Americans are struggling with mental health. Nationwide, more people are taking prescription mental health medication, anxiety and depression levels are rising, suicidal ideation is increasing and 11% of people with a mental illness don’t have insurance.

There are, however, some states that are at the forefront of mental health care. Our team of analysts found that these states have both high access to mental health care and low numbers of people without health insurance.

Key findings:

  • Wisconsin, Illinois and Pennsylvania have the best mental health care in the nation.
  • Twenty-one percent of Americans have a mental health issue.
  • Fifty-five percent of people with a mental illness aren’t receiving care.
  • Twenty-eight percent of people with a mental illness experience unmet needs.

To determine the best states for mental health care, our analysts looked at five key factors:

  • Prevalence of mental illness in each state
  • Access to mental health care
  • Percent of those with a mental illness not receiving care
  • Percent of those with a mental illness
  • Mental illness and health insurance

We found that Wisconsin has the best mental health care in the nation. The state has a high degree of access to care, a low number of uninsured residents with mental health issues and a low number of people with a mental illness who are experiencing unmet needs.

States with the Best Mental Health Care
State Rank
Wisconsin 1
Illinois 2
Pennsylvania 3
Vermont 4
Massachusetts 5
Montana 6
Connecticut 7
Iowa 8
New York 9
Kentucky 10
Michigan 11
North Dakota 12
Rhode Island 13
Delaware 14
Washington 15
Hawaii 16
South Dakota 17
Virginia 18
New Jersey 19
New Mexico 20
Maryland 21
Minnesota 22
Nebraska 23
Tennessee 24
New Hampshire 25
West Virginia 26
Maine 27
South Carolina 28
California 29
North Carolina 30
Alaska 31
Arkansas 32
Mississippi 33
Louisiana 34
Oklahoma 35
Utah 36
Missouri 37
Ohio 38
Florida 39
Colorado 40
Georgia 41
Idaho 42
Nevada 43
Oregon 44
Indiana 45
Wyoming 46
Texas 47
Alabama 48
Kansas 49
Arizona 50
Source: Mental Health America

Mental illness is incredibly common in the U.S. One in five adults currently experiences a mental illness.

Informational graphic on those affected by mental illness in the United States

Many of these illnesses are left untreated. Over half of people with a mental health illness do not receive treatment, and 28% experience unmet needs.

Informational graphic on the state of mental illness treatment

The consequences for this lack of treatment cannot be overstated. Suicide rates are up 30% since 1999, and more than 90% of people who commit suicide show symptoms of mental health issues.

Informational graphic on suicide in the United States

Understanding mental health coverage

Insurance is a major factor when it comes to receiving mental health care. We found a direct correlation between the number of people who don't receive mental health care and the number of people who have a mental illness but do not have insurance. Texas, for example, has the third-worst overall access to care and the second-highest percentage of people without insurance.

Having insurance is key because under the Affordable Care Act, most health insurance plans must also include coverage for mental health services and substance abuse.

Access to Mental Health Care in each State
State % with a mental illness % with mental illness not receiving care % with mental illness with unmet needs % with mental illness without insurance
Alabama 21% 62% 35% 18%
Alaska 22% 55% 30% 7%
Arizona 24% 64% 36% 15%
Arkansas 23% 46% 29% 12%
California 20% 63% 28% 8%
Colorado 23% 56% 34% 10%
Connecticut 19% 56% 27% 6%
Delaware 21% 48% 31% 8%
Florida 17% 58% 29% 14%
Georgia 18% 58% 29% 17%
Hawaii 18% 69% 20% 7%
Idaho 25% 52% 32% 12%
Illinois 21% 51% 26% 6%
Indiana 22% 51% 39% 14%
Iowa 21% 47% 25% 9%
Kansas 26% 52% 36% 18%
Kentucky 22% 52% 23% 5%
Louisiana 21% 53% 29% 11%
Maine 22% 54% 27% 14%
Maryland 18% 55% 33% 7%
Massachusetts 21% 43% 31% 5%
Michigan 22% 49% 26% 7%
Minnesota 23% 50% 27% 12%
Mississippi 21% 56% 25% 13%
Missouri 21% 50% 30% 17%
Montana 23% 41% 25% 8%
Nebraska 23% 42% 23% 16%
Nevada 21% 61% 38% 10%
New Hampshire 24% 49% 27% 13%
New Jersey 18% 56% 23% 13%
New Mexico 21% 46% 33% 10%
New York 19% 58% 24% 6%
North Carolina 20% 51% 26% 16%
North Dakota 21% 48% 28% 8%
Ohio 24% 56% 28% 10%
Oklahoma 26% 54% 26% 12%
Oregon 27% 54% 33% 10%
Pennsylvania 20% 52% 25% 7%
Rhode Island 24% 50% 28% 4%
South Carolina 22% 51% 21% 13%
South Dakota 21% 46% 27% 14%
Tennessee 20% 46% 31% 9%
Texas 18% 62% 30% 21%
Utah 30% 50% 34% 8%
Vermont 24% 43% 27% 6%
Virginia 21% 47% 32% 7%
Washington 26% 50% 22% 7%
West Virginia 26% 51% 18% 10%
Wisconsin 22% 47% 21% 6%
Wyoming 24% 54% 27% 25%
United States 21% 55% 28% 11%
Source: Mental Health America

Mental Health Resources

National Institute of Mental Health (NIMH)

Substance Abuse and Mental Health Services Administration (SAMHSA)

National Alliance on Mental Illness

Methodology

States were evaluated based on data from Mental Health America. Overall rankings were determined by a composite score based on access to care, insurance rates and the prevalence of mental illness in each state.

References:

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