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:
| 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 |
20.17% of youth (ages 12-17) reported suffering from at least one major depressive episode (MDE) in the past year.
15% of youth in the U.S. experienced an MDE with severe impairment, meaning it severely impacted their functioning at work, school, or home.
The state prevalence of youth with MDE ranges from 16.02% in the District of Columbia to 24.96% in Oregon.
| State | Rank | Percentage | Number |
|---|---|---|---|
| District of Columbia | 1 | 16.02% | 5,000 |
| Hawaii | 2 | 17.15% | 17,000 |
| Georgia | 3 | 17.39% | 159,000 |
| South Carolina | 4 | 17.88% | 72,000 |
| Utah | 5 | 18.33% | 62,000 |
| Texas | 6 | 18.40% | 483,000 |
| Michigan | 7 | 18.65% | 142,000 |
| Mississippi | 8 | 18.73% | 47,000 |
| Oklahoma | 9 | 18.76% | 63,000 |
| Arkansas | 10 | 18.97% | 47,000 |
| Massachusetts | 11 | 19.18% | 93,000 |
| South Dakota | 12 | 19.21% | 14,000 |
| Vermont | 13 | 19.25% | 8,000 |
| Alabama | 14 | 19.41% | 76,000 |
| Wisconsin | 15 | 19.41% | 89,000 |
| North Carolina | 16 | 19.46% | 160,000 |
| Kentucky | 17 | 19.50% | 69,000 |
| New York | 18 | 19.58% | 272,000 |
| New Jersey | 19 | 19.70% | 141,000 |
| Connecticut | 20 | 19.83% | 54,000 |
| West Virginia | 21 | 19.85% | 25,000 |
| Louisiana | 22 | 19.91% | 74,000 |
| Maine | 23 | 19.93% | 18,000 |
| California | 24 | 20.01% | 616,000 |
| Illinois | 25 | 20.21% | 202,000 |
| Virginia | 26 | 20.22% | 133,000 |
| Kansas | 27 | 20.34% | 50,000 |
| Indiana | 28 | 20.44% | 114,000 |
| Tennessee | 29 | 20.50% | 111,000 |
| Pennsylvania | 30 | 20.50% | 193,000 |
| Delaware | 31 | 20.55% | 15,000 |
| Ohio | 32 | 20.79% | 190,000 |
| Iowa | 33 | 20.88% | 54,000 |
| Nebraska | 34 | 21.12% | 35,000 |
| Florida | 35 | 21.43% | 325,000 |
| Idaho | 36 | 21.50% | 37,000 |
| North Dakota | 37 | 21.56% | 13,000 |
| Missouri | 38 | 21.59% | 105,000 |
| New Hampshire | 39 | 21.63% | 20,000 |
| Wyoming | 40 | 21.70% | 10,000 |
| Alaska | 41 | 21.72% | 13,000 |
| Montana | 42 | 21.89% | 18,000 |
| Minnesota | 43 | 22.07% | 102,000 |
| Rhode Island | 44 | 22.15% | 16,000 |
| Maryland | 45 | 22.17% | 105,000 |
| New Mexico | 46 | 23.23% | 40,000 |
| Colorado | 47 | 23.32% | 103,000 |
| Washington | 48 | 23.39% | 135,000 |
| Nevada | 49 | 23.51% | 58,000 |
| Arizona | 50 | 23.96% | 139,000 |
| Oregon | 51 | 24.96% | 76,000 |
| National | 20.17% | 5,217,000 |
13.16% of youth (over 3.4 million youth) are experiencing serious thoughts of suicide.
The state prevalence of youth with serious thoughts of suicide ranges from 10.68% in the District of Columbia to 15.00% in Oregon.
