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Adult Ranking 2023

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

The seven measures that make up the Adult Ranking include:

  1.  Adults with Any Mental Illness (AMI)
  2.  Adults with Substance Use Disorder in the Past Year
  3.  Adults with Serious Thoughts of Suicide
  4.  Adults with AMI Who Did Not Receive Treatment
  5.  Adults with AMI Reporting Unmet Need
  6.  Adults with AMI Who are Uninsured
  7.  Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs
Rank Sort descending State
01 Kentucky
02 Hawaii
03 New York
04 Pennsylvania
05 Wisconsin
06 Connecticut
07 Tennessee
08 New Jersey
09 Illinois
10 Maryland
11 Michigan
12 Massachusetts
13 Iowa
14 Virginia
15 Vermont
16 Delaware
17 South Carolina
18 North Carolina
19 Rhode Island
20 West Virginia
21 California
22 New Mexico
23 Georgia
24 North Dakota
25 Florida
26 New Hampshire
27 Louisiana
28 Mississippi
29 Montana
30 Washington
31 Maine
32 Arkansas
33 District of Columbia
34 Nebraska
35 Texas
36 Minnesota
37 Alaska
38 Ohio
39 Missouri
40 South Dakota
41 Indiana
42 Nevada
43 Oklahoma
44 Idaho
45 Colorado
46 Utah
47 Alabama
48 Oregon
49 Arizona
50 Wyoming
51 Kansas

Adult Prevalence of Any Mental Illness (AMI) 2023

 
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The state prevalence of adult mental illness ranges from 17.49% in Florida to 29.68% in Utah.

According to SAMHSA, “Any Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder as assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). These estimates are based on indicators of AMI rather than direct measures of diagnostic status."

Rank Sort descending State Percentage Number
01 Florida 17.49 2,985,000
02 Georgia 17.55 1,397,000
03 Maryland 17.80 822,000
04 Hawaii 17.86 189,000
05 Texas 17.96 3,825,000
06 New Jersey 18.27 1,251,000
07 Connecticut 18.77 524,000
08 New York 18.83 2,855,000
09 Pennsylvania 19.68 1,963,000
10 North Carolina 19.80 1,592,000
11 Tennessee 20.46 1,073,000
12 California 20.49 6,169,000
13 Virginia 20.51 1,331,000
14 Delaware 20.52 156,000
15 Illinois 20.72 2,000,000
16 North Dakota 20.79 118,000
17 Iowa 21.00 503,000
18 Mississippi 21.06 465,000
19 New Mexico 21.16 337,000
20 Louisiana 21.18 733,000
21 Alabama 21.24 797,000
22 South Dakota 21.25 139,000
23 Missouri 21.32 996,000
24 Nevada 21.38 508,000
25 Massachusetts 21.39 1,172,000
26 Maine 21.61 234,000
27 South Carolina 21.69 862,000
28 Indiana 21.83 1,109,000
29 Wisconsin 21.83 982,000
30 Kentucky 21.91 742,000
31 Alaska 22.20 117,000
32 Michigan 22.33 1,729,000
33 Arkansas 22.61 514,000
34 District of Columbia 22.95 131,000
35 Colorado 23.16 1,028,000
36 Minnesota 23.23 997,000
37 Nebraska 23.41 335,000
38 Montana 23.43 195,000
39 Wyoming 23.63 103,000
40 Vermont 23.71 120,000
41 New Hampshire 23.74 260,000
42 Arizona 23.89 1,339,000
43 Rhode Island 24.12 202,000
44 Ohio 24.32 2,177,000
45 Idaho 24.92 333,000
46 Washington 25.51 1,500,000
47 Oklahoma 25.59 752,000
48 Kansas 26.02 560,000
49 West Virginia 26.05 366,000
50 Oregon 27.33 909,000
51 Utah 29.68 675,000
52 National 20.78 52,173,000

Adults with Substance Use Disorder 2023

 
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Adults with Substance Use Disorder in the Past Year

17.82% of adults in the U.S. had a substance use disorder in the past year, totaling over 45 million people.

9.41% of adults in America had a drug use disorder in the past year.

11.28% of adults in America had an alcohol use disorder in the past year.

The state prevalence of adults with substance use disorder ranges from 14.15% in Utah to 24.30% in Alaska.

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.” 

