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

Isabella County had the highest frequent mental distress in adults, local model estimate of 83 counties in 2021, at 20.2%. Leelanau County had the lowest, at 12.2%. The median was 15.9%. Source: the Centers for Disease Control and Prevention.

Highest20.2Isabella County
Lowest12.2Leelanau County
Median15.983 counties

Top 40 counties, 2021

Isabella County: 20.2 %Isabella County20.2Mecosta County: 18.2 %Mecosta County18.2Ingham County: 18 %Ingham County18Clare County: 17.7 %Clare County17.7Branch County: 17.2 %Branch County17.2Houghton County: 17.2 %Houghton County17.2Kalkaska County: 17.2 %Kalkaska County17.2Chippewa County: 17.1 %Chippewa County17.1Wayne County: 17.1 %Wayne County17.1Gratiot County: 17 %Gratiot County17St. Joseph County: 17 %St. Joseph County17Hillsdale County: 16.9 %Hillsdale County16.9Calhoun County: 16.8 %Calhoun County16.8Jackson County: 16.8 %Jackson County16.8Muskegon County: 16.8 %Muskegon County16.8Baraga County: 16.7 %Baraga County16.7Montcalm County: 16.7 %Montcalm County16.7Osceola County: 16.7 %Osceola County16.7Saginaw County: 16.7 %Saginaw County16.7Missaukee County: 16.6 %Missaukee County16.6Newaygo County: 16.6 %Newaygo County16.6Ogemaw County: 16.6 %Ogemaw County16.6Bay County: 16.5 %Bay County16.5Genesee County: 16.5 %Genesee County16.5Ionia County: 16.5 %Ionia County16.5Kalamazoo County: 16.5 %Kalamazoo County16.5Lake County: 16.5 %Lake County16.5Macomb County: 16.5 %Macomb County16.5Alpena County: 16.4 %Alpena County16.4Sanilac County: 16.4 %Sanilac County16.4Wexford County: 16.4 %Wexford County16.4Gladwin County: 16.3 %Gladwin County16.3Marquette County: 16.3 %Marquette County16.3Shiawassee County: 16.3 %Shiawassee County16.3St. Clair County: 16.3 %St. Clair County16.3Tuscola County: 16.2 %Tuscola County16.2Oscoda County: 16.1 %Oscoda County16.1Van Buren County: 16.1 %Van Buren County16.1Kent County: 16 %Kent County16Luce County: 16 %Luce County16
%. 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

RankCounties2021 (%)
1Isabella County20.2
2Mecosta County18.2
3Ingham County18
4Clare County17.7
5Branch County17.2
5Houghton County17.2
5Kalkaska County17.2
8Chippewa County17.1
8Wayne County17.1
10Gratiot County17
10St. Joseph County17
12Hillsdale County16.9
13Calhoun County16.8
13Jackson County16.8
13Muskegon County16.8
16Baraga County16.7
16Montcalm County16.7
16Osceola County16.7
16Saginaw County16.7
20Missaukee County16.6
20Newaygo County16.6
20Ogemaw County16.6
23Bay County16.5
23Genesee County16.5
23Ionia County16.5
23Kalamazoo County16.5
23Lake County16.5
23Macomb County16.5
29Alpena County16.4
29Sanilac County16.4
29Wexford County16.4
32Gladwin County16.3
32Marquette County16.3
32Shiawassee County16.3
32St. Clair County16.3
36Tuscola County16.2
37Oscoda County16.1
37Van Buren County16.1
39Kent County16
39Luce County16
39Monroe County16
42Iosco County15.9
42Oceana County15.9
44Allegan County15.8
44Arenac County15.8
44Delta County15.8
44Lapeer County15.8
44Schoolcraft County15.8
44Washtenaw County15.8
50Berrien County15.7
50Lenawee County15.7
52Cass County15.5
52Cheboygan County15.5
52Gogebic County15.5
52Huron County15.5
52Mackinac County15.5
52Mason County15.5
52Otsego County15.5
59Crawford County15.4
59Menominee County15.4
61Alger County15.3
61Eaton County15.3
61Ottawa County15.3
64Barry County15.2
64Montmorency County15.2
66Grand Traverse County15.1
66Iron County15.1
66Midland County15.1
69Roscommon County15
70Clinton County14.9
70Dickinson County14.9
70Manistee County14.9
73Presque Isle County14.8
74Alcona County14.3
74Antrim County14.3
74Charlevoix County14.3
74Emmet County14.3
78Ontonagon County14.2
79Benzie County14.1
80Livingston County14
81Oakland County13.2
82Keweenaw County12.5
83Leelanau County12.2

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/michigan-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_michigan_by_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/michigan-counties?period=2021.
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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Questions

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

Isabella County, with 20.2% in 2021, 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 12.2% in 2021.

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