2020 Access to Care Data

Access to Care Ranking 2020



 
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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 workforce availability. A high Access Ranking indicates that a state provides relatively more access to insurance and mental health treatment.

The 9 measures that make up the Access Ranking include:

  1.  Adults with AMI who Did Not Receive Treatment
  2.  Adults with AMI Reporting Unmet Need
  3. Adults with AMI who are Uninsured
  4.  Adults with Disability who Could Not See a Doctor Due to Costs
  5.  Youth with MDE who Did Not Receive Mental Health Services
  6.  Youth with Severe MDE who Received Some Consistent Treatment
  7.  Children with Private Insurance that Did Not Cover Mental or Emotional Problems
  8.  Students Identified with Emotional Disturbance for an Individualized Education Program
  9.  Mental Health Workforce Availability

 

Statistical Data

Rank State
01 Vermont
02 Massachusetts
03 Rhode Island
04 Iowa
05 Maine
06 Wisconsin
07 Minnesota
08 Connecticut
09 District of Columbia
10 New Hampshire
11 Ohio
12 Maryland
13 Pennsylvania
14 Delaware
15 Michigan
16 New York
17 Colorado
18 North Dakota
19 Hawaii
20 Illinois
21 New Mexico
22 Indiana
23 Alaska
24 Oregon
25 Washington
26 Missouri
27 California
28 Montana
29 West Virginia
30 South Dakota
31 Kentucky
32 Idaho
33 New Jersey
34 Nebraska
35 Arkansas
36 Arizona
37 Virginia
38 Utah
39 Oklahoma
40 Florida
41 Louisiana
42 Tennessee
43 Kansas
44 North Carolina
45 Wyoming
46 Alabama
47 South Carolina
48 Mississippi
49 Nevada
50 Georgia
51 Texas

Adults with AMI who are Uninsured 2020

 
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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.

 

Statistical Data

Rank State Percentage Number Year
01 Massachusetts 2.7 32,000
01 District of Columbia 2.5 3000 2021
02 Iowa 3.3 15,000
02 Vermont 3.9 4000 2021
03 District of Columbia 3.8 5,000
03 Massachusetts 4.2 51000 2021
04 New York 4 107,000
04 Connecticut 4.6 25000 2021
05 Connecticut 5.1 26,000
05 Kentucky 4.8 37000 2021
06 Vermont 6 6,000
06 New York 5.1 139000 2021
07 Maryland 6.1 49,000
07 Rhode Island 5.8 11000 2021
08 Minnesota 6.1 44,000
08 Pennsylvania 6 108000 2021
09 Michigan 6.2 86,000
09 Michigan 6.4 93000 2021
10 Colorado 6.4 54,000
10 New Mexico 6.4 19000 2021
11 Wisconsin 6.4 52,000
11 Hawaii 6.4 12000 2021
12 Rhode Island 6.8 11,000
12 Delaware 6.8 10000 2021
13 Maryland 7 55000 2021
13 West Virginia 6.8 23,000
14 Ohio 7.1 138000 2021
14 Ohio 6.9 123,000
15 Minnesota 7.3 58000 2021
15 Arizona 7.1 63,000
16 Wisconsin 7.4 62000 2021
16 New Hampshire 7.1 14,000
17 New Hampshire 7.5 17000 2021
17 Arkansas 7.2 35,000
18 California 7.8 434000 2021
18 Kentucky 7.2 56,000
19 South Dakota 8.2 9000 2021
19 New Jersey 7.2 80,000
20 West Virginia 8.3 31000 2021
20 Delaware 7.3 10,000
21 Iowa 8.4 39000 2021
21 Pennsylvania 7.5 133,000
22 New Jersey 8.8 94000 2021
22 California 7.7 422,000
23 North Dakota 8.8 9000 2021
23 Hawaii 8 14,000
24 Illinois 8.9 151000 2021
24 Oregon 8.3 65,000
25 Colorado 9 84000 2021
25 New Mexico 8.4 23,000
26 Oregon 9 67000 2021
26 Washington 8.8 118,000
27 Arizona 9.6 97000 2021
27 Illinois 9.2 141,000
28 Louisiana 9.7 72000 2021
28 Indiana 9.5 102,000
29 Nebraska 10.3 25000 2021
29 Montana 9.7 15,000
30 Montana 10.3 17000 2021
30 Nebraska 10.2 24,000
31 Nevada 10.5 51000 2021
31 Alaska 10.3 11,000
32 North Dakota 10.3 10,000
32 Washington 10.6 140000 2021
33 North Carolina 10.8 151,000
33 Arkansas 10.9 51000 2021
34 Nevada 10.9 48,000
34 Indiana 11.4 134000 2021
35 Utah 11.3 59,000
35 Alaska 11.6 12000 2021
36 South Dakota 11.5 12,000
36 Utah 11.7 67000 2021
37 Virginia 12.4 147,000
37 Kansas 12.4 52000 2021
38 South Carolina 12.7 88,000
38 South Carolina 12.5 85000 2021
39 Missouri 13 124,000
39 Maine 12.7 29000 2021
40 Maine 14.1 28,000
40 Virginia 13.5 147000 2021
41 Oklahoma 14.1 81,000
41 Idaho 13.7 46000 2021
42 Kansas 14.6 61,000
42 North Carolina 13.8 204000 2021
43 Louisiana 14.7 97,000
43 Oklahoma 15.9 92000 2021
44 Idaho 15.2 51,000
44 Missouri 16.2 169000 2021
45 Florida 17.4 503000 2021
45 Florida 16 461,000
46 Georgia 18.5 255000 2021
46 Tennessee 16 151,000
47 Alabama 18.8 154000 2021
47 Alabama 16.6 123,000
48 Tennessee 19 171000 2021
48 Mississippi 18.3 77,000
49 Texas 20.1 664000 2021
49 Georgia 20.3 278,000
50 Mississippi 22.2 95000 2021
50 Texas 21.4 694,000
51 Wyoming 23 21000 2021
51 Wyoming 22.9 20,000