Rank Sort descending State Percentage Number
01 Georgia 11.31 906,000
02 Texas 11.93 2,564,000
03 Utah 12.64 291,000
04 Kentucky 12.98 441,000
05 North Carolina 13.48 1,092,000
06 Hawaii 13.77 145,000
07 Tennessee 13.94 734,000
08 South Carolina 14.08 564,000
09 Virginia 14.53 947,000
10 Indiana 14.61 745,000
11 Florida 14.81 2,541,000
12 Arkansas 14.85 339,000
13 New York 14.88 2,250,000
14 West Virginia 14.93 210,000
15 Alabama 14.94 563,000
16 Nevada 14.95 360,000
17 Idaho 15.02 204,000
18 Maryland 15.27 706,000
19 Ohio 15.36 1,377,000
20 New Jersey 15.37 1,052,000
21 Mississippi 15.47 341,000
22 Delaware 15.57 120,000
23 Iowa 15.73 378,000
24 Wisconsin 15.88 717,000
25 Missouri 15.93 746,000
26 Pennsylvania 15.94 1,589,000
27 Oklahoma 16.07 474,000
28 Arizona 16.25 923,000
29 North Dakota 16.37 93,000
30 Louisiana 16.43 569,000
31 Alaska 16.57 87,000
32 New Mexico 16.58 265,000
33 Rhode Island 16.66 140,000
34 Connecticut 16.66 465,000
35 Illinois 16.69 1,607,000
36 California 16.70 5,027,000
37 Michigan 16.72 1,295,000
38 New Hampshire 17.00 186,000
39 Colorado 17.25 771,000
40 Minnesota 17.26 742,000
41 Maine 17.32 188,000
42 Massachusetts 17.41 955,000
43 Wyoming 17.57 77,000
44 Vermont 17.69 89,000
45 Nebraska 18.00 258,000
46 Kansas 18.42 398,000
47 South Dakota 18.55 122,000
48 Washington 18.59 1,100,000
49 Oregon 19.13 639,000
50 Montana 19.22 161,000
51 District of Columbia 21.21 122,000
52 National 15.35 38,679,000

Adults with Serious Thoughts of Suicide 2023

 
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5.04% of adults reported experiencing serious thoughts of suicide. The estimated number of adults with serious suicidal thoughts in the U.S. is over 12.8 million.

After slight decreases in suicide deaths in 2019 and 2020, the number of individuals who died by suicide in 2022 was the highest number ever recorded in the U.S.

The state prevalence of adults with serious thoughts of suicide ranges from 4.16% in Connecticut to 7.12% in Utah.

Rank Sort descending State Percentage Number
01 Georgia 3.92 313,000
02 New Jersey 4.12 283,000
03 Texas 4.18 892,000
04 Florida 4.26 727,000
05 North Carolina 4.30 346,000
06 District of Columbia 4.30 25,000
07 New York 4.34 659,000
08 California 4.39 1,323,000
09 Connecticut 4.40 123,000
10 South Carolina 4.42 176,000
11 Louisiana 4.50 156,000
12 Illinois 4.54 438,000
13 Tennessee 4.58 240,000
14 Virginia 4.58 298,000
15 New Hampshire 4.62 50,000
16 Hawaii 4.62 49,000
17 Mississippi 4.65 103,000
18 Delaware 4.65 35,000
19 Maryland 4.67 216,000
20 Massachusetts 4.74 260,000
21 New Mexico 4.82 77,000
22 Michigan 4.84 375,000
23 Wisconsin 4.85 219,000
24 Pennsylvania 4.86 485,000
25 Kentucky 4.89 166,000
26 Alabama 4.96 186,000
27 Maine 5.12 56,000
28 Rhode Island 5.17 43,000
29 Oklahoma 5.24 154,000
30 Nebraska 5.35 77,000
31 Iowa 5.38 129,000
32 Vermont 5.40 27,000
33 West Virginia 5.42 76,000
34 Missouri 5.47 256,000
35 Nevada 5.52 131,000
36 Arkansas 5.59 127,000
37 Washington 5.62 331,000
38 North Dakota 5.62 32,000
39 Indiana 5.82 296,000
40 Minnesota 5.96 256,000
41 Colorado 6.01 267,000
42 Ohio 6.01 538,000
43 Wyoming 6.02 26,000
44 South Dakota 6.08 40,000
45 Alaska 6.15 32,000
46 Montana 6.24 52,000
47 Idaho 6.27 84,000
48 Kansas 6.44 139,000
49 Arizona 6.48 364,000
50 Oregon 6.80 226,000
51 Utah 7.63 174,000
52 National 4.84 12,151,000

Adults with AMI Who Are Uninsured 2023

 
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10.8% (over 5.5 million) of adults with a mental illness are uninsured.

The state prevalence of uninsured adults with mental illness ranges from 4.1% in Rhode Island to 24.7% in Wyoming.

