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Access to Care Ranking 2024

 
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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:

  1.  Adults with SUD Who Needed But Did Not Receive Treatment
  2. Adults with 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 with Private Insurance that Did Not Cover Mental or Emotional Problems
  5.  Youth with MDE Who Did Not Receive Mental Health Services
  6.  Youth with Private Insurance that Did Not Cover Mental or Emotional Problems
  7.  Students (K+) Identified with Emotional Disturbance for an Individualized Education Program
  8.  Mental Health Workforce Availability
Rank Sort descending State
01 Vermont
02 Maine
03 Massachusetts
04 District of Columbia
05 Rhode Island
06 Oregon
07 New York
08 New Hampshire
09 Connecticut
10 Pennsylvania
11 Wisconsin
12 Ohio
13 Iowa
14 Minnesota
15 Washington
16 New Mexico
17 Colorado
18 Indiana
19 Virginia
20 Kentucky
21 New Jersey
22 Michigan
23 Idaho
24 Maryland
25 Illinois
26 Utah
27 Hawaii
28 Delaware
29 Louisiana
30 Montana
31 Alaska
32 Missouri
33 Wyoming
34 California
35 Kansas
36 South Dakota
37 Nebraska
38 North Dakota
39 Oklahoma
40 Florida
41 Arkansas
42 West Virginia
43 Tennessee
44 North Carolina
45 Nevada
46 Alabama
47 Georgia
48 Arizona
49 South Carolina
50 Mississippi
51 Texas

Adults with AMI Who Are Uninsured 2024

 
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Adults with AMI Who Are Uninsured

10.1% of adults (over 5.9 million people) with a mental illness are uninsured, compared to 9.3% of adults without a mental illness.

In 2022, 64% of adults who were uninsured said that they did not have health insurance because they could not afford it.

The state prevalence of uninsured adults with mental illness ranges from 2.60% in the District of Columbia to 22.90% in Texas.

Rank Sort descending State Percentage Number
01 District of Columbia 2.60% 4,000
02 Vermont 3.40% 5,000
03 Oregon 4.40% 43,000
04 Maine 4.50% 12,000
05 Rhode Island 4.50% 11,000
06 Hawaii 4.60% 12,000
07 Wisconsin 4.70% 48,000
08 Maryland 4.90% 55,000
09 New Hampshire 4.90% 13,000
10 New York 5.00% 162,000
11 New Mexico 5.20% 22,000
12 Massachusetts 5.30% 68,000
13 Virginia 5.40% 80,000
14 Kentucky 5.60% 44,000
15 Pennsylvania 5.80% 133,000
16 Iowa 6.40% 45,000
17 New Jersey 6.40% 84,000
18 Idaho 6.50% 27,000
19 Michigan 6.50% 115,000
20 Indiana 6.60% 84,000
21 Delaware 7.10% 11,000
22 Colorado 7.20% 88,000
23 Connecticut 7.50% 42,000
24 Louisiana 7.50% 64,000
25 Ohio 7.50% 164,000
26 Arkansas 7.80% 40,000
27 California 7.80% 522,000
28 Alaska 7.90% 10,000
29 Washington 7.90% 137,000
30 Nevada 8.70% 55,000
31 Utah 8.70% 64,000
32 Minnesota 9.10% 100,000
33 Illinois 9.30% 197,000
34 Nebraska 9.40% 33,000
35 Missouri 9.50% 127,000
36 West Virginia 10.50% 41,000
37 Arizona 10.60% 132,000
38 Montana 11.80% 27,000
39 South Dakota 12.40% 19,000
40 Tennessee 12.80% 182,000
41 North Dakota 12.90% 18,000
42 Kansas 13.50% 70,000
43 South Carolina 13.60% 111,000
44 Alabama 14.40% 132,000
45 Florida 14.90% 516,000
46 North Carolina 15.50% 271,000
47 Oklahoma 16.10% 121,000
48 Georgia 18.70% 351,000
49 Wyoming 19.70% 24,000
50 Mississippi 22.80% 111,000
51 Texas 22.90% 1,068,000
52 National 10.10% 5,916,000

Adults with SUD who needed but did not receive treatment 2024

 
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Adults with SUD Who Needed But Did Not Receive Treatment

Over three-quarters (76.9%) of all adults with a substance use disorder did not receive the treatment they needed.

