GITNUXREPORT 2026

Behavioral Health Services Industry Statistics

The rapidly growing behavioral health market is driven by high demand and technology adoption.

Rajesh Patel

Rajesh Patel

Team Lead & Senior Researcher with over 15 years of experience in market research and data analytics.

First published: Feb 13, 2026

Our Commitment to Accuracy

Rigorous fact-checking · Reputable sources · Regular updatesLearn more

Key Statistics

Statistic 1

U.S. Medicaid BH spending $56 billion in 2020.

Statistic 2

Medicare BH expenditures $18.5 billion in 2021.

Statistic 3

SAMHSA budget $7.5 billion FY2023 for BH block grants.

Statistic 4

Private insurance BH claims $45 billion annually U.S. 2022.

Statistic 5

CARES Act allocated $280 million for BH workforce 2020.

Statistic 6

MHPAEA parity enforcement: 70% plans non-compliant pre-2020.

Statistic 7

State BH agency funding $92 billion total 2022 NASMHPD.

Statistic 8

Philanthropy for BH $1.2 billion from top foundations 2022.

Statistic 9

988 funding $1.03 billion over 5 years federal.

Statistic 10

Reimbursement rates: BH 60-70% of medical rates average.

Statistic 11

ARP invested $122 billion in BH infrastructure 2021.

Statistic 12

Tribal BH funding $1.1 billion via IHS FY2023.

Statistic 13

School BH grants $1 billion under Bipartisan Safer Act 2022.

Statistic 14

VC funding BH startups $5.4 billion 2021 peak.

Statistic 15

Uninsured BH gap costs $14 billion annually U.S.

Statistic 16

Telehealth BH parity laws in 42 states 2023.

Statistic 17

CCBHC expansion funded $575 million for 111 clinics.

Statistic 18

Employer BH benefits cost $300 per employee annually.

Statistic 19

SUD waiver programs reimbursed $2.8 billion Medicaid 2022.

Statistic 20

Federal grants for crisis services $282 million FY2023.

Statistic 21

The U.S. behavioral health market was valued at $92.2 billion in 2022 and is projected to reach $132.46 billion by 2030, growing at a CAGR of 4.7%.

Statistic 22

Global behavioral health market size reached $51.8 billion in 2023, expected to grow to $74.6 billion by 2030 at a CAGR of 5.4%.

Statistic 23

Behavioral health services revenue in the U.S. grew by 5.2% annually from 2018 to 2023, reaching $105 billion in 2023.

Statistic 24

The mental health segment of the behavioral health market accounted for 62% of total revenue in 2022.

Statistic 25

U.S. outpatient mental health centers market size was $45.6 billion in 2022, with a projected CAGR of 4.1% through 2030.

Statistic 26

Behavioral health market in Europe was valued at €38.2 billion in 2023, growing at 4.8% CAGR to 2030.

Statistic 27

Telebehavioral health services market grew from $12.3 billion in 2022 to an estimated $59.2 billion by 2030 at 21.7% CAGR.

Statistic 28

U.S. substance abuse treatment market size was $7.5 billion in 2023, projected to hit $11.4 billion by 2030.

Statistic 29

Residential mental health facilities revenue in the U.S. reached $18.9 billion in 2023, up 3.7% from prior year.

Statistic 30

Asia-Pacific behavioral health market expected to grow from $15.2 billion in 2023 to $24.7 billion by 2030 at 7.1% CAGR.

Statistic 31

U.S. behavioral health EHR market valued at $1.7 billion in 2022, growing at 12.5% CAGR to 2030.

Statistic 32

Crisis intervention services market in U.S. expanded to $4.2 billion in 2023.

Statistic 33

Private equity investment in behavioral health reached $15.6 billion in 2022 across 250 deals.

Statistic 34

U.S. behavioral health staffing market projected to grow at 6.2% CAGR from 2023-2030.

Statistic 35

Inpatient behavioral health market in U.S. was $28.4 billion in 2022.

