MAPPING THE BURDEN OF MENTAL HEALTH DISORDERS IN THE UNITED STATES: A NARRATIVE REVIEW OF PREVALENCE TRENDS AND SERVICE GAPS

International Journal of Cognitive Neuroscience and Psychology

View Article

Keywords

Mental health
Prevalence
Evidence-based interventions
Public health policy
Behavioral health services
COVID-19 pandemic

How to Cite

Owolabi, B., Ogunwale, W., & Okunade, I. (2025). MAPPING THE BURDEN OF MENTAL HEALTH DISORDERS IN THE UNITED STATES: A NARRATIVE REVIEW OF PREVALENCE TRENDS AND SERVICE GAPS. International Journal of Cognitive Neuroscience and Psychology, 3(8), 23–29. Retrieved from https://medicaljournals.eu/index.php/IJCNP/article/view/2056

Abstract

Mental health crises are characterized as a critical public health problem, affecting millions globally and posing significant economic challenges. This review discusses mental health in the United States, with global insights, and explores the impact of the COVID-19 pandemic. It focuses on prevalence, impact, challenges, potential solutions, and outcomes. Although high prevalence rates and links to social determinants are well-documented, the COVID-19 pandemic has intensified these challenges, leading to increased mental health issues among vulnerable groups. Additionally, even though evidence-based interventions like cognitive-behavioral therapy and collaborative care models are effective, their real-world impact is limited by issues such as underfunding, stigma, and shortages of staff in health facilities. These barriers disproportionately affect underserved populations, which underscores inequities in mental health care. A critical need for broad strategies that integrate clinical and policy to improve the scalability of mental health services was highlighted. Recent research and key gaps were explored and highlighted. This review suggests the need for new ways that focus on equity and sustainability. These are keys to individual well-being and broader public health.

View Article

References

1. World Health Organization (WHO). (2020). Mental health and COVID-19. https://www.who.int/teams/mental-health-and-substance-use/covid-19

2. National Survey on Drug Use and Health (NSDUH). (2022). Key substance use and mental health indicators in the United States: Results from the 2021 National Survey on Drug Use and Health. https://www.samhsa.gov/data/report/2021-nsduh-annual-national-report

3. Centers for Disease Control and Prevention (CDC). (2023). Mental health in the workplace. https://www.cdc.gov/workplacehealthpromotion/tools-resources/pdfs/WHRC-Mental-Health-and-Stress-in-the-Workplac-Issue-Brief-H.pdf

4. National Survey on Drug Use and Health (NSDUH). (2019). Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health. https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf

5. U.S. Department of Health and Human Services, National Institute of Mental Health. (2017). Any anxiety disorder. https://www.nimh.nih.gov/health/statistics/any-anxiety-disorder

6. U.S. Department of Health and Human Services, National Institute of Mental Health. (2021). Mental illness. https://www.nimh.nih.gov/health/statistics/mental-illness.shtml

7. Subramaniam, M., Abdin, E., Vaingankar, J. A., Shafie, S., Chua, B. Y., Sambasivam, R., Zhang, Y. J., Shahwan, S., Chang, S., Chua, H. C., Verma, S., Chong, S. A., & Heng, D. (2020). Tracking the mental health of a nation: Prevalence and correlates of mental disorders in the second Singapore Mental Health Study. Epidemiology and Psychiatric Sciences, 29, e29. https://doi.org/10.1017/S2045796019000172

8. McDaid, D., Park, A. L., & Wahlbeck, K. (2021). The economic case for the prevention of mental illness. Annual Review of Public Health, 40, 373–389. https://doi.org/10.1146/annurev-publhealth-040218-043629

9. Zhuang QS, Shen L, Ji HF. Quantitative assessment of the bidirectional relationships between diabetes and depression. Oncotarget. 2017 Apr 4;8(14):23389-23400. https://doi.org/10.18632/oncotarget.15051 PMID: 28177893; PMCID: PMC5410312

10. Brody, D. J., Pratt, L. A., & Hughes, J. P. (2018). Prevalence of depression among adults aged 20 and over: United States, 2013-2016. https://www.cdc.gov/nchs/products/databriefs/db303.htm

11. Madigan, A., & Daly, M. (2023). Socioeconomic status and depressive symptoms and suicidality: the role of subjective social status. J Affect Disord, 326, 36-43. https://doi.org/10.1016/j.jad.2023.01.078

12. Raviv, T., Warren, C. M., Washburn, J. J., Kanaley, M. K., Eihentale, L., Goldenthal, H. J., Russo, J., Martin, C. P., Lombard, L. S., Tully, J., Fox, K., & Gupta, R. S. (2022). Caregiver perceptions of children’s psychological well-being during the COVID-19 pandemic. JAMA Network Open, 5(6), e2218989. https://doi.org/10.1001/jamanetworkopen.2022.18989

