
In fact, more than 112 million Americans live in areas where mental health providers are scarce. States like Missouri, Arizona, South Dakota, Montana and Washington are among those with low rates when it comes to meeting the mental health needs of residents.
Which states don’t treat mental illness the most?
In Hawaii, the bottom-ranked state, 67% of adults with a mental illness did not receive treatment. Even in Vermont, the top-ranked state in the U.S., 43% of adults experiencing a mental illness were not receiving treatment.
How many people don’t get mental health treatment?
In 2019, 24.7% of adults with a mental illness report an unmet need for treatment. Over 60% of youth with major depression do not receive any mental health treatment. Even in states with the greatest access, nearly one in three are going without treatment.
Why is there a shortage of mental health providers in America?
Shortages are more likely to occur in rural areas due to lack of funding and infrastructure. Many counties have no mental health professionals at all. Meanwhile, cities are likely to have more professionals than average and may even see a saturation of workers. Which Regions in America Have the Most Providers?
Where do Americans live where mental health providers are shortest?
In fact, more than 112 million Americans live in areas where mental health providers are scarce. States like Missouri, Arizona, South Dakota, Montana and Washington are among those with low rates when it comes to meeting the mental health needs of residents. On a national level, research shows that the U. S.

Which states have higher barriers to accessing mental health care?
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 higher prevalence of mental illness and lower rates of access to care....Statistical Data.RankState17Maine18Arizona19Wisconsin20West Virginia47 more rows
Which region of the United States has the highest rate of mental illness?
The states with the highest percentage of adults reporting symptoms of anxiety and/or depressive disorder from September 29 – October 11, 2021 were Alaska (38.5%), Arkansas (37.8%), Oklahoma (37.7%), Rhode Island (37.3%), and Kentucky (36.2%).
Who has the least access to mental health care?
There are significant disparities in mental healthcare access among different racial and ethnic groups. One survey finds that white adults (23%) are more likely than black (13.6%) and Hispanic (12.9%) adults to receive any mental health treatment.
Why is there a lack of access to mental health services?
Overly narrow provider networks and high out-of-pocket costs are substantial barriers to individuals accessing mental health treatment. NAMI calls on health plans, regulators and lawmakers to take the necessary steps to address these disparities and ensure access to mental health care for millions of Americans.
Where does the US rank in mental health care in the world?
While many countries still struggle with opening the discussion around mental health care, the United States was ranked third for burden of mental and behavioral disorders, adjusting for population size, by the World Health Organization.
Which states have the most depression?
Key findings:RankStateDepression Rate1Oregon25.20%2West Virginia24.62%3Maine23.52%4Arkansas23.2%46 more rows•Apr 27, 2020
Where does US rank in healthcare?
Health Care System Performance Rankings The U.S. ranks #11 — last. Exhibit 2 shows the extent to which the U.S. is an outlier: its performance falls well below the average of the other countries and far below the two countries ranked directly above it, Switzerland and Canada.
What country has the highest rate of mental illness?
China leads in various categories tracked by the World Health Organization.
Which states have the most mental illness?
Prevalence of Mental Illness 2022RankState01New Jersey02Florida03Georgia04Texas47 more rows
Is the US mental health system broken?
America's mental health treatment system is broken, leaving those most in need to fall through the cracks. An estimated 8.3 million adults in the United States have a severe mental illness. At any given time, 3.9 million go untreated.
Is there a mental health crisis in America?
There is a Mental Health Crisis in the United States A growing number of American adults are struggling with some type of mental illness with each passing year. In 2019 alone, almost 20 percent of the United States population, nearly 50 million people, were diagnosed with a mental illness.
Is mental health care free in the US?
Community Mental Health Centers offer low-cost or free care on a sliding scale to the public. Typical services include emergency services, therapy and psychiatric care for adults and for children.
How many people with mental illness are not able to receive treatment?
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.
How many people with depression do not receive mental health care?
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.
How many people will be uninsured in 2020?
Adults with AMI who are Uninsured 2020. 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.
What is emotional disturbance?
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.
What is MHPAE law?
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.
What are the barriers to not receiving treatment?
Individuals seeking treatment but still not receiving needed services face the same barriers that contribute to the number of individuals not receiving treatment: No insurance or limited coverage of services. Shortfall in psychiatrists, and an overall undersized mental health workforce.
Which states have not expanded Medicaid?
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.
How many rural Americans are in mental health shortages?
The cold hard facts about mental health and rural America is that more than 60% of rural Americans live in mental health professional shortage areas, that more than 90% of all psychologists and psychiatrists and 80% of Masters of Social Work, work exclusively in metropolitan areas. More than 65% of rural Americans get their mental health care ...
Do rural people have mental health insurance?
So, rural people, while they face this challenge, they face these challenges every day. Prior to the Affordable Care Act, Americans were less likely to have insurance benefits for mental health care. We know that many that most rural states have the fewest choices in the ACA Marketplace.
Is Hawaii a mental health system?
