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Prevalence of Mental Illness 2022



 

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The scores for the six prevalence make up the Prevalence Ranking. 

The 6 measures that make up the Prevalence 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. Youth with At Least One Major Depressive Episode (MDE) in the Past Year
  5. Youth with Substance Use Disorder in the Past Year
  6. Youth with Severe MDE.

A ranking 1-13 for Prevalence indicates a lower prevalence of mental health and substance use issues compared to states that ranked 39-51.

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

Adult Prevalence of Mental Illness (AMI) 2022


 

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19.86% of adults are experiencing a mental illness. Equivalent to nearly 50 million Americans.

4.91% are experiencing a severe mental illness.

The state prevalence of adult mental illness ranges from 16.37% in New Jersey to 26.86% in Utah.

According to SAMHSA, ìAny Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Any mental illness includes persons who have mild mental illness, moderate mental illness, and serious mental illness." 

Rank Sort descending State Percentage Number
01 New Jersey 16.37 1,122,000
02 Texas 17.17 3,602,000
03 Florida 17.23 2,903,000
04 Hawaii 17.45 185,000
05 Maryland 17.57 810,000
06 Georgia 17.88 1,406,000
07 South Dakota 18.26 118,000
08 Iowa 18.50 441,000
09 Virginia 18.58 1,199,000
10 Connecticut 18.85 526,000
11 Illinois 19.18 1,858,000
12 North Carolina 19.31 1,532,000
13 Tennessee 19.40 1,006,000
14 South Carolina 19.43 760,000
15 California 19.49 5,864,000
16 New York 19.52 2,972,000
17 Pennsylvania 19.70 1,963,000
18 Arizona 20.06 1,099,000
19 Mississippi 20.16 446,000
20 Wisconsin 20.19 904,000
21 Nebraska 20.30 290,000
22 Michigan 20.32 1,571,000
23 Arkansas 20.34 460,000
24 North Dakota 20.50 116,000
25 Minnesota 20.53 876,000
26 Kansas 20.56 442,000
27 Montana 20.81 171,000
28 Delaware 20.92 157,000
29 Massachusetts 21.15 1,157,000
30 Louisiana 21.21 734,000
31 Alabama 21.29 794,000
32 New Mexico 21.39 338,000
33 Alaska 21.47 113,000
34 Nevada 21.97 512,000
35 Maine 22.10 238,000
36 Vermont 22.25 112,000
37 Indiana 22.29 1,125,000
38 New Hampshire 22.37 243,000
39 Rhode Island 22.38 187,000
40 Idaho 22.48 293,000
41 Oklahoma 22.54 657,000
42 Kentucky 22.54 762,000
43 Wyoming 22.56 98,000
44 Missouri 22.71 1,056,000
45 District of Columbia 22.83 129,000
46 Colorado 23.20 1,014,000
47 Washington 23.43 1,360,000
48 Ohio 23.64 2,112,000
49 Oregon 23.75 783,000
50 West Virginia 24.62 347,000
51 Utah 26.86 599,000
52 National 19.86 49,564,000

Adult with Substance Use Disorder 2022


 

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7.74% of adults in America reported having a substance use disorder in the past year.

2.97% of adults in America reported having an illicit drug use disorder in the past year.

5.71% of adults in America reported having an alcohol use disorder in the past year.

The state prevalence of adults with substance use disorder ranges from 5.98% in Florida to 12.30% in the District of Columbia.

Rank Sort descending State Percentage Number
01 Florida 5.98 1,007,000
02 West Virginia 6.29 89,000
03 Texas 6.48 1,360,000
04 Utah 6.56 146,000
05 Georgia 6.60 519,000
06 New Jersey 6.71 459,000
07 South Carolina 6.73 263,000
08 Maryland 7.01 323,000
09 Arizona 7.11 390,000
10 Mississippi 7.15 158,000
11 Arkansas 7.16 162,000
12 Tennessee 7.22 375,000
13 North Carolina 7.26 576,000
14 Kansas 7.29 157,000
15 Pennsylvania 7.31 728,000
16 Virginia 7.33 473,000
17 New York 7.43 1,131,000
18 Michigan 7.56 585,000
19 Minnesota 7.62 325,000
20 Idaho 7.67 100,000
21 South Dakota 7.69 50,000
22 New Mexico 7.70 122,000
23 Missouri 7.71 358,000
24 Nebraska 7.71 110,000
25 Wyoming 7.84 34,000
26 Kentucky 7.87 266,000
27 Alabama 7.89 294,000
28 Ohio 7.94 709,000
29 Wisconsin 7.98 358,000
30 Oklahoma 8.01 234,000
31 Illinois 8.02 777,000
32 Iowa 8.05 192,000
33 Louisiana 8.06 279,000
34 Indiana 8.42 425,000
35 Connecticut 8.43 235,000
36 Hawaii 8.45 90,000
37 Washington 8.62 500,000
38 Delaware 8.79 66,000
39 Massachusetts 8.83 483,000
40 New Hampshire 8.84 96,000
41 North Dakota 8.88 50,000
42 Maine 8.89 96,000
43 Rhode Island 8.95 75,000
44 California 9.23 2,778,000
45 Nevada 9.32 217,000
46 Oregon 9.78 322,000
47 Montana 10.04 83,000
48 Vermont 10.10 51,000
49 Alaska 10.23 54,000
50 Colorado 11.75 514,000
51 District of Columbia 12.30 70,000
52 National 7.74 19,314,000

