Massachusetts Mental Health Statistics

    Browse mental health statistics for Massachusetts. Find condition-specific prevalence rates, treatment data, and demographic breakdowns.

    28%[1]
    of Massachusetts youth (ages 12-17) experienced a major depressive episode in the past year

    This high prevalence among adolescents highlights a critical need for accessible, youth-focused mental health services and school-based support systems across the state.

    Past Year (reported 2023)

    Key Takeaways

    • Massachusetts ranks 3rd nationally for overall mental health treatment access, indicating a strong healthcare infrastructure despite persistent challenges.Top 3
    • Significant geographic disparities exist, with 10 out of 14 rural counties having no in-person mental health provider facilities, creating major barriers to care.71% of rural counties
    • Depressive disorders are more prevalent in rural Massachusetts, affecting 24% of the population compared to 18.5% in urban areas.
    • Racial and ethnic disparities in treatment are stark; 70% of White individuals with a mental health condition receive care, compared to just 50% of Black individuals and 45% of Native American individuals.
    • Telehealth has become a cornerstone of care, with usage for mental health visits soaring to 83.5% during the COVID-19 pandemic surge from a baseline of just 5%.
    • The economic impact of mental illness is substantial, costing employers an estimated $4.2 billion annually in lost productivity.$4.2 Billion
    • Veterans in Massachusetts face a higher suicide rate (20 per 100,000) compared to their civilian counterparts (15 per 100,000), highlighting a need for targeted support.

    Mental Health Prevalence in Massachusetts

    Massachusetts presents a complex mental health landscape. While the state is often recognized for its robust healthcare system and high rankings in access to care, a significant portion of its population still contends with mental health conditions. In the past year, approximately 21% of adults in Massachusetts experienced some form of mental illness[2]. Understanding the prevalence of specific disorders is the first step toward allocating resources effectively and addressing the needs of the Commonwealth's residents.

    The following statistics provide a snapshot of the most common mental health conditions affecting adults and youth in the state, from major depressive disorder to anxiety and serious mental illness. These figures help quantify the scale of the challenge and provide a baseline for measuring the impact of public health initiatives.

    9.2%[1]
    of adults with Major Depressive Disorder

    Slightly higher than the national average of 8.3%.

    2023
    7.2%[3]
    of adults with Generalized Anxiety Disorder

    Represents a significant portion of the adult population experiencing persistent worry.

    2022
    5.2%[2]
    of adults with a Serious Mental Illness (SMI)

    Refers to conditions that substantially interfere with major life activities.

    2023
    17%[4]
    of children (0-17) with a diagnosed mental health disorder

    Highlights the early onset of mental health challenges.

    2020-2025
    2.8%[1]
    of adults affected by Bipolar Disorder

    A serious condition characterized by extreme mood swings.

    2023
    1%[5]
    of children with Avoidant/Restrictive Food Intake Disorder (ARFID)

    An eating disorder characterized by highly selective eating habits.

    Access to Mental Health Care

    While Massachusetts has a higher-than-average number of mental health providers, access to care is not uniform across the state. The data reveals a system under strain, characterized by provider shortages in certain areas, long wait times for appointments, and high demand for inpatient services. The state has 55 mental health providers per 100,000 people, which is above the national average of 50[6]. However, these resources are not evenly distributed, leading to significant challenges for many residents seeking timely and effective care.

    65[7]
    Mental Health Professional Shortage Areas (HPSAs)

    40 of these are in rural locations, highlighting a stark urban-rural divide in provider availability.

    2024
    14 Days[8]
    Average wait for a first appointment

    While better than the national average of 21 days, this wait can still be critical for individuals in distress.

    85%[9]
    Psychiatric bed occupancy rate

    This high rate indicates strong demand and limited capacity for new patients needing inpatient care.

    2023
    7.2 Hours[10]
    Average ED boarding time for psychiatric patients

    Patients often wait for an inpatient bed, a practice known as 'boarding,' which delays necessary treatment.

    Insurance Parity and Telehealth

    Massachusetts has strong mental health parity laws designed to ensure that insurance coverage for mental health is equivalent to that for physical health. However, data reveals that disparities in practice persist, with mental health claims facing higher rates of denial and more frequent requirements for prior authorization. These administrative hurdles can create significant barriers to receiving consistent care. The state has taken enforcement actions, collecting approximately $7.8 million in settlements from insurers for parity violations between 2020 and 2025[11]. Concurrently, the passage of the Telehealth Parity Act in 2020 has revolutionized care delivery, with 85% of providers now offering telehealth services[12].

    Insurance Claim Denial Rates
    5.0%
    Mental Health Claims
    2.0%
    Medical Claims
    2.5x Higher Denial Rate
    Mental health claims were denied more than twice as often as medical claims between 2020-2025, indicating potential parity violations.
    Prior Authorization Requirements
    30%
    Mental Health Treatment
    10%
    Medical Treatment
    3x More Frequent
    From 2021-2024, mental health services required pre-approval three times more often than medical services, creating delays in accessing care.