In Hawaii, the mental health system for children and families is actually embedded in the school system and clinical staff are actually employed by the school district . So this is actually what you typically would see in a children's mental health system operating in the community.
Do rural Americans have less mental health literacy than urban Americans?
Rural Americans have much less mental health literacy than their urban peers. The next slide is a picture of around the whole notion of choice and competition in the ACA exchanges, and what you can see there is the most rural states have the least amount of choice.
How many rural people lack a psychiatrist?
The inequality of available care becomes glaringly clear after considering a report published in the American Journal of Preventive Medicine2 in 2018 that states 65% of rural citizens lack a psychiatrist while 47% lack access to a psychologist.
How many people died from mental health in 2015?
According to the Centers for Disease Control and Prevention (CDC), the United States lost 44,193 citizens to suicide in 2015. 7 That is approximately one death every twelve minutes.
What are the barriers to mental health care in rural areas?
These include blockades that may include cultural differences and lack of privacy.
Why do mental health professionals avoid rural settings?
There are basically three reasons that mental health professionals avoid working in rural settings; poverty, lack of insurance, and lack of opportunities for a provider’s family. Poverty: The number of people living in rural areas as compared to those living in or near cities is almost double. 4. Lack of Insurance: Because ...
Should people with mental health diagnoses travel for miles?
It should not be that people with a mental health diagnosis must either travel for miles for or simply not receive the help they need due to a lack of professionals where they live. If the citizens of the United States wish to stop losing loved ones and neighbors to suicide, we must come together to solve the disparities seen between rural and urban areas.
Is there a solution to the lack of mental health professionals in rural America?
There are no easy solutions to ending the life-altering lack of mental health professionals in rural America. However, there are some programs already in the planning or active stages, such as student loan forgiveness to providers who relocate to rural areas and practice there for a certain number of years.
Is telepsychiatry a good alternative to a psychiatrist?
Telepsychiatry offers a cheap and accessible alternative to not having a psychiatrist or therapist at all. However, because humans are social animals, interacting through a computer screen cannot and should not take the place of face to face interactions with a mental health professional. Online Psychiatry.
Which states have the lowest mental health rates?
States like Missouri, Arizona, South Dakota, Montana and Washington are among those with low rates when it comes to meeting the mental health needs of residents. On a national level, research shows that the U.S. is likely to continue to experience a shortage of mental health professionals through 2025. Many providers also still operate outside the ...
How much does mental health cost?
The cost of mental health. Nearly 1 in 5 Americans has some type of mental health condition. Spending on mental health treatment and services reached $225 billion in 2019, according to an Open Minds Market Intelligence Report. That number, which is up 52% since 2009, includes spending on things like therapy and prescription medications as well as ...
What law prohibits insurance from covering mental health?
Access and coverage for mental health and substance abuse treatments have improved in recent years thanks to the 2008 Mental Health Parity and Addiction Equity Act, which barred health insurers from making coverage for mental health more restrictive than for physical ailments.
What is the purpose of a treatment locator?
The Substance Abuse and Mental Health Services Administration, which is a government agency, provides a treatment locator to help patients find low-cost treatment facilities across the country.
Does Medicare cover mental health?
Right now, Medicare offers one of the worst coverage options for those with mental health and substance use issues. Medicare, for example, has a 190-day lifetime limit on psychiatric inpatient care.
Do people with mental health problems get treatment?
What generally happens is that most people don’t get treatment for it, or they might get some treatment, but not effective treatment,” she says. In fact, less than half of Americans who have a mental disorder get proper treatment, according to National Institute on Minority Health and Health Disparities (NIMHD).
Is mental health underdiagnosed?
These factors have real-life consequences, Alter says. “Oftentimes mental health disorders are under-diagnosed, and certainly undertreated.
How many people suffer from psychological problems?
A study published in the journal Psychiatric Services estimates 3.4 percent of Americans — more than 8 million people — suffer from serious psychological problems.
Why can't people get inpatient care?
While those efforts have been successful for many, a significant group of people who require structured inpatient care can't get it, often because of funding issues. A 2012 report by the Treatment Advocacy Center, a nonprofit organization that works to remove treatment barriers for people with mental illness, found the number ...
Is there a shortage of mental health care?
A severe shortage of inpatient care for people with mental illness is amounting to a public health crisis , as the number of individuals struggling with a range of psychiatric problems continues to rise. The revelation that the gunman in the Sutherland Springs, Texas, church shooting escaped from a psychiatric hospital in 2012 is renewing concerns ...
Is there a connection between mental illness and gun violence?
While President Trump and others have claimed a connection exists between mental illness and the rise in gun violence, most mental health professionals vehemently disagree. "There is no real connection between an individual with a mental health diagnosis and mass shootings. That connection according to all experts doesn't exist," says Bethany Lilly ...
Do mental health hospitals accept Medicaid?
Many of the private mental health hospitals still in operation do not accept insurance and can cost upwards of $30,000 per month, Sisti says. For many low-income patients, Medicaid is the only path to mental health care, but a provision in the law prevents the federal government from paying for long-term care in an institution.
