Nebraska Mental Health Statistics

Understanding the prevalence of mental health conditions is the first step toward addressing the needs of Nebraska residents. Recent data reveals a complex landscape, with a significant portion of the population experiencing mental health challenges. In 2023, approximately 20.5% of adults in Nebraska were diagnosed with any mental illness in a 12-month period^[10]. This figure reflects a sharp increase from pre-pandemic levels, when about 18% of adults reported such challenges, a number that rose to 27% by 2020 during the peak of the COVID-19 pandemic^[11]. These statistics underscore the growing need for accessible and effective mental healthcare across the state.

Beyond general prevalence, specific conditions like anxiety and eating disorders affect thousands of Nebraskans. Anxiety disorders encompass a range of conditions, from generalized anxiety and panic attacks to specific phobias and social anxiety, each presenting unique challenges. Similarly, eating disorders are serious and often fatal illnesses that are associated with severe disturbances in people’s eating behaviors and related thoughts and emotions. Examining the rates of these specific disorders provides a clearer picture of the state's mental health needs.

Nebraska's youth are facing a growing mental health crisis, with rates of depression and emotional distress rising significantly in recent years. The proportion of youths aged 12–17 reporting depressive symptoms surged from 20% in 2019 to 35% in 2022^[13]. This alarming trend highlights the urgent need for improved mental health support systems, early intervention programs, and accessible resources for young people and their families across the state.

The transition to higher education often coincides with the onset of mental health challenges, and Nebraska's college students are no exception. High rates of anxiety, depression, and suicidal ideation are prevalent on campuses, impacting not only students' well-being but also their academic success. These issues are compounded by long wait times for on-campus services and insufficient professional support, creating a difficult environment for students seeking help.

A primary driver of the youth mental health crisis is the severe shortage of qualified mental health professionals within Nebraska's school systems. The recommended ratios for counselors, psychologists, and social workers to students are not being met, leaving many students without access to crucial support. This gap in resources means that early warning signs may be missed and students in distress may not receive the timely intervention they need to thrive academically and personally.

Accessing mental healthcare in Nebraska can be a significant challenge, particularly for those in rural areas. The entire state is designated as a mental health Health Professional Shortage Area (HPSA), reflecting a critical lack of providers^[16]. This scarcity of professionals leads to long wait times, with an average of 21 days for a first appointment, and forces many to travel long distances for care^[6]. These systemic barriers contribute to the large percentage of Nebraskans who go without needed mental health treatment.

Even for those with insurance, accessing care is not guaranteed. Nebraskans often encounter obstacles such as high rates of claim denials and requirements for prior authorization, which can delay or prevent treatment. These practices create disparities where mental healthcare is not treated on par with physical healthcare. In response to these and other access challenges, telehealth has emerged as a vital tool. The adoption of virtual appointments has surged, particularly since the COVID-19 pandemic, offering a more accessible and convenient option for many, though it does not solve all systemic issues.

Mental health conditions do not affect all communities equally. In Nebraska, significant disparities exist across racial, ethnic, and other demographic lines. Factors such as systemic inequities, cultural stigma, lack of culturally competent providers, and socioeconomic barriers contribute to higher prevalence rates and lower access to care for certain populations. For instance, only 12% of mental health providers in the state come from minority backgrounds, which can create barriers to seeking and receiving effective care^[18]. Understanding these differences is crucial for developing targeted interventions and promoting health equity.

The most severe outcomes, such as suicide, also show stark racial and ethnic disparities. Native American communities in Nebraska experience a suicide rate that is significantly higher than other groups, pointing to a critical need for culturally-specific prevention and intervention efforts. Another high-risk group is military veterans, who face unique challenges related to their service, including higher rates of PTSD, depression, and suicide compared to the civilian population. These statistics highlight the profound impact of trauma and systemic factors on mental health outcomes.

The impact of mental illness extends far beyond individual suffering, imposing a significant economic burden on the state of Nebraska. These costs are multifaceted, including direct expenses for treatment and healthcare, as well as indirect costs from lost workplace productivity, increased disability claims, and associated public sector expenditures for social, criminal justice, and housing services. The total economic toll underscores the financial case for investing in preventive care and effective treatment, which can lead to substantial long-term savings and a healthier, more productive population.

While the costs are high, investments in mental healthcare demonstrate a significant return. In FY2025, Nebraska's state mental health authority budget reached approximately $520 million^[22]. However, per capita spending in the state remains below the national average. Studies show that for every dollar invested in effective mental health treatment, society gains up to four dollars in return through reduced healthcare costs and improved productivity, making a strong case for increased funding^[20].

When Nebraskans are able to access mental health services, the outcomes are often positive. Data shows high rates of recovery, patient satisfaction, and successful reintegration into the workforce and community. These successes demonstrate the effectiveness of treatment and the potential for individuals to lead fulfilling lives with proper support. However, gaps in the system mean that not everyone gets the help they need, which is reflected in the state's concerning suicide trends. Suicide is the second leading cause of death for young people aged 10-24 in Nebraska, and the overall rate has been increasing^[23].