Adult Ranking 2020

States that are ranked 1-13 have lower prevalence of mental illness and higher rates of access to care for adults. States that are ranked 39-51 indicate that adults have higher prevalence of mental illness and lower rates of access to care.
The 7 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 AMI who are Uninsured
- Adults with AMI who Did Not Receive Treatment
- Adults with AMI Reporting Unmet Need
- Adults with Disability Who Could Not See a Doctor Due to Costs
Rank Sort descending | State |
---|---|
01 | New Jersey |
01 | Hawaii |
02 | Wisconsin |
02 | New York |
03 | Massachusetts |
03 | New Jersey |
04 | Minnesota |
04 | Connecticut |
05 | Pennsylvania |
05 | New York |
06 | Michigan |
06 | Minnesota |
07 | Maryland |
07 | Hawaii |
08 | New Mexico |
08 | Pennsylvania |
09 | Massachusetts |
09 | Maryland |
10 | Vermont |
10 | Illinois |
11 | Illinois |
11 | Rhode Island |
12 | Connecticut |
12 | South Dakota |
13 | Delaware |
13 | Kentucky |
14 | Ohio |
14 | Iowa |
15 | Texas |
15 | New Mexico |
16 | Kentucky |
16 | Arkansas |
17 | Montana |
17 | Arizona |
18 | Michigan |
18 | Tennessee |
19 | Vermont |
19 | Iowa |
20 | Virginia |
20 | South Dakota |
21 | North Carolina |
21 | California |
22 | South Carolina |
22 | Nebraska |
23 | West Virginia |
23 | North Dakota |
24 | North Dakota |
24 | Wisconsin |
25 | Florida |
25 | Florida |
26 | Louisiana |
26 | Rhode Island |
27 | Nebraska |
27 | West Virginia |
28 | California |
28 | New Hampshire |
29 | Tennessee |
29 | Virginia |
30 | New Hampshire |
30 | Arkansas |
31 | Georgia |
31 | Maine |
32 | Washington |
32 | South Carolina |
33 | Texas |
33 | Louisiana |
34 | Delaware |
34 | Montana |
35 | Arizona |
35 | North Carolina |
36 | District of Columbia |
36 | Ohio |
37 | Washington |
37 | Maine |
38 | Kansas |
38 | Oklahoma |
39 | Indiana |
39 | Idaho |
40 | Alabama |
40 | Nevada |
41 | Oklahoma |
41 | Mississippi |
42 | Nevada |
42 | Kansas |
43 | Georgia |
43 | Indiana |
44 | Missouri |
44 | Missouri |
45 | Mississippi |
45 | District of Columbia |
46 | Wyoming |
46 | Alaska |
47 | Idaho |
47 | Alabama |
48 | Colorado |
48 | Utah |
49 | Oregon |
49 | Oregon |
50 | Wyoming |
50 | Alaska |
51 | Colorado |
51 | Utah |
Adult Prevalence of Mental Illness - Adults with Any Mental Illness (AMI) 2020

- 18.57% of adults are experiencing a mental health illness, equivalent to 45 million Americans.
- 4.38% are experiencing a severe mental health illness.
- The state prevalence of adult mental illness ranges from 16.19% in New Jersey to 25.03% in Idaho.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | New Jersey | 16.37 | 1,122,000 |
01 | New Jersey | 16.14 | 1,112,000 |
02 | Texas | 17.17 | 3,602,000 |
02 | Texas | 16.21 | 3,347,000 |
03 | Florida | 17.23 | 2,903,000 |
03 | Maryland | 16.96 | 781,000 |
04 | Virginia | 17.38 | 1,115,000 |
04 | Hawaii | 17.45 | 185,000 |
05 | Florida | 17.39 | 2,889,000 |
05 | Maryland | 17.57 | 810,000 |
06 | South Dakota | 17.49 | 112,000 |
06 | Georgia | 17.88 | 1,406,000 |
07 | Hawaii | 17.58 | 187,000 |
07 | South Dakota | 18.26 | 118,000 |
08 | Illinois | 18.06 | 1,754,000 |
08 | Iowa | 18.50 | 441,000 |
09 | Nebraska | 18.08 | 257,000 |
09 | Virginia | 18.58 | 1,199,000 |
10 | Georgia | 18.09 | 1,405,000 |
10 | Connecticut | 18.85 | 526,000 |
11 | Pennsylvania | 18.23 | 1,814,000 |
