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

Isabella County had the highest frequent mental distress in adults, local model estimate of 83 counties in 2023, at 21.7%. Leelanau County had the lowest, at 13.4%. The median was 17.6%. Source: the Centers for Disease Control and Prevention.

Highest21.7Isabella County
Lowest13.4Leelanau County
Median17.683 counties

Top 40 counties, 2023

Isabella County: 21.7 %Isabella County21.7Wayne County: 19.7 %Wayne County19.7Chippewa County: 19.3 %Chippewa County19.3Genesee County: 19.3 %Genesee County19.3Clare County: 18.9 %Clare County18.9Mecosta County: 18.9 %Mecosta County18.9Montcalm County: 18.9 %Montcalm County18.9Gratiot County: 18.8 %Gratiot County18.8Hillsdale County: 18.8 %Hillsdale County18.8Ionia County: 18.7 %Ionia County18.7Branch County: 18.6 %Branch County18.6Kalamazoo County: 18.6 %Kalamazoo County18.6Osceola County: 18.6 %Osceola County18.6Shiawassee County: 18.6 %Shiawassee County18.6Baraga County: 18.5 %Baraga County18.5Calhoun County: 18.5 %Calhoun County18.5Houghton County: 18.5 %Houghton County18.5Jackson County: 18.5 %Jackson County18.5Kalkaska County: 18.5 %Kalkaska County18.5Muskegon County: 18.5 %Muskegon County18.5Saginaw County: 18.5 %Saginaw County18.5St. Joseph County: 18.5 %St. Joseph County18.5Ingham County: 18.4 %Ingham County18.4Wexford County: 18.4 %Wexford County18.4Lake County: 18.3 %Lake County18.3St. Clair County: 18.3 %St. Clair County18.3Lenawee County: 18.2 %Lenawee County18.2Missaukee County: 18.2 %Missaukee County18.2Newaygo County: 18.2 %Newaygo County18.2Tuscola County: 18.2 %Tuscola County18.2Van Buren County: 18.2 %Van Buren County18.2Alpena County: 18.1 %Alpena County18.1Marquette County: 18.1 %Marquette County18.1Sanilac County: 18.1 %Sanilac County18.1Gladwin County: 17.8 %Gladwin County17.8Monroe County: 17.8 %Monroe County17.8Ogemaw County: 17.8 %Ogemaw County17.8Oscoda County: 17.8 %Oscoda County17.8Arenac County: 17.7 %Arenac County17.7Cass County: 17.7 %Cass County17.7
%. 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
1Isabella County21.7+1.3 pts
2Wayne County19.7+1 pts
3Chippewa County19.3+0.4 pts
3Genesee County19.3+2.1 pts
5Clare County18.9+1.4 pts
5Mecosta County18.9-0.3 pts
5Montcalm County18.9+0.7 pts
8Gratiot County18.8+2.8 pts
8Hillsdale County18.8+1.2 pts
10Ionia County18.7+1.3 pts
11Branch County18.6+0.7 pts
11Kalamazoo County18.6-0.2 pts
11Osceola County18.6+0.5 pts
11Shiawassee County18.6+1 pts
15Baraga County18.5+1.7 pts
15Calhoun County18.5+0.3 pts
15Houghton County18.5+1.5 pts
15Jackson County18.5+0.5 pts
15Kalkaska County18.5+0.2 pts
15Muskegon County18.5-0.4 pts
15Saginaw County18.5-0.1 pts
15St. Joseph County18.5-0.5 pts
23Ingham County18.4-0.3 pts
23Wexford County18.4+0.9 pts
25Lake County18.3+0.4 pts
25St. Clair County18.3+1.1 pts
27Lenawee County18.2+1 pts
27Missaukee County18.2+0.2 pts
27Newaygo County18.2+0.9 pts
27Tuscola County18.2-0.4 pts
27Van Buren County18.2-0.4 pts
32Alpena County18.1+0.9 pts
32Marquette County18.1+0.5 pts
32Sanilac County18.1-0.6 pts
35Gladwin County17.8+1.3 pts
35Monroe County17.8+0.5 pts
35Ogemaw County17.8+0.3 pts
35Oscoda County17.8+0.9 pts
39Arenac County17.7+0.2 pts
39Cass County17.7+0.6 pts
39Luce County17.7+0.5 pts
42Bay County17.6+1.8 pts
42Delta County17.6+1.4 pts
44Crawford County17.5+0.2 pts
44Lapeer County17.5+0.1 pts
44Oceana County17.5+1.2 pts
44Otsego County17.5-0.8 pts
48Eaton County17.4+1.9 pts
48Macomb County17.4-0.7 pts
48Schoolcraft County17.4-0.2 pts
51Mackinac County17.3+1.5 pts
52Allegan County17.2+0.5 pts
52Barry County17.2+1.9 pts
52Berrien County17.2+0.4 pts
52Huron County17.2+0.4 pts
52Iosco County17.2+1 pts
52Menominee County17.2+0.5 pts
58Cheboygan County17+1 pts
58Dickinson County17+1.9 pts
58Gogebic County17+0.4 pts
58Kent County17+0.8 pts
58Mason County17+1.6 pts
63Manistee County16.9+1.2 pts
63Montmorency County16.9+1.5 pts
65Alger County16.8+0.6 pts
65Ottawa County16.8+0.5 pts
67Clinton County16.6+1.6 pts
68Iron County16.5+0.3 pts
69Grand Traverse County16.3+1.3 pts
69Midland County16.3+0.8 pts
69Presque Isle County16.3+0.4 pts
72Roscommon County16.1+0.5 pts
73Benzie County15.8+0.5 pts
73Emmet County15.8+1 pts
73Washtenaw County15.8-0.5 pts
76Alcona County15.7-0.3 pts
76Ontonagon County15.70 pts
78Antrim County15.5+1.4 pts
78Charlevoix County15.5-1.3 pts
78Livingston County15.5-0.3 pts
81Oakland County14.8+0.5 pts
82Keweenaw County14.1+0.9 pts
83Leelanau County13.4+1.4 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 Michigan 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 Michigan 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/michigan-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 Michigan 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/michigan-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 Michigan 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/michigan-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_michigan_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 Michigan 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/michigan-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 Michigan 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/michigan-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/michigan-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  - 
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Rank Counties in Michigan by frequent mental distress in adults, local model estimate using official data, and cite the source.
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Questions

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

Isabella County, with 21.7% in 2023, according to the Centers for Disease Control and Prevention.

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

Leelanau County, with 13.4% 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 Michigan: more rankings