    Demographic Disparities in Mental Health

    Mental health conditions do not affect all populations equally. In Massachusetts, significant disparities exist across racial, ethnic, gender, and age groups. These differences are driven by a combination of factors, including systemic inequities, socioeconomic status, cultural stigma, and varying levels of access to culturally competent care. For example, only 25% of mental health professionals in the state represent racial or ethnic minorities, creating a potential barrier for diverse populations seeking relatable care[13]. The following data illustrates the varying prevalence of mental health conditions and access to treatment among different demographic groups within the Commonwealth.

    The Urban-Rural Divide

    Geography plays a crucial role in mental health outcomes within Massachusetts. Rural residents face a distinct set of challenges, including a severe lack of local providers, greater travel distances to receive care, and limited access to the digital infrastructure needed for telehealth. This disparity in resources contributes to higher rates of certain mental health conditions and adverse outcomes, such as suicide, in the state's rural counties.

    Depression Prevalence
    24.0%
    Rural MA
    18.5%
    Urban MA
    30% Higher in Rural Areas
    Residents in rural areas of Massachusetts report significantly higher rates of depressive disorders.
    Suicide Rate (per 100,000)
    18
    Rural MA
    12
    Urban MA
    50% Higher in Rural Areas
    The suicide rate is markedly higher in rural parts of the state, correlating with reduced access to crisis services and providers.
    Telehealth Use During Pandemic
    68%
    Urban Patients
    42%
    Rural Patients
    Lower Adoption in Rural Areas
    Despite its potential, telehealth was less utilized in rural areas, partly due to broadband access issues; only 70% of rural households have high-speed internet.

    Spotlight on Specific Populations

    Certain populations, such as veterans, college students, and older adults, face unique mental health challenges. Veterans often grapple with conditions like PTSD and higher suicide risk. College students are navigating academic pressure and life transitions, leading to high rates of depression and anxiety. Older adults may experience loneliness, cognitive decline, and late-life depression. Understanding the specific data for these groups is essential for developing targeted and effective support systems.

    The Economic Impact of Mental Illness

    The economic burden of mental illness in Massachusetts is profound, extending beyond direct healthcare expenditures. Untreated or undertreated conditions contribute to significant costs related to lost productivity, disability claims, and increased involvement with the criminal justice system. The total economic cost associated with mental illness in the state is estimated at approximately $16.0 billion between 2020 and 2025[19]. However, investments in mental healthcare demonstrate a strong return, improving individual well-being and yielding substantial economic benefits.

    Per Capita Mental Health Spending

    Massachusetts' per capita spending is notably higher than the national average of around $300, reflecting a strong state-level investment.<sup class="citation-ref" data-citation-hash="cite-thecostofcut" data-source="Hcfama" data-year="2018" data-url="https://hcfama.org/the-cost-of-cuts-behavioral-health-equity-under-threat-august-19-2025/" data-ama="The Cost of Cuts: Behavioral Health Equity Under Threat | August 19 .... Hcfama. Published 2018. Accessed January 2026. https://hcfama.org/the-cost-of-cuts-behavioral-health-equity-under-threat-august-19-2025/"></sup>

    Hcfama (2018)
    $350[20]
    Annual Criminal Justice Costs

    This figure represents the estimated yearly costs to the criminal justice system attributed to mental illness in the state.<sup class="citation-ref" data-citation-hash="cite-pdfbehaviora" data-source="Chiamass" data-year="2024" data-url="https://www.chiamass.gov/assets/docs/r/pubs/2024/Behavioral-Health-Care-Dashboard-2024.pdf" data-ama="[PDF] Behavioral Health in Massachusetts. Chiamass. Published 2024. Accessed January 2026. https://www.chiamass.gov/assets/docs/r/pubs/2024/Behavioral-Health-Care-Dashboard-2024.pdf"></sup>

    Chiamass (2024)
    $1.5 Billion[10]
    Return on Investment

    Every $1 invested in community-based mental health treatment yields an estimated $4 in return through reduced costs in healthcare, disability, and criminal justice.<sup class="citation-ref" data-citation-hash="cite-pdfmentalhea" data-source="National Alliance on Mental Illness" data-year="2023" data-url="https://www.nami.org/wp-content/uploads/2023/07/MassachusettsStateFactSheet.pdf" data-ama="[PDF] M ental H ealth in M assachusetts. National Alliance on Mental Illness. Published 2023. Accessed January 2026. https://www.nami.org/wp-content/uploads/2023/07/MassachusettsStateFactSheet.pdf"></sup>

    National Alliance on Mental Illness (2023)
    $4 to $1[2]

    Treatment Outcomes and Recovery

    Measuring the effectiveness of mental health services is crucial for improving the system of care. In Massachusetts, various metrics are used to track treatment outcomes, from recovery and readmission rates to patient satisfaction and employment stability. While the data shows areas of success, such as high patient satisfaction and strong adoption of evidence-based practices, it also points to challenges, including a recovery rate of 45% among adults receiving care[10]. These outcomes provide valuable insights for policymakers and providers working to enhance the quality and impact of mental healthcare in the state.