Adults with AMI who Did Not Receive Treatment 2020

 
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  • 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.

 

Statistical Data

Rank State Percentage Number Year
01 Vermont 40.7 42,000
01 Vermont 42.8 45000 2021
02 New Hampshire 44.6 89,000
02 Arkansas 47.5 221000 2021
03 Rhode Island 45.7 73,000
03 Rhode Island 49 89000 2021
04 Iowa 47.3 214,000
04 Wisconsin 49.2 412000 2021
05 Delaware 47.5 64,000
05 Massachusetts 49.5 597000 2021
06 Colorado 48.7 407,000
06 Delaware 49.7 75000 2021
07 Minnesota 49.5 360,000
07 Iowa 49.8 231000 2021
08 Maine 49.6 99,000
08 Maine 49.9 114000 2021
09 Missouri 50.9 485,000
09 Ohio 50.7 978000 2021
10 Michigan 51.1 713,000
10 Kentucky 50.9 392000 2021
11 Tennessee 51.4 485,000
11 Colorado 50.9 475000 2021
12 Utah 51.4 269,000
12 Kansas 51.1 213000 2021
13 Utah 51.2 294000 2021
13 West Virginia 51.4 177,000
14 South Carolina 51.4 349000 2021
14 Massachusetts 52 603,000
15 Tennessee 51.7 463000 2021
15 Arkansas 52.5 251,000
16 New Hampshire 51.9 116000 2021
16 Nebraska 52.7 126,000
17 West Virginia 52.2 193000 2021
17 Wisconsin 52.9 427,000
18 District of Columbia 52.2 68000 2021
18 Washington 53.1 707,000
19 Minnesota 52.6 416000 2021
19 Indiana 53.8 577,000
20 Arizona 52.7 535000 2021
20 Ohio 54 958,000
21 Pennsylvania 53 953000 2021
21 Pennsylvania 54.3 960,000
22 Nebraska 53 128000 2021
22 New Mexico 54.4 148,000
23 Washington 53.5 704000 2021
23 North Carolina 54.6 754,000
24 Idaho 53.5 177000 2021
24 Mississippi 54.8 230,000
25 Michigan 53.8 779000 2021
25 Virginia 54.8 651,000
26 Connecticut 53.9 287000 2021
26 Kentucky 55 425,000
27 Montana 54.2 89000 2021
27 District of Columbia 55.4 68,000
28 Virginia 54.5 589000 2021
28 North Dakota 55.6 54,000
29 North Dakota 54.5 56000 2021
29 South Dakota 55.6 61,000
30 South Dakota 54.8 57000 2021
30 Connecticut 55.7 277,000
31 Missouri 55.3 576000 2021
31 Illinois 55.7 847,000
32 Maryland 55.9 446,000
32 Illinois 55.8 946000 2021
33 Kansas 56.8 238,000
33 Indiana 55.9 653000 2021
34 Idaho 57.1 188,000
34 North Carolina 56.5 833000 2021
35 South Carolina 57.4 397,000
35 New Mexico 56.6 167000 2021
36 Montana 58.3 92,000
36 Alabama 56.7 463000 2021
37 Florida 59.3 1,705,000
37 Mississippi 57.7 247000 2021
38 New York 59.7 1,590,000
38 Oklahoma 58.9 340000 2021
39 Oklahoma 59.7 344,000
39 Maryland 59.1 459000 2021
40 New Jersey 59.9 663,000
40 Oregon 59.3 442000 2021
41 Oregon 60.2 475,000
41 Texas 59.6 1960000 2021
42 Georgia 60.9 829,000
42 New Jersey 60 644000 2021
43 Arizona 61.3 543,000
43 New York 60.3 1655000 2021
44 Texas 61.7 1,991,000
44 Nevada 60.3 282000 2021
45 Louisiana 62 459000 2021
45 Louisiana 62.2 409,000
46 Florida 63 1816000 2021
46 Alaska 62.4 66,000
47 Wyoming 64.8 60000 2021
47 Nevada 63.9 270,000
48 Georgia 64.9 888000 2021
48 Alabama 64.3 474,000
49 California 65 3620000 2021
49 Wyoming 64.3 57,000
50 Alaska 65.5 70000 2021
50 Hawaii 64.6 111,000
51 Hawaii 65.8 124000 2021
51 California 64.8 3,533,000

Adults with AMI Reporting Unmet Need 2020

 
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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:

  1. No insurance or limited coverage of services
  2. Shortfall in psychiatrists, and an overall undersized mental health workforce.
  3. Lack of available treatment types (inpatient treatment, individual therapy, intensive community services).
  4. Disconnect between primary care systems and behavioral health systems.
  5. 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.

 

Statistical Data

Rank State Percentage Number Year
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

 

 
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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.

 

Statistical Data

Rank State Percentage Number Year
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

Youth with MDE who Did Not Receive Mental Health Services 2020



 
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  • 59% of youth with major depression do not receive any mental health treatment.
  • Youth experiencing MDE continue to go untreated. Even among the states with greatest access for youth, almost 50% of youth are still not receiving the mental health services they need.
  • The state prevalence of untreated youth with depression ranges from 39.5% in Rhode Island to 74.3% in North Carolina.

 

