This figure includes costs from lost productivity, healthcare expenses, and social services for adults aged 18 and older.
Key Takeaways
- Approximately 22% of adults in Delaware experience any mental illness (AMI) within a given year, with nearly 5% facing a serious mental illness (SMI).22%[2]
- Youth in Delaware face significant challenges, with 15.2% of adolescents aged 12-17 having experienced a major depressive episode in the past year.15.2%[3]
- Significant racial disparities in access to care persist; only 45% of Black adults in need of mental health services receive them, compared to 60% of White adults.45% vs 60%[4]
- The state's age-adjusted suicide rate was 13.5 per 100,000 residents in 2021, a figure that has been trending upwards.13.5 per 100k[5]
- Delaware is designated as a Mental Health Professional Shortage Area (HPSA), indicating a significant gap between the need for services and the availability of providers.[2]
- Despite challenges, Delaware ranks 12th nationally for overall mental health performance, which includes measures of prevalence, access, and outcomes.12th[2]
The Scope of Mental Health in Delaware
Understanding the prevalence of mental health conditions is the first step toward addressing the needs of Delaware residents. Data reveals that a significant portion of the state's population, across all age groups, is affected by mental illness. These statistics not only quantify the scale of the issue but also highlight the importance of accessible and effective mental healthcare services for building healthier communities.
Overall Prevalence Rates
Based on data from a 12-month period.
SMI is defined as a condition that substantially interferes with major life activities.
Based on a survey sample of over 20,000 residents.
This prevalence rate for ages 0-17 exceeds the national average of 16%.
Depression and Anxiety Disorders
Depression and anxiety are among the most common mental health conditions affecting Delawareans. While adult depression rates in Delaware are slightly above the national average[7], the prevalence among youth is particularly alarming. This disparity underscores a critical need for early intervention and accessible mental health support for young people across the state.
Depression Prevalence: Youth vs. Adults
Other Common Conditions
Beyond depression, Delaware's population experiences a range of other mental health and substance use disorders. Conditions like anxiety, bipolar disorder, and eating disorders affect thousands of residents, each presenting unique challenges for diagnosis and treatment. Tracking the prevalence of these specific conditions is vital for allocating specialized resources and developing targeted public health strategies.
Prevalence of Specific Disorders
This rate reflects a recent increase, with emergency department visits for anxiety rising.
This estimate is for the adult population in Delaware.
This is the 12-month prevalence rate for SUDs among this population.
Demographics and Disparities
Mental health does not affect all populations equally. Examining data across different demographic groups—including gender, race, ethnicity, and age—is crucial for understanding disparities and identifying vulnerable populations. These insights help policymakers and healthcare providers tailor interventions to address the specific needs and barriers faced by diverse communities in Delaware.
Gender Disparities in Depression
Racial and Ethnic Disparities
Prevalence rates and access to care vary significantly across racial and ethnic lines in Delaware. Native American and Black adults report the highest rates of mental health disorders, yet minority groups often face greater barriers to receiving care. These disparities are driven by a combination of factors, including systemic inequities, cultural stigma, provider shortages in certain communities, and higher uninsured rates.
Youth Mental Health Trends
The mental health of Delaware's youth is a growing concern, with data showing a significant increase in suicidal ideation. Between 2017 and 2021, the percentage of young people who reported making a suicide plan rose by over 30%[10]. This alarming trend highlights the urgent need for enhanced mental health support in schools and communities, focusing on prevention, early detection, and accessible treatment for adolescents.
Access to Care and Treatment
Access to mental healthcare in Delaware is a complex issue marked by both progress and persistent challenges. The state's designation as a Mental Health Professional Shortage Area (HPSA) underscores a fundamental gap between the demand for services and the supply of qualified providers[2]. This shortage contributes to long wait times and creates significant barriers, particularly for specialized services like child psychiatry.
Barriers to Accessing Care
While lower than the national average of 30 days, this wait can be critical for individuals in crisis.
This low availability creates significant challenges for youth requiring inpatient care.
This is less favorable than the national benchmark of 1 per 15,000 children.
Language barriers significantly hinder effective communication with service providers.
Insurance Coverage and Parity
While a high percentage of Delawareans have insurance that includes mental health benefits, coverage does not always translate to access[12]. The state has robust parity laws, but enforcement remains a challenge. Market conduct examinations have revealed that some health plans impose more restrictive requirements for mental health and substance use disorder benefits compared to medical benefits, leading to significant fines[13]. These disparities create unequal access to care, particularly for vulnerable populations.
Racial Disparities in Access to Care
The Economic Impact of Mental Illness
The economic consequences of mental illness in Delaware are substantial, extending far beyond direct healthcare costs. Untreated or undertreated conditions lead to significant losses in workplace productivity, increased demand on social support systems, and higher costs within the criminal justice system. Understanding this financial burden highlights the economic imperative of investing in comprehensive mental health services, which not only improves lives but also yields a strong return for the state's economy.
Economic Burden Breakdown
Outcomes and System Performance
Measuring the effectiveness of a mental health system involves looking at key outcomes like recovery rates, hospital readmissions, and employment after treatment. These indicators provide a snapshot of how well the system is supporting individuals on their path to recovery. While Delaware shows positive signs in areas like patient satisfaction and substance use treatment completion, high readmission rates and challenges in post-treatment employment highlight areas for improvement.
Key Treatment Outcomes
Suicide and Overdose Deaths
The most tragic outcomes of untreated mental illness and substance use are suicide and overdose deaths. Delaware has experienced a concerning rise in both, with the drug overdose death rate consistently surpassing the national average[15]. These statistics represent lives lost and families devastated, underscoring the critical importance of crisis intervention, prevention programs, and accessible treatment for substance use disorders.
Drug Overdose Death Rate Trend
How Delaware Compares Nationally
National rankings provide valuable context for evaluating Delaware's mental health landscape. These comparisons, compiled by organizations like Mental Health America and the Commonwealth Fund, assess states on a wide range of factors, including the prevalence of mental illness, access to care, and policy innovations. While Delaware performs well in overall rankings, it faces challenges related to the high prevalence of mental illness among its population.
Frequently Asked Questions
Sources & References
All statistics and claims on this page are supported by peer-reviewed research and official government data sources.
