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 (1-13) 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 Cognitive 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 | Maine |
| 04 | Wisconsin |
| 05 | Minnesota |
| 06 | New Hampshire |
| 07 | Rhode Island |
| 08 | Pennsylvania |
| 09 | Connecticut |
| 10 | District of Columbia |
| 11 | Washington |
| 12 | Montana |
| 13 | Illinois |
| 14 | Maryland |
| 15 | New York |
| 16 | Kentucky |
| 17 | Delaware |
| 18 | Iowa |
| 19 | Oregon |
| 20 | New Mexico |
| 21 | Colorado |
| 22 | Ohio |
| 23 | South Dakota |
| 24 | New Jersey |
| 25 | Michigan |
| 26 | Utah |
| 27 | North Dakota |
| 28 | Oklahoma |
| 29 | West Virginia |
| 30 | California |
| 31 | Hawaii |
| 32 | Indiana |
| 33 | Nebraska |
| 34 | Alaska |
| 35 | Louisiana |
| 36 | Wyoming |
| 37 | Virginia |
| 38 | North Carolina |
| 39 | Nevada |
| 40 | Arkansas |
| 41 | Missouri |
| 42 | Idaho |
| 43 | South Carolina |
| 44 | Kansas |
| 45 | Tennessee |
| 46 | Arizona |
| 47 | Mississippi |
| 48 | Georgia |
| 49 | Florida |
| 50 | Alabama |
| 51 | Texas |
11.1% (over 5.5 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 3.8% in Massachusetts to 21.5% in Texas.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Massachusetts | 3.80% | 45,000 |
| 02 | Kentucky | 4.20% | 33,000 |
| 03 | Rhode Island | 4.40% | 9,000 |
| 04 | District of Columbia | 4.70% | 6,000 |
| 05 | Hawaii | 4.70% | 9,000 |
| 06 | Vermont | 5.10% | 6,000 |
| 07 | New York | 5.20% | 151,000 |
| 08 | Connecticut | 5.40% | 28,000 |
| 09 | Maryland | 5.60% | 43,000 |
| 10 | Pennsylvania | 5.90% | 115,000 |
| 11 | Wisconsin | 6.30% | 56,000 |
| 12 | Michigan | 6.90% | 108,000 |
| 13 | Ohio | 6.90% | 150,000 |
| 14 | Illinois | 7.10% | 130,000 |
| 15 | Delaware | 7.30% | 12,000 |
| 16 | California | 7.40% | 434,000 |
| 17 | Minnesota | 8.00% | 69,000 |
| 18 | New Mexico | 8.10% | 28,000 |
| 19 | New Hampshire | 8.80% | 22,000 |
| 20 | Alaska | 9.70% | 11,000 |
| 21 | North Dakota | 9.80% | 11,000 |
| 22 | South Dakota | 9.80% | 10,000 |
| 23 | Montana | 10.00% | 17,000 |
| 24 | West Virginia | 10.10% | 37,000 |
| 25 | New Jersey | 10.60% | 116,000 |
| 26 | Colorado | 10.80% | 113,000 |
| 27 | Arkansas | 11.30% | 52,000 |
| 28 | Iowa | 11.30% | 46,000 |
| 29 | Utah | 11.30% | 70,000 |
| 30 | Nevada | 11.50% | 61,000 |
| 31 | Arizona | 11.60% | 127,000 |
| 32 | Nebraska | 11.60% | 32,000 |
| 33 | Washington | 11.60% | 165,000 |
| 34 | Oregon | 11.80% | 95,000 |
| 35 | Louisiana | 12.40% | 95,000 |
| 36 | Virginia | 12.40% | 147,000 |
| 37 | Maine | 12.60% | 31,000 |
| 38 | Indiana | 13.40% | 153,000 |
| 39 | Idaho | 14.00% | 42,000 |
| 40 | Kansas | 14.00% | 63,000 |
| 41 | Georgia | 15.20% | 207,000 |
| 42 | Tennessee | 15.30% | 148,000 |
| 43 | North Carolina | 15.40% | 240,000 |
| 44 | South Carolina | 15.60% | 119,000 |
| 45 | Oklahoma | 17.60% | 117,000 |
| 46 | Florida | 17.80% | 512,000 |
| 47 | Wyoming | 18.00% | 19,000 |
| 48 | Mississippi | 18.20% | 81,000 |
| 49 | Alabama | 19.30% | 154,000 |
| 50 | Missouri | 19.30% | 209,000 |
| 51 | Texas | 21.50% | 759,000 |
| 52 | National | 11.1 | 5,514,000 |
Over half (56%) of adults with a mental illness receive no treatment.