Most adults with SUD who sought or thought about receiving treatment reported they didn’t because they thought they should have been able to handle their drug or alcohol use on their own (75.4%).

This was followed by: Not ready to start treatment (58.6%), not ready to stop or cut back using alcohol or drugs (48.4%), thought it would cost too much (47.7%), and did not know how or where to get treatment (47.3%).

The state prevalence of adults with SUD with unmet treatment needs ranges from 67.24% in West Virginia to 83.99% in Illinois.

Rank Sort descending State Percentage Number
01 West Virginia 67.24% 224,000
02 Kentucky 69.57% 500,000
03 Wyoming 70.11% 71,000
04 Arkansas 70.51% 324,000
05 Maine 70.55% 165,000
06 Tennessee 71.39% 765,000
07 Indiana 71.49% 688,000
08 Kansas 71.54% 299,000
09 Mississippi 71.62% 299,000
10 Alabama 72.15% 510,000
11 New York 72.59% 2,331,000
12 South Dakota 72.88% 100,000
13 Pennsylvania 72.90% 1,505,000
14 Montana 73.01% 149,000
15 Missouri 73.11% 766,000
16 Iowa 73.30% 356,000
17 Utah 73.67% 300,000
18 Idaho 73.74% 225,000
19 Massachusetts 73.87% 873,000
20 New Mexico 74.15% 278,000
21 Oklahoma 74.44% 479,000
22 Ohio 74.57% 1,542,000
23 New Jersey 74.91% 1,008,000
24 Michigan 74.98% 1,251,000
25 District of Columbia 75.02% 124,000
26 Nebraska 75.19% 213,000
27 South Carolina 75.64% 585,000
28 Vermont 75.70% 92,000
29 Florida 75.97% 2,329,000
30 New Hampshire 76.54% 175,000
31 Louisiana 77.15% 615,000
32 Virginia 77.45% 1,006,000
33 North Dakota 77.62% 94,000
34 Wisconsin 77.65% 723,000
35 Colorado 78.36% 907,000
36 Minnesota 78.40% 757,000
37 Hawaii 78.52% 151,000
38 Texas 78.54% 3,099,000
39 Connecticut 79.14% 478,000
40 Rhode Island 79.32% 190,000
41 Delaware 79.32% 129,000
42 Nevada 79.33% 470,000
43 Washington 79.53% 1,116,000
44 North Carolina 79.56% 1,217,000
45 Arizona 79.59% 894,000
46 Oregon 79.91% 691,000
47 Maryland 80.01% 691,000
48 Georgia 80.36% 1,245,000
49 Alaska 81.51% 109,000
50 California 82.77% 4,963,000
51 Illinois 83.99% 1,624,000
52 National 76.90% 39,692,000

Adults with AMI with Private Insurance That Did Not Cover Mental or Emotional Problems 2024

 
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Adults with AMI with Private Insurance That Did Not Cover Mental or Emotional Problems

10.2% of adults who experienced a mental illness in the past year had private health insurance that did not cover mental or emotional problems.

The state prevalence of adults with AMI whose private insurance did not cover mental or emotional problems ranges from 3.60% in Vermont to 24.70% in Mississippi.

Rank Sort descending State Percentage Number
01 Vermont 3.60% 3,000
02 Washington 3.70% 30,000
03 Rhode Island 3.80% 5,000
04 Ohio 5.80% 65,000
05 Maryland 6.10% 35,000
06 New York 6.10% 100,000
07 District of Columbia 6.60% 6,000
08 Virginia 6.60% 54,000
09 Massachusetts 6.70% 47,000
10 Oregon 6.90% 36,000
11 Iowa 7.00% 25,000
12 Alaska 7.20% 4,000
13 Maine 7.40% 9,000
14 Indiana 8.00% 51,000
15 Wisconsin 8.00% 49,000
16 Colorado 8.10% 57,000
17 Delaware 8.80% 7,000
18 New Hampshire 8.80% 14,000
19 Georgia 8.90% 75,000
20 Illinois 9.30% 98,000
21 Kansas 9.40% 26,000
22 Michigan 9.40% 80,000
23 Kentucky 9.50% 31,000
24 New Jersey 9.50% 78,000
25 South Dakota 9.60% 8,000
26 California 10.30% 316,000
27 Nevada 10.30% 30,000
28 Connecticut 10.80% 35,000
29 New Mexico 11.00% 20,000
30 Hawaii 11.10% 13,000
31 Tennessee 11.10% 69,000
32 Minnesota 11.30% 66,000
33 Missouri 11.30% 73,000
34 Pennsylvania 11.40% 135,000
35 Florida 11.80% 194,000
36 Idaho 11.80% 28,000
37 Louisiana 12.00% 33,000
38 Utah 12.70% 62,000
39 Arkansas 12.90% 27,000
40 Wyoming 13.10% 7,000
41 Oklahoma 13.20% 41,000
42 North Carolina 13.40% 109,000
43 Arizona 13.80% 76,000
44 Alabama 15.80% 66,000
45 North Dakota 15.90% 13,000
46 Texas 16.50% 350,000
47 Montana 16.70% 14,000
48 South Carolina 16.80% 58,000
49 Nebraska 17.60% 39,000
50 West Virginia 20.00% 23,000
51 Mississippi 24.70% 42,000
52 National 10.20% 2,929,000

Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs 2024

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

24.58% of adults who reported experiencing 14 or more mentally unhealthy days each month were not able to see a doctor due to costs. This was a 2% increase over last year’s report.

High costs of mental health care are a critical barrier to access. In 2022, 58.9% of adults with a mental illness in the past year who sought or thought they should receive mental health care said the reason they did not receive it was because they thought it would cost too much.

The prevalence of adults with 14+ mentally unhealthy days a month who could not see a doctor due to cost ranges from 12.88% in Hawaii to 34.95% in Georgia.

Rank Sort descending State Percentage Number
01 Hawaii 12.88% 16,793
02 Rhode Island 13.90% 18,748
03 Vermont 15.04% 12,752
04 Massachusetts 15.84% 127,266
05 Oregon 17.44% 103,696
06 Connecticut 18.34% 75,156
07 Delaware 18.37% 20,855
08 New Mexico 18.49% 48,170
09 Pennsylvania 18.66% 283,014
10 Wisconsin 18.84% 138,097
11 Maine 18.85% 33,832
12 Iowa 19.10% 63,036
13 New Hampshire 19.41% 36,583
14 Michigan 19.45% 253,407
15 Maryland 19.48% 134,072
16 Minnesota 19.55% 125,782
17 New York 20.25% 480,099
18 California 20.26% 855,786
19 New Jersey 20.75% 204,236
20 District of Columbia 20.87% 15,247
21 West Virginia 21.17% 62,187
22 Virginia 21.25% 232,815
23 Washington 21.35% 213,394
24 Indiana 21.90% 190,222
25 Colorado 22.16% 161,822
26 North Dakota 22.27% 18,476
27 Ohio 22.76% 375,207
28 South Dakota 22.90% 19,731
29 Montana 23.00% 32,700
30 Nebraska 23.52% 42,413
31 Illinois 24.54% 327,839
32 Alaska 25.15% 20,818
33 Kentucky 25.28% 141,765
34 Idaho 26.02% 56,813
35 Louisiana 26.14% 181,572
36 Arizona 26.25% 245,891
37 Utah 27.74% 110,845
38 Kansas 27.83% 97,880
39 Florida 27.91% 733,717
40 Tennessee 28.19% 309,054
41 Missouri 29.17% 236,191
42 South Carolina 29.22% 186,625
43 Oklahoma 29.71% 159,026
44 Arkansas 30.37% 142,055
45 North Carolina 30.71% 387,402
46 Mississippi 31.15% 108,393
47 Nevada 32.26% 115,706
48 Wyoming 32.97% 21,562
49 Alabama 33.24% 233,201
50 Texas 34.38% 1,223,117
51 Georgia 34.95% 462,803
52 National 24.58% 9,897,868

Youth with MDE Who Did Not Receive Mental Health Services 2024

 
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Youth with MDE who Did Not Receive Mental Health Services

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.

