Counties in California by frequent mental distress in adults, local model estimate, 2023

Kern County had the highest frequent mental distress in adults, local model estimate of 58 counties in 2023, at 20%. San Mateo County had the lowest, at 13.1%. The median was 17%. Source: the Centers for Disease Control and Prevention.

Highest20Kern County
Median1758 counties

All counties, 2023

Kern County: 20 %Kern County20Madera County: 19.8 %Madera County19.8Humboldt County: 19.7 %Humboldt County19.7Kings County: 19.5 %Kings County19.5Yuba County: 19.4 %Yuba County19.4Lassen County: 19.2 %Lassen County19.2Butte County: 19.1 %Butte County19.1Merced County: 19 %Merced County19Tulare County: 19 %Tulare County19Stanislaus County: 18.8 %Stanislaus County18.8Tehama County: 18.8 %Tehama County18.8Shasta County: 18.6 %Shasta County18.6Fresno County: 18.4 %Fresno County18.4Glenn County: 18.4 %Glenn County18.4Del Norte County: 18.3 %Del Norte County18.3Colusa County: 18.1 %Colusa County18.1Lake County: 18.1 %Lake County18.1Trinity County: 18.1 %Trinity County18.1Imperial County: 18 %Imperial County18Sutter County: 17.9 %Sutter County17.9Yolo County: 17.9 %Yolo County17.9Mendocino County: 17.8 %Mendocino County17.8San Bernardino County: 17.7 %San Bernardino County17.7Siskiyou County: 17.6 %Siskiyou County17.6Modoc County: 17.4 %Modoc County17.4Sacramento County: 17.4 %Sacramento County17.4San Joaquin County: 17.2 %San Joaquin County17.2Santa Barbara County: 17.2 %Santa Barbara County17.2Riverside County: 17.1 %Riverside County17.1Mono County: 16.9 %Mono County16.9Sierra County: 16.8 %Sierra County16.8Tuolumne County: 16.8 %Tuolumne County16.8Calaveras County: 16.7 %Calaveras County16.7Monterey County: 16.7 %Monterey County16.7San Luis Obispo County: 16.7 %San Luis Obispo County16.7Santa Cruz County: 16.7 %Santa Cruz County16.7Plumas County: 16.6 %Plumas County16.6San Benito County: 16.6 %San Benito County16.6Solano County: 16.6 %Solano County16.6Inyo County: 16.3 %Inyo County16.3San Diego County: 16.3 %San Diego County16.3Los Angeles County: 16.2 %Los Angeles County16.2Mariposa County: 16.2 %Mariposa County16.2Ventura County: 16.2 %Ventura County16.2Amador County: 16 %Amador County16Orange County: 16 %Orange County16Sonoma County: 15.8 %Sonoma County15.8Alpine County: 15.6 %Alpine County15.6Nevada County: 15.6 %Nevada County15.6El Dorado County: 15.5 %El Dorado County15.5Napa County: 15.5 %Napa County15.5Contra Costa County: 15.3 %Contra Costa County15.3Placer County: 15.3 %Placer County15.3Alameda County: 15 %Alameda County15Marin County: 13.9 %Marin County13.9San Francisco County: 13.8 %San Francisco County13.8Santa Clara County: 13.7 %Santa Clara County13.7San Mateo County: 13.1 %San Mateo County13.1
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Kern County20+1.2 pts
2Madera County19.8+0.7 pts
3Humboldt County19.70 pts
4Kings County19.50 pts
5Yuba County19.4-0.2 pts
6Lassen County19.2+0.4 pts
7Butte County19.1+0.5 pts
8Merced County19-1.3 pts
8Tulare County19-0.5 pts
10Stanislaus County18.8+0.9 pts
10Tehama County18.8+0.2 pts
12Shasta County18.6+1.3 pts
13Fresno County18.4-0.3 pts
13Glenn County18.4-0.3 pts
15Del Norte County18.3-1.3 pts
16Colusa County18.1-0.2 pts
16Lake County18.1+1.5 pts
16Trinity County18.1+1.6 pts
19Imperial County18-0.1 pts
20Sutter County17.9-0.4 pts
20Yolo County17.9-1 pts
22Mendocino County17.8+1.3 pts
23San Bernardino County17.70 pts
24Siskiyou County17.6+0.7 pts
25Modoc County17.4+1 pts
25Sacramento County17.4+0.1 pts
27San Joaquin County17.2+0.5 pts
27Santa Barbara County17.2+0.6 pts
29Riverside County17.1+0.9 pts
30Mono County16.9+0.6 pts
31Sierra County16.8+1.2 pts
31Tuolumne County16.8+1.1 pts
33Calaveras County16.7+0.5 pts
33Monterey County16.7-1.2 pts
33San Luis Obispo County16.7+0.1 pts
33Santa Cruz County16.7-0.2 pts
37Plumas County16.6+1.4 pts
37San Benito County16.6+0.4 pts
37Solano County16.6+0.1 pts
40Inyo County16.3+0.9 pts
40San Diego County16.3+0.5 pts
42Los Angeles County16.2+0.2 pts
42Mariposa County16.2-0.8 pts
42Ventura County16.2+0.5 pts
45Amador County16+0.8 pts
45Orange County16+1 pts
47Sonoma County15.8+0.8 pts
48Alpine County15.6-0.2 pts
48Nevada County15.6-1.1 pts
50El Dorado County15.5+1.1 pts
50Napa County15.5-0.4 pts
52Contra Costa County15.3+0.8 pts
52Placer County15.3-0.2 pts
54Alameda County15+0.9 pts
55Marin County13.9+1.7 pts
56San Francisco County13.8+0.7 pts
57Santa Clara County13.7+0.6 pts
58San Mateo County13.1-0.3 pts

Other periods

About this ranking

Percentage of adults who say their mental health was not good on 14 or more of the past 30 days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence (Counties in California by frequent mental distress in adults, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in California by frequent mental distress in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/california-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Counties in California by frequent mental distress in adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/california-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in California by frequent mental distress in adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/california-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_california_by_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence: Counties in California by frequent mental distress in adults, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/california-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence: Counties in California by frequent mental distress in adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/california-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/california-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  - 
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in California by frequent mental distress in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_frequent_mental_distress_rate_modelled","level":"province","within":"California","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_frequent_mental_distress_rate_modelled&level=province&within=California&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

Which county has the highest frequent mental distress in adults, local model estimate?

Kern County, with 20% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest frequent mental distress in adults, local model estimate?

San Mateo County, with 13.1% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Frequent mental distress in adults, local model estimate: other rankings

Counties in California: more rankings