Statistical Data

Rank State Percentage Number Year
01 Rhode Island 39.5 4,000
02 Connecticut 43.9 16,000
03 Wisconsin 44.3 27,000
04 Maine 45.3 7,000
05 North Dakota 46.7 2,000
06 Minnesota 47.5 27,000
07 Ohio 48.6 63,000
08 District of Columbia 48.7 1,000
09 Virginia 51.3 44,000
10 Maryland 52.5 33,000
11 Louisiana 52.7 18,000
12 Utah 53.8 24,000
13 Pennsylvania 53.9 59,000
14 West Virginia 54.2 10,000
15 Massachusetts 54.5 38,000
16 New Hampshire 54.7 7,000
17 Indiana 54.8 40,000
18 New York 55.1 83,000
19 Vermont 55.3 3,000
20 Colorado 55.6 30,000
21 Oregon 55.6 27,000
22 Idaho 55.7 13,000
23 South Dakota 55.7 4,000
24 Illinois 56.1 80,000
25 Tennessee 57 37,000
26 Florida 57.2 106,000
27 Delaware 57.3 4,000
28 New Jersey 57.8 40,000
29 Hawaii 57.9 6,000
30 Missouri 59 45,000
31 Washington 59.1 40,000
32 Iowa 59.8 20,000
33 Michigan 59.8 64,000
34 Arizona 60.2 38,000
35 Arkansas 61.3 19,000
36 Nevada 61.4 22,000
37 New Mexico 61.4 16,000
38 Kentucky 62 19,000
39 Wyoming 62.5 4,000
40 Montana 63.2 6,000
41 Mississippi 63.7 16,000
42 California 63.9 245,000
43 Texas 65.4 180,000
44 Alaska 65.6 5,000
45 Oklahoma 65.8 28,000
46 Alabama 67.5 26,000
47 Kansas 70.8 22,000
48 Georgia 70.9 67,000
49 Nebraska 71.3 14,000
50 South Carolina 73.7 33,000
51 North Carolina 74.3 68,000

Youth with Severe MDE who Received Some Consistent Treatment 2020



 
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  • Nationally, only 28.2% of youth with severe depression receive some consistent treatment (7-25+ visits in a year).
  • Late recognition in primary care settings and limited coverage of mental health services often prevent youth from receiving timely and effective treatment.
  • The state prevalence of youth with severe depression who received some outpatient treatment ranges from 53.9% in Maryland to 13.5% in South Carolina.

 

Statistical Data

Rank State Percentage Number Year
01 Maryland 53.90% 23,000
01 Maine 50 5000 2021
02 Rhode Island 48.30% 3,000
02 Maryland 49.2 21000 2021
03 Wisconsin 47.60% 22,000
03 Vermont 45.4 2000 2021
04 Massachusetts 46.00% 22,000
04 Delaware 41.5 2000 2021
05 Maine 41.30% 4,000
05 Rhode Island 41.2 3000 2021
06 New Hampshire 39.70% 3,000
06 Wisconsin 40.4 23000 2021
07 District of Columbia 38.10% 1,000
07 Oregon 37.9 14000 2021
08 Ohio 37.10% 32,000
08 Massachusetts 37.7 15000 2021
