000	2021
18	District of Columbia	52.2	68000	2021
19	Minnesota	52.6	416000	2021
20	Arizona	52.7	535000	2021
21	Pennsylvania	53	953000	2021
22	Nebraska	53	128000	2021
23	Washington	53.5	704000	2021
24	Idaho	53.5	177000	2021
25	Michigan	53.8	779000	2021
26	Connecticut	53.9	287000	2021
27	Montana	54.2	89000	2021
28	Virginia	54.5	589000	2021
29	North Dakota	54.5	56000	2021
30	South Dakota	54.8	57000	2021
31	Missouri	55.3	576000	2021
32	Illinois	55.8	946000	2021
33	Indiana	55.9	653000	2021
34	North Carolina	56.5	833000	2021
35	New Mexico	56.6	167000	2021
36	Alabama	56.7	463000	2021
37	Mississippi	57.7	247000	2021
38	Oklahoma	58.9	340000	2021
39	Maryland	59.1	459000	2021
40	Oregon	59.3	442000	2021
41	Texas	59.6	1960000	2021
42	New Jersey	60	644000	2021
43	New York	60.3	1655000	2021
44	Nevada	60.3	282000	2021
45	Louisiana	62	459000	2021
46	Florida	63	1816000	2021
47	Wyoming	64.8	60000	2021
48	Georgia	64.9	888000	2021
49	California	65	3620000	2021
50	Alaska	65.5	70000	2021
51	Hawaii	65.8	124000	2021
52	National	57	267,970	2021

Adults with AMI Reporting Unmet Need 2020

Almost a quarter (22.3%) of all adults with a mental illness reported that they were not able to receive the treatment they needed. This number has not declined since 2011.

Individuals seeking treatment but still not receiving needed services face the same barriers that contribute to the number of individuals not receiving treatment:

No insurance or limited coverage of services
Shortfall in psychiatrists, and an overall undersized mental health workforce.
Lack of available treatment types (inpatient treatment, individual therapy, intensive community services).
Disconnect between primary care systems and behavioral health systems.
Insufficient finances to cover costs – including, copays, uncovered treatment types, or when providers do not take insurance.

The state prevalence of adults with AMI reporting unmet treatment needs ranges from 14.3% in Alabama to 31.2% in Utah.

Rank Sort descending	State	Percentage	Number
01	Alabama	14.3	106,000
02	Hawaii	14.7	25,000
03	Iowa	18.2	82,000
04	Texas	19.2	620,000
05	Wyoming	19.2	17,000
06	Minnesota	19.4	141,000
07	Maine	19.7	39,000
08	New York	20.1	536,000
09	Louisiana	20.2	133,000
10	Ohio	20.4	363,000
11	West Virginia	20.4	70,000
12	Vermont	20.7	21,000
13	North Dakota	21.2	21,000
14	Arizona	21.3	189,000
15	Idaho	21.7	72,000
16	South Dakota	21.7	24,000
17	Delaware	21.8	29,000
18	Illinois	21.8	331,000
19	North Carolina	21.8	302,000
20	California	21.9	1,196,000
21	Mississippi	21.9	92,000
22	Alaska	22	23,000
23	Florida	22	632,000
24	Michigan	22	307,000
25	Tennessee	22	208,000
26	Wisconsin	22	178,000
27	Colorado	22.2	186,000
28	Massachusetts	22.3	262,000
29	Oklahoma	22.4	129,000
30	Georgia	22.5	309,000
31	Maryland	22.6	180,000
32	Nebraska	22.6	54,000
33	Connecticut	22.9	113,000
34	Kentucky	22.9	178,000
35	New Jersey	22.9	254,000
36	Montana	23.3	36,000
37	New Mexico	23.8	65,000
38	Rhode Island	24.3	39,000
39	District of Columbia	24.5	30,000
40	Washington	24.5	327,000
41	Pennsylvania	24.7	435,000
42	South Carolina	24.8	173,000
43	Arkansas	25	119,000
44	Missouri	25	238,000
45	Indiana	25.2	272,000
46	Kansas	25.9	109,000
47	Virginia	28.3	337,000
48	Oregon	28.5	224,000
49	Nevada	28.6	121,000
50	New Hampshire	28.8	57,000
51	Utah	31.2	163,000

Adults with Disability Who Could Not See a Doctor Due to Costs 2020

29.4% of adults with a cognitive disability were not able to see a doctor due to costs.

