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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 District of Columbia
02 Pennsylvania
03 North Dakota
04 Rhode Island
05 Massachusetts
06 Wisconsin
07 Vermont
08 New Hampshire
09 Maryland
10 New Jersey
11 Delaware
12 Iowa
13 Connecticut
14 New York
15 Minnesota
16 Kentucky
17 Virginia
18 Ohio
19 Indiana
20 Michigan
21 Louisiana
22 Maine
23 Georgia
24 South Dakota
25 Hawaii
26 Missouri
27 Illinois
28 Texas
29 Mississippi
30 Arizona
31 Arkansas
32 Alabama
33 California
34 Colorado
35 Nebraska
36 Florida
37 Kansas
38 Tennessee
39 West Virginia
40 Oklahoma
41 Utah
42 New Mexico
43 Washington
44 North Carolina
45 Montana
46 Idaho
47 Oregon
48 South Carolina
49 Alaska
50 Wyoming
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 Maryland 53.90% 23,000
02 Rhode Island 48.30% 3,000
03 Wisconsin 47.60% 22,000
04 Massachusetts 46.00% 22,000
05 Maine 41.30% 4,000
06 New Hampshire 39.70% 3,000
07 District of Columbia 38.10% 1,000
08 Ohio 37.10% 32,000
09 Missouri 36.70% 19,000
10 Iowa 36.60% 6,000
11 Idaho 36.00% 6,000
12 North Dakota 35.90% 1,000
13 Arkansas 35.40% 7,000
14 Connecticut 35.40% 9,000
15 Louisiana 34.20% 9,000
16 Arizona 33.20% 14,000
17 New Mexico 32.60% 5,000
18 Pennsylvania 32.30% 23,000
19 Alaska 31.40% 2,000
20 New Jersey 30.40% 13,000
21 Michigan 29.20% 19,000
22 Oregon 29.20% 10,000
23 Hawaii 29.00% 2,000
24 South Dakota 28.80% 1,000
25 Virginia 28.30% 15,000
26 Indiana 27.80% 14,000
27 California 27.50% 68,000
28 West Virginia 27.50% 4,000
29 Illinois 27.40% 26,000
30 Kentucky 27.20% 5,000
31 New York 27.20% 26,000
32 Delaware 27.00% 1,000
33 Colorado 25.60% 8,000
34 Vermont 25.50% 1,000
35 Utah 25.10% 8,000
36 Minnesota 24.80% 10,000
37 Montana 24.70% 2,000
38 Tennessee 23.80% 11,000
39 Florida 23.60% 31,000
40 Texas 23.50% 48,000
41 Oklahoma 22.70% 6,000
42 Alabama 21.20% 6,000
43 Nebraska 20.70% 2,000
44 Kansas 20.10% 3,000
45 Georgia 20.00% 13,000
46 Nevada 18.00% 5,000
47 Mississippi 17.70% 2,000
48 North Carolina 17.00% 12,000
49 Wyoming 16.40% 1,000
50 Washington 15.80% 8,000
51 South Carolina 13.50% 4,000
52 National 28.20% 599,000

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 New Hampshire 2 1,000
02 Massachusetts 3.6 10,000
03 Vermont 4 1,000
04 District of Columbia 4.1 0
05 Michigan 4.3 18,000
06 Maine 4.5 2,000
07 Connecticut 5.2 8,000
08 Washington 5.2 15,000
09 Iowa 5.6 8,000
10 New Mexico 5.7 3,000
11 Illinois 5.8 28,000
12 Rhode Island 5.8 2,000
13 Pennsylvania 5.9 29,000
14 Delaware 6 2,000
15 Missouri 6.3 16,000
16 Montana 6.3 2,000
17 California 7 92,000
18 Colorado 7 14,000
19 Oregon 7 11,000
20 Wisconsin 7 20,000
21 New Jersey 7.3 27,000
22 Ohio 7.4 33,000
23 Indiana 7.7 22,000
24 Minnesota 7.8 20,000
25 Virginia 7.8 25,000
26 Kansas 7.9 10,000
27 Georgia 8.3 31,000
28 Maryland 8.5 22,000
29 North Dakota 8.5 3,000
30 Florida 8.6 45,000
31 South Dakota 8.7 3,000
32 New York 8.8 56,000
33 Alaska 8.9 2,000
34 Alabama 9 13,000
35 Wyoming 9.1 2,000
36 Nebraska 10.1 8,000
37 Texas 10.1 93,000
38 Idaho 10.3 7,000
39 Kentucky 10.4 16,000
40 West Virginia 10.4 5,000
41 Hawaii 10.6 4,000
42 Utah 11.2 21,000
43 Oklahoma 11.5 16,000
44 Arizona 11.7 31,000
45 Arkansas 11.8 11,000
46 North Carolina 11.9 38,000
47 South Carolina 11.9 20,000
48 Tennessee 13 27,000
49 Nevada 16 16,000
50 Louisiana 16.5 22,000
51 Mississippi 18.1 12,000

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