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 mental health workforce availability. A high Access Ranking (1-13) indicates that a state provides relatively more access to insurance and mental health treatment than those ranked 39-51.
The eight measures that make up the Access Ranking include:
| State | Rank |
|---|---|
| Vermont | 1 |
| Maine | 2 |
| Massachusetts | 3 |
| District of Columbia | 4 |
| Rhode Island | 5 |
| Oregon | 6 |
| New York | 7 |
| New Hampshire | 8 |
| Connecticut | 9 |
| Pennsylvania | 10 |
| Wisconsin | 11 |
| Ohio | 12 |
| Iowa | 13 |
| Minnesota | 14 |
| Washington | 15 |
| New Mexico | 16 |
| Colorado | 17 |
| Indiana | 18 |
| Virginia | 19 |
| Kentucky | 20 |
| New Jersey | 21 |
| Michigan | 22 |
| Idaho | 23 |
| Maryland | 24 |
| Illinois | 25 |
| Utah | 26 |
| Hawaii | 27 |
| Delaware | 28 |
| Louisiana | 29 |
| Montana | 30 |
| Alaska | 31 |
| Missouri | 32 |
| Wyoming | 33 |
| California | 34 |
| Kansas | 35 |
| South Dakota | 36 |
| Nebraska | 37 |
| North Dakota | 38 |
| Oklahoma | 39 |
| Florida | 40 |
| Arkansas | 41 |
| West Virginia | 42 |
| Tennessee | 43 |
| North Carolina | 44 |
| Nevada | 45 |
| Alabama | 46 |
| Georgia | 47 |
| Arizona | 48 |
| South Carolina | 49 |
| Mississippi | 50 |
| Texas | 51 |
10.1% of adults (over 5.9 million people) with a mental illness are uninsured, compared to 9.3% of adults without a mental illness.
In 2022, 64% of adults who were uninsured said that they did not have health insurance because they could not afford it.
The state prevalence of uninsured adults with mental illness ranges from 2.60% in the District of Columbia to 22.90% in Texas.
| State | Rank | Percentage | Number |
|---|---|---|---|
| District of Columbia | 1 | 2.60% | 4,000 |
| Vermont | 2 | 3.40% | 5,000 |
| Oregon | 3 | 4.40% | 43,000 |
| Maine | 4 | 4.50% | 12,000 |
| Rhode Island | 5 | 4.50% | 11,000 |
| Hawaii | 6 | 4.60% | 12,000 |
| Wisconsin | 7 | 4.70% | 48,000 |
| Maryland | 8 | 4.90% | 55,000 |
| New Hampshire | 9 | 4.90% | 13,000 |
| New York | 10 | 5.00% | 162,000 |
| New Mexico | 11 | 5.20% | 22,000 |
| Massachusetts | 12 | 5.30% | 68,000 |
| Virginia | 13 | 5.40% | 80,000 |
| Kentucky | 14 | 5.60% | 44,000 |
| Pennsylvania | 15 | 5.80% | 133,000 |
| Iowa | 16 | 6.40% | 45,000 |
| New Jersey | 17 | 6.40% | 84,000 |
| Idaho | 18 | 6.50% | 27,000 |
| Michigan | 19 | 6.50% | 115,000 |
| Indiana | 20 | 6.60% | 84,000 |
| Delaware | 21 | 7.10% | 11,000 |
| Colorado | 22 | 7.20% | 88,000 |
| Connecticut | 23 | 7.50% | 42,000 |
| Louisiana | 24 | 7.50% | 64,000 |
| Ohio | 25 | 7.50% | 164,000 |
| Arkansas | 26 | 7.80% | 40,000 |
| California | 27 | 7.80% | 522,000 |
| Alaska | 28 | 7.90% | 10,000 |
| Washington | 29 | 7.90% | 137,000 |
| Nevada | 30 | 8.70% | 55,000 |
| Utah | 31 | 8.70% | 64,000 |
| Minnesota | 32 | 9.10% | 100,000 |
| Illinois | 33 | 9.30% | 197,000 |
| Nebraska | 34 | 9.40% | 33,000 |
| Missouri | 35 | 9.50% | 127,000 |
| West Virginia | 36 | 10.50% | 41,000 |
| Arizona | 37 | 10.60% | 132,000 |
| Montana | 38 | 11.80% | 27,000 |
| South Dakota | 39 | 12.40% | 19,000 |
| Tennessee | 40 | 12.80% | 182,000 |
| North Dakota | 41 | 12.90% | 18,000 |
| Kansas | 42 | 13.50% | 70,000 |
| South Carolina | 43 | 13.60% | 111,000 |
| Alabama | 44 | 14.40% | 132,000 |
| Florida | 45 | 14.90% | 516,000 |
| North Carolina | 46 | 15.50% | 271,000 |
| Oklahoma | 47 | 16.10% | 121,000 |
| Georgia | 48 | 18.70% | 351,000 |
| Wyoming | 49 | 19.70% | 24,000 |
| Mississippi | 50 | 22.80% | 111,000 |
| Texas | 51 | 22.90% | 1,068,000 |
| National | 10.10% | 5,916,000 |
Over three-quarters (76.9%) of all adults with a substance use disorder did not receive the treatment they needed.