Over 27 million individuals experiencing a mental illness are going untreated.
The state prevalence of untreated adults with mental illness ranges from 42.6% in Vermont to 67.1% in Hawaii.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Vermont | 42.60% | 49,000 |
| 02 | Iowa | 44.20% | 181,000 |
| 03 | Massachusetts | 44.70% | 526,000 |
| 04 | Wisconsin | 44.80% | 400,000 |
| 05 | Minnesota | 46.10% | 401,000 |
| 06 | Maine | 47.70% | 117,000 |
| 07 | Nebraska | 48.80% | 134,000 |
| 08 | Arkansas | 49.60% | 228,000 |
| 09 | Utah | 49.70% | 307,000 |
| 10 | North Dakota | 50.10% | 56,000 |
| 11 | Ohio | 50.30% | 1,088,000 |
| 12 | Rhode Island | 51.00% | 99,000 |
| 13 | Montana | 51.10% | 89,000 |
| 14 | Kansas | 51.20% | 229,000 |
| 15 | North Carolina | 51.60% | 801,000 |
| 16 | West Virginia | 51.70% | 191,000 |
| 17 | Pennsylvania | 51.90% | 1,012,000 |
| 18 | New Hampshire | 52.30% | 131,000 |
| 19 | South Dakota | 52.30% | 56,000 |
| 20 | Illinois | 52.60% | 958,000 |
| 21 | Missouri | 53.30% | 575,000 |
| 22 | Idaho | 53.40% | 161,000 |
| 23 | Kentucky | 53.50% | 420,000 |
| 24 | Tennessee | 53.50% | 514,000 |
| 25 | Colorado | 53.60% | 558,000 |
| 26 | Connecticut | 54.00% | 276,000 |
| 27 | Delaware | 54.20% | 86,000 |
| 28 | New Mexico | 54.20% | 185,000 |
| 29 | Washington | 54.30% | 778,000 |
| 30 | Oregon | 54.50% | 439,000 |
| 31 | Virginia | 54.70% | 645,000 |
| 32 | District of Columbia | 55.20% | 74,000 |
| 33 | Michigan | 55.40% | 866,000 |
| 34 | South Carolina | 56.10% | 427,000 |
| 35 | Oklahoma | 56.60% | 376,000 |
| 36 | Indiana | 56.70% | 643,000 |
| 37 | Arizona | 57.00% | 619,000 |
| 38 | New Jersey | 57.10% | 627,000 |
| 39 | Alabama | 57.30% | 454,000 |
| 40 | Maryland | 58.00% | 452,000 |
| 41 | Nevada | 58.00% | 305,000 |
| 42 | New York | 58.30% | 1,690,000 |
| 43 | Alaska | 58.70% | 66,000 |
| 44 | Mississippi | 59.30% | 265,000 |
| 45 | Louisiana | 59.60% | 453,000 |
| 46 | Texas | 60.70% | 2,148,000 |
| 47 | Wyoming | 61.70% | 64,000 |
| 48 | California | 61.80% | 3,617,000 |
| 49 | Florida | 63.50% | 1,823,000 |
| 50 | Georgia | 63.50% | 860,000 |
| 51 | Hawaii | 67.10% | 127,000 |
| 52 | National | 55.90% | 27,646,000 |
Almost a quarter (24.7%) 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 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 14.9% in Hawaii to 37.1% in the District of Columbia.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Hawaii | 14.90% | 28,000 |
| 02 | Louisiana | 18.40% | 139,000 |
| 03 | South Carolina | 19.70% | 150,000 |
| 04 | Montana | 21.50% | 37,000 |
| 05 | Minnesota | 21.60% | 187,000 |
| 06 | New Jersey | 21.60% | 238,000 |
| 07 | Massachusetts | 21.70% | 255,000 |
| 08 | New York | 21.70% | 628,000 |
| 09 | West Virginia | 22.20% | 82,000 |
| 10 | Florida | 22.40% | 643,000 |
| 11 | New Hampshire | 22.40% | 56,000 |
| 12 | New Mexico | 22.70% | 78,000 |
| 13 | Kentucky | 22.90% | 181,000 |
| 14 | Oklahoma | 22.90% | 152,000 |
| 15 | Wisconsin | 22.90% | 204,000 |