Adults with Serious Thoughts of Suicide 2022


 

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The percentage of adults reporting serious thoughts of suicide is 4.58%. The estimated number of adults with serious suicidal thoughts is over 11.4 million - an increase of 664,000 people from last year's data set.

The national rate of adults experiencing suicidal ideation has increased every year since 2011-2012.

The state prevalence of adults with serious thoughts of suicide ranges from 3.79% in New Jersey to 6.19% in Utah.

Rank Sort descending State Percentage Number
01 New Jersey 3.79 260,000
02 Georgia 3.85 303,000
03 Texas 3.86 812,000
04 North Carolina 3.87 307,000
05 Illinois 4.00 388,000
06 Florida 4.04 682,000
07 New York 4.21 642,000
08 Virginia 4.22 272,000
09 Maryland 4.34 200,000
10 District of Columbia 4.43 25,000
11 Connecticut 4.46 125,000
12 California 4.55 1,370,000
13 Oklahoma 4.58 134,000
14 Rhode Island 4.59 38,000
15 Michigan 4.61 357,000
16 South Dakota 4.62 30,000
17 Montana 4.63 38,000
18 Wisconsin 4.66 209,000
19 Tennessee 4.68 243,000
20 Kentucky 4.68 158,000
21 New Hampshire 4.68 51,000
22 Arkansas 4.71 107,000
23 Louisiana 4.72 163,000
24 Minnesota 4.74 202,000
25 Hawaii 4.74 50,000
26 Massachusetts 4.77 261,000
27 New Mexico 4.81 76,000
28 Pennsylvania 4.83 482,000
29 Alabama 4.83 180,000
30 Nebraska 4.88 70,000
31 South Carolina 4.89 191,000
32 Washington 4.92 286,000
33 Iowa 4.94 118,000
34 Nevada 4.94 115,000
35 Kansas 4.96 107,000
36 Arizona 5.01 275,000
37 Missouri 5.05 235,000
38 Delaware 5.18 39,000
39 North Dakota 5.28 30,000
40 Idaho 5.30 69,000
41 Mississippi 5.31 118,000
42 West Virginia 5.44 77,000
43 Maine 5.44 59,000
44 Colorado 5.54 242,000
45 Indiana 5.62 284,000
46 Oregon 5.65 187,000
47 Vermont 5.66 29,000
48 Wyoming 5.74 25,000
49 Ohio 6.09 545,000
50 Alaska 6.11 32,000
51 Utah 6.19 138,000
52 National 4.58 11,434,000

Youth with At Least One Major Depressive Episode (MDE) 2022



 

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15.08% of youth (age 12-17) report suffering from at least one major depressive episode (MDE) in the past year.

Childhood depression is more likely to persist into adulthood if gone untreated.

The number of youth experiencing MDE increased by 306,000 (1.24%) from last year's dataset.

The state prevalence of youth with MDE ranges from 11.36% in the District of Columbia to 18.62% in Oregon.

