Skip to main content

Adult Ranking 2021


 

empty




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 for Adult Data 2021


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) 2021



 

empty

 

According to SAMHSA, ìAny Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Any mental illness includes persons who have mild mental illness, moderate mental illness, and serious mental illness." 



19.00% of adults are experiencing a mental illness. Equivalent to over 47 million Americans.

4.55% are experiencing a severe mental illness.

The state prevalence of adult mental illness ranges from 16.14% in New Jersey to 25.25% in Utah.



Statistical Data for Adult Prevalence Of Mental Illness 2021

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 2021


 

empty




7.67% of adults in America reported having a substance use disorder in the past year.

2.87% of adults in America reported having an illicit drug use disorder in the past year.

5.74% of adults in America reported having an alcohol use disorder in the past year.

The state prevalence of adults with substance use disorder ranges from 6.34% in Texas to 13.01% in the District of Columbia.



Statistical Data for Adult with Substance Use Disorder in the Past Year 2021

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 2021


 

empty




The percentage of adults reporting serious thoughts of suicide is 4.34%. The estimated number of adults with serious suicidal thoughts is over 10.7 million - an increase of over 460,000 people from last year's data set.

The state prevalence of adults with serious thoughts of suicide ranges from 3.47% in New Jersey to 6.47% in Utah.



Statistical Data for Adults with Serious Thoughts of Suicide 2021

Rank Sort descending State Percentage Number
01 New Jersey 3.47 239,000
02 New York 3.63 558,000
03 Texas 3.66 756,000
04 Florida 3.67 610,000
05 Illinois 3.87 376,000
06 Georgia 4.03 314,000
07 Maryland 4.07 188,000
08 California 4.10 1,232,000
09 Michigan 4.13 319,000
10 Virginia 4.16 267,000
11 District of Columbia 4.17 23,000
12 Pennsylvania 4.17 416,000
13 South Dakota 4.21 27,000
14 New Mexico 4.25 67,000
15 Nebraska 4.29 61,000
16 Arizona 4.43 237,000
17 Alabama 4.45 165,000
18 Tennessee 4.48 230,000
19 Connecticut 4.48 125,000
20 Oklahoma 4.53 132,000
21 North Carolina 4.57 358,000
22 Louisiana 4.57 159,000
23 Minnesota 4.59 195,000
24 Hawaii 4.59 49,000
25 Kentucky 4.65 157,000
26 Nevada 4.65 107,000
27 Rhode Island 4.66 39,000
28 Arkansas 4.71 106,000
29 Missouri 4.72 219,000
30 Maine 4.81 52,000
31 Mississippi 4.82 107,000
32 Kansas 4.82 103,000
33 South Carolina 4.90 189,000
34 New Hampshire 4.91 53,000
35 Massachusetts 4.92 268,000
36 Wyoming 5.04 22,000
37 Delaware 5.06 38,000
38 North Dakota 5.11 29,000
39 Wisconsin 5.17 231,000
40 Ohio 5.18 461,000
41 Montana 5.21 42,000
42 Vermont 5.22 26,000
43 Indiana 5.23 262,000
44 West Virginia 5.26 75,000
45 Washington 5.30 303,000
46 Oregon 5.36 175,000
47 Iowa 5.40 129,000
48 Idaho 5.45 69,000
49 Colorado 5.51 237,000
50 Alaska 5.85 31,000
51 Utah 6.47 141,000
52 National 4.33 107,700

Adults with AMI who are Uninsured 2021


 

empty




10.8% (over 5.1 million) of adults with a mental illness remain uninsured.

The rankings for this indicator used data from the 2017-2018 NSDUH. In December 2017, Congress passed the Tax Cuts and Jobs Act, which eliminated the individual mandate penalty from the ACA.

There was a 0.5% increase from last year's dataset, the first time this indicator has increased since the passage of the ACA.

The increase in this indicator is consistent with data from the U.S. Census Bureau, which found that in 2018, the rate of uninsured Americans rose for the first time since the ACA took effect. 

Only twenty states saw a reduction in Adults with AMI who are uninsured in this year's dataset. The largest reductions were seen in Louisiana (5.0%), South Dakota (3.3%), Kentucky (2.4%) and Kansas (2.2%). The largest increases were seen in Iowa (5.1%), Mississippi (3.9%), Arkansas (3.7%) and Missouri (3.2%).

The state prevalence of uninsured adults with mental illness ranges from 2.5% in the District of Columbia to 23.0% in Wyoming.



Statistical Data for Adults with AMI who are Uninsured 2021

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


 

empty



57% of adults with a mental illness receive no treatment. 

Over 26 million individuals experiencing a mental illness are going untreated.