Most adults with SUD who sought or thought about receiving treatment reported they didn’t because they thought they should have been able to handle their drug or alcohol use on their own (75.4%).
This was followed by: Not ready to start treatment (58.6%), not ready to stop or cut back using alcohol or drugs (48.4%), thought it would cost too much (47.7%), and did not know how or where to get treatment (47.3%).
The state prevalence of adults with SUD with unmet treatment needs ranges from 67.24% in West Virginia to 83.99% in Illinois.
| State | Rank | Percentage | Number |
|---|---|---|---|
| West Virginia | 1 | 67.24% | 224,000 |
| Kentucky | 2 | 69.57% | 500,000 |
| Wyoming | 3 | 70.11% | 71,000 |
| Arkansas | 4 | 70.51% | 324,000 |
| Maine | 5 | 70.55% | 165,000 |
| Tennessee | 6 | 71.39% | 765,000 |
| Indiana | 7 | 71.49% | 688,000 |
| Kansas | 8 | 71.54% | 299,000 |
| Mississippi | 9 | 71.62% | 299,000 |
| Alabama | 10 | 72.15% | 510,000 |
| New York | 11 | 72.59% | 2,331,000 |
| South Dakota | 12 | 72.88% | 100,000 |
| Pennsylvania | 13 | 72.90% | 1,505,000 |
| Montana | 14 | 73.01% | 149,000 |
| Missouri | 15 | 73.11% | 766,000 |
| Iowa | 16 | 73.30% | 356,000 |
| Utah | 17 | 73.67% | 300,000 |
| Idaho | 18 | 73.74% | 225,000 |
| Massachusetts | 19 | 73.87% | 873,000 |
| New Mexico | 20 | 74.15% | 278,000 |
| Oklahoma | 21 | 74.44% | 479,000 |
| Ohio | 22 | 74.57% | 1,542,000 |
| New Jersey | 23 | 74.91% | 1,008,000 |
| Michigan | 24 | 74.98% | 1,251,000 |
| District of Columbia | 25 | 75.02% | 124,000 |
| Nebraska | 26 | 75.19% | 213,000 |
| South Carolina | 27 | 75.64% | 585,000 |
| Vermont | 28 | 75.70% | 92,000 |
| Florida | 29 | 75.97% | 2,329,000 |
| New Hampshire | 30 | 76.54% | 175,000 |
| Louisiana | 31 | 77.15% | 615,000 |
| Virginia | 32 | 77.45% | 1,006,000 |
| North Dakota | 33 | 77.62% | 94,000 |
| Wisconsin | 34 | 77.65% | 723,000 |
| Colorado | 35 | 78.36% | 907,000 |
| Minnesota | 36 | 78.40% | 757,000 |
| Hawaii | 37 | 78.52% | 151,000 |
| Texas | 38 | 78.54% | 3,099,000 |
| Connecticut | 39 | 79.14% | 478,000 |
| Rhode Island | 40 | 79.32% | 190,000 |
| Delaware | 41 | 79.32% | 129,000 |
| Nevada | 42 | 79.33% | 470,000 |
| Washington | 43 | 79.53% | 1,116,000 |
| North Carolina | 44 | 79.56% | 1,217,000 |
| Arizona | 45 | 79.59% | 894,000 |
| Oregon | 46 | 79.91% | 691,000 |
| Maryland | 47 | 80.01% | 691,000 |
| Georgia | 48 | 80.36% | 1,245,000 |
| Alaska | 49 | 81.51% | 109,000 |
| California | 50 | 82.77% | 4,963,000 |
| Illinois | 51 | 83.99% | 1,624,000 |
| National | 52 | 76.90% | 39,692,000 |
10.2% of adults who experienced a mental illness in the past year had private health insurance that did not cover mental or emotional problems.