Statistic 36

Digital therapeutics for behavioral health market hit $2.1 billion globally in 2023.

Statistic 37

U.S. behavioral health market CAGR accelerated to 5.1% post-COVID in 2023 forecasts.

Statistic 38

Community-based behavioral health services revenue up 4.9% to $52 billion in 2023.

Statistic 39

Pediatric behavioral health market in U.S. valued at $14.3 billion in 2022.

Statistic 40

Geriatric behavioral health services market growing at 6.8% CAGR to $19.5 billion by 2030.

Statistic 41

U.S. behavioral health analytics market size $3.4 billion in 2023.

Statistic 42

Integrated behavioral health market reached $4.8 billion globally in 2022.

Statistic 43

U.S. market for behavioral health RCM services projected at 11.2% CAGR to 2032.

Statistic 44

Virtual behavioral health market in U.S. surged 35% to $8.7 billion in 2023.

Statistic 45

Behavioral health SaaS market valued at $2.9 billion in 2023 globally.

Statistic 46

U.S. opioid treatment market size $5.6 billion in 2022, growing 6.3% CAGR.

Statistic 47

Employer-sponsored behavioral health benefits market $22 billion in 2023.

Statistic 48

Behavioral health peer support services market $1.2 billion in U.S. 2023.

Statistic 49

U.S. behavioral health franchising market revenue $3.1 billion in 2023.

Statistic 50

Post-acute behavioral health care market $12.4 billion in U.S. 2022.

Statistic 51

In 2022, approximately 57.8 million adults in the U.S. (22.8% of adults) experienced any mental illness (AMI).

Statistic 52

Serious mental illness (SMI) affected 14.1 million adults (5.5%) in the U.S. in 2022.

Statistic 53

19.4% of U.S. adults had an anxiety disorder in the past year as of 2023 data.

Statistic 54

Major depressive episode prevalence among U.S. adolescents aged 12-17 was 29.3% in 2022.

Statistic 55

PTSD lifetime prevalence in U.S. adults is 6.8% among women and 3.7% among men.

Statistic 56

Bipolar disorder affects about 2.8% of U.S. adults annually.

Statistic 57

Schizophrenia prevalence is 1.1% lifetime in U.S. population.

Statistic 58

ADHD diagnosis in U.S. children aged 3-17 was 11.4% (6.8 million) in 2022.

Statistic 59

Autism spectrum disorder prevalence 1 in 36 children (2.8%) in U.S. 2023.

Statistic 60

Eating disorders lifetime prevalence 0.80% for anorexia nervosa in U.S. women.

Statistic 61

OCD 12-month prevalence 1.2% in U.S. adults.

Statistic 62

U.S. suicide rate was 14.2 per 100,000 in 2021, highest since 1941.

Statistic 63

12.2 million U.S. adults had co-occurring AMI and SUD in 2022 (4.8%).

Statistic 64

Youth aged 12-17 with MDE increased to 5.1 million (20.1%) in 2022.

Statistic 65

Perinatal depression affects 10-15% of U.S. women post-delivery.

Statistic 66

Dementia prevalence in U.S. adults over 65 is 10.9% (about 5.8 million).

Statistic 67

Burnout prevalence among U.S. healthcare workers was 52% in 2022.

Statistic 68

Loneliness epidemic: 1 in 2 U.S. adults report measurable loneliness in 2023.

Statistic 69

Insomnia disorder prevalence 10-30% in general U.S. population.

Statistic 70

U.S. veteran PTSD prevalence 23% for post-9/11 Iraq/Afghanistan vets.

Statistic 71

Racial disparity: Black Americans SMI rate 5.7% vs. 5.4% whites in 2022.

Statistic 72

LGBTQ+ youth suicidal ideation 45% vs. 14% straight peers.

Statistic 73

College student depression rate 44% in 2023 U.S. survey.

Statistic 74

Rural U.S. mental health provider shortage ratio 1:3,500 vs. urban 1:470.

Statistic 75

Pandemic impact: Anxiety disorders up 25% globally, U.S. similar.

