Treatment Access in Urban vs. Rural Counties
Over 115 million people in the United States live in designated Health Professional Shortage Areas. These are areas in which the ratio of mental health professionals to residents is smaller than 1 per 30,000 people.
The United States has an average of
30.0 psychologists per 100,000 people
15.6 psychiatrists per 100,000 people
Metropolitan counties have an average of
33.2 psychologists per 100,000 people
17.5 psychiatrists per 100,000 people
Non-metropolitan counties have an average of
13.7 psychologists per 100,000 people
5.8 psychiatrists per 100,000 people
Rural counties (areas without any cities larger than 10,000 people) have an average of
9.1 psychologists per 100,000 people
3.4 psychiatrists per 100,000 people
Shortages are more likely to occur in rural areas due to lack of funding and infrastructure. Many counties have no mental health professionals at all. Meanwhile, cities are likely to have more professionals than average and may even see a saturation of workers.
Which Regions in America Have the Most Providers?
The shortage is more pronounced in certain regions of the country. Measuring only the prevalence of psychologists:
New England: 55.6 per 100,000
Middle Atlantic: 41.8 per 100,000
East North Central: 31.3 per 100,000
West North Central: 32.3 per 100,000
South Atlantic: 25.0 per 100,000
East South Central: 16.9 per 100,000
West South Central: 14.9 per 100,000
Mountain: 28.3 per 100,000
Pacific: 36.1 per 100,000
Concerns for the Future: Which Professions Are Most At Risk?
Different professions are projected to be more vulnerable to shortages in the future. The Substance Abuse and Mental Health Services Administration estimates that by 2025, the U.S. will have a shortage of:
10,470 marriage and family therapists (40,250 needed; 29,780 available)
15,400 psychiatrists (60,610 needed; 45,210 available)
26,930 mental health counselors (172,630 needed; 145,700 available)
48,540 social workers (157,760 needed; 109,220 available)
57,490 psychologists (246,420 needed; 188,930 available)
78,050 school counselors (321,500 needed; 243,450 available)
These shortages can be attributed to both dwindling supply and growing demand. In general, professionals are aging out of these fields quicker than they are being replaced by younger professionals. However, population growth and expanding insurance coverage suggest greater numbers of people will seek mental health treatment in the future.
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