How many people live in mental health shortage areas?
According to the Health Resources and Services Administration, 89.3 million Americans live in federally-designated Mental Health Professional Shortage Areas (in contrast, only 55.3 million Americans live in similarly-designated primary-care shortage areas and 44.6 million live in dental health shortage areas).
How many people have mental health issues?
But mental health issues are far more common than most people realize. According to the U.S. Department of Health and Human Services, 1 in 5 American adults have experienced a mental health issue, and 1 in 25 Americans live with a serious mental illness, such as schizophrenia, bipolar disorder or major depression.
What is the stigma associated with mental health?
Multiple studies have found that the stigma associated with mental illness often prevents people from accessing treatment. At one end of the spectrum, their own beliefs about mental illness can prevent them from acknowledging their illness or sticking with treatment.
What are the disparities in mental health?
There are significant disparities in mental healthcare access among different racial and ethnic groups. One study looks at how the Affordable Care Act has impacted mental healthcare access. The study found that white people are the only racial group in which a majority of people with severe psychological distress get treatment. More than half of people facing severe mental illness who are Black, Hispanic or Asian don’t get treatment.
How can mental health improve lives?
Making sure that individuals have access to mental healthcare can improve lives and communities. For many, it can dramatically reduce or eliminate the risk of suicide, legal issues, family conflict, employment issues, substance abuse and further mental and physical health problems. In order to increase the use of mental healthcare services, ...
What are the barriers to access to mental health care?
Barriers to mental healthcare access come with a high human cost : as one medical journalist explains, “The mentally ill who have nowhere to go and find little sympathy from those around them often land hard in emergency rooms, county jails and city streets. The lucky ones find homes with family.
Does the Affordable Care Act cover mental health?
Even after the Affordable Care Act required medical insurers to provide coverage for behavioral and mental healthcare, the cost of treatment often limits access to mental health services. For many individuals, a lack of financial resources prevents them from seeking help at all.
How many people live in mental health shortage areas?
Over 115 million people in the United States live in designated Health Professional Shortage Areas. These are areas in which the ratio of mental health professionals to residents is smaller than 1 per 30,000 people.
How many marriage and family therapists will be needed in 2025?
The Substance Abuse and Mental Health Services Administration estimates that by 2025, the U.S. will have a shortage of: 10,470 marriage and family therapists (40,250 needed; 29,780 available)
Do counties have mental health professionals?
Many counties have no mental health professionals at all. Meanwhile, cities are likely to have more professionals than average and may even see a saturation of workers.
Is mental health aging out of the future?
However, population growth and expanding insurance coverage suggest greater numbers of people will seek mental health treatment in the future.

The Essence of The Disparity Problem
The Statistics of The Problem
- In 2018, it is reported that there are approximately 327 million people living in the United States. Of that number, 1 in 5 have a mental illness (20%) meaning approximately 65.4 million live with a mental health diagnosis with 51% of that number having a co-occurring substance abuse problem.1 In 2015, a national survey found that 80% of citizens of the U.S. live in urban areas (in …
Problems in Receiving Appropriate Mental Health Care in A Rural Setting
- There are other barriers to someone living in a rural setting receiving adequate mental health care. These include blockades that may include cultural differences and lack of privacy. In communities where the majority are of one demographic make-up, (perhaps a conservative community), going to therapy or to see a psychiatrist can lead to the person experiencing discrimination leading to j…
The Monetary Costs of The Lack of Mental Health Care in Rural America
- The monetary disruption to the United States due to the disparity of mental health care is counted in losses in productivity and attendance to work. Because 1 in 5 working-age adults lives with a mental health disorder (71% of adults listed at least one symptom of stress), the loss of productivity can be very costly. It isn’t only mental health iss...
The High Personal Costs of The Mental Health Disparities in Rural America
- According to the Centers for Disease Control and Prevention (CDC), the United States lost 44,193 citizens to suicide in 2015.7 That is approximately one death every twelve minutes. These stats make death by suicide one of the top leading causes of death in the U.S. today. In fact, in 2017, the CDC reported that completed suicide rates had jumped 33% since 1999.8 Death rates by sui…
in Closing
- It should not be that people with a mental health diagnosis must either travel for miles for or simply not receive the help they need due to a lack of professionals where they live. If the citizens of the United States wish to stop losing loved ones and neighbors to suicide, we must come together to solve the disparities seen between rural and urban areas. The costs of not ending th…
References
- 1 Park-Lee, E., Lipari, R. N., Hedden, S. L., Kroutil, L. A., & Porter, J. D. (2017). Receipt of services for substance use and mental health issues among adults: results from the 2016 National Survey on Drug Use and Health. In CBHSQ Data Review. Substance Abuse and Mental Health Services Administration(US). 2. Andrilla, C. H. A., Patterson, D. G., Garberson, L. A., Coulthard, C., & Larson…