Rank Sort descending State Percentage Number
01 Rhode Island 4.10% 8,000
02 Massachusetts 4.60% 54,000
03 Kentucky 4.70% 34,000
04 District of Columbia 5.60% 8,000
05 New York 5.60% 158,000
06 Vermont 5.80% 7,000
07 Wisconsin 5.80% 55,000
08 Connecticut 6.00% 27,000
09 Illinois 6.30% 122,000
10 Virginia 6.50% 87,000
11 Michigan 6.70% 117,000
12 Alaska 6.80% 8,000
13 Maryland 6.90% 53,000
14 Pennsylvania 6.90% 134,000
15 Hawaii 7.10% 14,000
16 Washington 7.20% 111,000
17 California 7.50% 456,000
18 Montana 7.90% 15,000
19 Utah 7.90% 57,000
20 Delaware 8.30% 13,000
21 North Dakota 8.30% 9,000
22 Tennessee 9.30% 95,000
23 Iowa 9.40% 44,000
24 Nevada 10.00% 51,000
25 West Virginia 10.00% 40,000
26 Ohio 10.20% 226,000
27 Oregon 10.20% 94,000
28 Colorado 10.40% 107,000
29 New Mexico 10.40% 36,000
30 Louisiana 11.00% 80,000
31 Idaho 12.10% 40,000
32 Arkansas 12.20% 62,000
33 Minnesota 12.20% 124,000
34 Oklahoma 12.30% 105,000
35 New Jersey 12.70% 155,000
36 Mississippi 13.20% 64,000
37 South Carolina 13.20% 122,000
38 New Hampshire 13.40% 38,000
39 Indiana 13.50% 142,000
40 Florida 13.60% 393,000
41 South Dakota 13.90% 17,000
42 Maine 14.10% 34,000
43 Arizona 14.90% 202,000
44 Nebraska 15.50% 51,000
45 North Carolina 15.80% 236,000
46 Missouri 16.70% 155,000
47 Georgia 17.40% 218,000
48 Kansas 17.50% 107,000
49 Alabama 17.90% 138,000
50 Texas 21.40% 798,000
51 Wyoming 24.70% 26,000
52 National 10.80% 5,544,000

Adults with AMI Who Did Not Receive Treatment 2023

 
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Over half (54.7%) of adults with a mental illness receive no treatment. 

Over 28 million individuals experiencing a mental illness are going untreated.

Of adults with a mental illness who did not receive treatment in the past year, 26.7% indicated that they had experienced serious psychological distress in the past month.

The state prevalence of untreated adults with mental illness ranges from 40.6% in Montana to 69.1% in Hawaii.

Rank Sort descending State Percentage Number
01 Montana 40.60% 78,000
02 Nebraska 42.40% 138,000
03 Massachusetts 42.80% 500,000
04 Vermont 43.10% 49,000
05 Arkansas 45.50% 230,000
06 South Dakota 45.80% 55,000
07 New Mexico 46.40% 157,000
08 Tennessee 46.40% 470,000
09 Wisconsin 46.80% 443,000
10 Iowa 47.20% 222,000
11 Virginia 47.40% 630,000
12 Delaware 48.40% 76,000
13 North Dakota 48.40% 52,000
14 New Hampshire 49.20% 141,000
15 Michigan 49.40% 870,000
16 Rhode Island 49.60% 99,000
17 Minnesota 49.80% 505,000
18 Missouri 50.00% 461,000
19 Washington 50.00% 765,000
20 Utah 50.40% 360,000
21 South Carolina 50.50% 467,000
22 West Virginia 50.80% 201,000
23 Illinois 50.90% 980,000
24 North Carolina 51.10% 762,000
25 Indiana 51.20% 530,000
26 Idaho 51.60% 171,000
27 Kentucky 51.80% 378,000
28 Pennsylvania 51.80% 1,006,000
29 Kansas 52.30% 320,000
30 Louisiana 52.90% 385,000
31 Maine 53.50% 127,000
32 Oklahoma 53.50% 457,000
33 Wyoming 54.00% 56,000
34 Oregon 54.10% 494,000
35 Alaska 54.90% 61,000
36 Maryland 55.00% 422,000
37 Colorado 55.50% 570,000
38 District of Columbia 55.50% 75,000
39 Ohio 55.60% 1,232,000
40 Connecticut 55.80% 248,000
41 Mississippi 56.10% 273,000
42 New Jersey 56.20% 677,000
43 Georgia 57.80% 722,000
44 New York 58.00% 1,637,000
45 Florida 58.40% 1,679,000
46 Nevada 61.40% 309,000
47 Texas 62.30% 2,306,000
48 Alabama 62.40% 478,000
49 California 62.60% 3,757,000
50 Arizona 63.50% 854,000
51 Hawaii 69.10% 130,000
52 National 54.70% 28,066,000

Adults with AMI Reporting Unmet Need 2023

 
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Almost a third (28.2%) of all adults with a mental illness reported that they were not able to receive the treatment they needed.

Individuals reporting unmet need are those seeking treatment and facing barriers to getting the help they need.

Cost of care remains a significant barrier for many individuals in the U.S. Most adults with AMI who reported unmet need for treatment indicated that they did not receive care because they could not afford it (42%).