11 | Illinois | 19.18 | 1,858,000 |
12 | New York | 18.25 | 2,802,000 |
12 | North Carolina | 19.31 | 1,532,000 |
13 | Tennessee | 18.26 | 937,000 |
13 | Tennessee | 19.40 | 1,006,000 |
14 | South Carolina | 18.31 | 706,000 |
14 | South Carolina | 19.43 | 760,000 |
15 | California | 18.54 | 5,566,000 |
15 | California | 19.49 | 5,864,000 |
16 | New York | 19.52 | 2,972,000 |
16 | North Carolina | 18.77 | 1,469,000 |
17 | Pennsylvania | 19.70 | 1,963,000 |
17 | Connecticut | 19.03 | 531,000 |
18 | Arizona | 20.06 | 1,099,000 |
18 | Michigan | 19.07 | 1,469,000 |
19 | Mississippi | 20.16 | 446,000 |
19 | New Mexico | 19.10 | 300,000 |
20 | Wisconsin | 20.19 | 904,000 |
20 | North Dakota | 19.13 | 108,000 |
21 | Nebraska | 20.30 | 290,000 |
21 | Arizona | 19.24 | 1,030,000 |
22 | Michigan | 20.32 | 1,571,000 |
22 | Wisconsin | 19.26 | 859,000 |
23 | Arkansas | 20.34 | 460,000 |
23 | Minnesota | 19.32 | 819,000 |
24 | North Dakota | 20.50 | 116,000 |
24 | Mississippi | 19.49 | 431,000 |
25 | Minnesota | 20.53 | 876,000 |
25 | Kansas | 19.59 | 420,000 |
26 | Kansas | 20.56 | 442,000 |
26 | Iowa | 19.89 | 473,000 |
27 | Montana | 20.81 | 171,000 |
27 | Montana | 20.00 | 163,000 |
28 | Delaware | 20.92 | 157,000 |
28 | Delaware | 20.03 | 149,000 |
29 | Massachusetts | 21.15 | 1,157,000 |
29 | Arkansas | 20.27 | 457,000 |
30 | Louisiana | 21.21 | 734,000 |
30 | Wyoming | 20.34 | 88,000 |
31 | Alabama | 21.29 | 794,000 |
31 | Oklahoma | 20.43 | 592,000 |
32 | New Mexico | 21.39 | 338,000 |
32 | Alaska | 20.50 | 108,000 |
33 | Alaska | 21.47 | 113,000 |
33 | New Hampshire | 20.56 | 221,000 |
34 | Nevada | 21.97 | 512,000 |
34 | Louisiana | 20.63 | 715,000 |
35 | Maine | 22.10 | 238,000 |
35 | Vermont | 20.65 | 104,000 |
36 | Nevada | 20.67 | 474,000 |
36 | Vermont | 22.25 | 112,000 |
37 | Maine | 20.82 | 223,000 |
37 | Indiana | 22.29 | 1,125,000 |
38 | Massachusetts | 21.22 | 1,155,000 |
38 | New Hampshire | 22.37 | 243,000 |
39 | Rhode Island | 21.32 | 178,000 |
39 | Rhode Island | 22.38 | 187,000 |
40 | Alabama | 21.39 | 794,000 |
40 | Idaho | 22.48 | 293,000 |
41 | Ohio | 21.40 | 1,906,000 |
41 | Oklahoma | 22.54 | 657,000 |
42 | Missouri | 21.44 | 993,000 |
42 | Kentucky | 22.54 | 762,000 |
43 | Colorado | 21.50 | 924,000 |
43 | Wyoming | 22.56 | 98,000 |
44 | Kentucky | 22.14 | 746,000 |
44 | Missouri | 22.71 | 1,056,000 |
45 | District of Columbia | 22.21 | 125,000 |
45 | District of Columbia | 22.83 | 129,000 |
46 | Washington | 22.23 | 1,269,000 |
46 | Colorado | 23.20 | 1,014,000 |
47 | Oregon | 22.45 | 731,000 |
47 | Washington | 23.43 | 1,360,000 |
48 | Ohio | 23.64 | 2,112,000 |
48 | Indiana | 22.51 | 1,129,000 |
49 | Oregon | 23.75 | 783,000 |
49 | West Virginia | 23.80 | 337,000 |
50 | West Virginia | 24.62 | 347,000 |
50 | Idaho | 24.46 | 311,000 |
51 | Utah | 26.86 | 599,000 |
51 | Utah | 25.25 | 550,000 |
52 | National | 19.86 | 49,564,000 |
52 | National | 19.00 | 47,132,000 |
Adult with Substance Use Disorder in the Past Year 2020

- 7.68% of adults in America reported having a substance use disorder in the past year;
- 2.72% an illicit drug use disorder in the past year;
- 5.82% an alcohol use disorder in the past year.
- The state prevalence of adults with substance use disorder in the past year ranges from 6.32% in Georgia to 11.55% in the District of Columbia.
Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | Florida | 5.98 | 1,007,000 |
01 | Texas | 6.34 | 1,308,000 |
02 | West Virginia | 6.29 | 89,000 |
02 | Utah | 6.42 | 140,000 |
03 | Texas | 6.48 | 1,360,000 |
03 | Florida | 6.68 | 1,109,000 |
04 | West Virginia | 6.76 | 96,000 |
04 | Utah | 6.56 | 146,000 |
05 | Georgia | 6.77 | 526,000 |
05 | Georgia | 6.60 | 519,000 |
06 | Mississippi | 6.77 | 150,000 |
06 | New Jersey | 6.71 | 459,000 |
07 | Maryland | 6.89 | 317,000 |
07 | South Carolina | 6.73 | 263,000 |
08 | North Carolina | 6.95 | 544,000 |
08 | Maryland | 7.01 | 323,000 |
09 | Tennessee | 6.95 | 357,000 |
09 | Arizona | 7.11 | 390,000 |
10 | New Jersey | 7.01 | 483,000 |
10 | Mississippi | 7.15 | 158,000 |
11 | Hawaii | 7.13 | 76,000 |
11 | Arkansas | 7.16 | 162,000 |
12 | Minnesota | 7.24 | 307,000 |
12 | Tennessee | 7.22 | 375,000 |
13 | Wyoming | 7.25 | 31,000 |
13 | North Carolina | 7.26 | 576,000 |
14 | Kansas | 7.27 | 156,000 |
14 | Kansas | 7.29 | 157,000 |
15 | Pennsylvania | 7.30 | 727,000 |
15 | Pennsylvania | 7.31 | 728,000 |
16 | Virginia | 7.33 | 473,000 |
16 | Virginia | 7.32 | 470,000 |
17 | New York | 7.43 | 1,131,000 |
17 | Arizona | 7.36 | 394,000 |
18 | Michigan | 7.56 | 585,000 |
18 | Indiana | 7.39 | 371,000 |
19 | Minnesota | 7.62 | 325,000 |
19 | Kentucky | 7.46 | 251,000 |
20 | Idaho | 7.67 | 100,000 |
20 | Alabama | 7.46 | 277,000 |
21 | South Dakota | 7.69 | 50,000 |
21 | Michigan | 7.47 | 576,000 |
22 | New Mexico | 7.70 | 122,000 |
22 | New Mexico | 7.53 | 118,000 |
23 | Missouri | 7.71 | 358,000 |
23 | New York | 7.57 | 1,162,000 |
24 | Nebraska | 7.71 | 110,000 |
24 | Missouri | 7.57 | 351,000 |
25 | Wyoming | 7.84 | 34,000 |
25 | South Carolina | 7.60 | 293,000 |
26 | Kentucky | 7.87 | 266,000 |
26 | Ohio | 7.64 | 680,000 |
27 | Alabama | 7.89 | 294,000 |
27 | Idaho | 7.76 | 99,000 |
28 | Ohio | 7.94 | 709,000 |
28 | Nebraska | 8.01 | 114,000 |
29 | Wisconsin | 7.98 | 358,000 |
29 | Arkansas | 8.02 | 181,000 |
30 | Oklahoma | 8.01 | 234,000 |
30 | California | 8.12 | 2,437,000 |
31 | Illinois | 8.02 | 777,000 |
31 | Illinois | 8.16 | 793,000 |
32 | Iowa | 8.05 | 192,000 |
32 | Washington | 8.53 | 487,000 |
33 | Louisiana | 8.06 | 279,000 |
33 | Oklahoma | 8.54 | 248,000 |
34 | Indiana | 8.42 | 425,000 |
34 | Wisconsin | 8.68 | 387,000 |
35 | Connecticut | 8.43 | 235,000 |
35 | Louisiana | 8.69 | 301,000 |
36 | Delaware | 8.76 | 65,000 |
36 | Hawaii | 8.45 | 90,000 |
37 | North Dakota | 8.79 | 50,000 |
37 | Washington | 8.62 | 500,000 |
38 | Rhode Island | 8.80 | 74,000 |
38 | Delaware | 8.79 | 66,000 |
39 | Connecticut | 8.82 | 246,000 |
39 | Massachusetts | 8.83 | 483,000 |
40 | Nevada | 9.00 | 206,000 |
40 | New Hampshire | 8.84 | 96,000 |
41 | New Hampshire | 9.09 | 98,000 |
41 | North Dakota | 8.88 | 50,000 |
42 | Iowa | 9.13 | 217,000 |
42 | Maine | 8.89 | 96,000 |
43 | South Dakota | 9.17 | 59,000 |
43 | Rhode Island | 8.95 | 75,000 |
44 | Maine | 9.27 | 99,000 |
44 | California | 9.23 | 2,778,000 |
45 | Massachusetts | 9.34 | 508,000 |
45 | Nevada | 9.32 | 217,000 |
46 | Montana | 9.41 | 76,000 |
46 | Oregon | 9.78 | 322,000 |
47 | Alaska | 9.76 | 51,000 |
47 | Montana | 10.04 | 83,000 |
48 | Vermont | 10.10 | 51,000 |
48 | Oregon | 9.94 | 323,000 |
49 | Alaska | 10.23 | 54,000 |
49 | Vermont | 10.51 | 53,000 |
50 | Colorado | 11.75 | 514,000 |
50 | Colorado | 11.90 | 511,000 |
51 | District of Columbia | 12.30 | 70,000 |
51 | District of Columbia | 13.01 | 73,000 |
52 | National | 7.74 | 19,314,000 |
52 | National | 7.67 | 19,026,000 |
Adults with Serious Thoughts of Suicide 2020

- The percentage of adults reporting serious thoughts of suicide is 4.19%.