Rank Sort descending State Percentage Number
01 District of Columbia 31.50% 2,000
02 Maine 34.60% 6,000
03 Louisiana 38.90% 31,000
04 Illinois 39.30% 79,000
05 Idaho 42.60% 14,000
06 Rhode Island 43.20% 8,000
07 Oregon 44.70% 37,000
08 Maryland 46.00% 49,000
09 Massachusetts 46.10% 35,000
10 Montana 46.60% 9,000
11 Wisconsin 47.00% 37,000
12 North Carolina 47.20% 71,000
13 Wyoming 47.20% 4,000
14 Utah 47.90% 24,000
15 Florida 49.70% 155,000
16 Iowa 51.20% 28,000
17 Ohio 52.00% 97,000
18 Colorado 52.90% 64,000
19 Connecticut 53.00% 24,000
20 New Hampshire 53.00% 11,000
21 Vermont 53.00% 3,000
22 Missouri 53.30% 65,000
23 Georgia 53.70% 75,000
24 Pennsylvania 53.70% 104,000
25 Washington 54.00% 79,000
26 Kentucky 54.10% 32,000
27 Virginia 54.50% 75,000
28 Michigan 55.70% 71,000
29 New Jersey 56.40% 71,000
30 Mississippi 56.60% 26,000
31 Oklahoma 56.60% 28,000
32 Delaware 56.80% 9,000
33 West Virginia 57.10% 14,000
34 New York 57.20% 149,000
35 Arkansas 58.30% 24,000
36 Alabama 58.70% 42,000
37 North Dakota 61.30% 9,000
38 California 62.40% 346,000
39 Tennessee 62.40% 69,000
40 Minnesota 63.50% 70,000
41 Nebraska 65.10% 24,000
42 Indiana 66.40% 65,000
43 Alaska 66.70% 9,000
44 Kansas 66.70% 34,000
45 Arizona 67.20% 101,000
46 Texas 67.60% 284,000
47 South Carolina 67.70% 39,000
48 New Mexico 69.60% 31,000
49 Hawaii 69.90% 8,000
50 Nevada 73.70% 47,000
51 South Dakota 82.10% 8,000
52 National 56.10% 2,793,000

Youth with Private Insurance that Did Not Cover Mental or Emotional Problems 2024

 
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Youth with Private Insurance That Did Not Cover Mental or Emotional Problems

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.

Rank Sort descending State Percentage Number
01 Connecticut 2.30% 4,000
02 Maine 2.70% 1,000
03 Kansas 3.90% 5,000
04 South Dakota 4.90% 2,000
05 New Hampshire 5.30% 3,000
06 District of Columbia 5.50% 1,000
07 New York 5.60% 36,000
08 Minnesota 6.00% 18,000
09 Vermont 6.00% 1,000
10 Illinois 6.10% 35,000
11 Wyoming 6.10% 2,000
12 Indiana 6.20% 20,000
13 Iowa 6.30% 9,000
14 New Mexico 6.30% 3,000
15 New Jersey 6.50% 24,000
16 Virginia 6.50% 23,000
17 Colorado 6.70% 16,000
18 California 6.80% 95,000
19 Utah 6.80% 15,000
20 Washington 6.80% 22,000
21 Idaho 6.90% 6,000
22 Alaska 7.20% 1,000
23 Rhode Island 7.20% 2,000
24 Oregon 7.40% 11,000
25 Alabama 7.50% 11,000
26 North Dakota 7.60% 2,000
27 Florida 7.70% 48,000
28 Wisconsin 7.70% 20,000
29 Ohio 8.00% 39,000
30 Pennsylvania 8.20% 40,000
31 Hawaii 8.30% 4,000
32 Nebraska 8.30% 8,000
33 Oklahoma 9.00% 9,000
34 Missouri 9.10% 20,000
35 Montana 9.20% 4,000
36 Massachusetts 9.40% 28,000
37 Louisiana 9.60% 10,000
38 Georgia 10.40% 42,000
39 Michigan 10.40% 40,000
40 Kentucky 10.70% 15,000
41 Texas 10.90% 112,000
42 West Virginia 11.20% 6,000
43 Delaware 12.00% 5,000
44 Maryland 13.60% 36,000
45 Tennessee 14.00% 29,000
46 Arkansas 14.10% 12,000
47 North Carolina 14.20% 55,000
48 Arizona 14.80% 30,000
49 Nevada 14.80% 18,000
50 South Carolina 15.90% 26,000
51 Mississippi 17.00% 12,000
52 National 8.50% 1,039,000

Students (K+) Identified with Emotional Disturbance for An Individualized Education Program 2024

 
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Students (K+) Identified with Emotional Disturbance for an Individualized Education Program

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.

