The State of Mental Health in America report highlights the latest national data and provides state-level rankings on mental health and well-being in the U.S. Through this report, Mental Health America offers critical insights to drive policy, improve care, and support people living with mental health conditions across the country.
States with rankings 1-13 have lower prevalence of mental health and substance use issues. States with rankings 39-51 have a higher prevalence of mental health and substance use issues.
The seven measures that make up the prevalence ranking include:
| Rank | State |
|---|---|
| 1 | New Jersey |
| 2 | Texas |
| 3 | Mississippi |
| 4 | Hawaii |
| 5 | New York |
| 6 | North Carolina |
| 7 | California |
| 8 | South Carolina |
| 9 | Georgia |
| 10 | Florida |
| 11 | Iowa |
| 12 | Indiana |
| 13 | Michigan |
| 14 | Kansas |
| 15 | Illinois |
| 16 | Oklahoma |
| 17 | North Dakota |
| 18 | Alabama |
| 19 | Delaware |
| 20 | Pennsylvania |
| 21 | Connecticut |
| 22 | Ohio |
| 23 | Maryland |
| 24 | Nebraska |
| 25 | Wisconsin |
| 26 | South Dakota |
| 27 | Louisiana |
| 28 | Utah |
| 29 | Virginia |
| 30 | Massachusetts |
| 31 | Alaska |
| 32 | District of Columbia |
| 33 | Minnesota |
| 34 | Tennessee |
| 35 | Kentucky |
| 36 | Arkansas |
| 37 | Missouri |
| 38 | Wyoming |
| 39 | Washington |
| 40 | Rhode Island |
| 41 | Arizona |
| 42 | Idaho |
| 43 | Montana |
| 44 | New Hampshire |
| 45 | Vermont |
| 46 | Nevada |
| 47 | New Mexico |
| 48 | West Virginia |
| 49 | Maine |
| 50 | Colorado |
| 51 | Oregon |
In 2024, 23.40% of adults in the U.S. experienced any mental illness (AMI) in the past year, equivalent to over 60 million people.
In 2024, 5.60% of adults had a serious mental illness.
The national rates of mental illness and serious mental illness among adults in the U.S. did not change significantly from 2021 to 2024.
In 2022 and 2023, the most recently available state-level data, 36 states had a higher prevalence of AMI than the national average. In Oregon, Utah, and West Virginia, the three lowest ranked states, nearly 1 in 3 adults had AMI in 2022-2023.
| Rank | State | Percentage | Count |
|---|---|---|---|
| 1 | New Jersey | 19.69% | 1,416,000 |
| 2 | Florida | 19.97% | 3,551,000 |
| 3 | Mississippi | 20.47% | 450,000 |
| 4 | South Carolina | 20.52% | 843,000 |
| 5 | California | 20.99% | 6,316,000 |
| 6 | Texas | 21.02% | 4,689,000 |
| 7 | Hawaii | 21.16% | 231,000 |
| 8 | New York | 21.29% | 3,293,000 |
| 9 | North Carolina | 21.32% | 1,759,000 |
| 10 | Delaware | 21.90% | 176,000 |
| 11 | Alabama | 22.09% | 860,000 |
| 12 | Oklahoma | 22.20% | 665,000 |
| 13 | Maryland | 22.29% | 1,055,000 |
| 14 | Louisiana | 22.59% | 774,000 |
| 15 | Illinois | 22.61% | 2,192,000 |
| 16 | Georgia | 23.08% | 1,906,000 |
| 17 | Michigan | 23.16% | 1,812,000 |
| 18 | Nevada | 23.16% | 571,000 |
| 19 | Virginia | 23.25% | 1,542,000 |
| 20 | Ohio | 23.37% | 2,113,000 |
| 21 | Alaska | 23.47% | 124,000 |
| 22 | North Dakota | 23.53% | 137,000 |
| 23 | Kansas | 23.72% | 519,000 |
| 24 | Indiana | 23.73% | 1,229,000 |
| 25 | Minnesota | 23.74% | 1,038,000 |
| 26 | Massachusetts | 23.99% | 1,342,000 |
| 27 | Connecticut | 24.13% | 689,000 |
| 28 | South Dakota | 24.14% | 163,000 |
| 29 | Rhode Island | 24.37% | 214,000 |
| 30 | Pennsylvania | 24.39% | 2,480,000 |
