More than 5 million American adults were receiving mental health treatment at a state-monitored mental health facility in 2022, according to a report from the Department of Health and Human Services released in April, an increase from last year.
However, access to treatment can largely depend on where someone lives or what kind of insurance they have. More than half of adults receiving treatment lived in just 10 states, as many Americans lack access to mental health care.
People who live in rural states have high rates of people receiving mental health services at state-monitored facilities. Isolation, diminishing economic prospects, and the stigmatization of mental health conditions can lead to higher rates of depression in rural communities. In Iowa, where about one-third of its population lives in rural areas, an estimated 473,000 people have a mental health condition. However, the state ranked last in terms of psychiatric bed availability, with only 2 available beds per 100,000 residents.