    12%
    30-Day Psychiatric Readmission Rate

    Indicates the percentage of patients who are readmitted to an inpatient facility within a month of discharge.<sup class="citation-ref" data-citation-hash="cite-expeditedpsy" data-source="Mass" data-year="" data-url="https://www.mass.gov/lists/expedited-psychiatric-inpatient-admission-epia-dashboards" data-ama="Expedited Psychiatric Inpatient Admission (EPIA) Dashboards. Mass. Accessed January 2026. https://www.mass.gov/lists/expedited-psychiatric-inpatient-admission-epia-dashboards"></sup>

    2022
    55%
    Stable Employment After Treatment

    The rate of working-age adults who maintain stable employment one year after completing mental health treatment.<sup class="citation-ref" data-citation-hash="cite-pdfbehaviora" data-source="Chiamass" data-year="2022" data-url="https://www.chiamass.gov/assets/docs/r/pubs/2025/Behavioral-Health-Care-Dashboard-2025.pdf" data-ama="[PDF] Behavioral Health in Massachusetts. Chiamass. Published 2022. Accessed January 2026. https://www.chiamass.gov/assets/docs/r/pubs/2025/Behavioral-Health-Care-Dashboard-2025.pdf"></sup>

    2020-2025
    82%
    Patient Satisfaction Rate

    A high percentage of patients report satisfaction with the mental health services they received.<sup class="citation-ref" data-citation-hash="cite-pdfbehaviora" data-source="Chiamass" data-year="2022" data-url="https://www.chiamass.gov/assets/docs/r/pubs/2025/Behavioral-Health-Care-Dashboard-2025.pdf" data-ama="[PDF] Behavioral Health in Massachusetts. Chiamass. Published 2022. Accessed January 2026. https://www.chiamass.gov/assets/docs/r/pubs/2025/Behavioral-Health-Care-Dashboard-2025.pdf"></sup>

    2020-2025
    60%
    SUD Treatment Completion Rate

    The percentage of patients who complete their enrolled substance use disorder treatment programs.<sup class="citation-ref" data-citation-hash="cite-pdfbehaviora" data-source="Chiamass" data-year="2022" data-url="https://www.chiamass.gov/assets/docs/r/pubs/2025/Behavioral-Health-Care-Dashboard-2025.pdf" data-ama="[PDF] Behavioral Health in Massachusetts. Chiamass. Published 2022. Accessed January 2026. https://www.chiamass.gov/assets/docs/r/pubs/2025/Behavioral-Health-Care-Dashboard-2025.pdf"></sup>

    2020-2025

    Frequently Asked Questions

    Sources & References

    All statistics and claims on this page are supported by peer-reviewed research and official government data sources.

    1Massachusetts V. Explore Depression in Massachusetts - America's Health Rankings. Americashealthrankings. Accessed January 2026. https://www.americashealthrankings.org/explore/measures/Depression_a/MA(2024)
    2[PDF] M ental H ealth in M assachusetts. National Alliance on Mental Illness. Published 2023. Accessed January 2026. https://www.nami.org/wp-content/uploads/2023/07/MassachusettsStateFactSheet.pdf
    3Anxiety Statistics in the United States in 2025. Laopcenter. Published 2025. Accessed January 2026. https://laopcenter.com/mental-health/anxiety-statistics-in-the-united-states/
    4[PDF] Massachusetts - National Alliance on Mental Illness (NAMI). National Alliance on Mental Illness. Published 2025. Accessed January 2026. https://www.nami.org/wp-content/uploads/2025/05/Massachusetts-GRPA-Data-Sheet-8.5-x-11-wide.pdf
    5Food Addiction And Eating Disorders Statistics 2025. Olympicbehavioralhealth. Accessed January 2026. https://olympicbehavioralhealth.com/rehab-blog/food-addiction/
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    9Expedited Psychiatric Inpatient Admission (EPIA) Dashboards. Mass. Accessed January 2026. https://www.mass.gov/lists/expedited-psychiatric-inpatient-admission-epia-dashboards
    10[PDF] Behavioral Health Emergency Department Boarding in Massachusetts. Masshpc. Published 2025. Accessed January 2026. https://masshpc.gov/sites/default/files/2025-02/20250227_BH-ED-Boarding_0.pdf
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    15Posttraumatic Stress Disorder Among Adults in Communities With .... JAMA Network. Accessed January 2026. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821555
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    17Severe Depression, Anxiety, Suicidal Thoughts Continue to .... Bu. Published 2025. Accessed January 2026. https://www.bu.edu/sph/news/articles/2025/college-students-reports-of-depression-anxiety-suicidal-thoughts-continue-move-in-positive-direction/
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    20The Cost of Cuts: Behavioral Health Equity Under Threat | August 19 .... Hcfama. Published 2018. Accessed January 2026. https://hcfama.org/the-cost-of-cuts-behavioral-health-equity-under-threat-august-19-2025/
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