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Youth Ranking 2020




 
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States with rankings 1-13 have lower prevalence of mental illness and higher rates of access to care for youth. States with rankings 39-51 indicate that youth have higher prevalence of mental illness and lower rates of access to care.

The 7 measures that make up the Youth Ranking include:

  1.  Youth with At Least One Major Depressive Episode (MDE) in the Past Year
  2.  Youth with Substance Use of Disorder in the Past Year
  3.  Youth with Severe MDE
  4.  Youth with MDE who Did Not Receive Mental Health Services
  5.  Youth with Severe MDE who Received Some Consistent Treatment
  6.  Children with Private Insurance that Did Not Cover Mental or Emotional Problems
  7.  Students Identified with Emotional Disturbance for an Individualized Education Program.

 

Statistical Data

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

Youth with At Least One Major Depressive Episode (MDE) in the Past Year 2020




 
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  • 13.01% of youth (age 12-17) report suffering from at least one major depressive episode (MDE) in the past year.
  • Childhood depression is more likely to persist into adulthood if gone untreated.
  • The number of youth experiencing MDE increased by 99,000 from last years' dataset.
  • The state prevalence of youth with MDE ranges from the District of Columbia at 10.49% to Oregon at 16.34%.

 

Statistical Data

Rank Sort descending State Percentage Number
01 District of Columbia 10.49 3,000
02 Louisiana 10.76 39,000
03 New Jersey 11.17 77,000
04 Georgia 11.44 99,000
05 New York 11.46 161,000
06 Mississippi 11.56 28,000
07 Delaware 11.58 8,000
08 Alabama 11.90 45,000
09 Kentucky 11.94 41,000
10 Hawaii 11.97 11,000
11 North Carolina 12.03 95,000
12 North Dakota 12.13 6,000
13 Texas 12.19 296,000
14 Pennsylvania 12.23 113,000
15 South Carolina 12.31 46,000
16 South Dakota 12.56 8,000
17 Tennessee 12.79 65,000
18 Vermont 12.83 5,000
19 Maryland 12.91 59,000
20 Nebraska 13.01 20,000
21 Arizona 13.06 72,000
22 Florida 13.09 185,000
23 Connecticut 13.16 36,000
24 Virginia 13.22 83,000
25 California 13.23 401,000
26 Rhode Island 13.30 10,000
27 Arkansas 13.36 32,000
28 Minnesota 13.56 58,000
29 Massachusetts 13.60 66,000
30 Wisconsin 13.66 61,000
31 Indiana 13.77 74,000
32 Kansas 13.84 33,000
33 Oklahoma 13.86 44,000
34 Michigan 13.87 107,000
35 Colorado 13.89 59,000
36 New Hampshire 13.91 13,000
37 Washington 13.98 75,000
38 Illinois 14.00 141,000
39 West Virginia 14.05 18,000
40 Montana 14.07 11,000
41 Iowa 14.10 34,000
42 Wyoming 14.20 6,000
43 Alaska 14.27 8,000
44 Ohio 14.35 129,000
45 Missouri 14.57 68,000
46 New Mexico 14.88 25,000
47 Nevada 14.97 34,000
48 Maine 15.07 14,000
49 Utah 15.48 47,000
50 Idaho 16.22 24,000
51 Oregon 16.34 48,000

Youth with Severe Major Depressive Episode 2020




 
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  • 9.2% of youth (over 2.2 million youth) cope with severe major depression. Depression in youth often co-occurs with other disorders like substance use, anxiety and disorderly behavior.
  • The number of youth experiencing Severe MDE increased by 121,000 from last year’s dataset
  • The state prevalence of youth with Severe MDE ranges from 6.0% in Mississippi to 13.2% in Nevada.

