Your mental health and the care that you get may depend on the state you are in. For instance, if you are in Vermont, you are in good shape, but if you are in Texas, not so much. This is the second year that Texas topped the list of worst states due to having a large population of uninsured adults with mental illness. As per Forbes Advisor Health Insurance, seven data points were analysed to reveal the worst states for mental health care.Out of the 10 worst US states for mental health care are located in the South, whereas 5 out of the 10 best US states are located in the Northeast.Experts note that mental health care is also influenced by a person's beliefs and their place of residence. This is why urban and northern states have more positive overall mental health.Which Are The 5 Best And Worst States?5 Worst States for Mental Health CareTexasGeorgiaAlabamaFloridaMississippiBest States for Mental Health CareVermontConnecticutRhode IslandPennsylvaniaMassachusettsThe disparities between the South and Northeast highlight the need for more investment and attention to mental health infrastructure.Is There A Reason For Texas To Rank So Low?This state has 21.4% uninsured adults, the second highest in the US. On average 75% of young people with depression in Texas, do not receive any mental health service, while 19.4% of youth with private insurance do not have the education about mental health problems.Texas also has a limited mental health infrastructure ranked the third lowest in the number of treatment centres, with only 8.4 per 10,000 businesses. On average, 62.3% of adults with mental illness in Texas go untreated.Why Vermont Ranked The Highest?Vermont has good access to services, comprehensive insurance coverage and strong support for mental health initiatives. The state also has a well-developed mental health care system with 34 treatment centres per 10,000 businesses. The number of uninsured individuals is also low in Vermont, with just 6% of them, whereas more residents have health insurance that covers mental health services.The state also has one of the lowest percentages of untreated mental illness, just 43%.Stigma Around Mental HealthA 2024 Lancet study titled Structural stigma in mental illness found that structural stigma of mental health disease refers to the “inequitable deprioritization, devaluation, and othering of mental health and substance misuse health (compared with physical health)” in healthcare systems.The study also notes that for the hospital emergency department, the patient-to-nurse ratio for physical health is 3:1, whereas for mental health patients, it is 6:1. The 2008 Mental Health Parity and Addiction Equity Act also requires health plans to provide physical and mental health benefits equality. However, the National Alliance of Mental Health points out that parity laws mean nothing if there is inadequacy with the provider and a lack of awareness.What Mental Health Care Includes?There are various ways one can access mental health care. This includes:Talk therapy: this is general counselling, cognitive behavioral therapy and dialectal behavioral therapy.Impatient hospitalization: this involves intensive mental health treatment, which could be voluntary or involuntary.Partial hospitalization: it includes a structured program of psychiatric treatments during the day only.Substance misuse treatment: it addresses drug and alcohol addiction.Emergency psychiatric care: it is used as a crisis intervention, which may include self-harm or overdose treatment.Medication coverage: this usually includes at least partial coverage of pharmaceutical treatment for mental health disorders.