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Adult Ranking 2020



 
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States that are ranked 1-13 have lower prevalence of mental illness and higher rates of access to care for adults. States that are ranked 39-51 indicate that adults have higher prevalence of mental illness and lower rates of access to care.

The 7 measures that make up the Adult Ranking include:

  1. Adults with Any Mental Illness (AMI)
  2. Adults with Substance Use Disorder in the Past Year
  3. Adults with Serious Thoughts of Suicide
  4. Adults with AMI who are Uninsured
  5. Adults with AMI who Did Not Receive Treatment
  6. Adults with AMI Reporting Unmet Need
  7. Adults with Disability Who Could Not See a Doctor Due to Costs

 

Statistical Data

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

Adult Prevalence of Mental Illness - Adults with Any Mental Illness (AMI) 2020



 
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  • 18.57% of adults are experiencing a mental health illness, equivalent to 45 million Americans.
  • 4.38% are experiencing a severe mental health illness.
  • The state prevalence of adult mental illness ranges from 16.19% in New Jersey to 25.03% in Idaho.

 

Statistical Data

Rank Sort descending State Percentage Number
01 New Jersey 16.14 1,112,000
02 Texas 16.21 3,347,000
03 Maryland 16.96 781,000
04 Virginia 17.38 1,115,000
05 Florida 17.39 2,889,000
06 South Dakota 17.49 112,000
07 Hawaii 17.58 187,000
08 Illinois 18.06 1,754,000
09 Nebraska 18.08 257,000
10 Georgia 18.09 1,405,000
11 Pennsylvania 18.23 1,814,000
12 New York 18.25 2,802,000
13 Tennessee 18.26 937,000
14 South Carolina 18.31 706,000
15 California 18.54 5,566,000
16 North Carolina 18.77 1,469,000
17 Connecticut 19.03 531,000
18 Michigan 19.07 1,469,000
19 New Mexico 19.10 300,000
20 North Dakota 19.13 108,000
21 Arizona 19.24 1,030,000
22 Wisconsin 19.26 859,000
23 Minnesota 19.32 819,000
24 Mississippi 19.49 431,000
25 Kansas 19.59 420,000
26 Iowa 19.89 473,000
27 Montana 20.00 163,000
28 Delaware 20.03 149,000
29 Arkansas 20.27 457,000
30 Wyoming 20.34 88,000
31 Oklahoma 20.43 592,000
32 Alaska 20.50 108,000
33 New Hampshire 20.56 221,000
34 Louisiana 20.63 715,000
35 Vermont 20.65 104,000
36 Nevada 20.67 474,000
37 Maine 20.82 223,000
38 Massachusetts 21.22 1,155,000
39 Rhode Island 21.32 178,000
40 Alabama 21.39 794,000
41 Ohio 21.40 1,906,000
42 Missouri 21.44 993,000
43 Colorado 21.50 924,000
44 Kentucky 22.14 746,000
45 District of Columbia 22.21 125,000
46 Washington 22.23 1,269,000
47 Oregon 22.45 731,000
48 Indiana 22.51 1,129,000
49 West Virginia 23.80 337,000
50 Idaho 24.46 311,000
51 Utah 25.25 550,000
52 National 19.00 47,132,000

Adult with Substance Use Disorder in the Past Year 2020



 
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  • 7.68% of adults in America reported having a substance use disorder in the past year;
  • 2.72% an illicit drug use disorder in the past year;
  • 5.82% an alcohol use disorder in the past year.
  • The state prevalence of adults with substance use disorder in the past year ranges from 6.32% in Georgia to 11.55% in the District of Columbia.

Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.

 

