Best and worst states for mental health

Therapy Mental Health
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People struggle with mental health every day, but location can matter in terms of treatment options and other mental health services.

A recent study from Soliant analyzed the best and worst states for mental health by evaluating data from the Centers for Disease Control and Prevention and the U.S. Bureau of Labor Statistics. The study scored each state by measuring factors that impact mental health including unemployment rate, participation in physical activity, disconnected youth rate, access to healthy foods and the frequency of "poor mental health days" reported by the population.

Read more: 5 ways to strengthen employee wellness in 2025 

The best state for mental health is North Dakota, which has a low unemployment rate of 2.4%, and reported 78.5% of the population participating in physical activity in the past month. The state also has the lowest level of teenagers and young adults who are not working nor in school, at around 5%.

The worst state for mental health is West Virginia, which has the highest average number of mentally unhealthy days reported by residents in the past 30 days, at 6.6 days. The state also has a low physical activity participation rate at 68% and ties for the second-highest disconnected youth rate in the nation at 14%.

Read more about the best and worst states for mental health. 

Best states for mental health

Rank State Score
10 Minnesota 68.2
9 Utah 68.4
8 Iowa 69.3
7 Massachusetts 70.2
6 Maryland 71.3
5 Hawaii 72.8
4 New Hampshire 77.2
3 Nebraska 78
2 Vermont 80.8
1 North Dakota 82

Worst states for mental health

Rank State Score
50 West Virginia 21.9
49 Louisiana 23.1
48 Arkansas 26.6
47 Nevada 26.7
46 Mississippi 31.5
45 New Mexico 31.9
44 Kentucky 34.8
43 South Carolina 38.5
42 Oklahoma 39.7
41 Texas 39.9

Best states for mental health

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Minnesota ranked 10th for best states for mental health.
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Utah ranked 9th for best states for mental health.
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Iowa ranked 8th for best states for mental health.
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Massachusetts ranked 7th for best states for mental health.
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Maryland ranked 6th for best states for mental health.
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Hawaii ranked 5th for best states for mental health.
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New Hampshire ranked 4th for best states for mental health.
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Nebraska ranked 3rd for best states for mental health.
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Vermont ranked 2nd for best states for mental health.
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North Dakota ranked 1st for best states for mental health.

Worst states for mental health


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West Virginia ranked 50th for worst states for mental health.
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Louisiana ranked 49th for worst states for mental health.
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Arkansas ranked 48th for worst states for mental health.
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Nevada ranked 47th for worst states for mental health.
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Mississippi ranked 46th for worst states for mental health.
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New Mexico ranked 45th for worst states for mental health.
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Kentucky ranked 44th for worst states for mental health.
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South Carolina ranked 43rd for worst states for mental health.
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Oklahoma ranked 42nd for worst states for mental health.
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Texas ranks 41st for worst states for mental health.
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