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Informed by a Social Determinants of Health framework, this study examines associations between county-level unemployment rates and two county-level indicators of mental health challenges. With 2017 data from County Health Rankings, the study focuses on 418 counties in the southeastern U.S., a region with longstanding unmet service needs and ongoing mental health care challenges. Linear regression models show positive associations between unemployment and two county-level indicators of mental health challenges, while accounting for multiple social determinants of health. The study illustrates how county-level analysis can help social workers target mental health needs and increase access to care.

A county-level analysis of unemployment and mental health in the Southeastern U.S.: applying a social determinants of health framework