Mental Health Healing and Use of the State Sheet


Basic Findings

State-level fact sheets explore the prevalence of mental illness and substance use and related deaths, and access, access, and care costs. Key findings include:

Mental health symptoms increased during the COVID-19 pandemic. From April 28 – May 10, 2021, 30.7% of U.S. adults reporting symptoms of anxiety and / or depressive disorder, from 11.0% in 2019.

  • The states with the highest percentage of adults reporting symptoms of anxiety and / or depressive disorder from April 28 – May 10, 2021 were Arkansas (35.5%), Kentucky (35.2%), Louisiana (34.3%. ), Oklahoma (34.3%), and Alaska (33.8%).
  • The states with the lowest percentage of adults reporting symptoms of anxiety and / or depressive disorder from April 28 – May 10, 2021 were Hawaii (23.2%), Minnesota (24.1%), Montana (24.1%). ), South Dakota (24.4%), and Rhode Island (24.5%).

Among adults who report symptoms of anxiety and / or depressive disorders, 24.2% reported needing, but not receiving, counseling or therapy, according to data from April 2021.

  • The states with the highest percentage of adults reporting symptoms of anxiety and / or depressive disorders and having unnecessary counseling or treatment in April 2021 were Vermont (38.8%), South Dakota (35.9%), Idaho (32.5%), Connecticut (31.9%), and Louisiana (31.6%).
  • The states with the lowest percentage of adults reporting symptoms of anxiety and / or depressive disorders and having unnecessary counseling or therapy in April 2021 were New Jersey (15.1%), Iowa (16.6%), Alabama (18.9%), Delaware (19.1%), and Nebraska (19.6%).

Death due to drug overdose increased during the pandemic, primarily driven by the use of synthetic opioids. In the U.S., in the 12 -month period ended September 2020, there were 27.4 deaths from drug overdose per 100,000, up from 21.3 per 100,000 in 2019.

  • The states with the highest drug deaths in the 12 -month period ended September 2020 were the District of Columbia (73.5 per 100,000), West Virginia (72.1 per 100,000), Delaware (48.5 per 100,000), Kentucky ( 43.7 per 100,000), and Ohio (43.7 per 100,000).
  • The states with the lowest drug overdose deaths in the 12 -month period ended September 2020 were South Dakota (9.1 per 100,000), Nebraska (10.5 per 100,000), Iowa (13.3 per 100,000), North Dakota (13.3 per 100,000), and Texas (13.8 per 100,000).

Suicide a leading cause of death in the U.S. and has increased in almost every state over time. In 2019, the age has changed suicide rate is 13.9 per 100,000.

  • The states with the highest suicide rates in 2019 are Wyoming (29.6 per 100,000), Alaska (28.5 per 100,000), Montana (26.2 per 100,000), New Mexico (24.1 per 100,000), and Colorado (22.1 per 100,000). ).
  • The states with the lowest suicide rates in 2019 were the District of Columbia (6.1 per 100,000), New Jersey (8.0 per 100,000), New York (8.3 per 100,000), Massachusetts (8.6 per 100,000), and Maryland ( 10.3 per 100,000).

In 2018-2019, approximately one-third (35.0%) of adults with severe mental illness (SMI) in the past year did not receive mental health treatment.

  • The states with the highest percentage of adults with SMI not receiving mental health treatment were the District of Columbia (47.0%), Georgia (46.6%), Alaska (45.7%), Oklahoma (45.2%) , and Texas (44.7%).
  • The states with the lowest percentage of adults with SMI who did not receive mental health treatment were Wisconsin (14.4%), North Dakota (19.7%), West Virginia (22.8%), South Dakota (23.9%), and Utah (24.4%).

Across the state, the average out -of -pocket spending for adults with mental illness who enroll in multiple master health plans is higher than the average out -of -pocket spending for adult enrollment. no mental illness ($ 1,347 vs. $ 671).

  • The average out -of -pocket spending for adults with multiple employer coverage with mental illness is highest in Connecticut ($ 1,753), Wyoming ($ 1,739), North Dakota ($ 1,698), Montana ($ 1,659), and Idaho ($ 1,617).
  • The average out -of -pocket spending for adults with multiple masterpieces with mental illness is the lowest in Michigan ($ 998), Massachusetts ($ 1,048), California ($ 1,106), Iowa ($ 1,106). ), and Wisconsin ($ 1,113).

Note: For more state -level data, visit our Mental Health Use and Substance Use page on KFF’s State Health Facts. By State Health Facts’ customary state reports, Comparisons can be made with selected states and indicators.

Mental health disorders and sustainability remain a major policy issue at the national and state levels, especially in light of CO The recent past. American Rescue Plan Act allocates funding for mental health services and substance use, with a section dedicated to the mental health of children and adolescents. The need for mental health care increases even as some people lose health insurance due to unemployment during the pandemic. This is likely to exacerbate long-term access to care issues for mental health and medication use services. As policymakers address many of the issues raised or highlighted by the economic and social crisis, the data may be essential to sustain policy action aimed at addressing long-standing and evolving issues. mental health care.



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