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Adult Ranking 2022


 

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States that are ranked 1-10 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 Did Not Receive Treatment
  5. Adults with AMI Reporting Unmet Need
  6. Adults with AMI who are Uninsured
  7. Adults with Cognitive Disability Who Could Not See a Doctor Due to Costs
Rank Sort descending State
01 New Jersey
02 Wisconsin
03 Massachusetts
04 Connecticut
05 New York
06 Minnesota
07 Hawaii
08 Pennsylvania
09 Maryland
10 Illinois
11 Rhode Island
12 South Dakota
13 Kentucky
14 Iowa
15 New Mexico
16 Arkansas
17 Montana
18 Michigan
19 Vermont
20 Virginia
21 North Carolina
22 South Carolina
23 West Virginia
24 North Dakota
25 Florida
26 Louisiana
27 Nebraska
28 California
29 Tennessee
30 New Hampshire
31 Georgia
32 Washington
33 Texas
34 Delaware
35 Arizona
36 Ohio
37 Maine
38 Oklahoma
39 Idaho
40 Nevada
41 Mississippi
42 Kansas
43 Indiana
44 Missouri
45 District of Columbia
46 Alaska
47 Alabama
48 Utah
49 Oregon
50 Wyoming
51 Colorado

Adult Prevalence of Mental Illness (AMI) 2022


 

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19.86% of adults are experiencing a mental illness. Equivalent to nearly 50 million Americans.

4.91% are experiencing a severe mental illness.

The state prevalence of adult mental illness ranges from 16.37% in New Jersey to 26.86% in Utah.

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." 

Rank Sort descending State Percentage Number
01 New Jersey 16.37 1,122,000
02 Texas 17.17 3,602,000
03 Florida 17.23 2,903,000
04 Hawaii 17.45 185,000
05 Maryland 17.57 810,000
06 Georgia 17.88 1,406,000
07 South Dakota 18.26 118,000
08 Iowa 18.50 441,000
09 Virginia 18.58 1,199,000
10 Connecticut 18.85 526,000
11 Illinois 19.18 1,858,000
12 North Carolina 19.31 1,532,000
13 Tennessee 19.40 1,006,000
14 South Carolina 19.43 760,000
15 California 19.49 5,864,000
16 New York 19.52 2,972,000
17 Pennsylvania 19.70 1,963,000
18 Arizona 20.06 1,099,000
19 Mississippi 20.16 446,000
20 Wisconsin 20.19 904,000
21 Nebraska 20.30 290,000
22 Michigan 20.32 1,571,000
23 Arkansas 20.34 460,000
24 North Dakota 20.50 116,000
25 Minnesota 20.53 876,000
26 Kansas 20.56 442,000
27 Montana 20.81 171,000
28 Delaware 20.92 157,000
29 Massachusetts 21.15 1,157,000
30 Louisiana 21.21 734,000
31 Alabama 21.29 794,000
32 New Mexico 21.39 338,000
33 Alaska 21.47 113,000
34 Nevada 21.97 512,000
35 Maine 22.10 238,000
36 Vermont 22.25 112,000
37 Indiana 22.29 1,125,000
38 New Hampshire 22.37 243,000
39 Rhode Island 22.38 187,000
40 Idaho 22.48 293,000
41 Oklahoma 22.54 657,000
42 Kentucky 22.54 762,000
43 Wyoming 22.56 98,000
44 Missouri 22.71 1,056,000
45 District of Columbia 22.83 129,000
46 Colorado 23.20 1,014,000
47 Washington 23.43 1,360,000
48 Ohio 23.64 2,112,000
49 Oregon 23.75 783,000
50 West Virginia 24.62 347,000
51 Utah 26.86 599,000
52 National 19.86 49,564,000

Adult with Substance Use Disorder 2022


 

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7.74% of adults in America reported having a substance use disorder in the past year.

2.97% of adults in America reported having an illicit drug use disorder in the past year.

5.71% 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 5.98% in Florida to 12.30% in the District of Columbia.