- The estimated number of adults with serious suicidal thoughts is over 10.3 million—an increase of nearly 450,000 people from last year’s data set.
- The state prevalence of adults with serious thoughts of suicide range from New Jersey at 3.41% to Utah at 5.99%.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | New Jersey | 3.41% | 235000 |
02 | Florida | 3.49% | 569000 |
03 | New York | 3.68% | 568000 |
04 | Texas | 3.72% | 754000 |
05 | Illinois | 3.87% | 376000 |
06 | Alabama | 3.89% | 144000 |
07 | Michigan | 3.99% | 306000 |
08 | Maine | 3.99% | 43000 |
09 | Maryland | 4.00% | 184000 |
10 | Mississippi | 4.01% | 88000 |
11 | New Mexico | 4.01% | 63000 |
12 | Arizona | 4.02% | 211000 |
13 | Missouri | 4.04% | 186000 |
14 | California | 4.04% | 1205000 |
15 | Nebraska | 4.05% | 57000 |
16 | Connecticut | 4.05% | 113000 |
17 | Hawaii | 4.08% | 43000 |
18 | Oklahoma | 4.10% | 118000 |
19 | District of Columbia | 4.11% | 23000 |
20 | South Carolina | 4.11% | 156000 |
21 | Delaware | 4.16% | 31000 |
22 | Virginia | 4.20% | 268000 |
23 | Louisiana | 4.25% | 147000 |
24 | Pennsylvania | 4.28% | 426000 |
25 | Georgia | 4.38% | 336000 |
26 | Wyoming | 4.39% | 19000 |
27 | South Dakota | 4.40% | 28000 |
28 | Tennessee | 4.50% | 228000 |
29 | Minnesota | 4.52% | 190000 |
30 | Ohio | 4.56% | 404000 |
31 | North Dakota | 4.57% | 26000 |
32 | North Carolina | 4.57% | 352000 |
33 | Massachusetts | 4.57% | 247000 |
34 | Arkansas | 4.59% | 103000 |
35 | Wisconsin | 4.60% | 204000 |
36 | Nevada | 4.62% | 104000 |
37 | Iowa | 4.69% | 111000 |
38 | Kentucky | 4.71% | 158000 |
39 | West Virginia | 4.75% | 68000 |
40 | Rhode Island | 4.78% | 40000 |
41 | Kansas | 4.87% | 104000 |
42 | New Hampshire | 4.89% | 52000 |
43 | Montana | 4.91% | 39000 |
44 | Indiana | 5.04% | 251000 |
45 | Washington | 5.06% | 283000 |
46 | Oregon | 5.18% | 166000 |
47 | Vermont | 5.31% | 27000 |
48 | Alaska | 5.34% | 28000 |
49 | Colorado | 5.41% | 229000 |
50 | Idaho | 5.60% | 70000 |
51 | Utah | 5.99% | 128000 |
52 | National | 4.19% | 10308000 |
Adults with AMI who are Uninsured 2020

10.3% (over 4.7 million) of adults with a mental illness remain uninsured.
Under the Affordable Care Act (ACA), the U.S. continues to see a decline in Americans who are uninsured. There was a 1.9 percent reduction from last year’s dataset.
Thirty-nine states saw a reduction in Adults with AMI who are uninsured. The largest reductions were seen in Louisiana (5.3%), New York (4.7%), Iowa (4.6%) and Arkansas (4.2%).
Each of the bottom 17 states, with the exception of Louisiana, are states that have not expanded Medicaid. Louisiana, however, has had the largest reductions in the rate of uninsured adults with AMI since the state expanded Medicaid in 2016, from 20 percent of adults with AMI to 14.7%.
The rankings for this indicator used data from the 2016-2017 NSDUH. Some states, such as Arkansas, that had a reduction in uninsured adults with AMI passed Medicaid work requirements in 2018, which may lead to a large change in coverage in future reports.
