Psychiatrist & Mental Health Shortage by State

States ranked by active mental-health Health Professional Shortage Area (HPSA) designation records from HRSA. A state total is a designation count, not a measure of an individual’s access to care.

The answer

According to the HRSA Data Warehouse, California has 518 active mental health HPSA designations, the highest total in this ranking. These designations describe provider-supply gaps, not care quality, appointment availability, or an individual clinician.

6,414
active mental health designations ranked
1,751
across the top five states (27.3%)
86
median state total

If you or someone you know is in crisis, help is available right now

Call or text 988 (Suicide & Crisis Lifeline), text HOME to 741741 (Crisis Text Line), or call 1-800-662-4357 (SAMHSA National Helpline), free, confidential, 24/7. In a life-threatening emergency, call 911. This provider-shortage data below describes access to routine behavioral-health care, not emergency services.

#StateMental Health HPSAs
1California8.1% of ranked total518
2Texas6.0% of ranked total387
3Alaska5.1% of ranked total330
4Missouri4.0% of ranked total259
5Michigan4.0% of ranked total257
6Washington3.4% of ranked total217
7Arizona3.3% of ranked total212
8Kentucky3.3% of ranked total210
9North Carolina3.2% of ranked total207
10Florida3.2% of ranked total204
11New York3.1% of ranked total202
12Illinois2.9% of ranked total185
13Louisiana2.7% of ranked total173
14Wisconsin2.4% of ranked total157
15Iowa2.4% of ranked total155
16Minnesota2.2% of ranked total141
17Ohio2.1% of ranked total132
18Oklahoma2.0% of ranked total131
19Oregon2.0% of ranked total130
20Pennsylvania1.9% of ranked total123
21Virginia1.9% of ranked total123
22West Virginia1.9% of ranked total119
23Kansas1.8% of ranked total115
24Montana1.7% of ranked total106
25Indiana1.6% of ranked total101
26New Mexico1.5% of ranked total96
27Nebraska1.4% of ranked total91
28Arkansas1.4% of ranked total90
29Mississippi1.3% of ranked total86
30Tennessee1.3% of ranked total84
31Colorado1.3% of ranked total81
32Georgia1.2% of ranked total79
33South Carolina1.2% of ranked total77
34Puerto Rico1.2% of ranked total74
35Maine1.0% of ranked total67
36North Dakota1.0% of ranked total67
37Idaho1.0% of ranked total65
38South Dakota1.0% of ranked total63
39Utah1.0% of ranked total61
40Alabama0.9% of ranked total56
41Nevada0.8% of ranked total53
42Massachusetts0.8% of ranked total52
43Maryland0.7% of ranked total47
44New Jersey0.7% of ranked total43
45Connecticut0.6% of ranked total41
46Hawaii0.5% of ranked total33
47Wyoming0.4% of ranked total26
48New Hampshire0.3% of ranked total20
49Rhode Island0.2% of ranked total14
50Delaware0.2% of ranked total13
51Vermont0.2% of ranked total12
52District of Columbia0.2% of ranked total10
53Federated States of Micronesia0.1% of ranked total8
54Virgin Islands<0.1% of ranked total5
55Guam<0.1% of ranked total4
56American Samoa<0.1% of ranked total2

What the HRSA Mental Health Data Shows

The HRSA Data Warehouse currently lists 6,414 mental health Health Professional Shortage Area designations across the 56 states and territories ranked above. The three states with the heaviest mental health shortage load are California (518 HPSAs), Texas (387 HPSAs), and Alaska (330 HPSAs). The top five states account for roughly 27.3% of the active mental health designation records in this state aggregation.

States ranked by active mental-health Health Professional Shortage Area (HPSA) designation records from HRSA. A state total is a designation count, not a measure of an individual’s access to care. HRSA documents that HPSAs can describe geographic areas, specific population groups, or facilities. A designation count is therefore useful for comparing this source extract, but it is not a complete estimate of a state’s provider supply or every resident’s care experience. The median state in this ranking has 86 active mental health designation records.

HRSA says that more than 34 federal programs use HPSA, MUA, or MUP designations for eligibility or funding preference. That does not mean every program applies to every record, nor does it establish a person’s eligibility. The figures here are a reproducible state aggregation of the portal’s source-vintaged HRSA records. They describe a federal structural classification, not clinical quality, insurance coverage, appointment availability, or medical advice. For a current record or care decision, use HRSA’s official tools and an appropriate local source.

About Mental Health Shortages

Is there a psychiatrist shortage in the United States?

HRSA currently lists 6,414 active mental health Health Professional Shortage Area designations across the states and territories ranked on this page. That is a federal structural classification of provider-supply gaps, not a count of people unable to get an appointment or a clinical quality score.

What does a mental health HPSA designation mean?

HRSA uses shortage-designation criteria to identify geographic areas, population groups, or facilities with a shortage of mental health providers. This page aggregates active HRSA designation records by state.

What does a higher state total mean?

It means more active designation records in the portal’s current HRSA extract are associated with that state. It is not a direct count of people unable to obtain care, clinicians, wait times, or the severity of any individual situation.

Can this ranking tell me whether I can get an appointment?

No. HPSA designations are structural federal classifications. They do not show real-time appointment availability, insurance acceptance, provider openings, clinical quality, or whether a particular person can receive care.

How can I verify a designation?

Use HRSA’s Health Workforce Shortage Areas tools to inspect the current designation record and its attributes. The data contract linked below explains how this portal processes the source records and labels its vintage.

How should I use this comparison?

Use it to compare the distribution of recorded federal designations across states, then consult HRSA and local or qualified care sources for a current eligibility, service, or treatment decision.

Source: HRSA Data Warehouse Health Workforce Shortage Areas · 2026-08-15 PlainHealthAccess aggregates HRSA records by state and is not affiliated with HRSA.

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Every figure on PlainHealthAccess is rendered directly from HRSA source data, no number is typed in by an editor. This ranking sorts states by designated HPSA count for the selected shortage type. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page. Data current as of 2026-08-15.