09 Missouri 36.70% 19,000
09 District of Columbia 37.3 1000 2021
10 Iowa 36.60% 6,000
10 Pennsylvania 37.1 23000 2021
11 Idaho 36.00% 6,000
11 Wyoming 36.3 2000 2021
12 Ohio 36 28000 2021
12 North Dakota 35.90% 1,000
13 Nebraska 35.9 5000 2021
13 Arkansas 35.40% 7,000
14 Idaho 35.8 6000 2021
14 Connecticut 35.40% 9,000
15 New Hampshire 34.9 3000 2021
15 Louisiana 34.20% 9,000
16 Kentucky 34.2 10000 2021
16 Arizona 33.20% 14,000
17 Minnesota 33.7 13000 2021
17 New Mexico 32.60% 5,000
18 North Dakota 33 1000 2021
18 Pennsylvania 32.30% 23,000
19 New Jersey 32.5 16000 2021
19 Alaska 31.40% 2,000
20 Louisiana 32 9000 2021
20 New Jersey 30.40% 13,000
21 Kansas 31.1 7000 2021
21 Michigan 29.20% 19,000
22 Arkansas 30 7000 2021
22 Oregon 29.20% 10,000
23 Alaska 29.9 2000 2021
23 Hawaii 29.00% 2,000
24 Michigan 29.8 24000 2021
24 South Dakota 28.80% 1,000
25 Montana 29.3 2000 2021
25 Virginia 28.30% 15,000
26 South Dakota 29.2 1000 2021
26 Indiana 27.80% 14,000
27 Iowa 28.8 7000 2021
27 California 27.50% 68,000
28 South Carolina 28.3 9000 2021
28 West Virginia 27.50% 4,000
29 Hawaii 28.3 2000 2021
29 Illinois 27.40% 26,000
30 West Virginia 27.8 4000 2021
30 Kentucky 27.20% 5,000
31 Tennessee 27.3 12000 2021
31 New York 27.20% 26,000
32 Delaware 27.00% 1,000
32 Washington 26.7 13000 2021
33 Colorado 25.60% 8,000
33 Indiana 26.1 16000 2021
34 Vermont 25.50% 1,000
34 Virginia 26.1 16000 2021
35 Utah 25.10% 8,000
35 Alabama 25.9 6000 2021
36 Minnesota 24.80% 10,000
36 Texas 25 54000 2021
37 Montana 24.70% 2,000
37 Illinois 25 26000 2021
38 Tennessee 23.80% 11,000
38 Arizona 24.7 15000 2021
39 Florida 23.60% 31,000
39 California 24.6 59000 2021
40 Texas 23.50% 48,000
40 Utah 24.5 8000 2021
41 Oklahoma 22.70% 6,000
41 Oklahoma 23.5 8000 2021
42 Alabama 21.20% 6,000
42 New Mexico 22.6 5000 2021
43 Nebraska 20.70% 2,000
43 New York 21.9 22000 2021
44 North Carolina 21.9 21000 2021
44 Kansas 20.10% 3,000
45 Connecticut 21.6 5000 2021
45 Georgia 20.00% 13,000
46 Colorado 21.5 8000 2021
46 Nevada 18.00% 5,000
47 Florida 19.7 24000 2021
47 Mississippi 17.70% 2,000
48 Georgia 19.2 15000 2021
48 North Carolina 17.00% 12,000
49 Missouri 19 9000 2021
49 Wyoming 16.40% 1,000
50 Mississippi 14.9 2000 2021
50 Washington 15.80% 8,000
51 Nevada 11.2 3000 2021
51 South Carolina 13.50% 4,000
52 National 27.3 614000 2021
52 National 28.20% 599,000