The state prevalence of uninsured adults with mental illness ranges from 2.4% in Massachusetts to 22.9% in Wyoming.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | District of Columbia | 2.5 | 3000 |
01 | Massachusetts | 3.80% | 45,000 |
02 | Vermont | 3.9 | 4000 |
02 | Kentucky | 4.20% | 33,000 |
03 | Massachusetts | 4.2 | 51000 |
03 | Rhode Island | 4.40% | 9,000 |
04 | Connecticut | 4.6 | 25000 |
04 | District of Columbia | 4.70% | 6,000 |
05 | Kentucky | 4.8 | 37000 |
05 | Hawaii | 4.70% | 9,000 |
06 | New York | 5.1 | 139000 |
06 | Vermont | 5.10% | 6,000 |
07 | Rhode Island | 5.8 | 11000 |
07 | New York | 5.20% | 151,000 |
08 | Pennsylvania | 6 | 108000 |
08 | Connecticut | 5.40% | 28,000 |
09 | Michigan | 6.4 | 93000 |
09 | Maryland | 5.60% | 43,000 |
1 | Massachusetts | 2.7 | 32,000 |
10 | New Mexico | 6.4 | 19000 |
10 | Pennsylvania | 5.90% | 115,000 |
10 | Colorado | 6.4 | 54,000 |
11 | Hawaii | 6.4 | 12000 |
11 | Wisconsin | 6.30% | 56,000 |
11 | Wisconsin | 6.4 | 52,000 |
12 | Rhode Island | 6.8 | 11,000 |
12 | Delaware | 6.8 | 10000 |
12 | Michigan | 6.90% | 108,000 |
13 | West Virginia | 6.8 | 23,000 |
13 | Maryland | 7 | 55000 |
13 | Ohio | 6.90% | 150,000 |
14 | Ohio | 6.9 | 123,000 |
14 | Ohio | 7.1 | 138000 |
14 | Illinois | 7.10% | 130,000 |
15 | Arizona | 7.1 | 63,000 |
15 | Minnesota | 7.3 | 58000 |
15 | Delaware | 7.30% | 12,000 |
16 | New Hampshire | 7.1 | 14,000 |
16 | Wisconsin | 7.4 | 62000 |
16 | California | 7.40% | 434,000 |
17 | Arkansas | 7.2 | 35,000 |
17 | New Hampshire | 7.5 | 17000 |
17 | Minnesota | 8.00% | 69,000 |
18 | Kentucky | 7.2 | 56,000 |
18 | California | 7.8 | 434000 |
18 | New Mexico | 8.10% | 28,000 |
19 | New Jersey | 7.2 | 80,000 |
19 | South Dakota | 8.2 | 9000 |
19 | New Hampshire | 8.80% | 22,000 |
2 | Iowa | 3.3 | 15,000 |
20 | Delaware | 7.3 | 10,000 |
20 | West Virginia | 8.3 | 31000 |
20 | Alaska | 9.70% | 11,000 |
21 | Pennsylvania | 7.5 | 133,000 |
21 | Iowa | 8.4 | 39000 |
21 | North Dakota | 9.80% | 11,000 |
22 | California | 7.7 | 422,000 |
22 | New Jersey | 8.8 | 94000 |
22 | South Dakota | 9.80% | 10,000 |
23 | Hawaii | 8 | 14,000 |
23 | North Dakota | 8.8 | 9000 |
23 | Montana | 10.00% | 17,000 |
24 | Oregon | 8.3 | 65,000 |
24 | Illinois | 8.9 | 151000 |
24 | West Virginia | 10.10% | 37,000 |
25 | New Jersey | 10.60% | 116,000 |
25 | New Mexico | 8.4 | 23,000 |
25 | Colorado | 9 | 84000 |
26 | Colorado | 10.80% | 113,000 |
26 | Washington | 8.8 | 118,000 |
26 | Oregon | 9 | 67000 |
27 | Arkansas | 11.30% | 52,000 |
27 | Illinois | 9.2 | 141,000 |
27 | Arizona | 9.6 | 97000 |
28 | Iowa | 11.30% | 46,000 |
28 | Indiana | 9.5 | 102,000 |
28 | Louisiana | 9.7 | 72000 |
29 | Utah | 11.30% | 70,000 |
29 | Montana | 9.7 | 15,000 |
29 | Nebraska | 10.3 | 25000 |
3 | District of Columbia | 3.8 | 5,000 |
30 | Nevada | 11.50% | 61,000 |
30 | Nebraska | 10.2 | 24,000 |
30 | Montana | 10.3 | 17000 |
31 | Arizona | 11.60% | 127,000 |
31 | Alaska | 10.3 | 11,000 |
31 | Nevada | 10.5 | 51000 |
32 | Washington | 10.6 | 140000 |
32 | Nebraska | 11.60% | 32,000 |
32 | North Dakota | 10.3 | 10,000 |
33 | Arkansas | 10.9 | 51000 |
33 | Washington | 11.60% | 165,000 |
33 | North Carolina | 10.8 | 151,000 |
34 | Indiana | 11.4 | 134000 |
34 | Oregon | 11.80% | 95,000 |
34 | Nevada | 10.9 | 48,000 |