| 31 | Nebraska | 24.43% | 359,000 |
| 32 | Arkansas | 24.47% | 564,000 |
| 33 | Montana | 24.60% | 216,000 |
| 34 | Wisconsin | 24.81% | 1,141,000 |
| 35 | New Mexico | 24.88% | 404,000 |
| 36 | Wyoming | 24.89% | 110,000 |
| 37 | Kentucky | 25.22% | 864,000 |
| 38 | Arizona | 25.70% | 1,468,000 |
| 39 | Iowa | 25.72% | 626,000 |
| 40 | Maine | 25.76% | 290,000 |
| 41 | Missouri | 26.08% | 1,233,000 |
| 42 | Tennessee | 26.48% | 1,441,000 |
| 43 | Idaho | 26.72% | 391,000 |
| 44 | New Hampshire | 26.93% | 305,000 |
| 45 | Vermont | 27.02% | 143,000 |
| 46 | Colorado | 27.73% | 1,263,000 |
| 47 | Washington | 27.99% | 1,695,000 |
| 48 | District of Columbia | 28.55% | 155,000 |
| 49 | West Virginia | 29.33% | 408,000 |
| 50 | Utah | 29.93% | 732,000 |
| 51 | Oregon | 30.16% | 1,015,000 |
| National | 22.95% | 58,969,000 |
In 2024, 17.70% of adults in the U.S. had a substance use disorder (SUD) in the past year, totaling over 46 million people.
In 2024, the number of overdose deaths in the U.S. decreased for the first time since 2018,1 likely due to state and federal investments in naloxone access, treatment, and other strategies. However, the percentage of adults with SUD did not change significantly from 2021 to 2024, indicating a continued need for substance use prevention and early intervention services across the U.S.
Some states have been successful in reducing both rates of SUD and overdose. Indiana (ranked 2), for example, had the largest decrease in adults with SUD, from 19.08% in 2021-2022 combined data to 15.53% in 2022-2023. Indiana also had the second largest decrease in overdose deaths during that period, at 18.00%.2
| Rank | State | Percentage | Count |
|---|---|---|---|
| 1 | Utah | 13.68% | 335,000 |
| 2 | Indiana | 15.53% | 805,000 |
| 3 | New Jersey | 15.62% | 1,123,000 |
| 4 | Texas | 15.75% | 3,514,000 |
| 5 | Maryland | 15.80% | 747,000 |
| 6 | North Carolina | 16.06% | 1,325,000 |
| 7 | Florida | 16.40% | 2,915,000 |
| 8 | Mississippi | 16.61% | 365,000 |
| 9 | Tennessee | 16.88% | 919,000 |
| 10 | Alabama | 16.92% | 659,000 |
| 11 | Virginia | 17.06% | 1,132,000 |
| 12 | Kansas | 17.10% | 374,000 |
| 13 | Nebraska | 17.19% | 252,000 |
| 14 | Iowa | 17.21% | 419,000 |
| 15 | South Carolina | 17.66% | 725,000 |
| 16 | New York | 17.83% | 2,757,000 |
| 17 | Hawaii | 17.84% | 195,000 |
| 18 | California | 17.90% | 5,384,000 |
| 19 | North Dakota | 18.03% | 105,000 |
| 20 | Georgia | 18.07% | 1,492,000 |
| 21 | Pennsylvania | 18.11% | 1,842,000 |
| 22 | Illinois | 18.27% | 1,771,000 |
| 23 | Idaho | 18.37% | 269,000 |
| 24 | Kentucky | 18.53% | 635,000 |
| 25 | Arkansas | 18.57% | 428,000 |
| 26 | Delaware | 18.58% | 149,000 |
| 27 | South Dakota | 18.61% | 126,000 |
| 28 | Wyoming | 18.92% | 84,000 |
| 29 | West Virginia | 18.97% | 264,000 |
| 30 | Michigan | 19.10% | 1,495,000 |
| 31 | Ohio | 19.35% | 1,749,000 |
| 32 | New Hampshire | 19.36% | 219,000 |
| 33 | Minnesota | 19.38% | 848,000 |
| 34 | Arizona | 19.41% | 1,108,000 |
| 35 | Washington | 19.43% | 1,176,000 |
| 36 | Wisconsin | 19.54% | 898,000 |
| 37 | Oklahoma | 19.58% | 587,000 |
| 38 | Connecticut | 20.00% | 571,000 |
| 39 | Missouri | 20.86% | 986,000 |
| 40 | Louisiana | 20.94% | 718,000 |
| 41 | Massachusetts | 20.98% | 1,174,000 |
| 42 | Montana | 21.27% | 187,000 |