The state prevalence of adults with AMI whose private insurance did not cover mental or emotional problems ranges from 3.60% in Vermont to 24.70% in Mississippi.
| State | Rank | Percentage | Number |
|---|---|---|---|
| Vermont | 1 | 3.60% | 3,000 |
| Washington | 2 | 3.70% | 30,000 |
| Rhode Island | 3 | 3.80% | 5,000 |
| Ohio | 4 | 5.80% | 65,000 |
| Maryland | 5 | 6.10% | 35,000 |
| New York | 6 | 6.10% | 100,000 |
| District of Columbia | 7 | 6.60% | 6,000 |
| Virginia | 8 | 6.60% | 54,000 |
| Massachusetts | 9 | 6.70% | 47,000 |
| Oregon | 10 | 6.90% | 36,000 |
| Iowa | 11 | 7.00% | 25,000 |
| Alaska | 12 | 7.20% | 4,000 |
| Maine | 13 | 7.40% | 9,000 |
| Indiana | 14 | 8.00% | 51,000 |
| Wisconsin | 15 | 8.00% | 49,000 |
| Colorado | 16 | 8.10% | 57,000 |
| Delaware | 17 | 8.80% | 7,000 |
| New Hampshire | 18 | 8.80% | 14,000 |
| Georgia | 19 | 8.90% | 75,000 |
| Illinois | 20 | 9.30% | 98,000 |
| Kansas | 21 | 9.40% | 26,000 |
| Michigan | 22 | 9.40% | 80,000 |
| Kentucky | 23 | 9.50% | 31,000 |
| New Jersey | 24 | 9.50% | 78,000 |
| South Dakota | 25 | 9.60% | 8,000 |
| California | 26 | 10.30% | 316,000 |
| Nevada | 27 | 10.30% | 30,000 |
| Connecticut | 28 | 10.80% | 35,000 |
| New Mexico | 29 | 11.00% | 20,000 |
| Hawaii | 30 | 11.10% | 13,000 |
| Tennessee | 31 | 11.10% | 69,000 |
| Minnesota | 32 | 11.30% | 66,000 |
| Missouri | 33 | 11.30% | 73,000 |
| Pennsylvania | 34 | 11.40% | 135,000 |
| Florida | 35 | 11.80% | 194,000 |
| Idaho | 36 | 11.80% | 28,000 |
| Louisiana | 37 | 12.00% | 33,000 |
| Utah | 38 | 12.70% | 62,000 |
| Arkansas | 39 | 12.90% | 27,000 |
| Wyoming | 40 | 13.10% | 7,000 |
| Oklahoma | 41 | 13.20% | 41,000 |
| North Carolina | 42 | 13.40% | 109,000 |
| Arizona | 43 | 13.80% | 76,000 |
| Alabama | 44 | 15.80% | 66,000 |
| North Dakota | 45 | 15.90% | 13,000 |
| Texas | 46 | 16.50% | 350,000 |
| Montana | 47 | 16.70% | 14,000 |
| South Carolina | 48 | 16.80% | 58,000 |
| Nebraska | 49 | 17.60% | 39,000 |
| West Virginia | 50 | 20.00% | 23,000 |
| Mississippi | 51 | 24.70% | 42,000 |
| National | 10.20% | 2,929,000 |
24.58% of adults who reported experiencing 14 or more mentally unhealthy days each month were not able to see a doctor due to costs. This was a 2% increase over last year’s report.
High costs of mental health care are a critical barrier to access. In 2022, 58.9% of adults with a mental illness in the past year who sought or thought they should receive mental health care said the reason they did not receive it was because they thought it would cost too much.