Rank Sort descending State Percentage Number
01 Florida 5.98 1,007,000
02 West Virginia 6.29 89,000
03 Texas 6.48 1,360,000
04 Utah 6.56 146,000
05 Georgia 6.60 519,000
06 New Jersey 6.71 459,000
07 South Carolina 6.73 263,000
08 Maryland 7.01 323,000
09 Arizona 7.11 390,000
10 Mississippi 7.15 158,000
11 Arkansas 7.16 162,000
12 Tennessee 7.22 375,000
13 North Carolina 7.26 576,000
14 Kansas 7.29 157,000
15 Pennsylvania 7.31 728,000
16 Virginia 7.33 473,000
17 New York 7.43 1,131,000
18 Michigan 7.56 585,000
19 Minnesota 7.62 325,000
20 Idaho 7.67 100,000
21 South Dakota 7.69 50,000
22 New Mexico 7.70 122,000
23 Missouri 7.71 358,000
24 Nebraska 7.71 110,000
25 Wyoming 7.84 34,000
26 Kentucky 7.87 266,000
27 Alabama 7.89 294,000
28 Ohio 7.94 709,000
29 Wisconsin 7.98 358,000
30 Oklahoma 8.01 234,000
31 Illinois 8.02 777,000
32 Iowa 8.05 192,000
33 Louisiana 8.06 279,000
34 Indiana 8.42 425,000
35 Connecticut 8.43 235,000
36 Hawaii 8.45 90,000
37 Washington 8.62 500,000
38 Delaware 8.79 66,000
39 Massachusetts 8.83 483,000
40 New Hampshire 8.84 96,000
41 North Dakota 8.88 50,000
42 Maine 8.89 96,000
43 Rhode Island 8.95 75,000
44 California 9.23 2,778,000
45 Nevada 9.32 217,000
46 Oregon 9.78 322,000
47 Montana 10.04 83,000
48 Vermont 10.10 51,000
49 Alaska 10.23 54,000
50 Colorado 11.75 514,000
51 District of Columbia 12.30 70,000
52 National 7.74 19,314,000

Adults with Serious Thoughts of Suicide 2022


 

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The percentage of adults reporting serious thoughts of suicide is 4.58%. The estimated number of adults with serious suicidal thoughts is over 11.4 million - an increase of 664,000 people from last year's data set.

The national rate of adults experiencing suicidal ideation has increased every year since 2011-2012.

The state prevalence of adults with serious thoughts of suicide ranges from 3.79% in New Jersey to 6.19% in Utah.

Rank Sort descending State Percentage Number
01 New Jersey 3.79 260,000
02 Georgia 3.85 303,000
03 Texas 3.86 812,000
04 North Carolina 3.87 307,000
05 Illinois 4.00 388,000
06 Florida 4.04 682,000
07 New York 4.21 642,000
08 Virginia 4.22 272,000
09 Maryland 4.34 200,000
10 District of Columbia 4.43 25,000
11 Connecticut 4.46 125,000
12 California 4.55 1,370,000
13 Oklahoma 4.58 134,000
14 Rhode Island 4.59 38,000
15 Michigan 4.61 357,000
16 South Dakota 4.62 30,000
17 Montana 4.63 38,000
18 Wisconsin 4.66 209,000
19 Tennessee 4.68 243,000
20 Kentucky 4.68 158,000
21 New Hampshire 4.68 51,000
22 Arkansas 4.71 107,000
23 Louisiana 4.72 163,000
24 Minnesota 4.74 202,000
25 Hawaii 4.74 50,000
26 Massachusetts 4.77 261,000
27 New Mexico 4.81 76,000
28 Pennsylvania 4.83 482,000
29 Alabama 4.83 180,000
30 Nebraska 4.88 70,000
31 South Carolina 4.89 191,000
32 Washington 4.92 286,000
33 Iowa 4.94 118,000
34 Nevada 4.94 115,000
35 Kansas 4.96 107,000
36 Arizona 5.01 275,000
37 Missouri 5.05 235,000
38 Delaware 5.18 39,000
39 North Dakota 5.28 30,000
40 Idaho 5.30 69,000
41 Mississippi 5.31 118,000
42 West Virginia 5.44 77,000
43 Maine 5.44 59,000
44 Colorado 5.54 242,000
45 Indiana 5.62 284,000
46 Oregon 5.65 187,000
47 Vermont 5.66 29,000
48 Wyoming 5.74 25,000
49 Ohio 6.09 545,000
50 Alaska 6.11 32,000
51 Utah 6.19 138,000
52 National 4.58 11,434,000

Adults with Ami Who Are Uninsured 2022


 

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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.

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

Adults with Ami Who Did Not Receive Treatment 2022


 

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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

Adults with Ami Reporting Unmet Need 2022


 

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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:

  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 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

Adults with Disability Who Could Not See a Doctor Due to Costs 2022


 

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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 couldnít 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