Statistic 76

Borderline personality disorder prevalence 1.6% in U.S. adults.

Statistic 77

U.S. adult cannabis use disorder prevalence 2.5% past year.

Statistic 78

Alcohol use disorder affects 28.7 million U.S. adults (10.6%) past year 2022.

Statistic 79

Opioid use disorder prevalence 2.7 million U.S. adults in 2021.

Statistic 80

Illicit drug use past month 24.9 million U.S. persons aged 12+ (8.8%) 2022.

Statistic 81

Tobacco use disorder 11.5% U.S. adults past year.

Statistic 82

Polysubstance use 40% of U.S. treatment admissions involve multiple drugs.

Statistic 83

Adolescent alcohol misuse 15.1% past year heavy use aged 12-17.

Statistic 84

Stimulant use disorder rose 38% from 2015-2019 to 2.0 million U.S. adults.

Statistic 85

Heroin use past year 828,000 U.S. persons aged 12+ in 2022.

Statistic 86

Methamphetamine use disorder affects 1.6 million U.S. adults annually.

Statistic 87

Cocaine use disorder 1.5 million past year U.S. adults.

Statistic 88

Nicotine dependence 50.0 million U.S. adults daily smokers.

Statistic 89

Gaming disorder prevalence 3.5-4.9% among U.S. youth.

Statistic 90

In 2022, 50.6% of U.S. adults with AMI received treatment.

Statistic 91

Therapy utilization up 10% post-COVID, 42 million sessions/month via apps.

Statistic 92

SUD treatment admissions 1.7 million in U.S. 2021 TEDS data.

Statistic 93

Telepsychiatry visits surged 154% from 2019-2022.

Statistic 94

Residential treatment occupancy 75% average U.S. facilities 2023.

Statistic 95

Antidepressant prescription rate 18.7% U.S. adults 2015-2018.

Statistic 96

IOP/PHP utilization grew 22% for mental health 2020-2023.

Statistic 97

988 Lifeline answered 4.4 million calls in first 6 months 2023.

Statistic 98

MAT for OUD: only 22% of patients received buprenorphine 2022.

Statistic 99

CBT sessions average 12-16 per course, 70% remission rate depression.

Statistic 100

ER visits for mental health 6.4 million annually U.S.

Statistic 101

Outpatient visits 118 million for behavioral health yearly pre-COVID.

Statistic 102

Recovery rate for SUD 40-60% achieve 1-year abstinence post-treatment.

Statistic 103

DBT efficacy 77% reduction self-harm in BPD patients.

Statistic 104

Inpatient BH stays average 7.2 days U.S. hospitals 2022.

Statistic 105

Mindfulness apps used by 25% Americans for mental health 2023.

Statistic 106

Readmission rate 15% within 30 days for BH inpatients.

Statistic 107

Group therapy participation 35% of all BH sessions.

Statistic 108

No-show rate 20-30% in BH clinics U.S. average.

Statistic 109

Long-term outcomes: 50% depression recurrence post-remission.

Statistic 110

Medicaid BH utilization 25% higher post-parity laws.

Statistic 111

Veteran BH treatment 1.7 million unique patients VA 2022.

Statistic 112

School-based BH services reached 5 million students 2022-23.

Statistic 113

Relapse rate 40-60% for SUD within first year post-treatment.

Statistic 114

U.S. psychiatrists numbered 28,750 in 2022, down 2.8% from 2019.

Statistic 115

Behavioral health workforce shortage: 30,000-86,000 needed by 2025 in U.S.

Statistic 116

Only 28% of U.S. needs met for mental health providers per HRSA 2023.

Statistic 117

Psychologist shortage: 1 per 1,925 Americans vs. ideal 1:1,000.

Statistic 118

LCSW workforce grew 16% to 346,000 in U.S. from 2018-2023.

Statistic 119

Psychiatric nurse practitioners: 8,500 active in U.S. 2022.

Statistic 120

Peer support specialists: 45,000 certified in U.S. as of 2023.