According to the Centers for Disease Control (CDC), 11.4% of people in the United States had a cognitive disability, even when adjusted for age. 1 The percentage of people with cognitive disability ranged from 7.8 percent in some states to 19.1 percent.

A 2017 study found that compared to working-age adults without disabilities, those with disabilities are more likely to live below the federal poverty level and to use public insurance. Their average health costs were also 3-7 times higher than those without disabilities, and they were more likely to face access problems to care, including cost.

The prevalence of adults with disability who couldn’t see a MD due to cost ranges from 16.87% in Iowa to 41.03% in Texas.

Rank Sort descending	State	Percentage	Number
01	Iowa	16.87	37,908
02	Vermont	18.63	9,188
03	Massachusetts	20.44	110,799
04	Alaska	20.69	9,859
05	Rhode Island	20.7	20,592
06	Hawaii	20.86	19,358
07	Ohio	22.23	239,773
08	New York	22.35	315,572
09	California	22.47	647,176
10	Pennsylvania	22.97	254,064
11	Connecticut	23.06	51,647
12	New Hampshire	23.99	23,315
13	Minnesota	24.81	98,572
14	Montana	25.1	22,931
15	Delaware	25.4	24,687
16	Maryland	25.74	100,730
17	District of Columbia	25.88	14,059
18	Nebraska	26.66	33,510
19	Kentucky	26.77	145,055
20	Wisconsin	26.98	112,237
21	Washington	27.19	158,208
22	Michigan	27.29	280,450
23	West Virginia	27.54	74,517
24	North Dakota	27.67	12,131
25	Colorado	27.72	102,075
26	Oregon	28.37	103,596
27	Idaho	28.49	33,213
28	Indiana	28.78	167,315
29	Illinois	29.06	237,367
30	Maine	29.34	32,555
31	Arizona	29.84	170,006
32	Kansas	29.99	65,857
33	South Dakota	30.13	18,219
34	Nevada	30.76	77,939
35	South Carolina	30.79	147,202
36	Utah	31.19	70,771
37	Arkansas	31.42	107,117
38	New Mexico	31.51	61,938
39	Missouri	32.21	195,362
40	Tennessee	33.23	239,969
41	Alabama	33.24	191,499
42	North Carolina	33.36	290,888
43	Florida	33.37	684,912
44	Mississippi	33.97	113,045
45	Wyoming	34.35	15,974
46	Oklahoma	34.43	150,379
47	Virginia	34.48	213,282
48	New Jersey	35.07	245,583
49	Georgia	36.06	322,610
50	Louisiana	38.23	201,908
51	Texas	41.03	983,751

Youth with MDE who Did Not Receive Mental Health Services 2020

59% of youth with major depression do not receive any mental health treatment.
Youth experiencing MDE continue to go untreated. Even among the states with greatest access for youth, almost 50% of youth are still not receiving the mental health services they need.
The state prevalence of untreated youth with depression ranges from 39.5% in Rhode Island to 74.3% in North Carolina.