Rank Sort descending State Percentage Number
01 Vermont 28.01 2,122
02 Massachusetts 19.03 16,978
03 Minnesota 19.00 16,074
04 Pennsylvania 15.16 25,547
05 Maine 13.97 2,342
06 Wisconsin 13.09 10,111
07 Indiana 11.15 11,294
08 North Dakota 10.98 1,269
09 New Hampshire 10.79 1,774
10 Connecticut 10.29 5,090
11 Rhode Island 9.95 1,337
12 South Dakota 9.39 1,301
13 Nebraska 9.17 2,840
14 Illinois 8.78 15,585
15 Oregon 8.62 4,762
16 Delaware 8.03 1,117
17 Ohio 7.79 12,742
18 Texas 7.60 39,911
19 Missouri 7.47 6,401
20 Michigan 7.38 10,245
21 Virginia 7.08 8,676
22 New York 6.73 16,536
23 Wyoming 6.49 595
24 District of Columbia 6.46 511
25 Mississippi 6.31 2,726
26 Kentucky 6.17 3,910
27 Arizona 6.09 6,781
28 New Mexico 5.81 1,771
29 Alaska 5.73 731
30 Colorado 5.62 4,710
31 Maryland 5.49 4,717
32 Oklahoma 5.43 3,603
33 Montana 5.27 789
34 Georgia 5.17 8,792
35 Kansas 4.94 2,290
36 New Jersey 4.75 6,226
37 Washington 4.62 4,939
38 Hawaii 4.55 768
39 Idaho 4.08 1,280
40 Florida 4.01 11,263
41 Nevada 3.86 1,823
42 California 3.69 21,573
43 Tennessee 3.31 3,224
44 West Virginia 3.22 761
45 North Carolina 2.93 4,439
46 South Carolina 2.47 1,886
47 Louisiana 2.45 1,700
48 Utah 2.38 1,610
49 Arkansas 2.04 970
50 Alabama 1.55 1,127
51 Iowa * *
52 National 6.67 320,828

Mental Health Workforce Availability 2024

 
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Mental Health Workforce Availability

In the U.S., there are 340 individuals for every one mental health provider. The term “mental health provider” includes psychiatrists, psychologists, licensed clinical social workers, counselors, marriage and family therapists, and advanced practice nurses specializing in mental health care.

As of March 2024, over 122 million people lived in a mental health workforce shortage area, and only 27% of the mental health need in shortage areas was being met by mental health providers. Over the next 15 years, the National Center for Health Workforce Analysis has projected increasing shortages for several behavioral health providers, including psychologists, psychiatrists, and mental health and addiction counselors.

The state rate of mental health workforce ranges from 140:1 in Massachusetts to 800:1 in Alabama.

Rank Sort descending State Number
01 Massachusetts 140:1
02 Alaska 150:1
03 District of Columbia 160:1
04 Oregon 160:1
05 Maine 190:1
06 Vermont 190:1
07 Connecticut 220:1
08 Rhode Island 220:1
09 Washington 220:1
10 Colorado 230:1
11 New Mexico 230:1
12 California 240:1
13 Oklahoma 240:1
14 Utah 270:1
15 Wyoming 270:1
16 Montana 280:1
17 New Hampshire 280:1
18 New York 300:1
19 Louisiana 310:1
20 Maryland 310:1
21 Delaware 320:1
22 Michigan 320:1
23 Minnesota 320:1
24 Nebraska 330:1
25 Ohio 330:1
26 Illinois 340:1
27 North Carolina 340:1
28 Hawaii 350:1
29 Kentucky 370:1
30 New Jersey 370:1
31 Arkansas 390:1
32 Pennsylvania 400:1
33 Idaho 420:1
34 Nevada 420:1
35 Wisconsin 420:1
36 Missouri 430:1
37 Kansas 450:1
38 Virginia 450:1
39 South Dakota 460:1
40 North Dakota 470:1
41 South Carolina 490:1
42 Mississippi 500:1
43 Florida 510:1
44 Indiana 530:1
45 Iowa 530:1
46 Tennessee 560:1
47 Arizona 590:1
48 Georgia 600:1
49 West Virginia 620:1
50 Texas 690:1
51 Alabama 800:1
52 National 340:1