The prevalence of adults with 14+ mentally unhealthy days a month who could not see a doctor due to cost ranges from 12.88% in Hawaii to 34.95% in Georgia.
| State | Rank | Percentage | Number |
|---|---|---|---|
| Hawaii | 1 | 12.88% | 16,793 |
| Rhode Island | 2 | 13.90% | 18,748 |
| Vermont | 3 | 15.04% | 12,752 |
| Massachusetts | 4 | 15.84% | 127,266 |
| Oregon | 5 | 17.44% | 103,696 |
| Connecticut | 6 | 18.34% | 75,156 |
| Delaware | 7 | 18.37% | 20,855 |
| New Mexico | 8 | 18.49% | 48,170 |
| Pennsylvania | 9 | 18.66% | 283,014 |
| Wisconsin | 10 | 18.84% | 138,097 |
| Maine | 11 | 18.85% | 33,832 |
| Iowa | 12 | 19.10% | 63,036 |
| New Hampshire | 13 | 19.41% | 36,583 |
| Michigan | 14 | 19.45% | 253,407 |
| Maryland | 15 | 19.48% | 134,072 |
| Minnesota | 16 | 19.55% | 125,782 |
| New York | 17 | 20.25% | 480,099 |
| California | 18 | 20.26% | 855,786 |
| New Jersey | 19 | 20.75% | 204,236 |
| District of Columbia | 20 | 20.87% | 15,247 |
| West Virginia | 21 | 21.17% | 62,187 |
| Virginia | 22 | 21.25% | 232,815 |
| Washington | 23 | 21.35% | 213,394 |
| Indiana | 24 | 21.90% | 190,222 |
| Colorado | 25 | 22.16% | 161,822 |
| North Dakota | 26 | 22.27% | 18,476 |
| Ohio | 27 | 22.76% | 375,207 |
| South Dakota | 28 | 22.90% | 19,731 |
| Montana | 29 | 23.00% | 32,700 |
| Nebraska | 30 | 23.52% | 42,413 |
| Illinois | 31 | 24.54% | 327,839 |
| Alaska | 32 | 25.15% | 20,818 |
| Kentucky | 33 | 25.28% | 141,765 |
| Idaho | 34 | 26.02% | 56,813 |
| Louisiana | 35 | 26.14% | 181,572 |
| Arizona | 36 | 26.25% | 245,891 |
| Utah | 37 | 27.74% | 110,845 |
| Kansas | 38 | 27.83% | 97,880 |
| Florida | 39 | 27.91% | 733,717 |
| Tennessee | 40 | 28.19% | 309,054 |
| Missouri | 41 | 29.17% | 236,191 |
| South Carolina | 42 | 29.22% | 186,625 |
| Oklahoma | 43 | 29.71% | 159,026 |
| Arkansas | 44 | 30.37% | 142,055 |
| North Carolina | 45 | 30.71% | 387,402 |
| Mississippi | 46 | 31.15% | 108,393 |
| Nevada | 47 | 32.26% | 115,706 |
| Wyoming | 48 | 32.97% | 21,562 |
| Alabama | 49 | 33.24% | 233,201 |
| Texas | 50 | 34.38% | 1,223,117 |
| Georgia | 51 | 34.95% | 462,803 |
| National | 52 | 24.58% | 9,897,868 |
56.1% of youth with major depression did not receive any mental health treatment. This was defined as receiving treatment or counseling from a medical doctor or other professional or receiving medication for MDE.
In 2022, 48.3% of youth with MDE reported an unmet need for treatment. The main reason youth reported not receiving care was they felt they should have been able to handle their mental health on their own (86.9%). That was followed by being worried what people would think or say if they got treatment (59.8%), being worried that the information they shared would not be kept private (57.8%), and not knowing how or where to get treatment (55.5%).