35 | Alaska | 11.6 | 12000 |
35 | Louisiana | 12.40% | 95,000 |
35 | Utah | 11.3 | 59,000 |
36 | Utah | 11.7 | 67000 |
36 | Virginia | 12.40% | 147,000 |
36 | South Dakota | 11.5 | 12,000 |
37 | Kansas | 12.4 | 52000 |
37 | Maine | 12.60% | 31,000 |
37 | Virginia | 12.4 | 147,000 |
38 | South Carolina | 12.5 | 85000 |
38 | Indiana | 13.40% | 153,000 |
38 | South Carolina | 12.7 | 88,000 |
39 | Maine | 12.7 | 29000 |
39 | Idaho | 14.00% | 42,000 |
39 | Missouri | 13 | 124,000 |
4 | New York | 4 | 107,000 |
40 | Virginia | 13.5 | 147000 |
40 | Kansas | 14.00% | 63,000 |
40 | Maine | 14.1 | 28,000 |
41 | Idaho | 13.7 | 46000 |
41 | Georgia | 15.20% | 207,000 |
41 | Oklahoma | 14.1 | 81,000 |
42 | North Carolina | 13.8 | 204000 |
42 | Tennessee | 15.30% | 148,000 |
42 | Kansas | 14.6 | 61,000 |
43 | Oklahoma | 15.9 | 92000 |
43 | North Carolina | 15.40% | 240,000 |
43 | Louisiana | 14.7 | 97,000 |
44 | Idaho | 15.2 | 51,000 |
44 | Missouri | 16.2 | 169000 |
44 | South Carolina | 15.60% | 119,000 |
45 | Florida | 16 | 461,000 |
45 | Florida | 17.4 | 503000 |
45 | Oklahoma | 17.60% | 117,000 |
46 | Tennessee | 16 | 151,000 |
46 | Georgia | 18.5 | 255000 |
46 | Florida | 17.80% | 512,000 |
47 | Alabama | 16.6 | 123,000 |
47 | Alabama | 18.8 | 154000 |
47 | Wyoming | 18.00% | 19,000 |
48 | Mississippi | 18.3 | 77,000 |
48 | Tennessee | 19 | 171000 |
48 | Mississippi | 18.20% | 81,000 |
49 | Georgia | 20.3 | 278,000 |
49 | Texas | 20.1 | 664000 |
49 | Alabama | 19.30% | 154,000 |
5 | Connecticut | 5.1 | 26,000 |
50 | Texas | 21.4 | 694,000 |
50 | Mississippi | 22.2 | 95000 |
50 | Missouri | 19.30% | 209,000 |
51 | Wyoming | 22.9 | 20,000 |
51 | Wyoming | 23 | 21000 |
51 | Texas | 21.50% | 759,000 |
52 | National | 10.8 | 511,400 |
52 | National | 11.1 | 5,514,000 |
6 | Vermont | 6 | 6,000 |
7 | Maryland | 6.1 | 49,000 |
8 | Minnesota | 6.1 | 44,000 |
9 | Michigan | 6.2 | 86,000 |
Adults with AMI who Did Not Receive Treatment 2020

- 57.2% of adults with a mental illness received no treatment.
- Over 26 million individuals experiencing a mental health illness are going untreated.
- The state prevalence of untreated adults with mental illness ranges from 40.7% in Vermont to 64.8% in California.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | Vermont | 42.60% | 49,000 |
01 | Vermont | 42.8 | 45000 |
02 | Iowa | 44.20% | 181,000 |
02 | Arkansas | 47.5 | 221000 |
03 | Massachusetts | 44.70% | 526,000 |
03 | Rhode Island | 49 | 89000 |
04 | Wisconsin | 49.2 | 412000 |
04 | Wisconsin | 44.80% | 400,000 |
05 | Massachusetts | 49.5 | 597000 |
05 | Minnesota | 46.10% | 401,000 |
06 | Delaware | 49.7 | 75000 |
06 | Maine | 47.70% | 117,000 |
07 | Iowa | 49.8 | 231000 |
07 | Nebraska | 48.80% | 134,000 |
08 | Maine | 49.9 | 114000 |
08 | Arkansas | 49.60% | 228,000 |
09 | Ohio | 50.7 | 978000 |
09 | Utah | 49.70% | 307,000 |
10 | Kentucky | 50.9 | 392000 |
10 | North Dakota | 50.10% | 56,000 |
11 | Colorado | 50.9 | 475000 |
11 | Ohio | 50.30% | 1,088,000 |
12 | Kansas | 51.1 | 213000 |
12 | Rhode Island | 51.00% | 99,000 |
13 | Utah | 51.2 | 294000 |
13 | Montana | 51.10% | 89,000 |
14 | South Carolina | 51.4 | 349000 |
14 | Kansas | 51.20% | 229,000 |
15 | Tennessee | 51.7 | 463000 |
15 | North Carolina | 51.60% | 801,000 |
16 | West Virginia | 51.70% | 191,000 |