| 16 | Illinois | 23.20% | 422,000 |
| 17 | California | 23.50% | 1,379,000 |
| 18 | Connecticut | 23.50% | 120,000 |
| 19 | Texas | 24.00% | 845,000 |
| 20 | Washington | 24.00% | 341,000 |
| 21 | Georgia | 24.10% | 326,000 |
| 22 | Alaska | 24.40% | 28,000 |
| 23 | Wyoming | 24.50% | 25,000 |
| 24 | Arkansas | 24.70% | 114,000 |
| 25 | Ohio | 24.80% | 540,000 |
| 26 | Vermont | 25.20% | 29,000 |
| 27 | Mississippi | 25.30% | 113,000 |
| 28 | South Dakota | 25.30% | 27,000 |
| 29 | Rhode Island | 25.40% | 50,000 |
| 30 | North Dakota | 25.60% | 29,000 |
| 31 | Pennsylvania | 25.70% | 499,000 |
| 32 | Tennessee | 25.70% | 249,000 |
| 33 | Maine | 25.90% | 63,000 |
| 34 | Alabama | 26.70% | 212,000 |
| 35 | Indiana | 26.80% | 306,000 |
| 36 | Michigan | 26.80% | 419,000 |
| 37 | North Carolina | 27.20% | 423,000 |
| 38 | Nebraska | 27.60% | 76,000 |
| 39 | Virginia | 27.70% | 326,000 |
| 40 | Utah | 27.90% | 172,000 |
| 41 | Delaware | 28.10% | 45,000 |
| 42 | Arizona | 28.40% | 306,000 |
| 43 | Oregon | 28.80% | 231,000 |
| 44 | Idaho | 29.10% | 88,000 |
| 45 | Nevada | 29.30% | 154,000 |
| 46 | Missouri | 30.10% | 325,000 |
| 47 | Maryland | 30.20% | 236,000 |
| 48 | Colorado | 31.80% | 331,000 |
| 49 | Kansas | 32.60% | 145,000 |
| 50 | Iowa | 32.90% | 134,000 |
| 51 | District of Columbia | 37.10% | 50,000 |
| 52 | National | 24.70% | 12,236,000 |
29.67% of adults with a cognitive disability were not able to see a doctor due to costs.
According to the Centers for Disease Control (CDC), 12% of people in the U.S. had a cognitive disability, even when adjusted for age. The percentage of people with cognitive disability ranged from 8.9% in some states to 19.6%.
The prevalence of adults with cognitive disability who couldn't see a MD due to cost ranges from 18.48% in Rhode Island to 40.65% in Texas.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Rhode Island | 18.48 | 18,204 |
| 02 | Vermont | 20.33 | 9,346 |
| 03 | Connecticut | 20.59 | 52,774 |
| 04 | Iowa | 21.22 | 47,967 |
| 05 | Massachusetts | 21.68 | 122,701 |
| 06 | North Dakota | 22.25 | 12,879 |
| 07 | Wisconsin | 22.28 | 94,587 |
| 08 | Hawaii | 22.90 | 24,832 |
| 09 | Kentucky | 23.34 | 132,541 |
| 10 | West Virginia | 23.35 | 63,123 |
| 11 | Washington | 23.45 | 129,850 |
| 12 | Montana | 23.68 | 24,375 |
| 13 | Pennsylvania | 23.77 | 269,121 |
| 14 | Maryland | 23.87 | 102,734 |
| 15 | Nevada | 24.31 | 72,956 |
| 16 | New York | 24.53 | 351,676 |
| 17 | District of Columbia | 24.59 | 13,849 |
| 18 | New Jersey | 25.19 | * |
| 19 | California | 25.54 | 798,630 |
| 20 | South Dakota | 26.14 | 17,659 |
| 21 | New Mexico | 26.15 | 54,176 |
| 22 | Minnesota | 26.19 | 102,491 |
| 23 | Ohio | 26.99 | 290,259 |
| 24 | Maine | 27.34 | 39,967 |
| 25 | Michigan | 27.50 | 281,553 |
| 26 | Delaware | 27.59 | 21,424 |
| 27 | Louisiana | 27.79 | 155,929 |
| 28 | Idaho | 28.05 | 43,386 |
| 29 | Colorado | 28.69 | 111,500 |
| 30 | Nebraska | 29.48 | 37,445 |
| 31 | Alaska | 29.49 | 17,492 |
| 32 | Tennessee | 29.93 | 224,845 |