The state prevalence of adults with AMI reporting unmet treatment needs ranges from 18.4% in West Virginia to 38.8% in Indiana.

Rank Sort descending State Percentage Number
01 West Virginia 18.40% 73,000
02 Hawaii 20.20% 38,000
03 Wisconsin 20.90% 198,000
04 South Carolina 21.30% 197,000
05 Washington 21.70% 331,000
06 New Jersey 22.90% 277,000
07 Kentucky 23.00% 168,000
08 Nebraska 23.00% 76,000
09 New York 24.00% 681,000
10 Pennsylvania 24.70% 477,000
11 Mississippi 24.80% 121,000
12 Montana 24.90% 48,000
13 Iowa 25.40% 120,000
14 Illinois 25.90% 501,000
15 Michigan 25.90% 455,000
16 Oklahoma 26.00% 222,000
17 North Carolina 26.30% 393,000
18 Connecticut 26.60% 118,000
19 Vermont 26.60% 30,000
20 Minnesota 26.70% 270,000
21 New Hampshire 26.70% 77,000
22 Wyoming 27.20% 28,000
23 Maine 27.40% 65,000
24 South Dakota 27.40% 33,000
25 Rhode Island 27.70% 56,000
26 California 27.80% 1,672,000
27 North Dakota 28.20% 30,000
28 Ohio 28.30% 628,000
29 Arkansas 28.70% 146,000
30 Florida 29.10% 838,000
31 Georgia 29.10% 363,000
32 Louisiana 29.10% 211,000
33 Missouri 29.60% 274,000
34 Texas 29.60% 1,101,000
35 Alaska 29.80% 33,000
36 Delaware 30.90% 49,000
37 Massachusetts 31.10% 364,000
38 Tennessee 31.40% 323,000
39 Virginia 31.50% 417,000
40 District of Columbia 32.20% 44,000
41 Idaho 32.20% 107,000
42 Maryland 32.50% 249,000
43 Oregon 32.60% 297,000
44 New Mexico 32.90% 112,000
45 Utah 34.10% 244,000
46 Colorado 34.20% 353,000
47 Alabama 35.40% 271,000
48 Kansas 35.80% 219,000
49 Arizona 36.00% 484,000
50 Nevada 37.60% 189,000
51 Indiana 38.80% 406,000
52 National 28.20% 14,476,000

Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs 2023

 
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22.87% of adults who reported experiencing 14 or more mentally unhealthy days each month were not able to see a doctor due to costs.

Mentally unhealthy days are derived from the question, “Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good?” Having 14 or more mentally unhealthy days each month is defined as experiencing frequent mental distress.

The prevalence of adults with 14+ mentally unhealthy days a month who could not see a doctor due to cost ranges from 11.57% in Hawaii to 34.35% in Georgia.

Rank Sort descending State Percentage Number
01 Hawaii 11.57 13,648
02 Pennsylvania 14.75 209,776
03 District of Columbia 14.83 12,140
04 Connecticut 15.35 53,772
05 Kentucky 16.39 97,416
06 Michigan 16.83 205,536
07 California 17 658,424
08 Vermont 17.16 12,194
09 Rhode Island 17.92 19,965
10 Maryland 18.13 102,697
11 New York 18.27 348,382
12 Iowa 18.87 58,543
13 Maine 19.27 26,122
14 Illinois 19.29 186,001
15 Massachusetts 20.24 142,667
16 New Mexico 20.29 42,779
17 Ohio 20.54 277,247
18 Tennessee 20.58 173,910
19 New Hampshire 20.77 31,115
20 Minnesota 20.8 108,531
21 Washington 20.92 171,306
22 Oregon 21.03 96,908
23 Wisconsin 21.32 120,787
24 West Virginia 21.44 52,220
25 New Jersey 21.63 182,587
26 Delaware 21.71 20,550
27 Nevada 21.8 90,995
28 Utah 22.77 78,444
29 Montana 23.08 24,917
30 Alaska 23.1 12,323
31 Colorado 23.13 133,747
32 North Dakota 23.29 15,270
33 Indiana 23.46 182,826
34 Arizona 23.6 179,024
35 Idaho 24.17 41,330
36 Virginia 24.85 200,556
37 Louisiana 25.66 155,523
38 South Dakota 26.23 16,433
39 Nebraska 26.77 46,180
40 North Carolina 27.03 285,522
41 Kansas 27.21 82,583
42 Missouri 27.35 196,596
43 Mississippi 28.18 90,084
44 Alabama 28.7 171,538
45 South Carolina 29.06 172,836
46 Arkansas 29.26 118,943
47 Oklahoma 29.48 135,994
48 Florida 30.07 635,806
49 Texas 31.51 893,651
50 Wyoming 34.22 17,878
51 Georgia 34.35 397,790
52 National 22.87 7,863,573