Statistic 121

Rural areas have 1 mental health professional per 4,000 residents.

Statistic 122

Burnout rate 62% among behavioral health clinicians in 2023.

Statistic 123

Telehealth filled 40% of behavioral health access gap in 2022.

Statistic 124

U.S. addiction counselors: 118,000 employed in 2023.

Statistic 125

Marriage/family therapists grew 14% to 55,000 from 2018-2023.

Statistic 126

Child psychiatrists: only 8,500 for 15 million U.S. children with needs.

Statistic 127

60% of U.S. counties have no practicing psychiatrists.

Statistic 128

Behavioral health tech turnover rate 27.1% annually 2023.

Statistic 129

Loan repayment programs recruited 2,500 BH providers 2018-2022.

Statistic 130

Diverse providers: only 5% Black psychiatrists despite 13% population.

Statistic 131

Wait times average 25 days for outpatient therapy in U.S. 2023.

Statistic 132

Crisis hotline counselors: 988 handled 7.5 million contacts in first year.

Statistic 133

BH integration in primary care: only 15% PCPs have co-located BH.

Statistic 134

Gig economy BH providers grew 300% via platforms like Talkspace 2023.

Statistic 135

Veteran Affairs BH staff shortage 20% for psychologists 2023.

Statistic 136

School counselors ratio 1:424 students vs. recommended 1:250.

Statistic 137

SUD counselors 1 per 500 needed users, actual ratio worse.

Statistic 138

Post-COVID BH workforce vacancy rate 18% in facilities.

Trusted by 500+ publications
Harvard Business ReviewThe GuardianFortune+497
While headlines about the loneliness epidemic and burnout crisis capture our attention, the staggering expansion of the behavioral health services industry—projected to reach $132 billion in the U.S. by 2030—reveals our collective effort to meet this profound and growing need.

Key Takeaways

  • The U.S. behavioral health market was valued at $92.2 billion in 2022 and is projected to reach $132.46 billion by 2030, growing at a CAGR of 4.7%.
  • Global behavioral health market size reached $51.8 billion in 2023, expected to grow to $74.6 billion by 2030 at a CAGR of 5.4%.
  • Behavioral health services revenue in the U.S. grew by 5.2% annually from 2018 to 2023, reaching $105 billion in 2023.
  • In 2022, approximately 57.8 million adults in the U.S. (22.8% of adults) experienced any mental illness (AMI).
  • Serious mental illness (SMI) affected 14.1 million adults (5.5%) in the U.S. in 2022.
  • 19.4% of U.S. adults had an anxiety disorder in the past year as of 2023 data.
  • U.S. psychiatrists numbered 28,750 in 2022, down 2.8% from 2019.
  • Behavioral health workforce shortage: 30,000-86,000 needed by 2025 in U.S.
  • Only 28% of U.S. needs met for mental health providers per HRSA 2023.
  • In 2022, 50.6% of U.S. adults with AMI received treatment.
  • Therapy utilization up 10% post-COVID, 42 million sessions/month via apps.
  • SUD treatment admissions 1.7 million in U.S. 2021 TEDS data.
  • U.S. Medicaid BH spending $56 billion in 2020.
  • Medicare BH expenditures $18.5 billion in 2021.
  • SAMHSA budget $7.5 billion FY2023 for BH block grants.

The rapidly growing behavioral health market is driven by high demand and technology adoption.

