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 17 measures listed below make up the overall ranking. The overall ranking includes both adult and youth measures, as well as prevalence and access to care measures.

The 17 measures that make up the overall ranking include:

  1. Adults with any mental illness (AMI) in the past year
  2. Adults with substance use disorder in the past year
  3. Adults with serious thoughts of suicide in the past year
  4. Youth with at least one major depressive episode (MDE) in the past year
  5. Youth with SUD in the past year
  6. Youth with serious thoughts of suicide in the past year
  7. Youth flourishing
  8. Adults with SUD who needed but did not receive treatment
  9. Adults with AMI who are uninsured
  10. Adults reporting 14+ mentally unhealthy days a month who could not see a doctor due to costs
  11. Adults with AMI reporting an unmet need for treatment
  12. Adults with AMI with private insurance that did not cover mental or emotional problems
  13. Youth with private insurance that did not cover mental or emotional problems
  14. Youth with MDE who did not receive mental health services
  15. Youth who have not had a preventive doctor’s visit in the past year
  16. Students identified with emotional disturbance for an individualized education program (IEP)
  17. Mental health workforce availability
RankState
1New York
2Hawaii
3New Jersey
4Vermont
5Iowa
6Massachusetts
7Pennsylvania
8Maine
9Connecticut
10Illinois
11District of Columbia
12Ohio
13Michigan
14Indiana
15California
16North Carolina
17Oklahoma
18Kansas
19Delaware
20New Hampshire
21Wisconsin
22Virginia
23Maryland
24Rhode Island
25Kentucky
26North Dakota
27Louisiana
28Mississippi
29Minnesota
30Nebraska
31Utah
32Alaska
33Texas
34Florida
35Washington
36Missouri
37Georgia
38South Dakota
39South Carolina
40Montana
41Colorado
42Oregon
43New Mexico
44Tennessee
45Arkansas
46West Virginia
47Wyoming
48Idaho
49Alabama
50Arizona
51Nevada

Adult ranking

States that are ranked 1-13 have a lower prevalence of mental illness and higher rates of access to care for adults (ages 18+). States that are ranked 39-51 have a higher prevalence of mental illness and lower rates of access to care for adults.

The eight measures that make up the adult ranking include:

  1. Adults with any mental illness (AMI) in the past year
  2. Adults with substance use disorder (SUD) in the past year
  3. Adults with serious thoughts of suicide in the past year
  4. Adults with SUD who needed but did not receive treatment
  5. Adults with AMI who are uninsured
  6. Adults reporting 14+ mentally unhealthy days a month who could not see a doctor due to costs
  7. Adults with AMI reporting an unmet need for treatment
  8. Adults with AMI with private insurance that did not cover mental or emotional problems
RankState
1New York
2Hawaii
3New Jersey
4Delaware
5Iowa
6Virginia
7Connecticut
8Maryland
9Pennsylvania
10Maine
11Florida
12Michigan
13Kentucky
14Indiana
15Louisiana
16Ohio
17California
18Alabama
19Illinois
20Vermont
21Mississippi
22New Hampshire
23South Carolina
24North Carolina
25Oklahoma
26Massachusetts
27Rhode Island
28New Mexico
29Minnesota
30Kansas
31Arkansas
32Montana
33Alaska
34Wisconsin
35Washington
36Nebraska
37Tennessee
38Idaho
39Arizona
40Missouri
41Texas
42North Dakota
43West Virginia
44South Dakota
45District of Columbia
46Oregon
47Georgia
48Colorado
49Nevada
50Utah
51Wyoming

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 have a higher prevalence of mental illness and lower rates of access to care for youth.

