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Texas Among the States with the Worst Mental Health Care for Young People 

Texas comes in sixth

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Mental health treatment specialists at Onyx Behavioral Health analyzed 2023 data from Mental Health America on factors such as youth with at least one major depressive episode (MDE), students identifying with emotional disturbance, and students with a substance disorder. Each factor was awarded a score out of 10 per state to determine the final ranking.  Image for illustration purposes
Mental health treatment specialists at Onyx Behavioral Health analyzed 2023 data from Mental Health America on factors such as youth with at least one major depressive episode (MDE), students identifying with emotional disturbance, and students with a substance disorder. Each factor was awarded a score out of 10 per state to determine the final ranking.  Image for illustration purposes
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A new study has revealed the states with the worst mental health care for young people, with Oregon taking the top spot. 

Oregon tops the list as the state with the worst mental health care for young people 
Virginia and Nebraska are in second and third place, respectively 
Texas comes in sixth
New Jersey ranks last with the best mental health care for young people 

Mental health treatment specialists at Onyx Behavioral Health analyzed 2023 data from Mental Health America on factors such as youth with at least one major depressive episode (MDE), students identifying with emotional disturbance, and students with a substance disorder. Each factor was awarded a score out of 10 per state to determine the final ranking. 

Oregon ranks at the top, with an overall score of 31.18. The state earned the lowest possible score of 0 for youth with at least one major depressive episode at 21.1% – the highest in the country. Oregon also scored 0.61 for youth with a severe major depressive episode at 19.0%, this being the second highest in the US. 

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Coming in second is Virginia, with a score of 34.92. The state earned a score of 1.49 for youth with at least one major depressive episode at 19.6% and 2.84 for youth with private insurance that doesn’t cover mental health at 17.0%. 

Third in the ranking is Nebraska, with a score of 35.58. The state scored 0.98 for youth with at least one major depressive episode at 20.1%, and 1.84 for youth with a major depressive episode who received consistent treatment at 16.0%. 

Vermont places fourth, with a score of 36.52. Vermont earned the lowest score of 0 for students who identify with emotional disturbance at 30.6%, which is the highest in the US, and 0.45 for youth with at least one major depressive episode at 20.6%. 

In fifth comes Kansas, with a score of 37.14. The state received a score of 0 for both youth with a substance disorder at 9.1%, and youth with a major depressive episode who received consistent treatment at 6.5% – both these figures are the worst in the country. 

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Texas comes in sixth, with a score of 37.80. Texas earned a score of 1.20 for youth with a major depressive episode who received consistent treatment at 12.7%, and 1.74 for youth with private insurance that doesn’t cover mental health at 19.4%.   

Seventh on the list is Idaho, with a score of 38.29. The state scored 0.23 for youth with at least one major depressive episode at 20.9%, and 1.63 for youth with a severe major depressive episode at 17.5%. 

Maine ranks eighth, with a score of 42.06. The state earned a score of 1.20 for youth with at least one major depressive episode at 19.9%, as well as 2.45 for youth with a severe major depressive episode at 16.3%. 

In ninth place is Minnesota, with a score of 42.94. Minnesota achieved a score of 1.54 for students who identify with emotional disturbance at 19.8%, and 1.65 for youth with at least one major depressive episode at 19.4%.  

Landing the tenth spot is Arkansas, with a score of 42.98. The state received the lowest possible score of 0 for two factors: youth with a major depressive episode who didn’t receive treatment and youth with private insurance that does not cover mental health, both at 23.2%. 

New Jersey ranks last, with a score of 70.79 and the best mental health care for young people. The state scored 10 points for youth with at least one major depressive episode at 12.6% – the lowest in the country. New Jersey also scored 8.44 for youth with a severe major depressive episode at 7.5%, which is the second lowest in the US.  

Rank State Final Score 
Oregon 31.18 
Virginia 34.92 
Nebraska 35.58 
Vermont 36.52 
Kansas 37.14 
Texas 37.80 
Idaho 38.29 
Maine 42.06 
Minnesota 42.94 
10 Arkansas 42.98 

A spokesperson from Onyx Behavioral Health commented on the findings: “These new statistics underscore the urgent need for increased investment and resources to address the growing mental health crisis among youth. The lack of accessible support systems in the top-ranking states is alarming and highlights barriers preventing young people from getting the help they need. 

“It’s crucial that governments and communities prioritize mental health from a young age. New policies and strategies could see any of the top 10 states escape the ranking.” 

This study was conducted byOnyx Behavioral Health, mental health treatment specialists based in Florida. 

Methodology 

Data on multiple youth mental health factors per state in 2023 was sourced from Mental Health America. Factors included:  

  • Youth with at least one major depressive episode (MDE)  
  • Youth with at least one major depressive episode who did not receive mental health service  
  • Students identified with emotional disturbance  
  • Youth with a substance disorder  
  • Youth with private insurance that did not cover mental health problems  
  • Youth with a severe major depressive episode who received some consistent treatment 

Each factor was scored out of 10 per state to determine the ranking. 

The full 50 state ranking can be seen below. 

Rank State Index Score 
Oregon 31.18 
Virginia 34.92 
Nebraska 35.58 
Vermont 36.52 
Kansas 37.14 
Texas 37.80 
Idaho 38.29 
Maine 42.06 
Minnesota 42.94 
10 Arkansas 42.98 
11 Montana 45.74 
12 North Dakota 46.92 
13 New Mexico 47.22 
14 Indiana 47.82 
15 Iowa 48.22 
16 West Virginia 48.30 
17 Alaska 49.93 
18 Louisiana 50.14 
19 Washington 50.46 
20 Ohio 50.52 
21 Michigan 50.95 
22 Hawaii 51.04 
23 Colorado 52.10 
24 South Dakota 52.12 
25 New Hampshire 52.50 
26 New York 52.96 
27 Arizona 53.23 
28 Missouri 54.04 
29 Connecticut 54.08 
30 Illinois 54.62 
31 Florida 54.93 
32 Mississippi 54.96 
33 Tennessee 56.09 
34 Alabama 56.97 
35 Kentucky 57.57 
36 Utah 57.81 
37 Wyoming 57.84 
38 Georgia 57.85 
39 Massachusetts 58.30 
40 Wisconsin 59.35 
41 Pennsylvania 59.42 
42 Rhode Island 60.06 
43 Maryland 61.83 
44 California 61.99 
45 North Carolina 62.30 
46 Oklahoma 63.27 
47 Nevada 64.24 
48 Delaware 67.14 
49 South Carolina 70.50 
50 New Jersey 70.79 

Information Source: https://onyxbh.com  

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