| 43 | Maine | 21.32% | 240,000 |
| 44 | Vermont | 21.56% | 114,000 |
| 45 | New Mexico | 22.31% | 362,000 |
| 46 | Nevada | 22.45% | 553,000 |
| 47 | Alaska | 22.55% | 119,000 |
| 48 | Oregon | 22.59% | 760,000 |
| 49 | Rhode Island | 22.81% | 200,000 |
| 50 | Colorado | 23.61% | 1,076,000 |
| 51 | District of Columbia | 24.68% | 134,000 |
| National | 18.05% | 46,382,000 |
In 2024, 5.50% of adults reported experiencing serious thoughts of suicide (suicidal ideation). The estimated number of adults with suicidal ideation in the U.S. in 2024 was over 14 million.
The most recently available suicide death data was collected in 2023. In 2023, the suicide rate was 14 per 100,000 people. Both rates of suicidal ideation and deaths were the same in 2023 as in 2022.
There were, however, changes in state rates of suicidal ideation among adults during that period. Texas had a statistically significant 0.68% decrease in suicidal ideation among adults from 2021 to 2023. Massachusetts had the largest increase in suicidal ideation among adults, from 4.36% in 2021-2022 combined data to 6.07% in 2022-2023.
| Rank | State | Percentage | Count |
|---|---|---|---|
| 1 | Mississippi | 4.18% | 92,000 |
| 2 | Texas | 4.30% | 960,000 |
| 3 | Florida | 4.42% | 787,000 |
| 4 | North Carolina | 4.45% | 367,000 |
| 5 | South Carolina | 4.45% | 183,000 |
| 6 | California | 4.59% | 1,382,000 |
| 7 | Delaware | 4.67% | 37,000 |
| 8 | New Jersey | 4.73% | 340,000 |
| 9 | Alabama | 4.73% | 184,000 |
| 10 | New York | 4.80% | 743,000 |
| 11 | Maryland | 4.82% | 228,000 |
| 12 | Hawaii | 4.84% | 53,000 |
| 13 | Connecticut | 4.86% | 139,000 |
| 14 | Minnesota | 4.94% | 216,000 |
| 15 | Michigan | 4.96% | 388,000 |
| 16 | Illinois | 5.02% | 487,000 |
| 17 | Louisiana | 5.22% | 179,000 |
| 18 | Maine | 5.24% | 59,000 |
| 19 | Virginia | 5.25% | 349,000 |
| 20 | Georgia | 5.26% | 435,000 |
| 21 | Ohio | 5.27% | 476,000 |
| 22 | Alaska | 5.28% | 28,000 |
| 23 | Arkansas | 5.29% | 122,000 |
| 24 | Oklahoma | 5.33% | 160,000 |
| 25 | Pennsylvania | 5.34% | 543,000 |
| 26 | Kentucky | 5.44% | 186,000 |
| 27 | North Dakota | 5.45% | 32,000 |
| 28 | Indiana | 5.48% | 284,000 |
| 29 | Rhode Island | 5.48% | 48,000 |
| 30 | New Mexico | 5.49% | 89,000 |
| 31 | Montana | 5.49% | 48,000 |
| 32 | Wisconsin | 5.53% | 254,000 |
| 33 | Tennessee | 5.56% | 303,000 |
| 34 | Nevada | 5.60% | 138,000 |
| 35 | Washington | 5.62% | 340,000 |
| 36 | Arizona | 5.68% | 324,000 |
| 37 | Missouri | 5.68% | 269,000 |
| 38 | Nebraska | 5.70% | 84,000 |
| 39 | Kansas | 5.79% | 127,000 |
| 40 | New Hampshire | 5.81% | 66,000 |
| 41 | Iowa | 5.87% | 143,000 |
| 42 | Idaho | 5.90% | 86,000 |
| 43 | South Dakota | 5.96% | 40,000 |
| 44 | Vermont | 5.99% | 32,000 |
| 45 | District of Columbia | 6.04% | 33,000 |
| 46 | Massachusetts | 6.07% | 340,000 |
| 47 | Colorado | 6.19% | 282,000 |
| 48 | Wyoming | 6.48% | 29,000 |
| 49 | Oregon | 6.62% | 223,000 |
| 50 | West Virginia | 6.62% | 92,000 |
| 51 | Utah | 7.56% | 184,000 |
| National | 5.06% | 13,010,000 |
The percentage of youth (ages 12-17) who experienced a major depressive episode (MDE) in the past year decreased significantly between 2023 and 2024. In 2023, 18.10% of youth reported suffering from at least one MDE in the past year, compared to 15.40% in 2024.