Funding and Policy

  • U.S. Medicaid BH spending $56 billion in 2020.
  • Medicare BH expenditures $18.5 billion in 2021.
  • SAMHSA budget $7.5 billion FY2023 for BH block grants.
  • Private insurance BH claims $45 billion annually U.S. 2022.
  • CARES Act allocated $280 million for BH workforce 2020.
  • MHPAEA parity enforcement: 70% plans non-compliant pre-2020.
  • State BH agency funding $92 billion total 2022 NASMHPD.
  • Philanthropy for BH $1.2 billion from top foundations 2022.
  • 988 funding $1.03 billion over 5 years federal.
  • Reimbursement rates: BH 60-70% of medical rates average.
  • ARP invested $122 billion in BH infrastructure 2021.
  • Tribal BH funding $1.1 billion via IHS FY2023.
  • School BH grants $1 billion under Bipartisan Safer Act 2022.
  • VC funding BH startups $5.4 billion 2021 peak.
  • Uninsured BH gap costs $14 billion annually U.S.
  • Telehealth BH parity laws in 42 states 2023.
  • CCBHC expansion funded $575 million for 111 clinics.
  • Employer BH benefits cost $300 per employee annually.
  • SUD waiver programs reimbursed $2.8 billion Medicaid 2022.
  • Federal grants for crisis services $282 million FY2023.

Funding and Policy Interpretation

Despite the staggering scale of spending—a multi-tiered, multi-billion dollar patchwork of public funds, private claims, and philanthropic grants—the persistent underpayment for care, non-compliance with parity laws, and the stark uninsured gap reveal a system that is funding its problems almost as lavishly as it is attempting to solve them.

Market Size and Growth

  • The U.S. behavioral health market was valued at $92.2 billion in 2022 and is projected to reach $132.46 billion by 2030, growing at a CAGR of 4.7%.
  • Global behavioral health market size reached $51.8 billion in 2023, expected to grow to $74.6 billion by 2030 at a CAGR of 5.4%.
  • Behavioral health services revenue in the U.S. grew by 5.2% annually from 2018 to 2023, reaching $105 billion in 2023.
  • The mental health segment of the behavioral health market accounted for 62% of total revenue in 2022.
  • U.S. outpatient mental health centers market size was $45.6 billion in 2022, with a projected CAGR of 4.1% through 2030.
  • Behavioral health market in Europe was valued at €38.2 billion in 2023, growing at 4.8% CAGR to 2030.
  • Telebehavioral health services market grew from $12.3 billion in 2022 to an estimated $59.2 billion by 2030 at 21.7% CAGR.
  • U.S. substance abuse treatment market size was $7.5 billion in 2023, projected to hit $11.4 billion by 2030.
  • Residential mental health facilities revenue in the U.S. reached $18.9 billion in 2023, up 3.7% from prior year.
  • Asia-Pacific behavioral health market expected to grow from $15.2 billion in 2023 to $24.7 billion by 2030 at 7.1% CAGR.
  • U.S. behavioral health EHR market valued at $1.7 billion in 2022, growing at 12.5% CAGR to 2030.
  • Crisis intervention services market in U.S. expanded to $4.2 billion in 2023.
  • Private equity investment in behavioral health reached $15.6 billion in 2022 across 250 deals.
  • U.S. behavioral health staffing market projected to grow at 6.2% CAGR from 2023-2030.
  • Inpatient behavioral health market in U.S. was $28.4 billion in 2022.
  • Digital therapeutics for behavioral health market hit $2.1 billion globally in 2023.
  • U.S. behavioral health market CAGR accelerated to 5.1% post-COVID in 2023 forecasts.
  • Community-based behavioral health services revenue up 4.9% to $52 billion in 2023.
  • Pediatric behavioral health market in U.S. valued at $14.3 billion in 2022.
  • Geriatric behavioral health services market growing at 6.8% CAGR to $19.5 billion by 2030.
  • U.S. behavioral health analytics market size $3.4 billion in 2023.
  • Integrated behavioral health market reached $4.8 billion globally in 2022.
  • U.S. market for behavioral health RCM services projected at 11.2% CAGR to 2032.
  • Virtual behavioral health market in U.S. surged 35% to $8.7 billion in 2023.
  • Behavioral health SaaS market valued at $2.9 billion in 2023 globally.
  • U.S. opioid treatment market size $5.6 billion in 2022, growing 6.3% CAGR.
  • Employer-sponsored behavioral health benefits market $22 billion in 2023.
  • Behavioral health peer support services market $1.2 billion in U.S. 2023.
  • U.S. behavioral health franchising market revenue $3.1 billion in 2023.
  • Post-acute behavioral health care market $12.4 billion in U.S. 2022.

