Data & Rankings

Mental Health America provides the most comprehensive mental health ranking for the United States. We believe that gathering and providing up-to-date data and information about disparities faced by individuals with mental health problems is a tool for change.

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Adult Ranking

States that are ranked 1-13 have a lower prevalence of mental illness and higher rates of access to care for adults. States that are ranked 39-51 indicate that adults have a higher prevalence of mental illness and lower rates of access to care.

The seven measures that make up the Adult Ranking include:

Adults with Any Mental Illness (AMI)
Adults with Substance Use Disorder in the Past Year
Adults with Serious Thoughts of Suicide
Adults with SUD Who Needed But Did Not Receive Treatment
Adults with AMI Who are Uninsured
Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs
Adults with AMI with Private Insurance That Did Not Cover Mental or Emotional Problems

State	Rank
New York	1
New Jersey	2
Massachusetts	3
Hawaii	4
Maine	5
Maryland	6
Pennsylvania	7
Connecticut	8
Virginia	9
New Hampshire	10
Delaware	11
Kentucky	12
Rhode Island	13
Wisconsin	14
Michigan	15
Indiana	16
Ohio	17
Florida	18
Vermont	19
Arkansas	20
Iowa	21
California	22
Tennessee	23
Kansas	24
South Carolina	25
South Dakota	26
District of Columbia	27
Minnesota	28
Illinois	29
New Mexico	30
Washington	31
North Carolina	32
West Virginia	33
Arizona	34
Oregon	35
Alabama	36
Louisiana	37
Missouri	38
Georgia	39
Colorado	40
Nebraska	41
Idaho	42
Alaska	43
Texas	44
Mississippi	45
Utah	46
Oklahoma	47
Nevada	48
North Dakota	49
Montana	50
Wyoming	51

Youth Ranking

States with rankings 1-13 have a lower prevalence of mental illness and higher rates of access to care for youth. States with rankings 39-51 indicate that youth have a higher prevalence of mental illness and lower rates of access to care.

The seven measures that make up the Youth Ranking include:

Youth with at Least One Major Depressive Episode (MDE) in the Past Year
Youth with Substance Use Disorder in the Past Year
Youth with Serious Thoughts of Suicide
Youth (Ages 6-17) Flourishing
Youth with MDE Who Did Not Receive Mental Health Services
Youth with Private Insurance That Did Not Cover Mental or Emotional Problems
Students (K+) Identified with Emotional Disturbance for an Individualized Education Program.

State	Rank
District of Columbia	1
Connecticut	2
Massachusetts	3
Illinois	4
Georgia	5
Vermont	6
Maine	7
Utah	8
Michigan	9
New Jersey	10
New York	11
Wisconsin	12
Pennsylvania	13
New Hampshire	14
Texas	15
Kansas	16
Virginia	17
Mississippi	18
Minnesota	19
California	20
Hawaii	21
Florida	22
Rhode Island	23
Iowa	24
South Dakota	25
North Carolina	26
Indiana	27
Wyoming	28
Ohio	29
Nebraska	30
Maryland	31
Alabama	32
North Dakota	33
Delaware	34
South Carolina	35
Kentucky	36
West Virginia	37
Louisiana	38
Oklahoma	39
Idaho	40
Missouri	41
Montana	42
Arkansas	43
Colorado	44
New Mexico	45
Tennessee	46
Alaska	47
Washington	48
Oregon	49
Arizona	50
Nevada	51

Prevalence of Mental Illness

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

The seven measures that make up the Prevalence Ranking include:

Adults with Any Mental Illness (AMI)
Adults with Substance Use Disorder in the Past Year
Adults with Serious Thoughts of Suicide
Youth with at Least One Major Depressive Episode (MDE) in the Past Year
Youth with Substance Use Disorder in the Past Year
Youth with Serious Thoughts of Suicide
Youth (Ages 6-17) Flourishing

State	Rank
Connecticut	1
New Jersey	2
Georgia	3
South Carolina	4
Texas	5
Mississippi	6
Hawaii	7
New York	8
Massachusetts	9
North Carolina	10
Florida	11
Michigan	12
California	13
Illinois	14
Maryland	15
Virginia	16
Delaware	17
Pennsylvania	18
Kansas	19
New Hampshire	20
Alabama	21
District of Columbia	22
Wisconsin	23
Arkansas	24
South Dakota	25
Kentucky	26
Maine	27
Utah	28
Tennessee	29
Ohio	30
Indiana	31
Nebraska	32
West Virginia	33
Minnesota	34
Arizona	35
Rhode Island	36
Iowa	37
Oklahoma	38
Louisiana	39
North Dakota	40
Vermont	41
Wyoming	42
Missouri	43
New Mexico	44
Nevada	45
Alaska	46
Idaho	47
Montana	48
Washington	49
Colorado	50
Oregon	51

Access Ranking

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:

Adults with SUD Who Needed But Did Not Receive Treatment
Adults with AMI who are Uninsured
Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs
Adults with AMI with Private Insurance that Did Not Cover Mental or Emotional Problems
Youth with MDE Who Did Not Receive Mental Health Services
Youth with Private Insurance that Did Not Cover Mental or Emotional Problems
Students (K+) Identified with Emotional Disturbance for an Individualized Education Program
Mental Health Workforce Availability

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

Overall Ranking

An overall ranking of 1-13 indicates lower prevalence of mental illness and higher rates of access to care. An overall ranking of 39-51 indicates higher prevalence of mental illness and lower rates of access to care. The combined scores of all 15 measures make up the overall ranking. The overall ranking includes both adult and youth measures, as well as prevalence and access to care measures.

The 15 measures that make up the overall ranking include:

Adults with Any Mental Illness (AMI)
Adults with Substance Use Disorder in the Past Year
Adults with Serious Thoughts of Suicide
Youth with at Least One Major Depressive Episode (MDE) in the Past Year
Youth with Substance Use Disorder in the Past Year
Youth with Serious Thoughts of Suicide
Youth (Ages 6-17) Flourishing
Adults with SUD Who Needed But Did Not Receive Treatment
Adults with AMI Who Are Uninsured
Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs
Adults with AMI with Private Insurance That Did Not Cover Mental or Emotional Problems
Youth with MDE Who Did Not Receive Mental Health Services
Youth with Private Insurance That Did Not Cover Mental or Emotional Problems
Students (Grades K+) Identified with Emotional Disturbance for an Individualized Education Program
Mental Health Workforce Availability

State	Rank
Massachusetts	1
Connecticut	2
Maine	3
New York	4
New Jersey	5
District of Columbia	6
Vermont	7
New Hampshire	8
Hawaii	9
Pennsylvania	10
Michigan	11
Virginia	12
Wisconsin	13
Maryland	14
Illinois	15
Rhode Island	16
California	17
Delaware	18
Kentucky	19
Ohio	20
Florida	21
Kansas	22
Minnesota	23
Indiana	24
Iowa	25
Georgia	26
Utah	27
South Dakota	28
North Carolina	29
South Carolina	30
Arkansas	31
Nebraska	32
Louisiana	33
Mississippi	34
New Mexico	35
Texas	36
West Virginia	37
Oklahoma	38
Alabama	39
Wyoming	40
Washington	41
Tennessee	42
North Dakota	43
Missouri	44
Idaho	45
Colorado	46
Oregon	47
Alaska	48
Montana	49
Arizona	50
Nevada	51

Learn more about mental health

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Visit the Mental Health Learning Hub