shrinkMD data
Mental health shortage map for Maine and Nebraska
88 of Nebraska's 93 counties, home to 56% of the state's residents, sit entirely inside a federally designated mental health professional shortage area. In Maine, 12 of 16 counties have all or part of their area designated. This map shows where, using the federal government's own shortage data.
Written under the clinical direction of Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Last updated September 29, 2026 · Editorial policy
Already know your state is active? Skip to the waitlist.
88 of 93
Nebraska counties that are entirely inside a designated mental health shortage area
56%
of Nebraskans live in those counties (1,101,744 people, 2020 Census)
12 of 16
Maine counties with all or part of their area designated
19
active mental health shortage designations across both states (5 in Nebraska, 14 in Maine)
Nebraska
Hover over or tap a county to see its designation.
Maine
Hover over or tap a county to see its designation.
- Whole county designated
- Whole county, low-income residents
- Part of county designated
- No current designation
Source: HRSA mental health Health Professional Shortage Area (HPSA) designations, data checked September 28, 2026; county populations from the 2020 Census. Designations cover the people named in the designation; a low-income population designation covers low-income residents, not everyone in the county.
What this shows
What a mental health shortage area is
The Health Resources and Services Administration (HRSA), part of the U.S. Department of Health and Human Services, designates Health Professional Shortage Areas (HPSAs) where there are too few providers for the population. Mental health is one of three HPSA types, alongside primary care and dental care.
Each mental health HPSA gets a score from 0 to 25; higher means a greater shortage. HRSA builds the score from the population-to-provider ratio, the share of residents below the federal poverty level, the share of older adults and children, alcohol and substance use prevalence, and travel time to the nearest source of care outside the area (HRSA scoring criteria).
There are two kinds of designation on this map. A geographic designation covers everyone who lives in the area. A low-income population designation covers only the area's low-income residents, meaning providers there aren't accessible enough to that group even if the area as a whole has some.
Nebraska
Nebraska: 88 of 93 counties designated
Nebraska's mental health shortage designations follow its behavioral health catchment areas. All 5 are geographic designations, and together they cover every county except Cass, Dodge, Douglas, Sarpy, and Washington, the counties in and around Omaha.
| County | Designation | Highest score (0 to 25) | 2020 population | Proposed for withdrawal |
|---|---|---|---|---|
| Adams County | Whole county designated | 12 | 31,205 | 0 |
| Antelope County | Whole county designated | 17 | 6,295 | 0 |
| Arthur County | Whole county designated | 7 | 434 | 0 |
| Banner County | Whole county designated | 19 | 674 | 0 |
| Blaine County | Whole county designated | 12 | 431 | 0 |
| Boone County | Whole county designated | 17 | 5,379 | 0 |
| Box Butte County | Whole county designated | 19 | 10,842 | 0 |
| Boyd County | Whole county designated | 17 | 1,810 | 0 |
| Brown County | Whole county designated | 17 | 2,903 | 0 |
| Buffalo County | Whole county designated | 12 | 50,084 | 0 |
| Burt County | Whole county designated | 17 | 6,722 | 0 |
| Butler County | Whole county designated | 12 | 8,369 | 0 |
| Cass County | No current designation | None | 26,598 | 0 |
| Cedar County | Whole county designated | 17 | 8,380 | 0 |
| Chase County | Whole county designated | 7 | 3,893 | 0 |
| Cherry County | Whole county designated | 17 | 5,455 | 0 |
| Cheyenne County | Whole county designated | 19 | 9,468 | 0 |
| Clay County | Whole county designated | 12 | 6,104 | 0 |
| Colfax County | Whole county designated | 17 | 10,582 | 0 |