 The eight 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 disorder (SUD) in the past year
  3. Youth with serious thoughts of suicide in the past year
  4. Youth flourishing
  5. Youth with private insurance that did not cover mental or emotional problems
  6. Youth with MDE who did not receive mental health services
  7. Youth who have not had a preventive doctor’s visit in the past year
  8. Students identified with emotional disturbance for an individualized education program (IEP)
RankState
1District of Columbia
2Vermont
3New York
4Massachusetts
5Iowa
6Pennsylvania
7Hawaii
8Illinois
9New Jersey
10Utah
11Kansas
12Wisconsin
13Georgia
14North Dakota
15Ohio
16Maine
17Indiana
18North Carolina
19Texas
20Michigan
21Connecticut
22Oklahoma
23California
24New Hampshire
25South Dakota
26Nebraska
27Mississippi
28Rhode Island
29Missouri
30Minnesota
31Colorado
32Virginia
33West Virginia
34Delaware
35Wyoming
36Kentucky
37Alaska
38Washington
39Oregon
40Maryland
41Louisiana
42Tennessee
43South Carolina
44Florida
45Montana
46Arkansas
47New Mexico
48Idaho
49Arizona
50Alabama
51Nevada

Prevalence ranking

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:

  1. Adults with any mental illness (AMI) in the past year
  2. Adults with substance use disorder (SUD) in the past year
  3. Adults with serious thoughts of suicide in the past year
  4. Youth with at least one major depressive episode (MDE) in the past year
  5. Youth with SUD in the past year
  6. Youth with serious thoughts of suicide in the past year
  7. Youth flourishing
RankState
1New Jersey
2Texas
3Mississippi
4Hawaii
5New York
6North Carolina
7California
8South Carolina
9Georgia
10Florida
11Iowa
12Indiana
13Michigan
14Kansas
15Illinois
16Oklahoma
17North Dakota
18Alabama
19Delaware
20Pennsylvania
21Connecticut
22Ohio
23Maryland
24Nebraska
25Wisconsin
26South Dakota
27Louisiana
28Utah
29Virginia
30Massachusetts
31Alaska
32District of Columbia
33Minnesota
34Tennessee
35Kentucky
36Arkansas
37Missouri
38Wyoming
39Washington
40Rhode Island
41Arizona
42Idaho
43Montana
44New Hampshire
45Vermont
46Nevada
47New Mexico
48West Virginia
49Maine
50Colorado
51Oregon

Access to care ranking

States with rankings 1-13 provide relatively more access to insurance and mental health care. States with rankings 39-51 provide relatively less access to insurance and mental health care.

The 10 measures that make up the access ranking include:

  1. Adults with substance use disorder (SUD) who needed but did not receive treatment
  2. Adults with any mental illness (AMI) who are uninsured
  3. Adults reporting 14+ mentally unhealthy days a month who could not see a doctor due to costs
  4. Adults with AMI reporting an unmet need for treatment
  5. Adults with AMI with private insurance that did not cover mental or emotional problems
  6. Youth with private insurance that did not cover mental or emotional problems
  7. Youth with at least one major depressive episode (MDE) who did not receive mental health services
  8. Youth who have not had a preventive doctor’s visit in the past year
  9. Students identified with emotional disturbance for an individualized education program (IEP)
  10. Mental health workforce availability
RankState
1Vermont
2Maine
3Massachusetts
4New Hampshire
5Pennsylvania
6District of Columbia
7Oregon
8New York
9Connecticut
10Rhode Island
11Iowa
12Ohio
13Illinois
14Colorado
15Michigan
16Kentucky
17New Mexico
18Hawaii
19Virginia
20Washington
21Wisconsin
22West Virginia
23Oklahoma
24Missouri
25Indiana
26Delaware
27New Jersey
28Montana
29Minnesota
30Maryland
31Kansas
32Louisiana
33Utah
34Alaska
35Nebraska
36North Dakota
37California
38North Carolina
39South Dakota
40Arkansas
41Idaho
42Tennessee
43Wyoming
44Florida
45Arizona
46Georgia
47Nevada
48Mississippi
49South Carolina
50Texas
51Alabama