| 33 | New Hampshire | 30.40 | 35,528 |
| 34 | Arkansas | 30.53 | 117,147 |
| 35 | Indiana | 30.53 | 191,026 |
| 36 | Oregon | 30.67 | 118,469 |
| 37 | Virginia | 30.71 | 198,169 |
| 38 | Missouri | 30.88 | 192,461 |
| 39 | Arizona | 31.35 | 203,838 |
| 40 | Oklahoma | 31.52 | 138,679 |
| 41 | South Carolina | 31.70 | 161,528 |
| 42 | Illinois | 32.25 | 306,123 |
| 43 | North Carolina | 32.94 | 356,776 |
| 44 | Wyoming | 32.94 | 14,280 |
| 45 | Utah | 33.31 | 81,119 |
| 46 | Mississippi | 33.37 | 121,330 |
| 47 | Florida | 34.90 | 733,738 |
| 48 | Alabama | 38.35 | 233,440 |
| 49 | Kansas | 38.74 | 97,643 |
| 50 | Georgia | 39.18 | 370,081 |
| 51 | Texas | 40.65 | 954,935 |
| 52 | National | 29.67 | 8,496,389 |
60.3% 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, 1 in 3 youth are still not receiving the mental health services they need.
The state prevalence of untreated youth with depression ranges from 30.0% in Maine to 73.1% in Texas.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Maine | 30.00% | 4,000 |
| 02 | Colorado | 39.30% | 20,000 |
| 03 | District of Columbia | 41.00% | 1,000 |
| 04 | Vermont | 42.60% | 3,000 |
| 05 | Maryland | 44.70% | 32,000 |
| 06 | Wyoming | 44.90% | 4,000 |
| 07 | Utah | 45.40% | 25,000 |
| 08 | New Hampshire | 46.60% | 7,000 |
| 09 | Iowa | 49.30% | 21,000 |
| 10 | Oregon | 49.70% | 29,000 |
| 11 | Washington | 49.80% | 50,000 |
| 12 | Indiana | 51.50% | 50,000 |
| 13 | North Carolina | 51.90% | 74,000 |
| 14 | Delaware | 52.30% | 6,000 |
| 15 | Nebraska | 52.60% | 12,000 |
| 16 | Montana | 53.50% | 6,000 |
| 17 | Kansas | 54.50% | 21,000 |
| 18 | North Dakota | 54.60% | 4,000 |
| 19 | Wisconsin | 55.10% | 36,000 |
| 20 | Illinois | 55.20% | 77,000 |
| 21 | Pennsylvania | 55.20% | 57,000 |
| 22 | Virginia | 55.20% | 58,000 |
| 23 | New Mexico | 55.90% | 18,000 |
| 24 | Oklahoma | 56.00% | 30,000 |
| 25 | Massachusetts | 56.80% | 44,000 |
| 26 | Missouri | 57.30% | 37,000 |
| 27 | Minnesota | 58.30% | 42,000 |
| 28 | Arkansas | 58.90% | 23,000 |
| 29 | New Jersey | 58.90% | 42,000 |
| 30 | Kentucky | 59.30% | 27,000 |
| 31 | South Dakota | 59.60% | 6,000 |
| 32 | Michigan | 59.70% | 74,000 |
| 33 | New York | 60.90% | 103,000 |
| 34 | Louisiana | 62.50% | 32,000 |
| 35 | Ohio | 63.30% | 76,000 |
| 36 | Alaska | 63.40% | 6,000 |
| 37 | West Virginia | 63.90% | 13,000 |
| 38 | California | 64.50% | 278,000 |
| 39 | Rhode Island | 64.90% | 6,000 |
| 40 | Nevada | 65.20% | 28,000 |
| 41 | Connecticut | 65.60% | 24,000 |
| 42 | Tennessee | 66.50% | 40,000 |
| 43 | Alabama | 66.80% | 34,000 |
| 44 | Idaho | 67.10% | 19,000 |
| 45 | Florida | 67.30% | 117,000 |
| 46 | South Carolina | 67.60% | 34,000 |
| 47 | Georgia | 67.80% | 75,000 |
| 48 | Arizona | 70.10% | 67,000 |
| 49 | Hawaii | 71.00% | 7,000 |
| 50 | Mississippi | 71.70% | 20,000 |
| 51 | Texas | 73.10% | 255,000 |
| 52 | National | 60.30% | 2,173,000 |
Nationally, only 27.2% of youth with severe depression receive some consistent treatment (7-25+ visits in a year).