Children with Private Insurance that Did Not Cover Mental or Emotional Problems 2020



 
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The Mental Health Parity and Addiction Equity law (MHPAE) was enacted a decade ago and promised the equal coverage of mental health and substance use services. However, the rate of children with private insurance that does not cover mental or emotional problems continues to increase, and private insurance companies continue to place subtle restrictions on coverage for mental health treatments.

Earlier this year, a federal judge ruled that United Behavioral Health, the nation’s largest behavioral health insurer, had violated parity by using overly restrictive guidelines for coverage of mental health and substance use services. In his decision, Judge Spero wrote, “one of the most troubling aspects of UBH’s guidelines is their failure to address in any meaningful way the different standards that apply to children and adolescents with respect to the treatment of mental health and substance use disorders.” To improve the worsening mental health of children and adolescents in the U.S., insurance companies must achieve parity in coverage.

The state prevalence of children lacking mental health coverage ranges from 2.0% in New Hampshire to 18.1% in Mississippi.

 

Statistical Data

Rank State Percentage Number Year
01 New Hampshire 2 1,000
01 Vermont 0.6 0 2021
02 Massachusetts 3.6 10,000
02 Massachusetts 1.2 4000 2021
03 Vermont 4 1,000
03 New Hampshire 2.5 1000 2021
04 District of Columbia 4.1 0
04 Connecticut 3.3 5000 2021
05 Michigan 4.3 18,000
05 Maine 3.4 2000 2021
06 Maine 4.5 2,000
06 New Jersey 4 14000 2021
07 Connecticut 5.2 8,000
07 District of Columbia 4.6 1000 2021
08 Washington 5.2 15,000
08 Washington 5.2 16000 2021
09 Iowa 5.6 8,000
09 Rhode Island 5.3 2000 2021
10 New Mexico 5.7 3,000
10 Montana 5.4 2000 2021
11 Illinois 5.8 28,000
11 South Dakota 5.4 2000 2021
12 Rhode Island 5.8 2,000
12 Michigan 5.5 23000 2021
13 Wisconsin 5.5 16000 2021
13 Pennsylvania 5.9 29,000
14 Ohio 5.9 26000 2021
14 Delaware 6 2,000
15 Missouri 5.9 14000 2021
15 Missouri 6.3 16,000
16 Alabama 5.9 7000 2021
16 Montana 6.3 2,000
17 Pennsylvania 6.1 29000 2021
17 California 7 92,000
18 Georgia 6.5 23000 2021
18 Colorado 7 14,000
19 Virginia 6.6 21000 2021
19 Oregon 7 11,000
20 Oregon 6.7 10000 2021
20 Wisconsin 7 20,000
21 Delaware 6.9 3000 2021
21 New Jersey 7.3 27,000
22 Indiana 7.1 22000 2021
22 Ohio 7.4 33,000
23 Illinois 7.2 34000 2021
23 Indiana 7.7 22,000
24 Maryland 7.2 18000 2021
24 Minnesota 7.8 20,000
25 West Virginia 7.2 4000 2021
25 Virginia 7.8 25,000
26 California 7.5 100000 2021