The state prevalence of untreated youth with depression ranges from 31.50% in the District of Columbia to 82.10% in South Dakota.
| State | Rank | Percentage | Number |
|---|---|---|---|
| District of Columbia | 1 | 31.50% | 2,000 |
| Maine | 2 | 34.60% | 6,000 |
| Louisiana | 3 | 38.90% | 31,000 |
| Illinois | 4 | 39.30% | 79,000 |
| Idaho | 5 | 42.60% | 14,000 |
| Rhode Island | 6 | 43.20% | 8,000 |
| Oregon | 7 | 44.70% | 37,000 |
| Maryland | 8 | 46.00% | 49,000 |
| Massachusetts | 9 | 46.10% | 35,000 |
| Montana | 10 | 46.60% | 9,000 |
| Wisconsin | 11 | 47.00% | 37,000 |
| North Carolina | 12 | 47.20% | 71,000 |
| Wyoming | 13 | 47.20% | 4,000 |
| Utah | 14 | 47.90% | 24,000 |
| Florida | 15 | 49.70% | 155,000 |
| Iowa | 16 | 51.20% | 28,000 |
| Ohio | 17 | 52.00% | 97,000 |
| Colorado | 18 | 52.90% | 64,000 |
| Connecticut | 19 | 53.00% | 24,000 |
| New Hampshire | 20 | 53.00% | 11,000 |
| Vermont | 21 | 53.00% | 3,000 |
| Missouri | 22 | 53.30% | 65,000 |
| Georgia | 23 | 53.70% | 75,000 |
| Pennsylvania | 24 | 53.70% | 104,000 |
| Washington | 25 | 54.00% | 79,000 |
| Kentucky | 26 | 54.10% | 32,000 |
| Virginia | 27 | 54.50% | 75,000 |
| Michigan | 28 | 55.70% | 71,000 |
| New Jersey | 29 | 56.40% | 71,000 |
| Mississippi | 30 | 56.60% | 26,000 |
| Oklahoma | 31 | 56.60% | 28,000 |
| Delaware | 32 | 56.80% | 9,000 |
| West Virginia | 33 | 57.10% | 14,000 |
| New York | 34 | 57.20% | 149,000 |
| Arkansas | 35 | 58.30% | 24,000 |
| Alabama | 36 | 58.70% | 42,000 |
| North Dakota | 37 | 61.30% | 9,000 |
| California | 38 | 62.40% | 346,000 |
| Tennessee | 39 | 62.40% | 69,000 |
| Minnesota | 40 | 63.50% | 70,000 |
| Nebraska | 41 | 65.10% | 24,000 |
| Indiana | 42 | 66.40% | 65,000 |
| Alaska | 43 | 66.70% | 9,000 |
| Kansas | 44 | 66.70% | 34,000 |
| Arizona | 45 | 67.20% | 101,000 |
| Texas | 46 | 67.60% | 284,000 |
| South Carolina | 47 | 67.70% | 39,000 |
| New Mexico | 48 | 69.60% | 31,000 |
| Hawaii | 49 | 69.90% | 8,000 |
| Nevada | 50 | 73.70% | 47,000 |
| South Dakota | 51 | 82.10% | 8,000 |
| National | 52 | 56.10% | 2,793,000 |
Nationally, 8.5% of youth who are covered under private insurance do not have coverage for mental or emotional difficulties – totaling over 1 million youth.
The state prevalence of youth lacking mental health coverage ranges from 2.30% in Connecticut to 17.00% in Mississippi.
