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  • In 2019-2020, 20.78% of adults were experiencing a mental illness. That is equivalent to over 50 million Americans.

  • The vast majority of individuals with a substance use disorder in the U.S. are not receiving treatment. 15.35% of adults had a substance use disorder in the past year. Of them, 93.5% did not receive any form of treatment.

  • Millions of adults in the U.S. experience serious thoughts of suicide, with the highest rate among multiracial individuals. The percentage of adults reporting serious thoughts of suicide is 4.84%, totaling over 12.1 million individuals. 11% of adults who identified with two or more races reported serious thoughts of suicide in 2020 – 6% higher than the average among all adults.

  • Over 1 in 10 youth in the U.S. are experiencing depression that is severely impairing their ability to function at school or work, at home, with family, or in their social life. 16.39% of youth (age 12-17) report suffering from at least one major depressive episode (MDE) in the past year. 11.5% of youth (over 2.7 million youth) are experiencing severe major depression.

  • Over half (54.7%) of adults with a mental illness do not receive treatment, totaling over 28 million individuals. Even in Montana (ranked #1), over 4 in 10 adults with a mental illness did not receive care.

  • Almost a third (28.2%) of all adults with a mental illness reported that they were not able to receive the treatment they needed. 42% of adults with AMI reported they were unable to receive necessary care because they could not afford it.

  • 10.8% (over 5.5 million) of adults with a mental illness are uninsured. Hispanic adults with AMI were least likely to have health insurance, with 19% reporting they were not covered by insurance.

  • 6.34% of youth in the U.S. reported a substance use disorder in the past year. That is equivalent to over 1.5 million youth in the U.S. who meet the criteria for an illicit drug or alcohol use disorder.

  • 22.87% of adults who report experiencing 14 or more mentally unhealthy days each month were not able to see a doctor due to costs. In Georgia (ranked 51), over one-third of adults experiencing frequent mental distress are unable to afford a doctor’s visit.

  • 59.8% of youth with major depression do not receive any mental health treatment. Asian youth with major depression were least likely to receive specialty mental health care, with 78% reporting they did not receive mental health services in the past year. In South Carolina, the lowest ranking state, nearly 8 in 10 youth with depression do not receive care.

  • Nationally, only 28% of youth with severe depression receive some consistent treatment (7-25+ visits in a year).  Most (57.3%) youth with severe depression do not receive any care.

  • Nationally, 1 in 10 youth who are covered under private insurance do not have coverage for mental or emotional difficulties – totaling over 1.2 million youth. In Arkansas (ranked 51), nearly one-quarter of youth with private insurance do not have coverage for mental health care.

  • Only .718 percent of students are identified with emotional disturbance for an individualized education program (IEP). IEPs, with sufficient resources for schools and teachers, are critical for ensuring that youth with disabilities can receive the individualized services, supports, and accommodations to succeed in a school setting.

  • In the U.S., there are an estimated 350 individuals for every one mental health provider. However, these figures may actually be an overestimate of active mental health professionals, as it may include providers who are no longer practicing or accepting new patients..


Explore the web-based report using the links provided on the left or download the printable report.

This information was directly copied from Mental Health America at


CALL 988

"In July 2020, the Federal Communications Commission (FCC) designated 988 as the new three-digit number for the National Suicide Prevention Lifeline. This three-digit phone number was created to increase access to immediate crisis supports and provide a nationwide, easy-to-remember alternative to calling 911 for mental health crises.

Traditionally, when an in-person crisis response was necessary, law enforcement was dispatched to provide support. Mental health crisis calls may result in potentially dangerous and traumatizing outcomes when police are called, especially in historically marginalized communities.

According to a 2015 study, people with untreated mental illness are 16 times more likely to be killed in a police encounter than other civilians. Implementing 988 ensures that mental health crises can be met with a mental health response while resulting in substantial cost-savings and allowing for law enforcement resources to be saved for non-mental health-related emergencies.

A comprehensive 988 crisis system necessitates: training call staff to provide empowering, linguistically, and culturally appropriate supports to callers, ensuring the inclusion of appropriate care for subpopulations like LGBTQ+ individuals, making appropriate and accessible referrals, creating a system of mobile crisis teams that can be deployed to respond to individuals in crisis in place of law enforcement and offering crisis stabilization programs that connect people to a continuum of care when it is needed most.

All telecommunications companies have to make the necessary changes so calls to 988 will be directed to the current National Suicide Prevention Lifeline call centers. However, full implementation of 988 requires each state to submit its own legislation to fund and implement 988 infrastructure. Confirm access in your state.


The current National Suicide Prevention Lifeline serves about 4 million callers each year. According to Vibrant Emotional Health, the administrator of the Lifeline, even in a low scenario with a minimal growth rate, it is estimated that 988 will be serving 13 million callers by the fifth year following implementation."



Over half (56%) of adults with a mental illness receive no treatment. 60.3% of youth with major depression do not receive any mental health treatment.

Over 27 million individuals experiencing a mental illness are going untreated.


Although adults who did not have insurance coverage were significantly less likely to receive treatment than those who did, 54% of people covered by health insurance still did not receive mental health treatment, indicating that ensuring coverage is not the same as ensuring access to mental health care.

Blockers to Treatment:

Almost a quarter (24.7%) 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 reporting unmet need are those seeking treatment and facing barriers to getting the help they need, including: no insurance or limited coverage of services, shortfall in psychiatrists and an overall undersized mental health workforce, lack of available treatment types (inpatient treatment, individual therapy, intensive community services), disconnect between primary care systems and behavioral health systems, and insufficient finances to cover costs – including copays, uncovered treatment types, or when providers do not take insurance.


Data was collected directly from Mental Health America (MHA). MHA the nation’s leading community-based nonprofit dedicated to addressing the needs of those living with mental illness and promoting the overall mental health of all.

Reinert, M, Fritze, D. & Nguyen, T. (October 2021). “The State of Mental Health in America 2022” Mental Health America, Alexandria VA.

Mullen, S. (2018). Major depressive disorder in children and adolescents. The Mental Health Clinician, 8(6):275-283. Doi: 10.9740/mhc.2018.11.275

Fuller, DA, Lamb, HR, Biasotti, M & Snook J. (2015). Overlooked in the Undercounted: The Role of Mental Illness in Fata Law Enforcement Encounters. Treatment Advocacy Center.

Vibrant Emotional Health (2020). 988 Serviceable Populations and Contact Volume Projections.

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