In 2024, 11.30% of youth in the U.S. experienced a MDE with severe impairment, meaning it severely impacted their functioning at work, school, or home. That’s an estimated 2.8 million youth whose depression significantly impaired their functioning.
Alaska had the largest improvement in the percentage of youth with MDE, shifting from 21.72% in 2021-2022 to 17.27% in 2022-2023 (5% decrease). California, Indiana, New York, and Washington also had statistically significant decreases in the percentage of youth with MDE in the past year.
| Rank | State | Percentage | Count |
|---|---|---|---|
| 1 | Hawaii | 16.06% | 16,000 |
| 2 | District of Columbia | 16.10% | 6,000 |
| 3 | South Dakota | 16.67% | 13,000 |
| 4 | Utah | 16.68% | 56,000 |
| 5 | New York | 16.88% | 232,000 |
| 6 | Indiana | 17.01% | 95,000 |
| 7 | Georgia | 17.03% | 156,000 |
| 8 | Alaska | 17.27% | 10,000 |
| 9 | Texas | 17.30% | 457,000 |
| 10 | California | 17.53% | 534,000 |
| 11 | Wisconsin | 17.55% | 80,000 |
| 12 | Louisiana | 17.74% | 66,000 |
| 13 | South Carolina | 17.75% | 72,000 |
| 14 | Mississippi | 17.92% | 44,000 |
| 15 | Oklahoma | 18.10% | 61,000 |
| 16 | New Jersey | 18.28% | 130,000 |
| 17 | Massachusetts | 18.73% | 90,000 |
| 18 | North Dakota | 18.84% | 11,000 |
| 19 | Delaware | 18.86% | 14,000 |
| 20 | Iowa | 18.87% | 49,000 |
| 21 | Alabama | 18.91% | 75,000 |
| 22 | North Carolina | 19.14% | 158,000 |
| 23 | Pennsylvania | 19.15% | 179,000 |
| 24 | Michigan | 19.16% | 145,000 |
| 25 | Ohio | 19.17% | 174,000 |
| 26 | Kansas | 19.34% | 48,000 |
| 27 | Rhode Island | 19.61% | 14,000 |
| 28 | Florida | 19.62% | 301,000 |
| 29 | Montana | 19.63% | 16,000 |
| 30 | Arkansas | 19.65% | 49,000 |
| 31 | Connecticut | 19.66% | 53,000 |
| 32 | Tennessee | 19.87% | 108,000 |
| 33 | Vermont | 19.89% | 8,000 |
| 34 | Virginia | 19.93% | 131,000 |
| 35 | Wyoming | 20.14% | 10,000 |
| 36 | Washington | 20.15% | 116,000 |
| 37 | Nebraska | 20.20% | 34,000 |
| 38 | Missouri | 20.20% | 98,000 |
| 39 | Illinois | 20.30% | 200,000 |
| 40 | Kentucky | 20.53% | 73,000 |
| 41 | Idaho | 20.58% | 35,000 |
| 42 | Maine | 20.59% | 19,000 |
| 43 | Minnesota | 20.94% | 96,000 |
| 44 | Arizona | 21.06% | 121,000 |
| 45 | New Mexico | 21.36% | 36,000 |
| 46 | West Virginia | 21.46% | 27,000 |
| 47 | Oregon | 21.90% | 66,000 |
| 48 | Colorado | 21.91% | 96,000 |
| 49 | Maryland | 22.30% | 106,000 |
| 50 | Nevada | 22.63% | 56,000 |
| 51 | New Hampshire | 22.71% | 21,000 |
| National | 18.82% | 4,860,000 |
The percentage of youth (ages 12-17) with substance use disorder (SUD) decreased significantly between 2021 and 2024. In 2021, 9.20% of youth in the U.S. had a SUD in the past year compared to 7.80% in 2024.