 

Statistical Data

Rank Sort descending State Percentage Number
01 Mississippi 6 14,000
02 North Dakota 6 3,000
03 Kentucky 6.3 21,000
04 Delaware 6.6 4,000
05 Iowa 6.9 17,000
06 New Jersey 7 47,000
07 South Dakota 7.3 5,000
08 Louisiana 7.5 27,000
09 New York 7.5 102,000
10 Georgia 7.7 65,000
11 Nebraska 7.7 12,000
12 Kansas 7.8 18,000
13 District of Columbia 7.9 2,000
14 Alabama 8.1 29,000
15 Vermont 8.2 3,000
16 Colorado 8.3 35,000
17 New Hampshire 8.3 8,000
18 Arkansas 8.4 19,000
19 Oklahoma 8.4 26,000
20 Pennsylvania 8.6 77,000
21 California 8.8 258,000
22 Arizona 8.9 47,000
23 South Carolina 8.9 32,000
24 Hawaii 9 8,000
25 Texas 9 211,000
26 Michigan 9.1 68,000
27 Virginia 9.1 55,000
28 Montana 9.2 7,000
29 Alaska 9.3 5,000
30 North Carolina 9.8 75,000
31 Ohio 9.9 87,000
32 Florida 10 137,000
33 Maryland 10 43,000
34 Illinois 10.1 98,000
35 Wyoming 10.1 4,000
36 Connecticut 10.2 27,000
37 Rhode Island 10.2 7,000
38 Indiana 10.4 54,000
39 Tennessee 10.4 52,000
40 Massachusetts 10.5 50,000
41 Minnesota 10.5 44,000
42 New Mexico 10.5 17,000
43 Utah 10.7 31,000
44 Washington 10.7 56,000
45 Wisconsin 10.8 47,000
46 Missouri 11.3 51,000
47 West Virginia 11.3 14,000
48 Idaho 11.7 17,000
49 Oregon 12.7 36,000
50 Maine 13.1 12,000
51 Nevada 13.2 28,000

Youth with Substance Use Disorder in the Past Year 2020




 
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  • 4.13% of youth in America reported having a substance use disorder in the past year.
  • 1.87% had an alcohol use disorder in the past year, while 3.07 percent had an illicit drug use disorder.
  • The state prevalence of youth with substance use disorder in the past year ranges from 3.18% in Georgia to 6.54% in Alaska.

 

Statistical Data

Rank Sort descending State Percentage Number
01 Georgia 3.182475035 27,000
02 Pennsylvania 3.185802626 29,000
03 Indiana 3.291448092 18,000
04 New Jersey 3.342732377 23,000
05 Maryland 3.449672251 16,000
06 Mississippi 3.493247299 9,000
07 Texas 3.614661795 88,000
08 Kentucky 3.620369457 12,000
09 North Carolina 3.627702805 29,000
10 Virginia 3.645123485 23,000
11 Missouri 3.719937618 17,000
12 Utah 3.839603996 12,000
13 Tennessee 3.855519348 20,000
14 Michigan 3.869633218 30,000
15 Louisiana 3.886166165 14,000
16 Hawaii 3.925247869 4,000
17 Alabama 3.961135797 15,000
18 Ohio 3.991856442 36,000
19 New York 4.038806972 57,000
20 Nebraska 4.048445012 6,000
21 South Carolina 4.086818098 15,000
22 Kansas 4.088204261 10,000
23 Arkansas 4.103869488 10,000
24 Iowa 4.177114319 10,000
25 Wisconsin 4.231806383 19,000
26 New Hampshire 4.254965351 4,000
27 Massachusetts 4.260760958 21,000
28 Minnesota 4.274638216 18,000
29 Delaware 4.321874967 3,000
30 Oklahoma 4.359725042 14,000
31 North Dakota 4.385811586 2,000
32 West Virginia 4.419896883 6,000
33 Florida 4.535326733 64,000
34 California 4.625460574 140,000
35 Connecticut 4.639595161 13,000
36 Idaho 4.646841263 7,000
37 Illinois 4.666726976 47,000
38 Rhode Island 4.689070325 3,000
39 Maine 4.746754906 4,000
40 Arizona 4.769366312 26,000
41 District of Columbia 5.143210752 2,000
42 Washington 5.180724175 28,000
43 Nevada 5.195238999 12,000
44 Oregon 5.304943479 16,000
45 Wyoming 5.400402884 2,000
46 Vermont 5.465448491 2,000
47 South Dakota 5.586386863 4,000
48 Colorado 5.597954012 24,000
49 New Mexico 6.014429216 10,000
50 Montana 6.295415565 5,000
51 Alaska 6.539439208 4,000

Youth with MDE who Did Not Receive Mental Health Services 2020




 
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  • 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.

 

Statistical Data

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




 
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  • 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.

 

Statistical Data

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

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




 
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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.

 

Statistical Data

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

Students Identified with Emotional Disturbance for an Individualized Education Program 2020




 
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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

 

Statistical Data

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