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Prevalence of Mental Illness 2020




 
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The scores for the six prevalence measures make up the Prevalence Ranking.

The 6 measures that make up the Prevalence Ranking include:

  1. Adults with Any Mental Illness (AMI)
  2. Adult with Substance Use Disorder in the Past Year
  3. Adults with Serious Thoughts of Suicide
  4. Youth with At Least One Major Depressive Episode (MDE) in the Past Year
  5. Youth with Substance Use Disorder in the Past Year
  6. Youth with Severe MDE.

A ranking 1-13 for Prevalence indicates a lower prevalence of mental health and substance use issues compared to states that ranked 39-51.

 

Statistical Data

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

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 16.19 1,115,000
02 Hawaii 16.27 173,000
03 Texas 16.32 3,309,000
04 Illinois 16.76 1,627,000
05 Maryland 16.94 778,000
06 Florida 17.54 2,861,000
07 New York 17.61 2,713,000
08 South Dakota 17.70 113,000
09 New Mexico 17.73 276,000
10 Nebraska 17.88 252,000
11 Pennsylvania 17.98 1,786,000
12 North Carolina 18.02 1,387,000
13 Arizona 18.02 944,000
14 Georgia 18.07 1,385,000
15 California 18.18 5,419,000
16 Connecticut 18.18 506,000
17 Minnesota 18.21 765,000
18 North Dakota 18.30 103,000
19 Michigan 18.34 1,405,000
20 Wisconsin 18.54 822,000
21 South Carolina 18.56 704,000
22 Delaware 18.65 138,000
23 Virginia 18.78 1,195,000
24 Nevada 18.87 424,000
25 Maine 19.01 203,000
26 Iowa 19.02 450,000
27 Mississippi 19.04 420,000
28 Louisiana 19.11 663,000
29 New Hampshire 19.15 203,000
30 Tennessee 19.24 977,000
31 Rhode Island 19.59 164,000
32 Kansas 19.71 421,000
33 Montana 19.78 159,000
34 Vermont 19.84 99,000
35 Ohio 19.85 1,759,000
36 Colorado 19.86 838,000
37 Alabama 19.95 737,000
38 Oklahoma 20.02 578,000
39 Missouri 20.05 925,000
40 Wyoming 20.25 88,000
41 Alaska 20.32 107,000
42 Massachusetts 20.57 1,109,000
43 Arkansas 20.73 464,000
44 Indiana 20.90 1,041,000
45 District of Columbia 21.17 117,000
46 Kentucky 22.29 747,000
47 Washington 22.81 1,277,000
48 West Virginia 22.89 326,000
49 Utah 23.47 500,000
50 Oregon 23.59 757,000
51 Idaho 25.03 310,000
52 National 18.57 45,641,000

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 Georgia 6.32% 484000
02 Texas 6.44% 1307000
03 West Virginia 6.47% 92000
04 New Jersey 6.52% 449000
05 North Carolina 6.54% 504000
06 Mississippi 6.77% 149000
07 Alabama 6.86% 253000
08 Tennessee 6.94% 353000
09 Minnesota 6.97% 293000
10 Hawaii 7.03% 75000
11 Florida 7.16% 1166000
12 Utah 7.19% 153000
13 Pennsylvania 7.22% 717000
14 Kansas 7.24% 155000
15 Kentucky 7.47% 251000
16 Indiana 7.56% 377000
17 Missouri 7.66% 353000
18 Arkansas 7.72% 173000
19 Arizona 7.73% 405000
20 California 7.78% 2319000
21 Oklahoma 7.78% 225000
22 Virginia 7.78% 495000
23 South Carolina 7.86% 298000
24 Maryland 7.89% 362000
25 Michigan 7.93% 608000
26 New York 8.04% 1238000
27 Wyoming 8.05% 35000
28 Ohio 8.05% 713000
29 Nebraska 8.08% 114000
30 Idaho 8.18% 101000
31 New Mexico 8.22% 128000
32 Illinois 8.32% 808000
33 Nevada 8.32% 187000
34 Maine 8.36% 89000
35 Louisiana 8.46% 293000
36 Wisconsin 8.52% 378000
37 North Dakota 8.60% 49000
38 New Hampshire 8.69% 92000
39 Rhode Island 8.77% 73000
40 Connecticut 8.77% 244000
41 Washington 8.89% 497000
42 Delaware 8.93% 66000
43 Colorado 9.07% 383000
44 Iowa 9.20% 218000
45 Montana 9.23% 74000
46 Alaska 9.26% 49000
47 South Dakota 9.56% 61000
48 Oregon 9.76% 313000
49 Vermont 9.99% 50000
50 Massachusetts 10.13% 546000
51 District of Columbia 11.55% 64000
52 National 7.68% 18878000

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

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

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