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Federal HRSA HPSA data

Mental Health Desert Index

Every U.S. county scored 0–100 on mental-health provider shortage using the federal Health Resources & Services Administration Health Professional Shortage Area designations. If you live in a shortage area, help can be minutes away — not months.

States with the largest shortage

Top 50 shortage counties

CountyStateScoreSeverityProviders needed
Kern CountyCA93severe2216
Lexington CountySC93severe553
Pima CountyAZ90severe343
Yuma CountyAZ90severe163
San Bernardino CountyCA88severe262
Wayne CountyMI88severe1545
Erie CountyNY88severe758
Fresno CountyCA86severe92
Pinal CountyAZ85severe217
Clark CountyNV85severe977
King CountyWA85severe437
Snohomish CountyWA85severe487
Monroe CountyNY83severe739
Nueces CountyTX83severe202
Milwaukee CountyWI83severe1007
Maricopa CountyAZ81severe360
Capitol Planning RegionCT81severe102
Bronx CountyNY80severe3111
New York CountyNY80severe471
Providence CountyRI80severe982
Naugatuck Valley Planning RegionCT78severe161
Northwest Hills Planning RegionCT78severe168
District of ColumbiaDC78severe370
Cook CountyIL78severe1412
Prince George's CountyMD78severe191
Baltimore cityMD78severe377
Hennepin CountyMN78severe304
Essex CountyNJ78severe114
Kings CountyNY78severe3106
Richmond CountyNY78severe148
Mecklenburg CountyNC78severe588
Cochise CountyAZ77severe58
Mohave CountyAZ77severe94
Miami-Dade CountyFL76severe54
Washoe CountyNV76severe464
Thurston CountyWA76severe437
Lower Connecticut River Valley Planning RegionCT75severe201
South Central Connecticut Planning RegionCT75severe189
Ramsey CountyMN75severe303
St. Louis cityMO75severe195
Queens CountyNY75severe1879
Westchester CountyNY75severe169
Guilford CountyNC75severe320
Aroostook CountyME74high55
Navajo CountyAZ73high62
Western Connecticut Planning RegionCT73high114
Polk CountyIA73high315
Onondaga CountyNY73high261
Pierce CountyWA73high317
Spokane CountyWA73high504

Source: HRSA Bureau of Health Workforce, Mental Health HPSA designations. Scores 0–25 (higher = worse shortage), scaled to 0–100 with rurality and provider ratio.