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This year’s report includes spotlights on two of MHA’s policy priorities in 2021-2022 – the implementation of 988 as the national three-digit suicide prevention and mental health crisis hotline and increasing mental health education and supports in schools, particularly for BIPOC youth. Substance use increased 0.07% for adults and 0.25% for youth over last year’s report. adults and 4.08% of youth had a substance use disorder in the past year.

Rates of substance use are increasing for youth and adults, even prior to the COVID-19 pandemic. 7.74% of U.S.

8.1% of children had private insurance that did not cover mental health services, totaling 950,000 youth. There was a 0.3% increase from last year’s dataset, the second year in a row that this indicator increased since the passage of the Affordable Care Act (ACA). 11.1% of Americans with a mental illness are uninsured. continue to lack adequate insurance coverage. 65.6% of youth in Maine (ranked 1st) received consistent treatment, which is 16% higher than Vermont (49.7%) which is ranked 2nd. In Tennessee, the bottom-ranked state, that rate is as low as 12%. Even among youth with severe depression who receive some treatment, only 27% received consistent care.

Nationally, fewer than 1 in 3 youth with severe depression receive consistent mental health care.

In Texas, the bottom-ranked state for this indicator, nearly three-quarters of youth with depression did not receive mental health treatment. Even in states with the greatest access, nearly one in three are going without treatment.

Over 60% of youth with major depression do not receive any mental health treatment.

In 2019, 24.7% of adults with a mental illness report an unmet need for treatment.

The percentage of adults with a mental illness who report unmet need for treatment has increased every year since 2011.Even in Vermont, the top-ranked state in the U.S., 43% of adults experiencing a mental illness were not receiving treatment. In Hawaii, the bottom-ranked state, 67% of adults with a mental illness did not receive treatment. Over half of adults with a mental illness do not receive treatment, totaling over 27 million adults in the U.S.The rate of severe depression was highest among youth who identified as more than one race, at 14.5% (more than one in every seven multiracial youth).

have severe major depression (depression that severely affects functioning). have severe depression, and multiracial youth are at greatest risk. In the bottom-ranked states, up to 19% of youth ages 12-17 experienced major depression. 15.08% of youth experienced a major depressive episode in the past year, a 1.24% increase from last year’s dataset.

A growing percentage of youth in the U.S.

This was a larger increase than seen in last year’s report and is a concerning trend to see going into the COVID-19 pandemic. The national rate of suicidal ideation among adults has increased every year since 2011-2012.

4.58% of adults report having serious thoughts of suicide, an increase of 664,000 people from last year’s dataset. Suicidal ideation continues to increase among adults in the U.S.In 2019, just prior to the COVID-19 pandemic, 19.86% of adults experienced a mental illness, equivalent to nearly 50 million Americans.