| State | Rank | Percentage | Number |
|---|---|---|---|
| Connecticut | 1 | 2.30% | 4,000 |
| Maine | 2 | 2.70% | 1,000 |
| Kansas | 3 | 3.90% | 5,000 |
| South Dakota | 4 | 4.90% | 2,000 |
| New Hampshire | 5 | 5.30% | 3,000 |
| District of Columbia | 6 | 5.50% | 1,000 |
| New York | 7 | 5.60% | 36,000 |
| Minnesota | 8 | 6.00% | 18,000 |
| Vermont | 9 | 6.00% | 1,000 |
| Illinois | 10 | 6.10% | 35,000 |
| Wyoming | 11 | 6.10% | 2,000 |
| Indiana | 12 | 6.20% | 20,000 |
| Iowa | 13 | 6.30% | 9,000 |
| New Mexico | 14 | 6.30% | 3,000 |
| New Jersey | 15 | 6.50% | 24,000 |
| Virginia | 16 | 6.50% | 23,000 |
| Colorado | 17 | 6.70% | 16,000 |
| California | 18 | 6.80% | 95,000 |
| Utah | 19 | 6.80% | 15,000 |
| Washington | 20 | 6.80% | 22,000 |
| Idaho | 21 | 6.90% | 6,000 |
| Alaska | 22 | 7.20% | 1,000 |
| Rhode Island | 23 | 7.20% | 2,000 |
| Oregon | 24 | 7.40% | 11,000 |
| Alabama | 25 | 7.50% | 11,000 |
| North Dakota | 26 | 7.60% | 2,000 |
| Florida | 27 | 7.70% | 48,000 |
| Wisconsin | 28 | 7.70% | 20,000 |
| Ohio | 29 | 8.00% | 39,000 |
| Pennsylvania | 30 | 8.20% | 40,000 |
| Hawaii | 31 | 8.30% | 4,000 |
| Nebraska | 32 | 8.30% | 8,000 |
| Oklahoma | 33 | 9.00% | 9,000 |
| Missouri | 34 | 9.10% | 20,000 |
| Montana | 35 | 9.20% | 4,000 |
| Massachusetts | 36 | 9.40% | 28,000 |
| Louisiana | 37 | 9.60% | 10,000 |
| Georgia | 38 | 10.40% | 42,000 |
| Michigan | 39 | 10.40% | 40,000 |
| Kentucky | 40 | 10.70% | 15,000 |
| Texas | 41 | 10.90% | 112,000 |
| West Virginia | 42 | 11.20% | 6,000 |
| Delaware | 43 | 12.00% | 5,000 |
| Maryland | 44 | 13.60% | 36,000 |
| Tennessee | 45 | 14.00% | 29,000 |
| Arkansas | 46 | 14.10% | 12,000 |
| North Carolina | 47 | 14.20% | 55,000 |
| Arizona | 48 | 14.80% | 30,000 |
| Nevada | 49 | 14.80% | 18,000 |
| South Carolina | 50 | 15.90% | 26,000 |
| Mississippi | 51 | 17.00% | 12,000 |
| National | 52 | 8.50% | 1,039,000 |
Only .667% 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 or behavioral health condition that is affecting their educational performance.
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.
The state rate of students identified as having an emotional disturbance for an IEP ranges from 28.01 per 1,000 students in Vermont to 1.55 per 1,000 students in Alabama.
| State | Rank | Percentage | Number |
|---|---|---|---|
| Vermont | 1 | 28.01 | 2,122 |
| Massachusetts | 2 | 19.03 | 16,978 |
| Minnesota | 3 | 19 | 16,074 |
| Pennsylvania | 4 | 15.16 | 25,547 |
| Maine | 5 | 13.97 | 2,342 |
| Wisconsin | 6 | 13.09 | 10,111 |
| Indiana | 7 | 11.15 | 11,294 |
| North Dakota | 8 | 10.98 | 1,269 |
| New Hampshire | 9 | 10.79 | 1,774 |
| Connecticut | 10 | 10.29 | 5,090 |
| Rhode Island | 11 | 9.95 | 1,337 |
| South Dakota | 12 | 9.39 | 1,301 |
| Nebraska | 13 | 9.17 | 2,840 |
| Illinois | 14 | 8.78 | 15,585 |
| Oregon | 15 | 8.62 | 4,762 |
| Delaware | 16 | 8.03 | 1,117 |
| Ohio | 17 | 7.79 | 12,742 |
| Texas | 18 | 7.6 | 39,911 |
| Missouri | 19 | 7.47 | 6,401 |
| Michigan | 20 | 7.38 | 10,245 |
| Virginia | 21 | 7.08 | 8,676 |
| New York | 22 | 6.73 | 16,536 |
| Wyoming | 23 | 6.49 | 595 |
| District of Columbia | 24 | 6.46 | 511 |
| Mississippi | 25 | 6.31 | 2,726 |