Even when simply measuring the number of visits, fewer than 1 in 3 youth with severe depression meet this determination of consistent care.
The state prevalence of youth with severe depression who received some outpatient treatment ranges from 65.6% in Maine to 12.2% in Tennessee.
High percentages are associated with positive outcomes and low percentages are associated with poorer outcomes.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Maine | 65.60% | 7,000 |
| 02 | Vermont | 49.70% | 3,000 |
| 03 | New Hampshire | 47.60% | 4,000 |
| 04 | Wyoming | 45.60% | 3,000 |
| 05 | Colorado | 43.10% | 16,000 |
| 06 | Massachusetts | 42.20% | 19,000 |
| 07 | Pennsylvania | 39.90% | 28,000 |
| 08 | Illinois | 38.30% | 38,000 |
| 09 | Oregon | 36.60% | 14,000 |
| 10 | Wisconsin | 36.40% | 19,000 |
| 11 | Delaware | 36.30% | 3,000 |
| 12 | Minnesota | 35.90% | 17,000 |
| 13 | District of Columbia | 35.80% | 1,000 |
| 14 | Washington | 35.70% | 24,000 |
| 15 | Montana | 35.50% | 3,000 |
| 16 | Maryland | 34.50% | 18,000 |
| 17 | Oklahoma | 33.60% | 12,000 |
| 18 | North Dakota | 33.00% | 2,000 |
| 19 | Indiana | 32.90% | 23,000 |
| 20 | Alabama | 31.30% | 8,000 |
| 21 | Michigan | 30.40% | 26,000 |
| 22 | Iowa | 29.50% | 9,000 |
| 23 | South Dakota | 29.30% | 2,000 |
| 24 | Kentucky | 28.60% | 9,000 |
| 25 | New Jersey | 28.40% | 14,000 |
| 26 | New York | 28.30% | 29,000 |
| 27 | Nebraska | 27.80% | 5,000 |
| 28 | Idaho | 27.70% | 6,000 |
| 29 | Utah | 27.30% | 11,000 |
| 30 | California | 26.10% | 72,000 |
| 31 | Ohio | 25.10% | 19,000 |
| 32 | Virginia | 25.00% | 19,000 |
| 33 | North Carolina | 24.90% | 27,000 |
| 34 | South Carolina | 24.20% | 8,000 |
| 35 | Connecticut | 23.60% | 5,000 |
| 36 | Arkansas | 22.70% | 7,000 |
| 37 | Kansas | 22.70% | 6,000 |
| 38 | New Mexico | 22.50% | 5,000 |
| 39 | Louisiana | 21.10% | 7,000 |
| 40 | West Virginia | 20.90% | 3,000 |
| 41 | Rhode Island | 20.40% | 1,000 |
| 42 | Alaska | 20.20% | 1,000 |
| 43 | Georgia | 20.10% | 14,000 |
| 44 | Texas | 19.20% | 44,000 |
| 45 | Nevada | 18.70% | 5,000 |
| 46 | Florida | 17.00% | 20,000 |
| 47 | Arizona | 16.10% | 10,000 |
| 48 | Mississippi | 13.50% | 2,000 |
| 49 | Hawaii | 13.30% | 1,000 |
| 50 | Missouri | 12.60% | 5,000 |
| 51 | Tennessee | 12.20% | 6,000 |
| 52 | National | 27.20% | 661,000 |
The Mental Health Parity and Addiction Equity law (MHPAE) was enacted in 2008 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 increased 0.3 percent from last year's dataset, and there are still 950,000 youth without coverage for their behavioral health.