Market Size and Growth Interpretation

While it's heartening to see multi-billion dollar growth in almost every conceivable behavioral health sector, it's a sobering irony that our collective need for these services has become such a booming and highly segmented business.

Prevalence and Epidemiology

  • In 2022, approximately 57.8 million adults in the U.S. (22.8% of adults) experienced any mental illness (AMI).
  • Serious mental illness (SMI) affected 14.1 million adults (5.5%) in the U.S. in 2022.
  • 19.4% of U.S. adults had an anxiety disorder in the past year as of 2023 data.
  • Major depressive episode prevalence among U.S. adolescents aged 12-17 was 29.3% in 2022.
  • PTSD lifetime prevalence in U.S. adults is 6.8% among women and 3.7% among men.
  • Bipolar disorder affects about 2.8% of U.S. adults annually.
  • Schizophrenia prevalence is 1.1% lifetime in U.S. population.
  • ADHD diagnosis in U.S. children aged 3-17 was 11.4% (6.8 million) in 2022.
  • Autism spectrum disorder prevalence 1 in 36 children (2.8%) in U.S. 2023.
  • Eating disorders lifetime prevalence 0.80% for anorexia nervosa in U.S. women.
  • OCD 12-month prevalence 1.2% in U.S. adults.
  • U.S. suicide rate was 14.2 per 100,000 in 2021, highest since 1941.
  • 12.2 million U.S. adults had co-occurring AMI and SUD in 2022 (4.8%).
  • Youth aged 12-17 with MDE increased to 5.1 million (20.1%) in 2022.
  • Perinatal depression affects 10-15% of U.S. women post-delivery.
  • Dementia prevalence in U.S. adults over 65 is 10.9% (about 5.8 million).
  • Burnout prevalence among U.S. healthcare workers was 52% in 2022.
  • Loneliness epidemic: 1 in 2 U.S. adults report measurable loneliness in 2023.
  • Insomnia disorder prevalence 10-30% in general U.S. population.
  • U.S. veteran PTSD prevalence 23% for post-9/11 Iraq/Afghanistan vets.
  • Racial disparity: Black Americans SMI rate 5.7% vs. 5.4% whites in 2022.
  • LGBTQ+ youth suicidal ideation 45% vs. 14% straight peers.
  • College student depression rate 44% in 2023 U.S. survey.
  • Rural U.S. mental health provider shortage ratio 1:3,500 vs. urban 1:470.
  • Pandemic impact: Anxiety disorders up 25% globally, U.S. similar.
  • Borderline personality disorder prevalence 1.6% in U.S. adults.
  • U.S. adult cannabis use disorder prevalence 2.5% past year.
  • Alcohol use disorder affects 28.7 million U.S. adults (10.6%) past year 2022.
  • Opioid use disorder prevalence 2.7 million U.S. adults in 2021.
  • Illicit drug use past month 24.9 million U.S. persons aged 12+ (8.8%) 2022.
  • Tobacco use disorder 11.5% U.S. adults past year.
  • Polysubstance use 40% of U.S. treatment admissions involve multiple drugs.
  • Adolescent alcohol misuse 15.1% past year heavy use aged 12-17.
  • Stimulant use disorder rose 38% from 2015-2019 to 2.0 million U.S. adults.
  • Heroin use past year 828,000 U.S. persons aged 12+ in 2022.
  • Methamphetamine use disorder affects 1.6 million U.S. adults annually.
  • Cocaine use disorder 1.5 million past year U.S. adults.
  • Nicotine dependence 50.0 million U.S. adults daily smokers.
  • Gaming disorder prevalence 3.5-4.9% among U.S. youth.

Prevalence and Epidemiology Interpretation

The numbers paint a stark and sprawling portrait of a nation in profound psychological distress, where the quiet epidemic of mental illness and addiction is not a fringe issue but a central, defining crisis touching nearly every community and demographic.