| State | Rank | Percentage | Number |
|---|---|---|---|
| District of Columbia | 1 | 10.68% | 4,000 |
| Connecticut | 2 | 11.00% | 30,000 |
| Michigan | 3 | 11.85% | 90,000 |
| Texas | 4 | 12.05% | 316,000 |
| Massachusetts | 5 | 12.24% | 59,000 |
| New York | 6 | 12.25% | 170,000 |
| Georgia | 7 | 12.34% | 113,000 |
| Mississippi | 8 | 12.37% | 31,000 |
| South Carolina | 9 | 12.55% | 50,000 |
| New Jersey | 10 | 12.71% | 91,000 |
| North Carolina | 11 | 12.79% | 105,000 |
| Kentucky | 12 | 12.94% | 46,000 |
| New Mexico | 13 | 12.95% | 22,000 |
| Rhode Island | 14 | 12.98% | 10,000 |
| Utah | 15 | 13.04% | 44,000 |
| Delaware | 16 | 13.06% | 10,000 |
| Vermont | 17 | 13.07% | 6,000 |
| Kansas | 18 | 13.09% | 32,000 |
| Louisiana | 19 | 13.20% | 49,000 |
| Illinois | 20 | 13.21% | 132,000 |
| Alabama | 21 | 13.23% | 52,000 |
| Maryland | 22 | 13.32% | 63,000 |
| Maine | 23 | 13.34% | 12,000 |
| Indiana | 24 | 13.34% | 74,000 |
| California | 25 | 13.34% | 411,000 |
| Virginia | 26 | 13.37% | 88,000 |
| Florida | 27 | 13.40% | 203,000 |
| Pennsylvania | 28 | 13.46% | 127,000 |
| New Hampshire | 29 | 13.58% | 13,000 |
| Arizona | 30 | 13.61% | 79,000 |
| North Dakota | 31 | 13.63% | 8,000 |
| Wisconsin | 32 | 13.69% | 63,000 |
| Oklahoma | 33 | 13.71% | 46,000 |
| Nevada | 34 | 13.80% | 34,000 |
| Iowa | 35 | 13.80% | 36,000 |
| West Virginia | 36 | 13.90% | 18,000 |
| Minnesota | 37 | 13.94% | 64,000 |
| Arkansas | 38 | 14.03% | 35,000 |
| Hawaii | 39 | 14.04% | 14,000 |
| Tennessee | 40 | 14.16% | 77,000 |
| Nebraska | 41 | 14.18% | 24,000 |
| Ohio | 42 | 14.25% | 130,000 |
| Colorado | 43 | 14.26% | 63,000 |
| South Dakota | 44 | 14.33% | 11,000 |
| Wyoming | 45 | 14.34% | 7,000 |
| Missouri | 46 | 14.43% | 70,000 |
| Alaska | 47 | 14.52% | 9,000 |
| Montana | 48 | 14.64% | 12,000 |
| Washington | 49 | 14.79% | 85,000 |
| Idaho | 50 | 14.89% | 25,000 |
| Oregon | 51 | 15.00% | 46,000 |
| National | 52 | 13.16% | 3,406,000 |
8.95% of youth in the U.S. reported a substance use disorder in the past year.
3.32% had an alcohol use disorder in the past year, while 7.17% had a drug use disorder.
The state prevalence of youth with substance use disorder ranges from 5.43% in Utah to 16.01% in New Mexico.
According to SAMHSA, “Substance Use Disorder (SUD) estimates are based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition criteria. SUD is defined as meeting the criteria for drug or alcohol use disorder. Beginning with the 2021 National Survey on Drug Use and Health, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs.”
| State | Rank | Percentage | Number |
|---|---|---|---|
| Utah | 1 | 5.43% | 18,000 |
| New Hampshire | 2 | 7.13% | 7,000 |
| New Jersey | 3 | 7.25% | 52,000 |
| North Carolina | 4 | 7.42% | 61,000 |
| South Carolina | 5 | 7.44% | 30,000 |
| Connecticut | 6 | 7.66% | 21,000 |
| Mississippi | 7 | 7.69% | 19,000 |
| Virginia | 8 | 7.69% | 50,000 |
| Texas | 9 | 7.79% | 204,000 |
| Alabama | 10 | 7.82% | 31,000 |
| Michigan | 11 | 8.12% | 62,000 |
| Massachusetts | 12 | 8.14% | 39,000 |
| Florida | 13 | 8.19% | 124,000 |
| California | 14 | 8.21% | 253,000 |
| South Dakota | 15 | 8.23% | 6,000 |
| Maryland | 16 | 8.31% | 39,000 |
| Kentucky | 17 | 8.40% | 30,000 |
| Pennsylvania | 18 | 8.55% | 80,000 |
| Maine | 19 | 8.66% | 8,000 |
| Arkansas | 20 | 8.77% | 22,000 |
| Indiana | 21 | 8.78% | 49,000 |
| Kansas | 22 | 8.81% | 22,000 |
| Nebraska | 23 | 8.86% | 15,000 |
| West Virginia | 24 | 8.96% | 11,000 |
| North Dakota | 25 | 8.97% | 5,000 |
| Delaware | 26 | 9.09% | 7,000 |
| Georgia | 27 | 9.29% | 85,000 |
| Illinois | 28 | 9.33% | 93,000 |
| Ohio | 29 | 9.41% | 86,000 |
| Wyoming | 30 | 9.43% | 5,000 |
| Hawaii | 31 | 9.44% | 9,000 |
| Tennessee | 32 | 9.47% | 51,000 |
| New York | 33 | 9.53% | 132,000 |