Rank Sort descending State Percentage Number
01 District of Columbia 11.36 4,000
02 Mississippi 12.64 31,000
03 New Jersey 12.71 86,000
04 Pennsylvania 12.88 117,000
05 Florida 13.25 191,000
06 New York 13.29 179,000
07 Tennessee 13.72 70,000
08 Georgia 13.75 119,000
09 South Carolina 13.82 52,000
10 Louisiana 14.14 51,000
11 Hawaii 14.16 13,000
12 Connecticut 14.41 39,000
13 Alabama 14.51 54,000
14 Texas 14.60 363,000
15 Rhode Island 14.64 11,000
16 Ohio 14.73 131,000
17 Maryland 14.93 67,000
18 Colorado 15.02 65,000
19 North Dakota 15.07 8,000
20 Montana 15.11 12,000
21 Kentucky 15.15 51,000
22 Illinois 15.15 149,000
23 California 15.22 459,000
24 South Dakota 15.41 11,000
25 Delaware 15.48 11,000
26 Nebraska 15.50 24,000
27 Missouri 15.54 72,000
28 Virginia 15.57 98,000
29 Maine 15.60 14,000
30 Massachusetts 15.61 75,000
31 New Hampshire 15.85 15,000
32 Minnesota 15.94 70,000
33 Wisconsin 15.99 71,000
34 Arkansas 16.27 39,000
35 Vermont 16.36 7,000
36 Kansas 16.53 39,000
37 Michigan 16.55 125,000
38 Indiana 16.61 89,000
39 West Virginia 16.62 21,000
40 North Carolina 16.68 132,000
41 Iowa 16.69 41,000
42 Oklahoma 17.01 54,000
43 Arizona 17.41 98,000
44 Idaho 17.44 27,000
45 Wyoming 17.59 8,000
46 Utah 17.77 56,000
47 Nevada 17.93 42,000
48 Alaska 17.93 10,000
49 Washington 18.22 99,000
50 New Mexico 18.60 31,000
51 Oregon 18.62 55,000
52 National 15.08 3,755,000

Youth with Severe Major Depressive Episode 2022



 

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10.6% of youth (or over 2.5 million youth) cope with severe major depression.

The number of youths experiencing Severe MDE increased by 197,000 from last year's dataset.

The state prevalence of youth with Severe MDE ranges from 7.3% in the District of Columbia to 14.8% in Wyoming.

Rank Sort descending State Percentage Number
01 District of Columbia 7.30% 2,000
02 Alabama 7.50% 27,000
03 Connecticut 7.80% 20,000
04 Mississippi 8.00% 19,000
05 Pennsylvania 8.20% 73,000
06 New York 8.30% 109,000
07 Rhode Island 8.30% 6,000
08 Hawaii 8.40% 8,000
09 New Jersey 8.40% 55,000
10 Colorado 9.00% 38,000
11 Florida 9.00% 124,000
12 Ohio 9.00% 78,000
13 Georgia 9.10% 76,000
14 South Carolina 9.10% 33,000
15 Texas 9.70% 234,000
16 California 9.80% 284,000
17 Kentucky 9.90% 32,000
18 Louisiana 10.20% 36,000
19 New Hampshire 10.20% 9,000
20 North Dakota 10.30% 5,000
21 Tennessee 10.30% 51,000
22 Missouri 10.40% 47,000
23 Massachusetts 10.50% 48,000
24 Illinois 11.00% 104,000
25 Kansas 11.20% 26,000
26 Montana 11.40% 8,000
27 Minnesota 11.60% 49,000
28 Arizona 11.90% 64,000
29 Michigan 11.90% 87,000
30 South Dakota 12.00% 8,000
31 Alaska 12.10% 7,000
32 Maryland 12.30% 54,000
33 Nebraska 12.40% 19,000
34 Wisconsin 12.70% 55,000
35 Delaware 12.80% 9,000
36 Oklahoma 12.80% 39,000
37 Virginia 13.00% 79,000
38 Nevada 13.20% 29,000
39 West Virginia 13.30% 16,000
40 Iowa 13.50% 32,000
41 Washington 13.50% 69,000
42 Maine 13.60% 12,000
43 Vermont 13.70% 5,000
44 New Mexico 13.80% 22,000
45 Oregon 14.10% 40,000
46 North Carolina 14.20% 110,000
47 Arkansas 14.30% 33,000
48 Indiana 14.50% 76,000
49 Utah 14.50% 45,000
50 Idaho 14.70% 22,000
51 Wyoming 14.80% 6,000
52 National 10.60% 2,540,000

Youth with Substance Use Disorder 2022



 

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4.08% of youth in the U.S. reported having a substance use disorder in the past year.  

1.64% had an alcohol use disorder in the past year, while 3.16% had an illicit drug use disorder.

The state prevalence of youth with substance use disorder ranges from 3.19% in Alabama to 5.77% in Oregon.

