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2021 State-Specific Fact Sheet References



  • 1 in 5 U.S. adults experience mental illness each year1.
  • [Number] adults in [state] have a mental health condition2. That’s more than [number] the population of [city]3.
  • More than half of Americans report that COVID-19 has had a negative impact on their mental health4.
  • In February 2021, [percentage] of adults in [state] reported symptoms of anxiety or depression5.
  • [Percentage] were unable to get needed counseling or therapy6.
  • 1 in 20 U.S. adults experience serious mental illness each year7.
  • In [state], [number] adults have a serious mental illness8.
  • 1 in 6 U.S. youth aged 6–17 experience a mental health disorder each year9.
  • [Number] [people in state] age 12–17 have depression10.
  • More than half of people with a mental health condition in the U.S. did not receive any treatment in the last year11.
  • Of the [number] adults in [state] who did not receive needed mental health care12, [percentage] did not because of cost13.
  • [Percentage] of people in the state are uninsured14.
  • [People in state] are over [number]x more likely to be forced out-of-network for mental health care than for primary health care15 — making it more difficult to find care and less affordable due to higher out-of-pocket costs. It is more important than ever to build a stronger mental health system that provides the care, support and services needed to help people build better lives.
  • [Number] people in [state] live in a community that does not have enough mental health professionals16.
  • High school students with depression are more than 2x more likely to drop out than their peers17.
  • [Percentage] of [people in state] age 12–17 who have depression did not receive any care in the last year18.
  • [Number] people in [state] are homeless19 and 1 in [number] live with a serious mental illness20.
  • On average, 1 person in the U.S. dies by suicide every 11 minutes21.
  • In [state], [number] lives were lost to suicide22 and [number] adults had thoughts of suicide in the last year23.
  • 1 in 4 people with a serious mental illness has been arrested by the police at some point in their lifetime24 – leading to over 2 million jail bookings of people with serious mental illness each year25.
  • About 2 in 5 adults in jail or prison have a history of mental illness26.
  • 7 in 10 youth in the juvenile justice system have a mental health condition27.

1. Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Key substance use and mental health indicators in the United States: Results from the 2019 National Survey on Drug Use and Health (HHS Publication No. PEP20-07-01-001, NSDUH Series H-55). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/
2. SAMHSA. (2019, December 18). 2017-2018 National Surveys on Drug Use and Health: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia). Retrieved December 12, 2020 https://www.samhsa.gov/data/sites/default/files/reports/rpt23259/NSDUHsaeTotals2018/NSDUHsaeTotals2018.pdf
3. U.S. Census Bureau City and Town Population Totals: 2010-2019 https://www.census.gov/data/tables/time-series/demo/popest/2010s-total-cities-and-towns.html and for Hilo, Hawaii population in 2018 https://worldpopulationreview.com/us-cities/hilo-hi-population
4. Kaiser Family Foundation analysis of U.S. Census Bureau, [Household Pulse Survey, 2020, Phase 3: 1/20/2021-2/1/2021] (https://www.cdc.gov/nchs/covid19/pulse/mental-health.htm). (See notes below)
5. Ibid
6. Ibid
7. SAMHSA. (2020). Key substance use and mental health indicators in the United States: Results from the 2019 National Survey on Drug Use and Health (HHS Publication No. PEP20-07-01-001, NSDUH Series H-55). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/
8. SAMHSA. (2019, December 18). 2017-2018 National Surveys on Drug Use and Health: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia). Retrieved December 12, 2020 https://www.samhsa.gov/data/sites/default/files/reports/rpt23259/NSDUHsaeTotals2018/NSDUHsaeTotals2018.pdf
9. Whitney, D., Peterson, M. (2019). US National and State-Level Prevalence of Mental Health Disorders and Disparities of Mental Health Care Use in Children. JAMA Pediatrics. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2724377
10. Kaiser Family Foundation analysis of Substance Abuse and Mental Health Services Administration (SAMHSA)'s restricted online data analysis system (RDAS), National Survey on Drug Use and Health (NSDUH), 2017 and 2018, Substance Abuse and Mental Health Data Archive. https://www.kff.org/statedata/collection/mental-health-substance-use-disorder/
11. SAMHSA. (2020). Key substance use and mental health indicators in the United States: Results from the 2019 National Survey on Drug Use and Health (HHS Publication No. PEP20-07-01-001, NSDUH Series H-55). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/
12. Kaiser Family Foundation analysis of Substance Abuse and Mental Health Services Administration (SAMHSA)'s restricted online data analysis system (RDAS), National Survey on Drug Use and Health (NSDUH), 2017 and 2018, Substance Abuse and Mental Health Data Archivehttps://www.kff.org/state-category/mental-health/
13. Ibid
14. Health Insurance Coverage of the Total Population. (2019). Kaiser Family Foundation estimates based on the 2008-2019 American Community Survey, 1-Year Estimates. https://www.kff.org/other/state-indicator/total-population/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
15. Davenport, S., Gray, T. J., & Melek, S. P. (2019). Addiction and mental health vs. physical health: Widening disparities in network use and provider reimbursement (Rep.). Milliman. https://www.milliman.com/en/insight/addiction-and-mental-health-vs-physical-health-widening-disparities-in-network-use-and-p
16. Bureau of Health Workforce, Health Resources and Services Administration (HRSA), U.S. Department of Health & Human Services, Designated Health Professional Shortage Areas Statistics: Designated HPSA Quarterly Summary, as of September 30, 2020 available at https://data.hrsa.gov/topics/health-workforce/shortage-areas.
17. Dupéré V, Dion E, Nault-Brière F, Archambault I, Leventhal T, Lesage A. (2018). Revisiting the link between depression symptoms and high school dropout: Timing of exposure matters. Journal of Adolescent Health. 2018;62:205–211. doi: 10.1016/j.jadohealth.2017.09.024. https://pubmed.ncbi.nlm.nih.gov/29195763/
18. Kaiser Family Foundation analysis of Substance Abuse and Mental Health Services Administration (SAMHSA)'s restricted online data analysis system (RDAS), National Survey on Drug Use and Health (NSDUH), 2017 and 2018, Substance Abuse and Mental Health Data Archive. https://www.kff.org/statedata/collection/mental-health-substance-use-disorder/
19. U.S. Department of Housing and Urban Development. (2020). Continuum of Care (CoC) Homeless Assistance Programs Homeless Populations and Subpopulations Reports. https://www.hudexchange.info/programs/coc/coc-homeless-populations-and-subpopulations-reports/?&filter_year=&filter_scope=&filter_state=&filter_coc=&current_page=1  
20. Ibid
21. U.S. Centers for Disease Control and Prevention. (2019). Fatal Injury and Violence Data 2018 (Rep.). Retrieved September 28, 2020, from https://www.cdc.gov/injury/wisqars/fatal.html
22. Ibid
23. SAMHSA. (2019, December 18). 2017-2018 National Surveys on Drug Use and Health: Model-Based Estimated Totals (in Thousands) (50 States and the District of Columbia). Retrieved December 12, 2020 https://www.samhsa.gov/data/sites/default/files/reports/rpt23259/NSDUHsaeTotals2018/NSDUHsaeTotals2018.pdf
24. Livingston, James D. (2016, Apr 15). Contact Between Police and People With Mental Disorders: A Review of Rates. https://doi.org/10.1176/appi.ps.201500312
25. Steadman, H. J., Osher, F. C., Robbins, P. C., Case, B. & Samuels, S. (2009). Prevalence of serious mental illness among jail inmates. Psychiatric Services, 60(6), 761-765. http://ps.psychiatryonline.org/doi/pdf/10.1176/ps.2009.60.6.761 
26. Bronson, J., Berzofsky, M. (2017, June). Indicators of Mental Health Problems Reported by Prisoners and Jail Inmates, 2011-12. https://www.bjs.gov/content/pub/pdf/imhprpji1112.pdf
27. Feye, A., Keator, K. J., Phillippi, S., & Irons, A. (2020, January). Caring for youth with behavioral health needs in the juvenile justice system: Improving knowledge and skills of the professionals who supervise them. Delmar, NY: National Center for Youth Opportunity and Justice. https://ncyoj.policyresearchinc.org/img/resources/CaringforYouthwithBehavioralHealthNeedsinJJ-946799.pdf
 
NOTES
Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. For details, see Section B of the "2017-2018 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/
Serious mental illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). SMI includes individuals with diagnoses resulting in serious functional impairment. For details, see Section B of the "2017-2018 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/
Any mental illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). For details, see Section B of the "2017-2018 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/
Adults Reporting Symptoms of Anxiety or Depressive Disorder During COVID-19 Pandemic: Adults having symptoms of anxiety disorder were determined based on having a score of three or greater on the Generalized Anxiety Disorder (GAD-2) scale. These adults have symptoms of anxiety that generally occur more than half the days or nearly every day.
Unmet Need for Counseling or Therapy Among Adults Reporting Symptoms of Anxiety and/or Depressive Disorder During the COVID-19 Pandemic: These adults, ages 18+, have symptoms of anxiety or depressive disorder that generally occur more than half the days or nearly every day in the past 7 days; and reported needing but not receiving counseling or therapy in the past four weeks.
Uninsured: Includes those without health insurance and those who have coverage under the Indian Health Service only.