| Idaho | 34 | 9.86% | 17,000 |
| Vermont | 35 | 10.10% | 4,000 |
| Wisconsin | 36 | 10.28% | 47,000 |
| Minnesota | 37 | 10.30% | 47,000 |
| District of Columbia | 38 | 10.34% | 4,000 |
| Arizona | 39 | 10.68% | 62,000 |
| Montana | 40 | 10.93% | 9,000 |
| Iowa | 41 | 10.95% | 28,000 |
| Washington | 42 | 10.96% | 63,000 |
| Rhode Island | 43 | 11.03% | 8,000 |
| Missouri | 44 | 11.15% | 54,000 |
| Colorado | 45 | 11.27% | 50,000 |
| Oklahoma | 46 | 11.49% | 38,000 |
| Alaska | 47 | 11.51% | 7,000 |
| Oregon | 48 | 12.52% | 38,000 |
| Louisiana | 49 | 13.40% | 50,000 |
| Nevada | 50 | 14.09% | 35,000 |
| New Mexico | 51 | 16.01% | 27,000 |
| National | 52 | 8.95% | 2,316,000 |
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 |
Nationally, 65.0% of youth with MDE who received mental health treatment or counseling reported that it helped them at least “some.” Only a little over a third (36%) reported it helped them “a lot” or “extremely.”
Quality of care for youth with MDE varied significantly from the highest ranked to lowest ranked states – there was a 52% difference in the percentage of youth reporting treatment or counseling helped them between the District of Columbia (ranked 1) and Iowa (ranked 49).
The state rate of youth with MDE reporting treatment helped them ranges from 84.60% in the District of Columbia to 32.50% in Iowa.
This includes youth with MDE who received treatment or counseling in the past year and answered the question, “During the past 12 months, how much has treatment or counseling helped you?” with “some,” “a lot,” or “extremely.” Data for South Carolina and South Dakota were suppressed due to limited sample sizes. Due to data suppression in these two states, this indicator was not included in the overall rankings.
| State | Rank | Percentage | Number |
|---|---|---|---|
| District of Columbia | 1 | 84.60% | 3,000 |
| Montana | 2 | 84.50% | 8,000 |
| New Hampshire | 3 | 82.60% | 8,000 |
| Arkansas | 4 | 81.40% | 14,000 |
| Mississippi | 5 | 78.80% | 13,000 |
| Maine | 6 | 78.40% | 8,000 |
| Colorado | 7 | 77.60% | 42,000 |
| Wisconsin | 8 | 77.50% | 28,000 |
| New York | 9 | 77.20% | 77,000 |
| Wyoming | 10 | 77.00% | 4,000 |
| Alabama | 11 | 75.60% | 21,000 |
| Vermont | 12 | 75.60% | 2,000 |
| Minnesota | 13 | 75.30% | 30,000 |
| Indiana | 14 | 73.30% | 20,000 |
| Washington | 15 | 72.70% | 48,000 |
| New Mexico | 16 | 71.70% | 9,000 |
| New Jersey | 17 | 70.60% | 35,000 |
| North Carolina | 18 | 70.20% | 52,000 |
| Florida | 19 | 70.10% | 103,000 |
| Tennessee | 20 | 68.10% | 26,000 |
| Idaho | 21 | 67.70% | 9,000 |
| California | 22 | 66.80% | 134,000 |
| Illinois | 23 | 66.80% | 78,000 |
| Georgia | 24 | 66.30% | 38,000 |
| North Dakota | 25 | 64.80% | 3,000 |
| Pennsylvania | 26 | 64.50% | 57,000 |
| Texas | 27 | 64.30% | 79,000 |
| Oklahoma | 28 | 63.80% | 13,000 |
| West Virginia | 29 | 62.70% | 6,000 |
| Maryland | 30 | 61.90% | 34,000 |
| Michigan | 31 | 61.60% | 33,000 |
| Louisiana | 32 | 61.30% | 28,000 |
| Virginia | 33 | 59.20% | 33,000 |
| Utah | 34 | 58.70% | 13,000 |
| Delaware | 35 | 58.50% | 4,000 |
| Kansas | 36 | 58.20% | 8,000 |
| Ohio | 37 | 57.10% | 47,000 |
| Kentucky | 38 | 56.60% | 14,000 |
| Alaska | 39 | 55.10% | 2,000 |
| Oregon | 40 | 54.60% | 22,000 |
| Rhode Island | 41 | 54.10% | 3,000 |
| Massachusetts | 42 | 53.90% | 22,000 |
| Nevada | 43 | 51.70% | 8,000 |
| Nebraska | 44 | 48.10% | 6,000 |
| Arizona | 45 | 44.30% | 21,000 |
| Connecticut | 46 | 42.60% | 9,000 |
| Hawaii | 47 | 38.60% | 1,000 |
| Missouri | 48 | 36.50% | 16,000 |
| Iowa | 49 | 32.50% | 8,000 |
| South Carolina | 50 | * | * |
| South Dakota | 51 | * | * |
| National | 52 | 65.00% | 1,301,000 |
Only 60.5% of youth ages 6-17 across the U.S. meet all three criteria for flourishing.