16 | New Hampshire | 51.9 | 116000 |
17 | Pennsylvania | 51.90% | 1,012,000 |
17 | West Virginia | 52.2 | 193000 |
18 | New Hampshire | 52.30% | 131,000 |
18 | District of Columbia | 52.2 | 68000 |
19 | South Dakota | 52.30% | 56,000 |
19 | Minnesota | 52.6 | 416000 |
20 | Illinois | 52.60% | 958,000 |
20 | Arizona | 52.7 | 535000 |
21 | Missouri | 53.30% | 575,000 |
21 | Pennsylvania | 53 | 953000 |
22 | Idaho | 53.40% | 161,000 |
22 | Nebraska | 53 | 128000 |
23 | Kentucky | 53.50% | 420,000 |
23 | Washington | 53.5 | 704000 |
24 | Tennessee | 53.50% | 514,000 |
24 | Idaho | 53.5 | 177000 |
25 | Colorado | 53.60% | 558,000 |
25 | Michigan | 53.8 | 779000 |
26 | Connecticut | 54.00% | 276,000 |
26 | Connecticut | 53.9 | 287000 |
27 | Delaware | 54.20% | 86,000 |
27 | Montana | 54.2 | 89000 |
28 | New Mexico | 54.20% | 185,000 |
28 | Virginia | 54.5 | 589000 |
29 | Washington | 54.30% | 778,000 |
29 | North Dakota | 54.5 | 56000 |
30 | Oregon | 54.50% | 439,000 |
30 | South Dakota | 54.8 | 57000 |
31 | Virginia | 54.70% | 645,000 |
31 | Missouri | 55.3 | 576000 |
32 | District of Columbia | 55.20% | 74,000 |
32 | Illinois | 55.8 | 946000 |
33 | Michigan | 55.40% | 866,000 |
33 | Indiana | 55.9 | 653000 |
34 | South Carolina | 56.10% | 427,000 |
34 | North Carolina | 56.5 | 833000 |
35 | Oklahoma | 56.60% | 376,000 |
35 | New Mexico | 56.6 | 167000 |
36 | Alabama | 56.7 | 463000 |
36 | Indiana | 56.70% | 643,000 |
37 | Mississippi | 57.7 | 247000 |
37 | Arizona | 57.00% | 619,000 |
38 | Oklahoma | 58.9 | 340000 |
38 | New Jersey | 57.10% | 627,000 |
39 | Maryland | 59.1 | 459000 |
39 | Alabama | 57.30% | 454,000 |
40 | Oregon | 59.3 | 442000 |
40 | Maryland | 58.00% | 452,000 |
41 | Texas | 59.6 | 1960000 |
41 | Nevada | 58.00% | 305,000 |
42 | New Jersey | 60 | 644000 |
42 | New York | 58.30% | 1,690,000 |
43 | New York | 60.3 | 1655000 |
43 | Alaska | 58.70% | 66,000 |
44 | Nevada | 60.3 | 282000 |
44 | Mississippi | 59.30% | 265,000 |
45 | Louisiana | 62 | 459000 |
45 | Louisiana | 59.60% | 453,000 |
46 | Florida | 63 | 1816000 |
46 | Texas | 60.70% | 2,148,000 |
47 | Wyoming | 64.8 | 60000 |
47 | Wyoming | 61.70% | 64,000 |
48 | California | 61.80% | 3,617,000 |
48 | Georgia | 64.9 | 888000 |
49 | Florida | 63.50% | 1,823,000 |
49 | California | 65 | 3620000 |
50 | Georgia | 63.50% | 860,000 |
50 | Alaska | 65.5 | 70000 |
51 | Hawaii | 67.10% | 127,000 |
51 | Hawaii | 65.8 | 124000 |
52 | National | 55.90% | 27,646,000 |
52 | National | 57 | 267,970 |
Adults with AMI Reporting Unmet Need 2020

Almost a quarter (22.3%) of all adults with a mental illness reported that they were not able to receive the treatment they needed. This number has not declined since 2011.
Individuals seeking treatment but still not receiving needed services face the same barriers that contribute to the number of individuals not receiving treatment:
- No insurance or limited coverage of services
- Shortfall in psychiatrists, and an overall undersized mental health workforce.
- Lack of available treatment types (inpatient treatment, individual therapy, intensive community services).
- Disconnect between primary care systems and behavioral health systems.
- Insufficient finances to cover costs – including, copays, uncovered treatment types, or when providers do not take insurance.