Rank Sort descending	State	Percentage	Number
01	Rhode Island	39.5	4,000
02	Connecticut	43.9	16,000
03	Wisconsin	44.3	27,000
04	Maine	45.3	7,000
05	North Dakota	46.7	2,000
06	Minnesota	47.5	27,000
07	Ohio	48.6	63,000
08	District of Columbia	48.7	1,000
09	Virginia	51.3	44,000
10	Maryland	52.5	33,000
11	Louisiana	52.7	18,000
12	Utah	53.8	24,000
13	Pennsylvania	53.9	59,000
14	West Virginia	54.2	10,000
15	Massachusetts	54.5	38,000
16	New Hampshire	54.7	7,000
17	Indiana	54.8	40,000
18	New York	55.1	83,000
19	Vermont	55.3	3,000
20	Colorado	55.6	30,000
21	Oregon	55.6	27,000
22	Idaho	55.7	13,000
23	South Dakota	55.7	4,000
24	Illinois	56.1	80,000
25	Tennessee	57	37,000
26	Florida	57.2	106,000
27	Delaware	57.3	4,000
28	New Jersey	57.8	40,000
29	Hawaii	57.9	6,000
30	Missouri	59	45,000
31	Washington	59.1	40,000
32	Iowa	59.8	20,000
33	Michigan	59.8	64,000
34	Arizona	60.2	38,000
35	Arkansas	61.3	19,000
36	Nevada	61.4	22,000
37	New Mexico	61.4	16,000
38	Kentucky	62	19,000
39	Wyoming	62.5	4,000
40	Montana	63.2	6,000
41	Mississippi	63.7	16,000
42	California	63.9	245,000
43	Texas	65.4	180,000
44	Alaska	65.6	5,000
45	Oklahoma	65.8	28,000
46	Alabama	67.5	26,000
47	Kansas	70.8	22,000
48	Georgia	70.9	67,000
49	Nebraska	71.3	14,000
50	South Carolina	73.7	33,000
51	North Carolina	74.3	68,000

Youth with Severe MDE who Received Some Consistent Treatment 2020

Nationally, only 28.2% of youth with severe depression receive some consistent treatment (7-25+ visits in a year).
Late recognition in primary care settings and limited coverage of mental health services often prevent youth from receiving timely and effective treatment.
The state prevalence of youth with severe depression who received some outpatient treatment ranges from 53.9% in Maryland to 13.5% in South Carolina.

Rank Sort descending	State	Percentage	Number	Year
01	Maine	50	5000	2021
02	Maryland	49.2	21000	2021
03	Vermont	45.4	2000	2021
04	Delaware	41.5	2000	2021
05	Rhode Island	41.2	3000	2021
06	Wisconsin	40.4	23000	2021
07	Oregon	37.9	14000	2021
08	Massachusetts	37.7	15000	2021
09	District of Columbia	37.3	1000	2021
10	Pennsylvania	37.1	23000	2021
11	Wyoming	36.3	2000	2021
12	Ohio	36	28000	2021
13	Nebraska	35.9	5000	2021
14	Idaho	35.8	6000	2021
15	New Hampshire	34.9	3000	2021
16	Kentucky	34.2	10000	2021
17	Minnesota	33.7	13000	2021
18	North Dakota	33	1000	2021
19	New Jersey	32.5	16000	2021
20	Louisiana	32	9000	2021
21	Kansas	31.1	7000	2021
22	Arkansas	30	7000	2021
23	Alaska	29.9	2000	2021
24	Michigan	29.8	24000	2021
25	Montana	29.3	2000	2021
26	South Dakota	29.2	1000	2021
27	Iowa	28.8	7000	2021
28	South Carolina	28.3	9000	2021
29	Hawaii	28.3	2000	2021
30	West Virginia	27.8	4000	2021
31	Tennessee	27.3	12000	2021
32	Washington	26.7	13000	2021
33	Indiana	26.1	16000	2021
34	Virginia	26.1	16000	2021
35	Alabama	25.9	6000	2021
36	Texas	25	54000	2021
37	Illinois	25	26000	2021
38	Arizona	24.7	15000	2021
39	California	24.6	59000	2021
40	Utah	24.5	8000	2021
41	Oklahoma	23.5	8000	2021
42	New Mexico	22.6	5000	2021
43	New York	21.9	22000	2021
44	North Carolina	21.9	21000	2021
45	Connecticut	21.6	5000	2021
46	Colorado	21.5	8000	2021
47	Florida	19.7	24000	2021
48	Georgia	19.2	15000	2021
49	Missouri	19	9000	2021
50	Mississippi	14.9	2000	2021
51	Nevada	11.2	3000	2021
52	National	27.3	614000	2021

Children with Private Insurance that Did Not Cover Mental or Emotional Problems 2020

The Mental Health Parity and Addiction Equity law (MHPAE) was enacted a decade ago and promised the equal coverage of mental health and substance use services. However, the rate of children with private insurance that does not cover mental or emotional problems continues to increase, and private insurance companies continue to place subtle restrictions on coverage for mental health treatments.