Youth substance use decreased during the COVID-19 pandemic and has remained low, even as youth have returned to school in-person. In 2024, the percentage of 8th-12th graders who reported abstaining from using alcohol, marijuana, or nicotine was the highest recorded since the question was introduced in 2017.3
Youth with depression and anxiety were more likely to use substances, especially illicit drugs, than their peers. The percentage of youth with a past year major depressive episode (MDE) who used illicit drugs was 21% higher than those without MDE. The percentage of youth with moderate to severe anxiety who use illicit drugs was 16% higher than those without anxiety symptoms. This indicates that while substance use may be declining among the general population, addressing youth mental health challenges is critical to sustaining those gains.
| Rank | State | Percentage | Count |
|---|---|---|---|
| 1 | Utah | 6.57% | 22,000 |
| 2 | Hawaii | 6.84% | 7,000 |
| 3 | Iowa | 7.09% | 18,000 |
| 4 | North Carolina | 7.58% | 63,000 |
| 5 | Mississippi | 7.58% | 19,000 |
| 6 | South Dakota | 7.70% | 6,000 |
| 7 | New Jersey | 7.79% | 55,000 |
| 8 | Nebraska | 7.86% | 13,000 |
| 9 | Kentucky | 7.90% | 28,000 |
| 10 | Wyoming | 8.00% | 4,000 |
| 11 | Michigan | 8.03% | 61,000 |
| 12 | West Virginia | 8.05% | 10,000 |
| 13 | Indiana | 8.07% | 45,000 |
| 14 | New Hampshire | 8.09% | 8,000 |
| 15 | New York | 8.17% | 112,000 |
| 16 | Texas | 8.17% | 216,000 |
| 17 | California | 8.18% | 249,000 |
| 18 | Oklahoma | 8.21% | 28,000 |
| 19 | Minnesota | 8.24% | 38,000 |
| 20 | Tennessee | 8.25% | 45,000 |
| 21 | Vermont | 8.33% | 4,000 |
| 22 | Alaska | 8.34% | 5,000 |
| 23 | North Dakota | 8.39% | 5,000 |
| 24 | Pennsylvania | 8.52% | 80,000 |
| 25 | Washington | 8.57% | 49,000 |
| 26 | Kansas | 8.61% | 21,000 |
| 27 | Ohio | 8.63% | 78,000 |
| 28 | Virginia | 8.69% | 57,000 |
| 29 | South Carolina | 8.77% | 36,000 |
| 30 | Arkansas | 8.79% | 22,000 |
| 31 | Maryland | 8.82% | 42,000 |
| 32 | Alabama | 8.86% | 35,000 |
| 33 | Missouri | 8.90% | 43,000 |
| 34 | Massachusetts | 8.95% | 43,000 |
| 35 | Georgia | 9.11% | 83,000 |
| 36 | District of Columbia | 9.13% | 3,000 |
| 37 | Florida | 9.16% | 141,000 |
| 38 | Wisconsin | 9.20% | 42,000 |
| 39 | Idaho | 9.24% | 16,000 |
| 40 | Rhode Island | 9.30% | 7,000 |
| 41 | Illinois | 9.32% | 92,000 |
| 42 | Montana | 9.35% | 8,000 |
| 43 | Louisiana | 9.52% | 35,000 |
| 44 | Maine | 9.57% | 9,000 |
| 45 | Connecticut | 9.72% | 26,000 |
| 46 | Colorado | 9.88% | 43,000 |
| 47 | Oregon | 10.02% | 30,000 |
| 48 | Nevada | 10.05% | 25,000 |
| 49 | Arizona | 10.15% | 58,000 |
| 50 | Delaware | 10.34% | 8,000 |
| 51 | New Mexico | 11.28% | 19,000 |
| National | 8.56% | 2,210,000 |
The national rate of youth (ages 12-17) reporting serious thoughts of suicide (suicidal ideation) has decreased significantly, from 12.30% of youth in 2023 to 10.10% of youth in 2024. Still, that totals nearly 3 million youth reporting suicidal ideation.