26 Kansas 7.9 10,000
27 Minnesota 7.5 20000 2021
27 Georgia 8.3 31,000
28 Mississippi 7.5 6000 2021
28 Maryland 8.5 22,000
29 Iowa 7.5 10000 2021
29 North Dakota 8.5 3,000
30 Louisiana 7.6 10000 2021
30 Florida 8.6 45,000
31 New Mexico 7.8 4000 2021
31 South Dakota 8.7 3,000
32 New York 8.8 56,000
32 Utah 7.8 16000 2021
33 Alaska 8.9 2,000
33 Oklahoma 7.9 11000 2021
34 Alabama 9 13,000
34 Kansas 7.9 9000 2021
35 Wyoming 9.1 2,000
35 New York 8.3 49000 2021
36 Nebraska 10.1 8,000
36 Colorado 8.3 17000 2021
37 Texas 10.1 93,000
37 Hawaii 9.2 3000 2021
38 Idaho 10.3 7,000
38 Florida 9.4 52000 2021
39 Kentucky 10.4 16,000
39 North Carolina 10 33000 2021
40 West Virginia 10.4 5,000
40 Alaska 10.3 2000 2021
41 Hawaii 10.6 4,000
41 Kentucky 11 17000 2021
42 Utah 11.2 21,000
42 Texas 11.5 108000 2021
43 Oklahoma 11.5 16,000
43 Wyoming 12 3000 2021
44 Arizona 11.7 31,000
44 Arizona 12.1 32000 2021
45 Nevada 12.6 13000 2021
45 Arkansas 11.8 11,000
46 Nebraska 12.6 10000 2021
46 North Carolina 11.9 38,000
47 Idaho 12.7 10000 2021
47 South Carolina 11.9 20,000
48 North Dakota 13.5 5000 2021
48 Tennessee 13 27,000
49 Tennessee 13.5 27000 2021
49 Nevada 16 16,000
50 Arkansas 14.4 13000 2021
50 Louisiana 16.5 22,000
51 South Carolina 14.8 23000 2021
51 Mississippi 18.1 12,000
52 National 7.8 901000 2021

Students Identified with Emotional Disturbance for an Individualized Education Program 2020



 
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Only .73%* of students are identified as having an ED for IEP.

For purposes of an IEP, the term “Emotional Disturbance” is used to define youth with a mental illness that is affecting their ability to succeed in school.

Early identification for IEPs is critical. IEPs provide the services, accommodations and support students with ED need to receive a quality education. Inadequate education leads to poor outcomes such as low academic achievement, social isolation, unemployment, and involvement in the juvenile system. Further, the federal eligibility criteria to identify students as having an emotional disturbance for an IEP have indicated extremely poor reliability among school psychologists, and therefore must be revised to adequately identify students in need of more supports.

*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. If states were doing a better job of identifying whether youth had emotional difficulties that could be better supported through an IEP – the rates would be closer to 7 percent instead of .7 percent.

The state rate of students identified as having an Emotional Disturbance (ED) for an IEP ranges from 27.72% per 1,000 students in Vermont to 2.02% per 1,000 students in Alabama.

