Goals and reasoning

Goals of the report Image

Goals of the report

This report provides a snapshot of mental health status for policy and program planning, analysis, and evaluation.

Why we made it Image

Why we made it

Using national survey data allows us to measure a community’s mental health needs, access to care, and outcomes regardless of the differences between the states and their varied mental health policies.


What we asked

Question 1

How many adults and youth have mental health issues?
Question 2

How many adults and youth have substance use issues?
Question 3

How many adults and youth have access to insurance?
Question 4

How many adults and youth have access to adequate insurance?
Question 5

How many adults and youth have access to mental health care?
Question 6

Which states have higher barriers to accessing mental health care?

Key Findings

50M experiencing a mental illness

In 2019-2020, 20.78% of adults were experiencing a mental illness. That is equivalent to over 50 million Americans.

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15% with substance abuse disorders

The vast majority of individuals with a substance use disorder in the U.S. are not receiving treatment. 15.35% of adults had a substance use disorder in the past year. Of them, 93.5% did not receive any form of treatment.

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28M untreated Americans

Over half (54.7%) of adults with a mental illness do not receive treatment, totaling over 28 million individuals. Even in Montana (ranked #1), over 4 in 10 adults with a mental illness did not receive care.

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1.5M youth with drug and alcohol disorders

6.34% of youth in the U.S. reported a substance use disorder in the past year. That is equivalent to over 1.5 million youth in the U.S. who meet the criteria for an illicit drug or alcohol use disorder.

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Our Sponsors

This publication was made possible by the generous support of Alkermes and Otsuka America Pharmaceutical Companies.

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