Rates of suicidal ideation and suicide decreased among even the highest risk populations in 2023. According to the 2023 Youth Risk Behavior Surveillance System (YRBSS), 41.00% of LGBTQ+ students in the U.S. reported seriously considering attempting suicide, a 4% decrease from 2021. However, rates of suicidal ideation were still 28% higher among LGBTQ+ youth than their cisgender and heterosexual peers.4
The decrease in youth suicidal ideation signifies substantial improvement in connecting youth to mental health and crisis resources, likely due in part to greater investment in 988 and crisis services from 2021 to 2023. To further decreases in youth suicide, states must continue to invest in both crisis care and upstream suicide prevention. This includes sustaining specialized services for the populations at greatest risk, including LGBTQ+ youth.
| Rank | State | Percentage | Count |
|---|---|---|---|
| 1 | New York | 11.30% | 155,000 |
| 2 | District of Columbia | 11.60% | 4,000 |
| 3 | Connecticut | 11.87% | 32,000 |
| 4 | Texas | 12.04% | 319,000 |
| 5 | Utah | 12.12% | 41,000 |
| 6 | Mississippi | 12.16% | 30,000 |
| 7 | Georgia | 12.17% | 111,000 |
| 8 | Michigan | 12.34% | 93,000 |
| 9 | California | 12.39% | 377,000 |
| 10 | Oklahoma | 12.39% | 42,000 |
| 11 | North Carolina | 12.51% | 103,000 |
| 12 | Kentucky | 12.58% | 45,000 |
| 13 | New Jersey | 12.59% | 89,000 |
| 14 | Massachusetts | 12.61% | 61,000 |
| 15 | North Dakota | 12.62% | 8,000 |
| 16 | Kansas | 12.62% | 31,000 |
| 17 | South Carolina | 12.66% | 51,000 |
| 18 | Iowa | 12.75% | 33,000 |
| 19 | Missouri | 12.88% | 62,000 |
| 20 | Washington | 12.92% | 74,000 |
| 21 | Hawaii | 12.92% | 13,000 |
| 22 | Wisconsin | 12.92% | 59,000 |
| 23 | Louisiana | 12.97% | 48,000 |
| 24 | Florida | 12.98% | 199,000 |
| 25 | Indiana | 13.10% | 73,000 |
| 26 | Delaware | 13.23% | 10,000 |
| 27 | Arizona | 13.37% | 77,000 |
| 28 | Pennsylvania | 13.38% | 125,000 |
| 29 | Alaska | 13.39% | 8,000 |
| 30 | Colorado | 13.45% | 59,000 |
| 31 | Alabama | 13.48% | 53,000 |
| 32 | Rhode Island | 13.52% | 10,000 |
| 33 | Ohio | 13.53% | 123,000 |
| 34 | Arkansas | 13.65% | 34,000 |
| 35 | Montana | 13.70% | 11,000 |
| 36 | Oregon | 13.72% | 42,000 |
| 37 | Virginia | 13.76% | 90,000 |
| 38 | Illinois | 13.79% | 136,000 |
| 39 | Minnesota | 13.98% | 64,000 |
| 40 | Nebraska | 14.06% | 23,000 |
| 41 | Idaho | 14.12% | 24,000 |
| 42 | New Hampshire | 14.19% | 13,000 |
| 43 | Nevada | 14.23% | 35,000 |
| 44 | Wyoming | 14.42% | 7,000 |
| 45 | Tennessee | 14.54% | 79,000 |
| 46 | West Virginia | 14.63% | 19,000 |
| 47 | Maryland | 14.66% | 70,000 |
| 48 | Vermont | 14.71% | 6,000 |
| 49 | New Mexico | 14.74% | 25,000 |
| 50 | South Dakota | 14.98% | 11,000 |
| 51 | Maine | 15.36% | 14,000 |
| National | 12.87% | 3,322,000 |
In 2022 and 2023, 60.40% of youth (ages 6-17) across the U.S. met all three criteria for flourishing.