| Cuming County | Whole county designated | 17 | 9,013 | 0 |
| Custer County | Whole county designated | 12 | 10,545 | 0 |
| Dakota County | Whole county designated | 17 | 21,582 | 0 |
| Dawes County | Whole county designated | 19 | 8,199 | 0 |
| Dawson County | Whole county designated | 7 | 24,111 | 0 |
| Deuel County | Whole county designated | 19 | 1,838 | 0 |
| Dixon County | Whole county designated | 17 | 5,606 | 0 |
| Dodge County | No current designation | None | 37,167 | 0 |
| Douglas County | No current designation | None | 584,526 | 0 |
| Dundy County | Whole county designated | 7 | 1,654 | 0 |
| Fillmore County | Whole county designated | 12 | 5,551 | 0 |
| Franklin County | Whole county designated | 12 | 2,889 | 0 |
| Frontier County | Whole county designated | 7 | 2,519 | 0 |
| Furnas County | Whole county designated | 12 | 4,636 | 0 |
| Gage County | Whole county designated | 12 | 21,704 | 0 |
| Garden County | Whole county designated | 19 | 1,874 | 0 |
| Garfield County | Whole county designated | 12 | 1,813 | 0 |
| Gosper County | Whole county designated | 7 | 1,893 | 0 |
| Grant County | Whole county designated | 7 | 611 | 0 |
| Greeley County | Whole county designated | 12 | 2,188 | 0 |
| Hall County | Whole county designated | 12 | 62,895 | 0 |
| Hamilton County | Whole county designated | 12 | 9,429 | 0 |
| Harlan County | Whole county designated | 12 | 3,073 | 0 |
| Hayes County | Whole county designated | 7 | 856 | 0 |
| Hitchcock County | Whole county designated | 7 | 2,616 | 0 |
| Holt County | Whole county designated | 17 | 10,127 | 0 |
| Hooker County | Whole county designated | 7 | 711 | 0 |
| Howard County | Whole county designated | 12 | 6,475 | 0 |
| Jefferson County | Whole county designated | 12 | 7,240 | 0 |
| Johnson County | Whole county designated | 12 | 5,290 | 0 |
| Kearney County | Whole county designated | 12 | 6,688 | 0 |
| Keith County | Whole county designated | 7 | 8,335 | 0 |
| Keya Paha County | Whole county designated | 17 | 769 | 0 |
| Kimball County | Whole county designated | 19 | 3,434 | 0 |
| Knox County | Whole county designated | 17 | 8,391 | 0 |
| Lancaster County | Whole county designated | 12 | 322,608 | 0 |
| Lincoln County | Whole county designated | 7 | 34,676 | 0 |
| Logan County | Whole county designated | 7 | 716 | 0 |
| Loup County | Whole county designated | 12 | 607 | 0 |
| Madison County | Whole county designated | 17 | 35,585 | 0 |
| McPherson County | Whole county designated | 7 | 399 | 0 |
| Merrick County | Whole county designated | 12 | 7,668 | 0 |
| Morrill County | Whole county designated | 19 | 4,555 | 0 |
| Nance County | Whole county designated | 17 | 3,380 | 0 |
| Nemaha County | Whole county designated | 12 | 7,074 | 0 |
| Nuckolls County | Whole county designated | 12 | 4,095 | 0 |
| Otoe County | Whole county designated | 12 | 15,912 | 0 |
| Pawnee County | Whole county designated | 12 | 2,544 | 0 |
| Perkins County | Whole county designated | 7 | 2,858 | 0 |
| Phelps County | Whole county designated | 12 | 8,968 | 0 |
| Pierce County | Whole county designated | 17 | 7,317 | 0 |
| Platte County | Whole county designated | 17 | 34,296 | 0 |
| Polk County | Whole county designated | 12 | 5,214 | 0 |
| Red Willow County | Whole county designated | 7 | 10,702 | 0 |
| Richardson County | Whole county designated | 12 | 7,871 | 0 |
| Rock County | Whole county designated | 17 | 1,262 | 0 |
| Saline County | Whole county designated | 12 | 14,292 | 0 |
| Sarpy County | No current designation | None | 190,604 | 0 |
| Saunders County | Whole county designated | 12 | 22,278 | 0 |
| Scotts Bluff County | Whole county designated | 19 | 36,084 | 0 |
| Seward County | Whole county designated | 12 | 17,609 | 0 |
| Sheridan County | Whole county designated | 19 | 5,127 | 0 |
| Sherman County | Whole county designated | 12 | 2,959 | 0 |
| Sioux County | Whole county designated | 19 | 1,135 | 0 |
| Stanton County | Whole county designated | 17 | 5,842 | 0 |
