Adult Ranking 2023
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:
- 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 Did Not Receive Treatment
- Adults with AMI Reporting Unmet Need
- Adults with AMI Who are Uninsured
- 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
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
15.35% of adults in America reported having a substance use disorder in the past year.
6.82% of adults in America had an illicit drug use disorder in the past year.
10.96% of adults in America had an alcohol use disorder in the past year.
Of those reporting having a substance use disorder in the past year, 93.5% did not receive any form of treatment.
The state prevalence of adults with substance use disorder ranges from 11.31% in Georgia to 21.21% in the District of Columbia.
According to SAMHSA, “Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD estimates are based on only 2020 data because prior years’ SUD data were based on DSM-IV criteria."
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
The percentage of adults reporting serious thoughts of suicide is 4.84%. The estimated number of adults with serious suicidal thoughts is over 12.1 million.
11% of adults who identified as two or more races reported serious thoughts of suicide in 2020 – 6% higher than the average among all adults.
The state prevalence of adults with serious thoughts of suicide ranges from 3.92% in Georgia to 7.63% 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 |
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
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
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
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 |