The state prevalence of children lacking mental health coverage ranges from 1.9% in Massachusetts to 17.7% in Arkansas.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Massachusetts | 1.90% | 5,000 |
| 02 | Vermont | 2.10% | 0 |
| 03 | Connecticut | 3.50% | 5,000 |
| 04 | Rhode Island | 3.80% | 1,000 |
| 05 | Missouri | 4.20% | 9,000 |
| 06 | New Hampshire | 4.30% | 2,000 |
| 07 | Oklahoma | 4.40% | 6,000 |
| 08 | District of Columbia | 4.50% | 1,000 |
| 09 | West Virginia | 4.50% | 2,000 |
| 10 | Wisconsin | 4.50% | 12,000 |
| 11 | South Dakota | 4.70% | 2,000 |
| 12 | Utah | 4.70% | 10,000 |
| 13 | New Jersey | 5.00% | 18,000 |
| 14 | Washington | 5.20% | 15,000 |
| 15 | Maine | 5.40% | 3,000 |
| 16 | Michigan | 6.10% | 27,000 |
| 17 | Virginia | 6.40% | 22,000 |
| 18 | Maryland | 6.50% | 15,000 |
| 19 | Illinois | 6.60% | 33,000 |
| 20 | Oregon | 6.60% | 10,000 |
| 21 | Pennsylvania | 6.80% | 32,000 |
| 22 | Delaware | 7.00% | 3,000 |
| 23 | Georgia | 7.00% | 25,000 |
| 24 | Nevada | 7.10% | 8,000 |
| 25 | Indiana | 7.40% | 22,000 |
| 26 | Iowa | 7.40% | 10,000 |
| 27 | Ohio | 7.40% | 33,000 |
| 28 | Alaska | 7.50% | 2,000 |
| 29 | New York | 7.70% | 48,000 |
| 30 | New Mexico | 7.80% | 5,000 |
| 31 | Kansas | 7.90% | 8,000 |
| 32 | Minnesota | 8.00% | 20,000 |
| 33 | California | 8.20% | 111,000 |
| 34 | Mississippi | 8.20% | 6,000 |
| 35 | Hawaii | 8.30% | 3,000 |
| 36 | Tennessee | 8.80% | 19,000 |
| 37 | Louisiana | 9.00% | 11,000 |
| 38 | Kentucky | 9.30% | 15,000 |
| 39 | Montana | 9.50% | 3,000 |
| 40 | Colorado | 9.60% | 22,000 |
| 41 | North Carolina | 10.00% | 34,000 |
| 42 | Arizona | 10.20% | 27,000 |
| 43 | Florida | 11.70% | 65,000 |
| 44 | Idaho | 12.20% | 11,000 |
| 45 | South Carolina | 12.40% | 19,000 |
| 46 | Alabama | 12.50% | 16,000 |
| 47 | Wyoming | 12.70% | 3,000 |
| 48 | Texas | 13.80% | 135,000 |
| 49 | Nebraska | 15.40% | 13,000 |
| 50 | North Dakota | 15.60% | 5,000 |
| 51 | Arkansas | 17.70% | 17,000 |
| 52 | National | 8.10% | 950,000 |
Only .759% of students are identified as having an Emotional Disturbance (ED) for an Individualized Education Program (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.
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 8% instead of .8 percent.