| Thayer County | Whole county designated | 12 | 5,034 | 0 |
| Thomas County | Whole county designated | 7 | 669 | 0 |
| Thurston County | Whole county designated | 17 | 6,773 | 0 |
| Valley County | Whole county designated | 12 | 4,059 | 0 |
| Washington County | No current designation | None | 20,865 | 0 |
| Wayne County | Whole county designated | 17 | 9,697 | 0 |
| Webster County | Whole county designated | 12 | 3,395 | 0 |
| Wheeler County | Whole county designated | 12 | 774 | 0 |
| York County | Whole county designated | 12 | 14,125 | 0 |
Nebraska designations
| HRSA designation name | Type | Score | Designated population | Counties | Last updated by HRSA |
|---|---|---|---|---|---|
| Region 1 MH Catchment Area | Geographic | 19 | 80,231 | Banner; Box Butte; Cheyenne; Dawes; Deuel; Garden; Kimball; Morrill; Scotts Bluff; Sheridan; Sioux | 2025/09/04 |
| Catchment Area 4 | Geographic | 17 | 201,633 | Antelope; Boone; Boyd; Brown; Burt; Cedar; Cherry; Colfax; Cuming; Dakota; Dixon; Holt; Keya Paha; Knox; Madison; Nance; Pierce; Platte; Rock; Stanton; Thurston; Wayne | 2025/09/22 |
| Mental Health Catchment Area 3 | Geographic | 12 | 224,179 | Adams; Blaine; Buffalo; Clay; Custer; Franklin; Furnas; Garfield; Greeley; Hall; Hamilton; Harlan; Howard; Kearney; Loup; Merrick; Nuckolls; Phelps; Sherman; Valley; Webster; Wheeler | 2026/02/18 |
| Mental Health Catchment Area 5 | Geographic | 12 | 465,357 | Butler; Fillmore; Gage; Jefferson; Johnson; Lancaster; Nemaha; Otoe; Pawnee; Polk; Richardson; Saline; Saunders; Seward; Thayer; York | 2025/09/22 |
| Catchment Area 2 | Geographic | 7 | 95,113 | Arthur; Chase; Dawson; Dundy; Frontier; Gosper; Grant; Hayes; Hitchcock; Hooker; Keith; Lincoln; Logan; McPherson; Perkins; Red Willow; Thomas | 2025/09/22 |
Maine
Maine: 12 of 16 counties with a designation
Maine designates shortage areas town by town, so most counties are only partly covered. 14 designations are active: 5 geographic and 9 for low-income residents. Cumberland, Lincoln, Sagadahoc, and York counties have none. Another 13 designations are listed by HRSA as "proposed for withdrawal," meaning they're under review and may lose their designation; we show them separately and leave them out of the totals.
| County | Designation | Highest score (0 to 25) | 2020 population | Proposed for withdrawal |
|---|---|---|---|---|
| Androscoggin County | Part of county designated | 13 | 111,139 | 1 |
| Aroostook County | Part of county designated | 18 | 67,105 | 4 |
| Cumberland County | No current designation | None | 303,069 | 0 |
| Franklin County | Whole county, low-income residents | 16 | 29,456 | 2 |
| Hancock County | Part of county designated | 15 | 55,478 | 1 |
| Kennebec County | Part of county designated | 17 | 123,642 | 2 |
| Knox County | Part of county designated | 12 | 40,607 | 0 |
| Lincoln County | No current designation | None | 35,237 | 0 |
| Oxford County | Part of county designated | 18 | 57,777 | 3 |
| Penobscot County | Part of county designated | 18 | 152,199 | 4 |
| Piscataquis County | Whole county designated | 19 | 16,800 | 2 |
| Sagadahoc County | No current designation | None | 36,699 | 0 |
| Somerset County | Whole county, low-income residents | 18 | 50,477 | 4 |
| Waldo County | Part of county designated | 17 | 39,607 | 1 |
| Washington County | Part of county designated | 18 | 31,095 | 3 |
| York County | No current designation | None | 211,972 | 0 |
Active Maine designations
| HRSA designation name | Type | Score | Designated population | Counties | Last updated by HRSA |
|---|---|---|---|---|---|
| Piscataquis County | Geographic | 19 | 16,723 | Piscataquis | 2026/05/27 |
| Houlton | Geographic | 18 | 18,514 | Aroostook; Penobscot | 2026/04/01 |
| LI-Bethel SA | Low-income population | 18 | 15,719 | Oxford | 2026/04/01 |
| LI-Calais/Machias SA | Low-income population | 18 | 8,703 | Washington | 2026/05/27 |
| LI-Somerset County | Low-income population | 18 | 19,435 | Somerset | 2026/04/01 |