Service Utilization and Outcomes

  • In 2022, 50.6% of U.S. adults with AMI received treatment.
  • Therapy utilization up 10% post-COVID, 42 million sessions/month via apps.
  • SUD treatment admissions 1.7 million in U.S. 2021 TEDS data.
  • Telepsychiatry visits surged 154% from 2019-2022.
  • Residential treatment occupancy 75% average U.S. facilities 2023.
  • Antidepressant prescription rate 18.7% U.S. adults 2015-2018.
  • IOP/PHP utilization grew 22% for mental health 2020-2023.
  • 988 Lifeline answered 4.4 million calls in first 6 months 2023.
  • MAT for OUD: only 22% of patients received buprenorphine 2022.
  • CBT sessions average 12-16 per course, 70% remission rate depression.
  • ER visits for mental health 6.4 million annually U.S.
  • Outpatient visits 118 million for behavioral health yearly pre-COVID.
  • Recovery rate for SUD 40-60% achieve 1-year abstinence post-treatment.
  • DBT efficacy 77% reduction self-harm in BPD patients.
  • Inpatient BH stays average 7.2 days U.S. hospitals 2022.
  • Mindfulness apps used by 25% Americans for mental health 2023.
  • Readmission rate 15% within 30 days for BH inpatients.
  • Group therapy participation 35% of all BH sessions.
  • No-show rate 20-30% in BH clinics U.S. average.
  • Long-term outcomes: 50% depression recurrence post-remission.
  • Medicaid BH utilization 25% higher post-parity laws.
  • Veteran BH treatment 1.7 million unique patients VA 2022.
  • School-based BH services reached 5 million students 2022-23.
  • Relapse rate 40-60% for SUD within first year post-treatment.

Service Utilization and Outcomes Interpretation

It seems we've become brilliantly adept at building a thousand bridges to treatment while still quietly tolerating the chasms that keep half those in need from ever crossing them.

Workforce and Access

  • U.S. psychiatrists numbered 28,750 in 2022, down 2.8% from 2019.
  • Behavioral health workforce shortage: 30,000-86,000 needed by 2025 in U.S.
  • Only 28% of U.S. needs met for mental health providers per HRSA 2023.
  • Psychologist shortage: 1 per 1,925 Americans vs. ideal 1:1,000.
  • LCSW workforce grew 16% to 346,000 in U.S. from 2018-2023.
  • Psychiatric nurse practitioners: 8,500 active in U.S. 2022.
  • Peer support specialists: 45,000 certified in U.S. as of 2023.
  • Rural areas have 1 mental health professional per 4,000 residents.
  • Burnout rate 62% among behavioral health clinicians in 2023.
  • Telehealth filled 40% of behavioral health access gap in 2022.
  • U.S. addiction counselors: 118,000 employed in 2023.
  • Marriage/family therapists grew 14% to 55,000 from 2018-2023.
  • Child psychiatrists: only 8,500 for 15 million U.S. children with needs.
  • 60% of U.S. counties have no practicing psychiatrists.
  • Behavioral health tech turnover rate 27.1% annually 2023.
  • Loan repayment programs recruited 2,500 BH providers 2018-2022.
  • Diverse providers: only 5% Black psychiatrists despite 13% population.
  • Wait times average 25 days for outpatient therapy in U.S. 2023.
  • Crisis hotline counselors: 988 handled 7.5 million contacts in first year.
  • BH integration in primary care: only 15% PCPs have co-located BH.
  • Gig economy BH providers grew 300% via platforms like Talkspace 2023.
  • Veteran Affairs BH staff shortage 20% for psychologists 2023.
  • School counselors ratio 1:424 students vs. recommended 1:250.
  • SUD counselors 1 per 500 needed users, actual ratio worse.
  • Post-COVID BH workforce vacancy rate 18% in facilities.

Workforce and Access Interpretation

We are attempting to empty an ocean of need with a complex, leaky bucket of a workforce that is simultaneously shrinking in critical areas, burning out, and yet heroically innovating to plug the gaps.

Sources & References