The state rate of students identified as having an emotional disturbance for an IEP ranges from 32.23 per 1,000 students in Vermont to 2.13 per 1,000 students in Alabama.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Vermont | 32.23 | 2,326 |
| 02 | Minnesota | 21.20 | 17,016 |
| 03 | Massachusetts | 20.22 | 17,455 |
| 04 | Pennsylvania | 16.33 | 26,105 |
| 05 | Wisconsin | 16.18 | * |
| 06 | Maine | 15.32 | 2,468 |
| 07 | Indiana | 13.36 | 12,712 |
| 08 | Iowa | 13.31 | * |
| 09 | New Hampshire | 13.24 | 2,132 |
| 10 | Connecticut | 12.43 | 5,824 |
| 11 | Rhode Island | 12.34 | 1,610 |
| 12 | North Dakota | 11.99 | 1,240 |
| 13 | District of Columbia | 11.54 | 802 |
| 14 | Illinois | 10.59 | 18,381 |
| 15 | Oregon | 10.30 | 5,568 |
| 16 | South Dakota | 10.04 | 1,251 |
| 17 | Ohio | 10.03 | 15,281 |
| 18 | Nebraska | 9.98 | 2,861 |
| 19 | Delaware | 9.47 | 1,211 |
| 20 | New York | 9.10 | 22,063 |
| 21 | Missouri | 8.87 | 7,188 |
| 22 | Michigan | 8.52 | 11,314 |
| 23 | Virginia | 8.47 | 9,913 |
| 24 | Maryland | 7.61 | 6,180 |
| 25 | Mississippi | 7.53 | 3,193 |
| 26 | Texas | 7.41 | 35,851 |
| 27 | Arizona | 7.39 | 7,756 |
| 28 | Kentucky | 7.39 | 4,501 |
| 29 | Colorado | 6.98 | 5,687 |
| 30 | Wyoming | 6.80 | 589 |
| 31 | Montana | 6.68 | 906 |
| 32 | Oklahoma | 6.66 | 4,057 |
| 33 | Alaska | 6.48 | 765 |
| 34 | Georgia | 6.35 | 10,124 |
| 35 | New Mexico | 6.15 | 1,830 |
| 36 | New Jersey | 5.84 | 7,313 |
| 37 | Hawaii | 5.80 | 959 |
| 38 | Kansas | 5.60 | 2,459 |
| 39 | Washington | 5.49 | 5,633 |
| 40 | Florida | 5.43 | 14,062 |
| 41 | Idaho | 4.95 | 1,412 |
| 42 | Nevada | 4.64 | 2,085 |
| 43 | California | 4.51 | 25,424 |
| 44 | West Virginia | 4.45 | 1,025 |
| 45 | Tennessee | 3.84 | 3,470 |
| 46 | North Carolina | 3.65 | 5,187 |
| 47 | Utah | 3.12 | 1,933 |
| 48 | South Carolina | 3.05 | 2,143 |
| 49 | Louisiana | 2.74 | 1,727 |
| 50 | Arkansas | 2.54 | 1,123 |
| 51 | Alabama | 2.13 | 1,420 |
| 52 | National | 7.59 | 345,160 |
| Rank Sort descending | State | Number |
|---|---|---|
| 01 | Massachusetts | 150:1 |
| 02 | Oregon | 180:1 |
| 03 | District of Columbia | 190:1 |
| 04 | Alaska | 200:1 |
| 05 | Maine | 200:1 |
| 06 | Vermont | 210:1 |
| 07 | Connecticut | 240:1 |
| 08 | Oklahoma | 240:1 |
| 09 | Rhode Island | 240:1 |
| 10 | New Mexico | 250:1 |
| 11 | Washington | 250:1 |
| 12 | California | 270:1 |
| 13 | Colorado | 270:1 |
| 14 | Utah | 290:1 |
| 15 | Wyoming | 290:1 |
| 16 | New Hampshire | 310:1 |
| 17 | Montana | 320:1 |
| 18 | Louisiana | 330:1 |
| 19 | New York | 330:1 |
| 20 | Delaware | 350:1 |
| 21 | Maryland | 360:1 |
| 22 | Michigan | 360:1 |
| 23 | Nebraska | 360:1 |
| 24 | Minnesota | 370:1 |
| 25 | Hawaii | 380:1 |
| 26 | Ohio | 380:1 |
| 27 | North Carolina | 390:1 |
| 28 | Illinois | 410:1 |
| 29 | Arkansas | 420:1 |
| 30 | Kentucky | 420:1 |
| 31 | New Jersey | 420:1 |
| 32 | Pennsylvania | 450:1 |
| 33 | Idaho | 460:1 |
| 34 | Nevada | 460:1 |
| 35 | Wisconsin | 470:1 |
| 36 | Kansas | 490:1 |
| 37 | Missouri | 490:1 |
| 38 | North Dakota | 510:1 |
| 39 | South Dakota | 530:1 |
| 40 | Virginia | 530:1 |
| 41 | South Carolina | 550:1 |
| 42 | Florida | 590:1 |
| 43 | Indiana | 590:1 |
| 44 | Mississippi | 590:1 |
| 45 | Iowa | 610:1 |
| 46 | Tennessee | 630:1 |
| 47 | Georgia | 690:1 |
| 48 | Arizona | 710:1 |
| 49 | West Virginia | 730:1 |
| 50 | Texas | 830:1 |
| 51 | Alabama | 920:1 |