High percentages are associated with positive outcomes and low percentages are associated with poorer outcomes

 

Statistical Data

Rank State Percentage Number Year
01 Vermont 27.72 2071
02 Minnesota 19.76 15666
03 Massachusetts 18.81 16338
04 Wisconsin 16.18 12217
05 Pennsylvania 15.50 24746
06 Maine 13.73 2243
07 Indiana 13.42 12798
08 Iowa 12.98 5741
09 District of Columbia 12.78 840
10 Rhode Island 12.49 1618
11 New Hampshire 12.32 2039
12 Connecticut 11.51 5526
13 North Dakota 10.86 1066
14 Illinois 10.17 18373
15 Ohio 9.80 15208
16 South Dakota 9.76 1184
17 Oregon 9.54 5122
18 Nebraska 9.50 2664
19 New York 9.49 23429
20 Virginia 8.39 9752
21 Delaware 8.32 1037
22 Michigan 8.26 11273
23 Missouri 8.25 6738
24 Mississippi 7.90 3487
25 Maryland 7.69 6085
26 Kentucky 7.35 4468
27 Arizona 7.31 7551
28 Colorado 6.90 5578
29 Oklahoma 6.78 4073
30 Georgia 6.70 10653
31 Wyoming 6.63 570
32 Montana 6.35 848
33 New Mexico 6.20 1889
34 New Jersey 6.12 7690
35 Texas 6.09 28884
36 Alaska 5.93 707
37 Hawaii 5.92 979
38 Florida 5.84 14933
39 Kansas 5.48 2409
40 Washington 5.11 5142
41 Idaho 4.95 1354
42 West Virginia 4.94 1180
43 Nevada 4.45 1931
44 California 4.36 24818
45 North Carolina 3.81 5394
46 Tennessee 3.72 3342
47 South Carolina 3.20 2208
48 Utah 3.17 1889
49 Louisiana 2.79 1773
50 Arkansas 2.24 988
51 Alabama 2.02 1365

Mental Health Workforce Availability 2020



 
map scale

Mental Health Workforce Availability

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.

The rate of mental health providers has improved in nearly every state since last year’s report. However, projections from the Health Resources and Services Administration (HRSA) still indicate an immense shortage of mental health and substance use treatment providers to meet the demand in 2030. Mental health provider shortages result in little access to care, high burnout rates among providers, and long waits for necessary treatment.

Additionally, there is a maldistribution of behavioral health providers throughout the county, as illustrated by the map above. In 2016, more than half the counties throughout the U.S. had 0 psychiatrists. While integrating primary care and behavioral health care is a necessary first step in reducing the impact of the shortage, primary care providers cannot solely fill the void created by a lack of psychiatrists. Further efforts must be made to improve access to necessary mental health care throughout the country, such as expanding the use of telepsychiatry and employing peer support specialists and other paraprofessionals as providers of care.

The state rate of mental health workforce ranges from 180:1 in Massachusetts to 1,100:1 in Alabama.

 

Statistical Data

Rank State Number
01 Massachusetts 180
02 Oregon 210
03 District of Columbia 220
04 Maine 220
05 Vermont 230
06 Alaska 260
07 New Mexico 260
08 Oklahoma 260
09 Rhode Island 260
10 Connecticut 270
11 Colorado 300
12 California 310
13 Washington 310
14 Wyoming 310
15 Utah 330
16 Louisiana 340
17 New Hampshire 350
18 Montana 360
19 New York 370
20 Michigan 400
21 Nebraska 400
22 Delaware 410
23 Hawaii 430
24 Maryland 430
25 Minnesota 430
26 North Carolina 440
27 Arkansas 460
28 Ohio 470
29 Illinois 480
30 Kentucky 490
31 New Jersey 500
32 Idaho 510
33 Nevada 510
34 Kansas 530
35 Pennsylvania 530
36 Wisconsin 530
37 Missouri 550
38 North Dakota 570
39 South Dakota 590
40 South Carolina 610
41 Virginia 630
42 Florida 670
43 Indiana 670
44 Iowa 700
45 Mississippi 700
46 Tennessee 700
47 Arizona 790
48 Georgia 790
49 West Virginia 830
50 Texas 960
51 Alabama 1100