Where in the US Has the Poorest Mental Health?

Written by Richard D. Coffman

Mental health has typically taken a back seat to physical health, but that has begun to change in recent years. More doctors are now screening their patients for mental health struggles during routine checkups, and there are more mental health services available to help those who need them. With health professionals and society putting more of an emphasis on mental health, many people have become more willing to be open about struggling with mental health and seeking help to improve it.

Using data from the 2022 County Health Rankings, we reviewed the average number of mentally unhealthy days reported over 30 days across all of the U.S. counties to find the ones with the worst mental health stats. These averages are based on patients who self-reported their days of poor mental health, so in reality, mental health in America may be even worse, as not everyone feels comfortable being open about their struggles with mental health.

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Each State's Average Number of Mentally Unhealthy Days and the County With the Poorest Mental Health

	State	Average Number of Mentally Unhealthy Days Reported per Person Over 30 Days	Range	County With the Poorest Mental Health	Average Number of Mentally Unhealthy Days Reported per Person Over 30 Days
1	West Virginia	6.6	5.6-7.5	McDowell	7.5
2	Louisiana	5.6	4.8-6.5	East Carroll	6.5
3	Alabama	5.6	4.8-6.4	Greene	6.4
4	Arkansas	5.6	4.9-6.3	Sharp	6.3
5	Kentucky	5.5	4.4-6.5	Bell	6.5
6	Mississippi	5.3	4.4-6.1	Holmes, Quitman	6.1
7	Michigan	5.2	4.4-6.0	Lake	6.0
8	Ohio	5.2	4.3-6.1	Adams	6.1
9	Tennessee	5.1	4.3-6.4	Hancock	6.4
10	Oklahoma	5.0	4.5-6.1	Adair	6.1
11	Missouri	4.9	4.2-5.8	Ripley	5.8
12	Georgia	4.8	4.2-6.6	Clinch	6.6
13	Indiana	4.8	4.0-5.7	Crawford	5.7
14	New Hampshire	4.8	4.3-5.1	Coos	5.1
15	New Mexico	4.7	3.6-6.7	McKinley	6.7
16	Arizona	4.7	4.3-6.5	Apache	6.5
17	Maine	4.7	4.3-5.4	Somerset	5.4
18	Nevada	4.7	4.4-5.3	Mineral	5.3
19	Vermont	4.7	4.2-5.1	Essex	5.1
20	Montana	4.6	4.1-6.0	Glacier, Roosevelt	6.0
21	Pennsylvania	4.6	4.1-5.5	Mifflin	5.5
22	Oregon	4.6	4.0-5.2	Coos, Grant, Josephine, Lake	5.2
23	Delaware	4.6	4.3-4.8	Kent	4.8
24	Florida	4.5	4.4-6.0	Holmes	6.0
25	South Carolina	4.5	4.2-5.7	Dillon	5.7
26	Kansas	4.5	3.6-5.0	Chautauqua	5.0
27	Rhode Island	4.5	4.5-4.8	Providence	4.8
28	Wisconsin	4.4	3.7-5.8	Menominee	5.8
29	North Carolina	4.4	3.8-5.7	Robeson	5.7
30	Utah	4.4	3.7-5.6	San Juan	5.6
31	Idaho	4.4	3.9-5.3	Shoshone	5.3
32	Washington	4.4	3.7-5.3	Ferry	5.3
33	Virginia	4.2	3.3-5.8	Buchanan	5.8
34	Illinois	4.2	3.7-5.4	Gallatin	5.4
35	Massachusetts	4.2	4.0-4.9	Bristol	4.9
36	Wyoming	4.1	3.3-4.8	Niobrara	4.8
37	Iowa	4.1	3.4-4.7	Wayne	4.7
38	Minnesota	4.0	3.4-5.3	Mahnomen	5.3
39	Maryland	4.0	3.5-5.2	Somerset	5.2
40	Colorado	4.0	3.5-4.8	Baca	4.8
41	Alaska	3.9	3.4-6.7	Kusilvak	6.7
42	Texas	3.9	3.6-5.5	Kenedy	5.5
43	New York	3.9	3.8-5.2	Hamilton, Cattaraugus	5.2
44	California	3.9	3.4-5.1	Trinity	5.1
45	Connecticut	3.9	3.8-4.5	Windham	4.5
46	District of Columbia	3.9	3.9-3.9	District of Columbia	3.9
47	South Dakota	3.7	3.2-5.8	Todd	5.8
48	North Dakota	3.7	3.3-5.2	Sioux	5.2
49	Nebraska	3.8	3.4-4.9	Thurston	4.9
50	New Jersey	3.8	3.7-4.9	Cumberland	4.9
51	Hawaii	3.7	3.3-4.5	Hawaii	4.5

Written by Richard D. Coffman