13. Yard, E., Radhakrishnan, L., Ballesteros, M. F., Sheppard, M., Gates, A., Stein, Z., Hartnett, K., Kite-Powell, A., Rodgers, L., Adjemian, J., Ehlman, D. C., Holland, K., Idaikkadar, N., Ivey-Stephenson, A., Martinez, P., Law, R., & Stone, D. M. (2022). Emergency department visits for suspected suicide attempts among persons aged 12–25 years before and during the COVID-19 pandemic—United States, January 2019–May 2021. MMWR. Morbidity and Mortality Weekly Report, 70(24), 888–894. https://doi.org/10.15585/mmwr.mm7024e1

14. Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901–907. https://doi.org/10.1016/j.bbi.2020.05.026

15. Tai, D. B. G., Shah, A., Doubeni, C. A., Sia, I. G., & Wieland, M. L. (2021). The disproportionate impact of COVID-19 on racial and ethnic minorities in the United States. Clinical Infectious Diseases, 72(4), 703–706. https://doi.org/10.1093/cid/ciaa815

16. Smith, K., Ostinelli, E., Macdonald, O., & Cipriani, A. (2021). COVID-19 and telepsychiatry: An evidence-based guidance for clinicians. JMIR Mental Health, 8(3), e25995. https://doi.org/10.2196/25995

17. General Social Survey (GSS) Quality of Worklife. (2023). Health-worker mental health under strain: Trends from 2018–2022. Social Indicators Research.

18. Fontanella, C. A., Hiance-Steelesmith, D. L., Phillips, G. S., Bridge, J. A., Lester, N., Sweeney, H. A., & Campo, J. V. (2021). Widening rural-urban disparities in youth suicides, United States, 1996-2010. JAMA Network Open, 4(3), e211766. https://doi.org/10.1001/jamanetworkopen.2021.1766

19. Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., Morgan, C., Rüsch, N., Brown, J. S. L., & Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11–27. https://doi.org/10.1017/S0033291714000129

20. Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1

21. McKay, C., Nugent, K. L., Johnsen, M., Eaton, W. W., & Lidz, C. W. (2018). A systematic review of evidence for the clubhouse model of psychosocial rehabilitation. Administration and Policy in Mental Health and Mental Health Services Research, 45(1), 28–47. https://doi.org/10.1007/s10488-016-0760-3

22. Andrews, G., Basu, A., Cuijpers, P., Craske, M. G., McEvoy, P., English, C. L., & Newby, J. M. (2018). Computer therapy for the anxiety and depression disorders is effective, acceptable, and practical health care: An updated meta-analysis. Journal of Anxiety Disorders, 55, 70–78. https://doi.org/10.1016/j.janxdis.2018.01.001

23. Bains, R.M., Cusson, R., White-Frese, J. and Walsh, S. (2017), Utilization of Mental Health Services in School-Based Health Centers. J School Health, 87: 584-592. https://doi.org/10.1111/josh.12528

24. Zhang, L., Finan, L.J., Bersamin, M. and Fisher, D.A. (2020), Sexual Orientation–Based Depression and Suicidality Health Disparities: The Protective Role of School-Based Health Centers. J Res Adolesc, 30: 134-142. https://doi.org/10.1111/jora.12454

25. Golberstein, E., Zainullina, I., Sojourner, A., & Sander, M. A. (2024). Effects of school-based mental health services on youth outcomes. Journal of Human Resources, 59(S), S256-S281. DOI: https://doi.org/10.3368/jhr.1222-12703R2

26. Cipriani, A., Furukawa, T. A., Salanti, G., Chaimani, A., Atkinson, L. Z., Ogawa, Y., Leucht, S., Ruhe, H. G., Turner, E. H., Higgins, J. P. T., Egger, M., Takeshima, N., Hayasaka, Y., Imai, H., Shinohara, K., Tajika, A., Ioannidis, J. P. A., & Geddes, J. R. (2018). Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: A systematic review and network meta-analysis. The Lancet, 391(10128), 1357–1366. https://doi.org/10.1016/S0140-6736(17)32802-7

27. Reising, V., Diegel-Vacek, L., Dadabo, L., & Corbridge, S. (2023). Collaborative Care: Integrating Behavioral Health Into the Primary Care Setting. Journal of the American Psychiatric Nurses Association, 29(4), 344–351. https://doi.org/10.1177/10783903211041653

28. Andersson, G., Carlbring, P., Titov, N., & Lindefors, N. (2019). Internet interventions for adults with anxiety and mood disorders: A narrative umbrella review of recent meta-analyses. Canadian Journal of Psychiatry, 64(7), 465–470. https://doi.org/10.1177/0706743719839381

29. Mulvaney-Day, N., Gibbons, R. D., & Alegria, M. (2019). Impact of the Mental Health Parity and Addiction Equity Act on mental health service use and spending among children and adults with mental health conditions. Health Affairs, 38(9), 1499–1507. https://doi.org/10.1377/hlthaff.2019.00254

30. Elyse Williams, Genevieve A Dingle, Stephen Clift, A systematic review of mental health and wellbeing outcomes of group singing for adults with a mental health condition, European Journal of Public Health, Volume 28, Issue 6, December 2018, Pages 1035–1042, https://doi.org/10.1093/eurpub/cky115