The state prevalence of adults with AMI reporting unmet treatment needs ranges from 14.3% in Alabama to 31.2% in Utah.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | Alabama | 14.3 | 106,000 |
02 | Hawaii | 14.7 | 25,000 |
03 | Iowa | 18.2 | 82,000 |
04 | Texas | 19.2 | 620,000 |
05 | Wyoming | 19.2 | 17,000 |
06 | Minnesota | 19.4 | 141,000 |
07 | Maine | 19.7 | 39,000 |
08 | New York | 20.1 | 536,000 |
09 | Louisiana | 20.2 | 133,000 |
10 | Ohio | 20.4 | 363,000 |
11 | West Virginia | 20.4 | 70,000 |
12 | Vermont | 20.7 | 21,000 |
13 | North Dakota | 21.2 | 21,000 |
14 | Arizona | 21.3 | 189,000 |
15 | Idaho | 21.7 | 72,000 |
16 | South Dakota | 21.7 | 24,000 |
17 | Delaware | 21.8 | 29,000 |
18 | Illinois | 21.8 | 331,000 |
19 | North Carolina | 21.8 | 302,000 |
20 | California | 21.9 | 1,196,000 |
21 | Mississippi | 21.9 | 92,000 |
22 | Alaska | 22 | 23,000 |
23 | Florida | 22 | 632,000 |
24 | Michigan | 22 | 307,000 |
25 | Tennessee | 22 | 208,000 |
26 | Wisconsin | 22 | 178,000 |
27 | Colorado | 22.2 | 186,000 |
28 | Massachusetts | 22.3 | 262,000 |
29 | Oklahoma | 22.4 | 129,000 |
30 | Georgia | 22.5 | 309,000 |
31 | Maryland | 22.6 | 180,000 |
32 | Nebraska | 22.6 | 54,000 |
33 | Connecticut | 22.9 | 113,000 |
34 | Kentucky | 22.9 | 178,000 |
35 | New Jersey | 22.9 | 254,000 |
36 | Montana | 23.3 | 36,000 |
37 | New Mexico | 23.8 | 65,000 |
38 | Rhode Island | 24.3 | 39,000 |
39 | District of Columbia | 24.5 | 30,000 |
40 | Washington | 24.5 | 327,000 |
41 | Pennsylvania | 24.7 | 435,000 |
42 | South Carolina | 24.8 | 173,000 |
43 | Arkansas | 25 | 119,000 |
44 | Missouri | 25 | 238,000 |
45 | Indiana | 25.2 | 272,000 |
46 | Kansas | 25.9 | 109,000 |
47 | Virginia | 28.3 | 337,000 |
48 | Oregon | 28.5 | 224,000 |
49 | Nevada | 28.6 | 121,000 |
50 | New Hampshire | 28.8 | 57,000 |
51 | Utah | 31.2 | 163,000 |
Adults with Disability Who Could Not See a Doctor Due to Costs 2020

29.4% of adults with a cognitive disability were not able to see a doctor due to costs.
According to the Centers for Disease Control (CDC), 11.4% of people in the United States had a cognitive disability, even when adjusted for age. 1 The percentage of people with cognitive disability ranged from 7.8 percent in some states to 19.1 percent.
A 2017 study found that compared to working-age adults without disabilities, those with disabilities are more likely to live below the federal poverty level and to use public insurance. Their average health costs were also 3-7 times higher than those without disabilities, and they were more likely to face access problems to care, including cost.
The prevalence of adults with disability who couldn’t see a MD due to cost ranges from 16.87% in Iowa to 41.03% in Texas.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | Iowa | 16.87 | 37,908 |
02 | Vermont | 18.63 | 9,188 |
03 | Massachusetts | 20.44 | 110,799 |
04 | Alaska | 20.69 | 9,859 |
05 | Rhode Island | 20.7 | 20,592 |
06 | Hawaii | 20.86 | 19,358 |
07 | Ohio | 22.23 | 239,773 |
08 | New York | 22.35 | 315,572 |
09 | California | 22.47 | 647,176 |
10 | Pennsylvania | 22.97 | 254,064 |
11 | Connecticut | 23.06 | 51,647 |
12 | New Hampshire | 23.99 | 23,315 |
13 | Minnesota | 24.81 | 98,572 |
14 | Montana | 25.1 | 22,931 |
15 | Delaware | 25.4 | 24,687 |
16 | Maryland | 25.74 | 100,730 |
17 | District of Columbia | 25.88 | 14,059 |
18 | Nebraska | 26.66 | 33,510 |
19 | Kentucky | 26.77 | 145,055 |
20 | Wisconsin | 26.98 | 112,237 |
21 | Washington | 27.19 | 158,208 |
22 | Michigan | 27.29 | 280,450 |
23 | West Virginia | 27.54 | 74,517 |
24 | North Dakota | 27.67 | 12,131 |
25 | Colorado | 27.72 | 102,075 |
26 | Oregon | 28.37 | 103,596 |
27 | Idaho | 28.49 | 33,213 |
28 | Indiana | 28.78 | 167,315 |
29 | Illinois | 29.06 | 237,367 |
30 | Maine | 29.34 | 32,555 |
31 | Arizona | 29.84 | 170,006 |
32 | Kansas | 29.99 | 65,857 |
33 | South Dakota | 30.13 | 18,219 |
34 | Nevada | 30.76 | 77,939 |
35 | South Carolina | 30.79 | 147,202 |
36 | Utah | 31.19 | 70,771 |
37 | Arkansas | 31.42 | 107,117 |
38 | New Mexico | 31.51 | 61,938 |
39 | Missouri | 32.21 | 195,362 |
40 | Tennessee | 33.23 | 239,969 |
41 | Alabama | 33.24 | 191,499 |
42 | North Carolina | 33.36 | 290,888 |
43 | Florida | 33.37 | 684,912 |
44 | Mississippi | 33.97 | 113,045 |
45 | Wyoming | 34.35 | 15,974 |
46 | Oklahoma | 34.43 | 150,379 |
47 | Virginia | 34.48 | 213,282 |
48 | New Jersey | 35.07 | 245,583 |
49 | Georgia | 36.06 | 322,610 |
50 | Louisiana | 38.23 | 201,908 |
51 | Texas | 41.03 | 983,751 |