The state prevalence of untreated adults with mental illness ranges from 42.8% in Vermont to 65.8% in Hawaii.



Statistical Data for Adults with AMI who Did Not Receive Treatment 2021

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 2021


 

empty




Almost a quarter (23.6%) 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 ñ 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 12% in Hawaii to 31.6% in Kansas.



Statistical Data for Adults with AMI Reporting Unmet Need 2021

Rank Sort descending State Percentage Number
01 Hawaii 12 23000
02 Alabama 18.7 153000
03 Texas 19.9 655000
04 Wyoming 19.9 18000
05 Minnesota 20.7 163000
06 New Mexico 20.8 61000
07 Tennessee 20.9 188000
08 Louisiana 21 155000
09 New York 21.4 585000
10 Massachusetts 21.6 263000
11 Florida 21.9 633000
12 Ohio 22.1 427000
13 Idaho 22.1 73000
14 Vermont 22.5 24000
15 California 22.8 1272000
16 Illinois 22.9 388000
17 West Virginia 22.9 84000
18 Delaware 23 35000
19 Georgia 23.1 317000
20 North Dakota 23.3 24000
21 Oklahoma 23.5 136000
22 Washington 23.7 310000
23 Mississippi 23.8 102000
24 Indiana 23.9 281000
25 Michigan 24.4 353000
26 New Jersey 24.4 262000
27 Alaska 24.4 26000
28 Kentucky 24.5 189000
29 Montana 24.6 41000
30 Maine 24.8 57000
31 New Hampshire 24.8 55000
32 Wisconsin 24.9 209000
33 Maryland 25.2 196000
34 Connecticut 25.4 135000
35 Iowa 25.5 117000
36 Arizona 25.8 259000
37 Arkansas 26 122000
38 Missouri 26.1 272000
39 Nevada 26.1 122000
40 Nebraska 26.2 63000
41 South Dakota 26.4 28000
42 North Carolina 26.5 391000
43 South Carolina 26.6 181000
44 Pennsylvania 26.8 480000
45 Rhode Island 27.9 50000
46 Colorado 28.2 263000
47 Virginia 28.6 309000
48 District of Columbia 29.4 38000
49 Utah 30.1 172000
50 Oregon 30.2 225000
51 Kansas 31.6 132000
52 National 23.6 111,190

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


 

empty




28.69% of adults with a cognitive disability were not able to see a doctor due to costs.

According to the Centers for Disease Control (CDC), 11.5% of people in the U.S. had a cognitive disability in 2018, even when adjusted for age. The percentage of people with cognitive disability ranged from 7.9% in some states to 17.9%.

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.

The prevalence of adults with cognitive disability who couldn't see a MD due to cost ranges from 17.10% in the District of Columbia to 41.92% in Georgia.



Statistical Data for Adults with Disability Who Could Not See a Doctor Due to Costs 2021

Rank Sort descending State Percentage Number
01 District of Columbia 17.10 8373
02 Iowa 17.54 37774
03 Hawaii 17.63 16639
04 Massachusetts 18.56 109857
05 Vermont 19.02 9542
06 New York 20.97 314383
07 Delaware 20.98 18284
08 Ohio 21.02 236528
09 Connecticut 21.61 53913
10 Pennsylvania 22.48 277857
11 Montana 22.85 20088
12 North Dakota 23.74 12428
13 Minnesota 24.20 91135
14 Maine 24.37 33492
15 Washington 24.84 141746
16 Michigan 25.18 252279
17 New Jersey 25.19 177138
18 Nevada 25.27 76372
19 Rhode Island 25.71 26383
20 Kentucky 25.85 137755
21 West Virginia 25.99 65433
22 Oregon 26.03 108294
23 New Hampshire 26.91 28858
24 California 27.05 796447
25 Indiana 27.10 157334
26 Arizona 27.17 153262
27 Wyoming 27.44 12362
28 Colorado 27.45 88135
29 Maryland 27.45 111740
30 Louisiana 28.08 160506
31 Oklahoma 28.18 115914
32 Wisconsin 28.20 119187
33 New Mexico 28.23 54533
34 South Dakota 28.36 17869
35 Illinois 29.66 249140
36 Kansas 30.27 70938
37 Alaska 30.90 17348
38 Idaho 31.04 43794
39 Nebraska 31.66 39724
40 Tennessee 31.86 245411
41 Utah 31.92 75977
42 Missouri 32.87 190827
43 South Carolina 33.75 179775
44 Arkansas 34.16 111986
45 Virginia 34.24 223528
46 Texas 34.57 690102
47 Mississippi 35.20 130909
48 North Carolina 35.23 343530
49 Florida 35.36 754413
50 Alabama 36.70 212868
51 Georgia 41.92 410646
52 National 28.69 815,377