The state prevalence of youth flourishing ranges from 67.30% in Georgia to 54.30% in Kentucky.
Flourishing is determined as a positive indicator of mental health and wellbeing by the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau. The criteria for flourishing were designed to assess children and adolescents’ learning, resilience, and self-regulation. 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.
| State | Rank | Percentage | Number |
|---|---|---|---|
| Georgia | 1 | 67.30% | 1,140,135 |
| Illinois | 2 | 65.10% | 1,227,071 |
| Hawaii | 3 | 64.80% | 128,879 |
| New Mexico | 4 | 64.00% | 209,545 |
| Kansas | 5 | 63.00% | 300,226 |
| Mississippi | 6 | 63.00% | 297,462 |
| Nebraska | 7 | 63.00% | 200,239 |
| California | 8 | 62.70% | 3,729,267 |
| Connecticut | 9 | 62.70% | 314,841 |
| Massachusetts | 10 | 62.30% | 573,969 |
| Maryland | 11 | 62.10% | 558,711 |
| South Dakota | 12 | 62.10% | 90,027 |
| Minnesota | 13 | 61.80% | 544,795 |
| New Jersey | 14 | 61.80% | 816,222 |
| Iowa | 15 | 61.60% | 300,447 |
| Florida | 16 | 61.20% | 1,759,625 |
| Wisconsin | 17 | 61.20% | 529,575 |
| New York | 18 | 60.80% | 1,612,253 |
| Ohio | 19 | 60.70% | 1,059,324 |
| Michigan | 20 | 60.60% | 873,500 |
| Texas | 21 | 60.60% | 3,058,797 |
| Pennsylvania | 22 | 60.40% | 1,086,892 |
| Wyoming | 23 | 60.30% | 55,957 |
| South Carolina | 24 | 59.90% | 461,746 |
| West Virginia | 25 | 59.70% | 147,572 |
| Nevada | 26 | 59.60% | 278,526 |
| Arizona | 27 | 59.50% | 659,292 |
| New Hampshire | 28 | 59.50% | 105,697 |
| District of Columbia | 29 | 59.40% | 44,019 |
| Rhode Island | 30 | 59.10% | 82,001 |
| Virginia | 31 | 59.00% | 739,666 |
| Delaware | 32 | 58.60% | 81,622 |
| Louisiana | 33 | 58.10% | 416,806 |
| North Dakota | 34 | 58.00% | 68,132 |
| North Carolina | 35 | 57.90% | 911,184 |
| Tennessee | 36 | 57.60% | 590,681 |
| Oklahoma | 37 | 57.30% | 367,068 |
| Utah | 38 | 57.30% | 367,698 |
| Alaska | 39 | 57.20% | 67,381 |
| Indiana | 40 | 57.00% | 604,001 |
| Missouri | 41 | 57.00% | 529,779 |
| Idaho | 42 | 56.90% | 178,277 |
| Alabama | 43 | 56.70% | 420,313 |
| Colorado | 44 | 56.70% | 484,277 |
| Montana | 45 | 56.50% | 90,594 |
| Arkansas | 46 | 56.00% | 267,516 |
| Vermont | 47 | 55.20% | 44,448 |
| Washington | 48 | 54.80% | 611,376 |
| Maine | 49 | 54.40% | 91,980 |
| Oregon | 50 | 54.40% | 319,747 |
| Kentucky | 51 | 54.30% | 364,150 |
| National | 52 | 60.50% | 29,863,306 |
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