Statistical Data

Rank Sort descending State Percentage Number
01 Texas 6.34 1,308,000
02 Utah 6.42 140,000
03 Florida 6.68 1,109,000
04 West Virginia 6.76 96,000
05 Georgia 6.77 526,000
06 Mississippi 6.77 150,000
07 Maryland 6.89 317,000
08 North Carolina 6.95 544,000
09 Tennessee 6.95 357,000
10 New Jersey 7.01 483,000
11 Hawaii 7.13 76,000
12 Minnesota 7.24 307,000
13 Wyoming 7.25 31,000
14 Kansas 7.27 156,000
15 Pennsylvania 7.30 727,000
16 Virginia 7.32 470,000
17 Arizona 7.36 394,000
18 Indiana 7.39 371,000
19 Kentucky 7.46 251,000
20 Alabama 7.46 277,000
21 Michigan 7.47 576,000
22 New Mexico 7.53 118,000
23 New York 7.57 1,162,000
24 Missouri 7.57 351,000
25 South Carolina 7.60 293,000
26 Ohio 7.64 680,000
27 Idaho 7.76 99,000
28 Nebraska 8.01 114,000
29 Arkansas 8.02 181,000
30 California 8.12 2,437,000
31 Illinois 8.16 793,000
32 Washington 8.53 487,000
33 Oklahoma 8.54 248,000
34 Wisconsin 8.68 387,000
35 Louisiana 8.69 301,000
36 Delaware 8.76 65,000
37 North Dakota 8.79 50,000
38 Rhode Island 8.80 74,000
39 Connecticut 8.82 246,000
40 Nevada 9.00 206,000
41 New Hampshire 9.09 98,000
42 Iowa 9.13 217,000
43 South Dakota 9.17 59,000
44 Maine 9.27 99,000
45 Massachusetts 9.34 508,000
46 Montana 9.41 76,000
47 Alaska 9.76 51,000
48 Oregon 9.94 323,000
49 Vermont 10.51 53,000
50 Colorado 11.90 511,000
51 District of Columbia 13.01 73,000
52 National 7.67 19,026,000

Adults with Serious Thoughts of Suicide 2020



 
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  • The percentage of adults reporting serious thoughts of suicide is 4.19%.
  • The estimated number of adults with serious suicidal thoughts is over 10.3 million—an increase of nearly 450,000 people from last year’s data set.
  • The state prevalence of adults with serious thoughts of suicide range from New Jersey at 3.41% to Utah at 5.99%.

 

Statistical Data

Rank Sort descending State Percentage Number
01 New Jersey 3.41% 235000
02 Florida 3.49% 569000
03 New York 3.68% 568000
04 Texas 3.72% 754000
05 Illinois 3.87% 376000
06 Alabama 3.89% 144000
07 Michigan 3.99% 306000
08 Maine 3.99% 43000
09 Maryland 4.00% 184000
10 Mississippi 4.01% 88000
11 New Mexico 4.01% 63000
12 Arizona 4.02% 211000
13 Missouri 4.04% 186000
14 California 4.04% 1205000
15 Nebraska 4.05% 57000
16 Connecticut 4.05% 113000
17 Hawaii 4.08% 43000
18 Oklahoma 4.10% 118000
19 District of Columbia 4.11% 23000
20 South Carolina 4.11% 156000
21 Delaware 4.16% 31000
22 Virginia 4.20% 268000
23 Louisiana 4.25% 147000
24 Pennsylvania 4.28% 426000
25 Georgia 4.38% 336000
26 Wyoming 4.39% 19000
27 South Dakota 4.40% 28000
28 Tennessee 4.50% 228000
29 Minnesota 4.52% 190000
30 Ohio 4.56% 404000
31 North Dakota 4.57% 26000
32 North Carolina 4.57% 352000
33 Massachusetts 4.57% 247000
34 Arkansas 4.59% 103000
35 Wisconsin 4.60% 204000
36 Nevada 4.62% 104000
37 Iowa 4.69% 111000
38 Kentucky 4.71% 158000
39 West Virginia 4.75% 68000
40 Rhode Island 4.78% 40000
41 Kansas 4.87% 104000
42 New Hampshire 4.89% 52000
43 Montana 4.91% 39000
44 Indiana 5.04% 251000
45 Washington 5.06% 283000
46 Oregon 5.18% 166000
47 Vermont 5.31% 27000
48 Alaska 5.34% 28000
49 Colorado 5.41% 229000
50 Idaho 5.60% 70000
51 Utah 5.99% 128000
52 National 4.19% 10308000

Adults with AMI who are Uninsured 2020



 
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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.

 

Statistical Data

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

Adults with AMI who Did Not Receive Treatment 2020



 
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  • 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.

 

Statistical Data

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

Adults with AMI Reporting Unmet Need 2020



 
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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:

  1. No insurance or limited coverage of services
  2. Shortfall in psychiatrists, and an overall undersized mental health workforce.
  3. Lack of available treatment types (inpatient treatment, individual therapy, intensive community services).
  4. Disconnect between primary care systems and behavioral health systems.
  5. 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.

 

Statistical Data

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



 

 
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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.

 

Statistical Data

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