The criteria for flourishing were designed by the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau to assess children and adolescents’ learning, resilience, and self-regulation.5 Youth who were flourishing were those who always or usually showed interest and curiosity in learning new things, work to finish tasks they started, and stayed calm and in control when faced with a challenge. These were established as high priority, baseline measures of flourishing that could be improved through investment in early interventions for parents and families – including social support, conflict resolution, and resources for families to meet basic needs.
To capture a more comprehensive picture of well-being, researchers have suggested covering five domains: physical health, mental well-being, social behavior, cognitive and academic development, and relationships.6
Studies using more holistic measures of well-being among adults have found that young adults reported lower well-being than they did in happiness studies in the early 2000s.7 These findings suggest that not only is adolescent and young adult mental health in crisis, but states need to take an earlier and more comprehensive approach to reducing rates of loneliness, supporting education and employment, and ensuring access to care for better physical and mental health for all.
| Rank | State | Percentage | Count |
|---|---|---|---|
| 1 | Illinois | 66.40% | 1,257,191 |
| 2 | New Jersey | 64.50% | 872,530 |
| 3 | Iowa | 63.50% | 315,473 |
| 4 | District of Columbia | 63.20% | 48,147 |
| 5 | Hawaii | 63.20% | 128,104 |
| 6 | Maryland | 63.00% | 574,530 |
| 7 | Georgia | 62.70% | 1,084,181 |
| 8 | New Mexico | 62.70% | 202,567 |
| 9 | Kansas | 62.50% | 298,652 |
| 10 | Nebraska | 62.00% | 200,414 |
| 11 | Delaware | 61.90% | 86,601 |
| 12 | Texas | 61.90% | 3,150,547 |
| 13 | Pennsylvania | 61.80% | 1,117,629 |
| 14 | Massachusetts | 61.70% | 571,082 |
| 15 | California | 61.60% | 3,653,991 |
| 16 | Mississippi | 61.30% | 288,459 |
| 17 | Ohio | 61.30% | 1,077,565 |
| 18 | Tennessee | 61.00% | 637,174 |
| 19 | South Carolina | 60.90% | 468,346 |
| 20 | New York | 60.70% | 1,632,381 |
| 21 | North Carolina | 60.60% | 961,401 |
| 22 | Wisconsin | 60.60% | 527,688 |
| 23 | Connecticut | 60.50% | 306,632 |
| 24 | South Dakota | 60.10% | 89,254 |
| 25 | Colorado | 59.60% | 507,133 |
| 26 | Florida | 59.30% | 1,741,248 |
| 27 | North Dakota | 59.30% | 71,727 |
| 28 | Arizona | 59.00% | 647,934 |
| 29 | Louisiana | 59.00% | 424,830 |
| 30 | Minnesota | 58.50% | 519,217 |
| 31 | Indiana | 58.20% | 625,538 |
| 32 | Nevada | 58.20% | 276,584 |
| 33 | Michigan | 58.10% | 847,457 |
| 34 | West Virginia | 57.90% | 143,534 |
| 35 | Wyoming | 57.80% | 53,508 |
| 36 | Idaho | 57.50% | 187,481 |
| 37 | Virginia | 57.50% | 737,372 |
| 38 | Oregon | 57.30% | 337,186 |
| 39 | Alaska | 57.00% | 67,663 |
| 40 | Alabama | 56.90% | 431,616 |
| 41 | Arkansas | 56.80% | 270,340 |
| 42 | Oklahoma | 56.70% | 365,276 |
| 43 | Vermont | 56.70% | 45,876 |
| 44 | New Hampshire | 56.60% | 100,732 |
| 45 | Rhode Island | 56.50% | 79,372 |
| 46 | Missouri | 56.40% | 523,722 |
| 47 | Maine | 55.00% | 93,943 |
| 48 | Washington | 54.50% | 618,487 |
| 49 | Kentucky | 54.10% | 370,934 |
| 50 | Utah | 54.00% | 350,275 |
| 51 | Montana | 53.90% | 87,728 |
| 60.40% | 30,077,252 |
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