| Kentucky | 26 | 6.17 | 3,910 |
| Arizona | 27 | 6.09 | 6,781 |
| New Mexico | 28 | 5.81 | 1,771 |
| Alaska | 29 | 5.73 | 731 |
| Colorado | 30 | 5.62 | 4,710 |
| Maryland | 31 | 5.49 | 4,717 |
| Oklahoma | 32 | 5.43 | 3,603 |
| Montana | 33 | 5.27 | 789 |
| Georgia | 34 | 5.17 | 8,792 |
| Kansas | 35 | 4.94 | 2,290 |
| New Jersey | 36 | 4.75 | 6,226 |
| Washington | 37 | 4.62 | 4,939 |
| Hawaii | 38 | 4.55 | 768 |
| Idaho | 39 | 4.08 | 1,280 |
| Florida | 40 | 4.01 | 11,263 |
| Nevada | 41 | 3.86 | 1,823 |
| California | 42 | 3.69 | 21,573 |
| Tennessee | 43 | 3.31 | 3,224 |
| West Virginia | 44 | 3.22 | 761 |
| North Carolina | 45 | 2.93 | 4,439 |
| South Carolina | 46 | 2.47 | 1,886 |
| Louisiana | 47 | 2.45 | 1,700 |
| Utah | 48 | 2.38 | 1,610 |
| Arkansas | 49 | 2.04 | 970 |
| Alabama | 50 | 1.55 | 1,127 |
| Iowa | 51 | * | * |
| National | 52 | 6.67 | 320,828 |
In the U.S., there are 340 individuals for every one mental health provider. The term “mental health provider” includes psychiatrists, psychologists, licensed clinical social workers, counselors, marriage and family therapists, and advanced practice nurses specializing in mental health care.
As of March 2024, over 122 million people lived in a mental health workforce shortage area, and only 27% of the mental health need in shortage areas was being met by mental health providers. Over the next 15 years, the National Center for Health Workforce Analysis has projected increasing shortages for several behavioral health providers, including psychologists, psychiatrists, and mental health and addiction counselors.
The state rate of mental health workforce ranges from 140:1 in Massachusetts to 800:1 in Alabama.
| State | Rank | Number |
|---|---|---|
| Massachusetts | 1 | 140:1 |
| Alaska | 2 | 150:1 |
| District of Columbia | 3 | 160:1 |
| Oregon | 4 | 160:1 |
| Maine | 5 | 190:1 |
| Vermont | 6 | 190:1 |
| Connecticut | 7 | 220:1 |
| Rhode Island | 8 | 220:1 |
| Washington | 9 | 220:1 |
| Colorado | 10 | 230:1 |
| New Mexico | 11 | 230:1 |
| California | 12 | 240:1 |
| Oklahoma | 13 | 240:1 |
| Utah | 14 | 270:1 |
| Wyoming | 15 | 270:1 |
| Montana | 16 | 280:1 |
| New Hampshire | 17 | 280:1 |
| New York | 18 | 300:1 |
| Louisiana | 19 | 310:1 |
| Maryland | 20 | 310:1 |
| Delaware | 21 | 320:1 |
| Michigan | 22 | 320:1 |
| Minnesota | 23 | 320:1 |
| Nebraska | 24 | 330:1 |
| Ohio | 25 | 330:1 |
| Illinois | 26 | 340:1 |
| North Carolina | 27 | 340:1 |
| Hawaii | 28 | 350:1 |
| Kentucky | 29 | 370:1 |
| New Jersey | 30 | 370:1 |
| Arkansas | 31 | 390:1 |
| Pennsylvania | 32 | 400:1 |
| Idaho | 33 | 420:1 |
| Nevada | 34 | 420:1 |
| Wisconsin | 35 | 420:1 |
| Missouri | 36 | 430:1 |
| Kansas | 37 | 450:1 |
| Virginia | 38 | 450:1 |
| South Dakota | 39 | 460:1 |
| North Dakota | 40 | 470:1 |
| South Carolina | 41 | 490:1 |
| Mississippi | 42 | 500:1 |
| Florida | 43 | 510:1 |
| Indiana | 44 | 530:1 |
| Iowa | 45 | 530:1 |
| Tennessee | 46 | 560:1 |
| Arizona | 47 | 590:1 |
| Georgia | 48 | 600:1 |
| West Virginia | 49 | 620:1 |
| Texas | 50 | 690:1 |
| Alabama | 51 | 800:1 |
| National | 52 | 340:1 |
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