Rank Sort descending State Percentage Number
01 Alabama 3.19 12,000
02 Louisiana 3.29 12,000
03 Mississippi 3.32 8,000
04 New Jersey 3.33 22,000
05 Georgia 3.45 30,000
06 Texas 3.49 87,000
07 Pennsylvania 3.52 32,000
08 Arkansas 3.63 9,000
09 Maryland 3.70 17,000
10 Virginia 3.71 23,000
11 Connecticut 3.74 10,000
12 Hawaii 3.75 4,000
13 Utah 3.77 12,000
14 Florida 3.86 56,000
15 New York 3.87 52,000
16 North Carolina 3.91 31,000
17 Nebraska 3.94 6,000
18 South Carolina 3.95 15,000
19 Michigan 3.98 30,000
20 Tennessee 4.00 21,000
21 Kansas 4.02 10,000
22 Missouri 4.04 19,000
23 Kentucky 4.10 14,000
24 Massachusetts 4.10 20,000
25 Indiana 4.20 23,000
26 Ohio 4.23 38,000
27 Illinois 4.25 42,000
28 Delaware 4.31 3,000
29 Wisconsin 4.34 19,000
30 Oklahoma 4.36 14,000
31 West Virginia 4.44 6,000
32 Idaho 4.47 7,000
33 California 4.55 137,000
34 New Hampshire 4.57 4,000
35 Rhode Island 4.58 3,000
36 South Dakota 4.60 3,000
37 Minnesota 4.62 20,000
38 Alaska 4.63 3,000
39 Maine 4.67 4,000
40 Arizona 4.83 27,000
41 Washington 4.84 26,000
42 Iowa 5.07 12,000
43 North Dakota 5.08 3,000
44 Wyoming 5.22 2,000
45 New Mexico 5.43 9,000
46 Colorado 5.44 24,000
47 Vermont 5.50 2,000
48 District of Columbia 5.57 2,000
49 Nevada 5.59 13,000
50 Montana 5.68 4,000
51 Oregon 5.77 17,000
52 National 4.08 1,017,000

Students Identified with Emotional Disturbance for An Individualized Education Program 2022



 

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Only .759% of students are identified as having an Emotional Disturbance (ED) for an Individualized Education Program (IEP).

For purposes of an IEP, the term ìEmotional 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.

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 8% instead of .8 percent.

The state rate of students identified as having an emotional disturbance for an IEP ranges from 32.23 per 1,000 students in Vermont to 2.13 per 1,000 students in Alabama.

 

Rank Sort descending State Percentage Number
01 Vermont 32.23 2,326
02 Minnesota 21.20 17,016
03 Massachusetts 20.22 17,455
04 Pennsylvania 16.33 26,105
05 Wisconsin 16.18 *
06 Maine 15.32 2,468
07 Indiana 13.36 12,712
08 Iowa 13.31 *
09 New Hampshire 13.24 2,132
10 Connecticut 12.43 5,824
11 Rhode Island 12.34 1,610
12 North Dakota 11.99 1,240
13 District of Columbia 11.54 802
14 Illinois 10.59 18,381
15 Oregon 10.30 5,568
16 South Dakota 10.04 1,251
17 Ohio 10.03 15,281
18 Nebraska 9.98 2,861
19 Delaware 9.47 1,211
20 New York 9.10 22,063
21 Missouri 8.87 7,188
22 Michigan 8.52 11,314
23 Virginia 8.47 9,913
24 Maryland 7.61 6,180
25 Mississippi 7.53 3,193
26 Texas 7.41 35,851
27 Arizona 7.39 7,756
28 Kentucky 7.39 4,501
29 Colorado 6.98 5,687
30 Wyoming 6.80 589
31 Montana 6.68 906
32 Oklahoma 6.66 4,057
33 Alaska 6.48 765
34 Georgia 6.35 10,124
35 New Mexico 6.15 1,830
36 New Jersey 5.84 7,313
37 Hawaii 5.80 959
38 Kansas 5.60 2,459
39 Washington 5.49 5,633
40 Florida 5.43 14,062
41 Idaho 4.95 1,412
42 Nevada 4.64 2,085
43 California 4.51 25,424
44 West Virginia 4.45 1,025
45 Tennessee 3.84 3,470
46 North Carolina 3.65 5,187
47 Utah 3.12 1,933
48 South Carolina 3.05 2,143
49 Louisiana 2.74 1,727
50 Arkansas 2.54 1,123
51 Alabama 2.13 1,420
52 National 7.59 345,160