Earlier this year, a federal judge ruled that United Behavioral Health, the nation’s largest behavioral health insurer, had violated parity by using overly restrictive guidelines for coverage of mental health and substance use services. In his decision, Judge Spero wrote, “one of the most troubling aspects of UBH’s guidelines is their failure to address in any meaningful way the different standards that apply to children and adolescents with respect to the treatment of mental health and substance use disorders.” To improve the worsening mental health of children and adolescents in the U.S., insurance companies must achieve parity in coverage.

The state prevalence of children lacking mental health coverage ranges from 2.0% in New Hampshire to 18.1% in Mississippi.

Rank Sort descending	State	Percentage	Number	Year
01	Vermont	0.6	0	2021
02	Massachusetts	1.2	4000	2021
03	New Hampshire	2.5	1000	2021
04	Connecticut	3.3	5000	2021
05	Maine	3.4	2000	2021
06	New Jersey	4	14000	2021
07	District of Columbia	4.6	1000	2021
08	Washington	5.2	16000	2021
09	Rhode Island	5.3	2000	2021
10	Montana	5.4	2000	2021
11	South Dakota	5.4	2000	2021
12	Michigan	5.5	23000	2021
13	Wisconsin	5.5	16000	2021
14	Ohio	5.9	26000	2021
15	Missouri	5.9	14000	2021
16	Alabama	5.9	7000	2021
17	Pennsylvania	6.1	29000	2021
18	Georgia	6.5	23000	2021
19	Virginia	6.6	21000	2021
20	Oregon	6.7	10000	2021
21	Delaware	6.9	3000	2021
22	Indiana	7.1	22000	2021
23	Illinois	7.2	34000	2021
24	Maryland	7.2	18000	2021
25	West Virginia	7.2	4000	2021
26	California	7.5	100000	2021
27	Minnesota	7.5	20000	2021
28	Mississippi	7.5	6000	2021
29	Iowa	7.5	10000	2021
30	Louisiana	7.6	10000	2021
31	New Mexico	7.8	4000	2021
32	Utah	7.8	16000	2021
33	Oklahoma	7.9	11000	2021
34	Kansas	7.9	9000	2021
35	New York	8.3	49000	2021
36	Colorado	8.3	17000	2021
37	Hawaii	9.2	3000	2021
38	Florida	9.4	52000	2021
39	North Carolina	10	33000	2021
40	Alaska	10.3	2000	2021
41	Kentucky	11	17000	2021
42	Texas	11.5	108000	2021
43	Wyoming	12	3000	2021
44	Arizona	12.1	32000	2021
45	Nevada	12.6	13000	2021
46	Nebraska	12.6	10000	2021
47	Idaho	12.7	10000	2021
48	North Dakota	13.5	5000	2021
49	Tennessee	13.5	27000	2021
50	Arkansas	14.4	13000	2021
51	South Carolina	14.8	23000	2021
52	National	7.8	901000	2021

Students Identified with Emotional Disturbance for an Individualized Education Program 2020

Only .73%* of students are identified as having an ED for IEP.

For purposes of an IEP, the term “Emotional Disturbance” is used to define youth with a mental illness that is affecting their ability to succeed in school.

Early identification for IEPs is critical. IEPs provide the services, accommodations and support students with ED need to receive a quality education. Inadequate education leads to poor outcomes such as low academic achievement, social isolation, unemployment, and involvement in the juvenile system. Further, the federal eligibility criteria to identify students as having an emotional disturbance for an IEP have indicated extremely poor reliability among school psychologists, and therefore must be revised to adequately identify students in need of more supports.

*The rate for this measure is shown as a rate per 1,000 students. The calculation was made this way for ease of reading. Unfortunately, doing so hides the fact that the percentages are significantly lower. If states were doing a better job of identifying whether youth had emotional difficulties that could be better supported through an IEP – the rates would be closer to 7 percent instead of .7 percent.

The state rate of students identified as having an Emotional Disturbance (ED) for an IEP ranges from 27.72% per 1,000 students in Vermont to 2.02% per 1,000 students in Alabama.

