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Table 22.3. Estimated number of clinically active (CA) or clinically trained (CT) mental health personnel and
rate per 100,000 civilian population, by discipline: United States, and each region and State for specific year
Region and State Counseling (2004)4
# of CT
Persons
Counseling (2004)4
Rate per 100,000
Marriage
and Family Therapy (2004)5
# of CT Persons
Marriage
and Family Therapy (2004)5

Rate per 100,000
Psycho-social Rehabilitation (1996)
# of CT
Persons
Psycho-social Rehabilitation (1996)
Rate per
100,000
School Psychology (2004)6
# of CT
Persons
School Psychology (2004)6
Rate per 100,000
United States 100,533 34.7 50,158 17.3 100,000 37.7 37,893 13.1
New England 6,898 48.6 1,783 12.5 12,200 91.2 3,224 22.7
Connecticut 1,369 39.4 785 22.6 3,000 91.7 1,375 39.6
Maine 825 63.4 86 6.6 1,000 80.5 274 21.1
Massachusetts 3493 54.3 747 11.6 4,600 75.2 997 15.5
New Hampshire 490 38.1 785 5.1 1,900 162.1 278 21.6
Rhode Island 207 19.3 69 6.4 700 70.9 176 16.4
Vermont 514 83 30 4.8 1,000 169.8 124 20
Middle Atlantic 10,264 25.6 2,447 5.2 22,400 58.6 7,638 19
New Jersey 2,706 31.4 767 8.9 4,100 50.9 1,307 15.1
New York 4,033 21 1,064 5.6 7,700 42.5 4,600 24
Pennsylvania 3,525 28.5 616 5 10,600 8.2 1,731 14
East North Central 17,935 39.2 3,382 7.4 10,700 24.4 6,019 13.1
Illinois 4,952 39.2 413 3.3 3,100 26.1 2,006 15.9
Indiana 1,371 22.1 1,133 18.3 600 10.2 498 8
Michigan 5,503 54.6 976 9.7 3,000 30.7 900 8.9
Ohio 3,566 31.2 379 3.3 3,400 30.4 1,514 13.3
Wisconsin 2,543 46.5 481 8.8 600 11.6 1,101 20.1
West North Central 5,280 27.1 1,664 8.5 10,000 53.8 2,911 14.9
Iowa 580 19.7 156 5.3 1,700 59.6 475 16.1
Kansas 312 11.5 278 10.3 1,100 42.4 800 29.6
Minnesota 140 2.8 747 14.8 2,000 42.7 897 17.7
Missouri 3,111 54.7 256 4.5 3,400 62.9 208 3.7
Nebraska 876 50.6 106 6.1 500 30.2 375 21.7
North Dakota 131 20.9 20 3.2 500 78 64 10.2
South Dakota 130 17.1 101 13.3 800 108.4 92 12.1
South Atlantic 20,041 37.2 4,696 10.1 18,800 39 5,531 10.3
Delaware 250 30.7 43 5.3 200 27.3 112 13.8
District of Columbia 1,162 207.8 54 9.6 700 132.3 80 14.3
Florida 5,472 32.3 2,026 12 5,700 38.9 1,652 9.7
Georgia 3,018 35 557 6.5 1,000 13.4 727 8.4
Maryland 1,736 31.7 162 3 6,900 135.5 750 13.7
North Carolina 3,070 37 621 7.5 1,200 16.2 700 8.4
South Carolina 1,357 33 251 6.1 500 13.3 688 16.7
Virginia 2,881 39.8 947 13.1 2,500 37.1 679 9.4
West Virginia 1,095 60.5 35 1.9 100 5.5 143 7.9
East South Central 4,368 25.3 1,280 7.4 2,400 14.7 1,071 6.2
Alabama 1,417 31.6 219 4.9 600 13.9 191 4.2
Kentucky 781 19.1 430 10.5 1,000 25.6 353 8.6
Mississippi 880 30.7 385 13.5 200 7.3 80 2.8
Tennessee 1,290 22.1 246 4.2 600 11.2 447 7.7
West South Central 16,490 50.5 4,284 13.1 5,900 19.9 2,997 9.2
Arkansas 523 19.2 90 3.3 800 31.7 228 8.4
Louisiana 1,745 39 787 17.6 1,200 27.6 390 8.7
Oklahoma 2,598 74.5 507 14.5 300 9 248 7.2
Texas 11,624 52.8 2,900 13.2 3,600 18.5 2,131 9.7
Mountain 8,684 45 2,446 12.7 3,800 26.3 2,845 14.7
Arizona 2,338 42.1 342 6.2 1,700 67.4 700 12.6
Colorado 2,133 47.2 511 11.3 300 7.7 900 29.9
Idaho 567 41.6 211 15.5 0 0 278 20.4
Montana 848 92.8 52 5.7 200 22.8 215 23.5
Nevada 744 33.3 639 28.7 200 11.9 198 8.9
New Mexico 1,154 61.9 166 8.9 900 52 215 11.5
Utah 307 13.1 459 19.5 200 9.7 230 9.8
Wyoming 593 119.1 66 13.2 300 62.5 109 21.9
Pacific 10,573 22.6 28,176 60.2 13,800 32.2 5,657 12.1
Alaska 317 50.3 92 14.6 0 0 165 26.2
California 4,399 12.5 26,855 76 11,300 35 4,336 12.3
Hawaii 501 41.3 113 9.3 500 42.1 60 4.9
Oregon 1,351 38 295 11.8 1,000 30.8 270 7.6
Washington 4,005 65.9 821 13.5 1,000 17.8 826 13.6
1 For psychiatry, the numerator of the rate is based on clinically active psychiatrists in the private sector and does not include residents or fellows (see AMA Physician Characteristics and Distribution in the US 2004), and the denominator is from the U.S. Bureau of the Census (2002).
2 Source: 2003 American Psychological Association Directory, 2002 ASPPB Directory, and 2004 CAPP grant application counts. Compiled by APA Research Office. Data for the numerator are from late 2003 to early 2004; denominator is estimated civilian population of the United States as of July 1, 2003. Source: Table ST-EST2003-01civ- Annual Estimates of the Civilian Population by Selected Age Groups for the United States and States: July 1, 2003 and April 1, 2000, Population Division, U.S. Bureau of the Census. Release Date: March 10, 2004 (www.census.gov/estimationprogram).
3 Based on National Association of Social Workers’ membership data, fall 2004 (MSW and DSW regular members).
4 Data are from National Board for Certified Counselors 1998 State Counseling Board Survey; comparison with similar States; number of national certified counselors; with growth rate taken from National Certified Counselor data. Data for the denominator of the rate are from U.S. Census, July 1, 2003, estimates.
5 Data for the numerator are based on 2004 American Association for Marriage and Family Therapy (AAMFT) Practice Research Network project funded by the Center for Substance Abuse Treatment. Data were collected from a random sample of AAMFT clinical members.
6 Numerators for the rates are from Charvat (2004); denominators are based on estimates of the civilian population of the United States as of July 1, 2003 (Population Division, U.S. Census Bureau, Release Date: March 10, 2004).
7 Data are based on the total number of PMH-APRNs board certified by the American Nurses Credentialing Center (ANCC) as of October 2003, including clinical nurse specialists (adult and child) and psychiatric nurse practitioners (family and adult). Missing data are excluded.

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