High percentages are associated with positive outcomes and low percentages are associated with poorer outcomes

Rank Sort descending	State	Percentage	Number
01	Vermont	27.72	2071
02	Minnesota	19.76	15666
03	Massachusetts	18.81	16338
04	Wisconsin	16.18	12217
05	Pennsylvania	15.50	24746
06	Maine	13.73	2243
07	Indiana	13.42	12798
08	Iowa	12.98	5741
09	District of Columbia	12.78	840
10	Rhode Island	12.49	1618
11	New Hampshire	12.32	2039
12	Connecticut	11.51	5526
13	North Dakota	10.86	1066
14	Illinois	10.17	18373
15	Ohio	9.80	15208
16	South Dakota	9.76	1184
17	Oregon	9.54	5122
18	Nebraska	9.50	2664
19	New York	9.49	23429
20	Virginia	8.39	9752
21	Delaware	8.32	1037
22	Michigan	8.26	11273
23	Missouri	8.25	6738
24	Mississippi	7.90	3487
25	Maryland	7.69	6085
26	Kentucky	7.35	4468
27	Arizona	7.31	7551
28	Colorado	6.90	5578
29	Oklahoma	6.78	4073
30	Georgia	6.70	10653
31	Wyoming	6.63	570
32	Montana	6.35	848
33	New Mexico	6.20	1889
34	New Jersey	6.12	7690
35	Texas	6.09	28884
36	Alaska	5.93	707
37	Hawaii	5.92	979
38	Florida	5.84	14933
39	Kansas	5.48	2409
40	Washington	5.11	5142
41	Idaho	4.95	1354
42	West Virginia	4.94	1180
43	Nevada	4.45	1931
44	California	4.36	24818
45	North Carolina	3.81	5394
46	Tennessee	3.72	3342
47	South Carolina	3.20	2208
48	Utah	3.17	1889
49	Louisiana	2.79	1773
50	Arkansas	2.24	988
51	Alabama	2.02	1365

Mental Health Workforce Availability 2020

Mental Health Workforce Availability

The term “mental health provider” includes psychiatrists, psychologists, licensed clinical social workers, counselors, marriage and family therapists, and advanced practice nurses specializing in mental health care.

The rate of mental health providers has improved in nearly every state since last year’s report. However, projections from the Health Resources and Services Administration (HRSA) still indicate an immense shortage of mental health and substance use treatment providers to meet the demand in 2030. Mental health provider shortages result in little access to care, high burnout rates among providers, and long waits for necessary treatment.

Additionally, there is a maldistribution of behavioral health providers throughout the county, as illustrated by the map above. In 2016, more than half the counties throughout the U.S. had 0 psychiatrists. While integrating primary care and behavioral health care is a necessary first step in reducing the impact of the shortage, primary care providers cannot solely fill the void created by a lack of psychiatrists. Further efforts must be made to improve access to necessary mental health care throughout the country, such as expanding the use of telepsychiatry and employing peer support specialists and other paraprofessionals as providers of care.

The state rate of mental health workforce ranges from 180:1 in Massachusetts to 1,100:1 in Alabama.

Rank Sort descending	State	Number
01	Massachusetts	180
02	Oregon	210
03	District of Columbia	220
04	Maine	220
05	Vermont	230
06	Alaska	260
07	New Mexico	260
08	Oklahoma	260
09	Rhode Island	260
10	Connecticut	270
11	Colorado	300
12	California	310
13	Washington	310
14	Wyoming	310
15	Utah	330
16	Louisiana	340
17	New Hampshire	350
18	Montana	360
19	New York	370
20	Michigan	400
21	Nebraska	400
22	Delaware	410
23	Hawaii	430
24	Maryland	430
25	Minnesota	430
26	North Carolina	440
27	Arkansas	460
28	Ohio	470
29	Illinois	480
30	Kentucky	490
31	New Jersey	500
32	Idaho	510
33	Nevada	510
34	Kansas	530
35	Pennsylvania	530
36	Wisconsin	530
37	Missouri	550
38	North Dakota	570
39	South Dakota	590
40	South Carolina	610
41	Virginia	630
42	Florida	670
43	Indiana	670
44	Iowa	700
45	Mississippi	700
46	Tennessee	700
47	Arizona	790
48	Georgia	790
49	West Virginia	830
50	Texas	960
51	Alabama	1100

2020 Access to Care Data