| LI-Augusta SA | Low-income population | 17 | 13,607 | Kennebec | 2026/05/27 |
| LI-Presque Isle SA | Low-income population | 17 | 12,920 | Aroostook | 2026/04/01 |
| LI-Waterville SA | Low-income population | 17 | 17,676 | Kennebec; Waldo | 2026/05/27 |
| Millinocket SA | Geographic | 17 | 21,527 | Penobscot | 2026/04/01 |
| LI-Franklin County | Low-income population | 16 | 9,752 | Franklin | 2026/05/27 |
| Ellsworth SA | Geographic | 15 | 30,354 | Hancock; Washington | 2026/04/01 |
| LI-Livermore SA | Low-income population | 13 | 4,604 | Androscoggin; Kennebec; Oxford | 2026/05/27 |
| LI-Fort Kent | Low-income population | 12 | 4,081 | Aroostook | 2026/04/01 |
| Stonington SA | Geographic | 12 | 6,719 | Hancock; Knox | 2026/05/27 |
Maine designations proposed for withdrawal
| HRSA designation name | Type | Score | Designated population | Counties | Last updated by HRSA |
|---|---|---|---|---|---|
| Houlton-Mental Health Analysis Area 30 | Geographic | 19 | 18,109 | Aroostook; Penobscot; Washington | 2025/09/22 |
| Dover Foxcroft | Geographic | 18 | 24,122 | Penobscot; Piscataquis; Somerset | 2026/04/01 |
| LI - Ellsworth | Low-income population | 18 | 8,274 | Hancock; Washington | 2025/09/22 |
| Skowhegan | Geographic | 18 | 32,060 | Piscataquis; Somerset | 2025/09/22 |
| Farmington | Geographic | 17 | 23,763 | Franklin; Kennebec; Oxford; Somerset | 2025/09/22 |
| Lincoln/Millinocket | Geographic | 17 | 16,910 | Aroostook; Penobscot | 2025/09/22 |
| Norway | Geographic | 17 | 29,219 | Oxford | 2025/09/22 |
| Fort Kent | High-needs geographic | 16 | 11,929 | Aroostook | 2025/09/22 |
| MHCA-14 Rumford | Geographic | 16 | 29,398 | Androscoggin; Franklin; Kennebec; Oxford | 2026/04/01 |
| Calais | Geographic | 15 | 24,834 | Washington | 2026/04/01 |
| Caribou/Presque Isle | High-needs geographic | 15 | 37,451 | Aroostook | 2025/09/22 |
| LI - Belfast | Low-income population | 14 | 7,776 | Waldo | 2025/09/22 |
| LI - Pittsfield | Low-income population | 13 | 5,851 | Penobscot; Somerset | 2026/04/01 |
Downloads
Use this data
Journalists, researchers, and public agencies are welcome to use these tables. Please credit "shrinkMD analysis of HRSA shortage designation data" and link to this page.
Methodology
How we built this map
We retrieved every mental health HPSA designation for Maine and Nebraska from HRSA's official shortage-area data service on September 28, 2026, including each designation's type, status, score, designated population, component areas (counties, towns, or census tracts), and HRSA's last-update date. County boundaries and 2020 Census populations come from the U.S. Census Bureau.
A county is "whole county designated" when HRSA lists the entire county as a component of an active geographic designation. "Whole county, low-income residents" means the entire county is a component of a low-income population designation. "Part of county" means only some towns or tracts are designated. We count only designations with the status "Designated" and list "Proposed for withdrawal" designations separately.
Limits: designations change as HRSA and state primary care offices review them, so check HRSA's Find Shortage Areas tool for the current status of any single designation. Designated populations can overlap where two designations cover the same people, so we don't add them together. This map doesn't include facility designations (such as health centers, rural health clinics, and tribal sites), which HRSA scores separately. A shortage designation measures provider supply against need; it doesn't measure wait times.
We plan to refresh this data every quarter. Questions or corrections: [email protected].
Sources
Sources
All data retrieved September 28, 2026.
- HRSA, Shortage Areas data (mental health HPSA designations via HRSA's ArcGIS data service, layer "Mental Health HPSA")
- HRSA Bureau of Health Workforce, What is shortage designation?
- HRSA Bureau of Health Workforce, Scoring shortage designations
- HRSA, Find Shortage Areas tool (check current status)
- U.S. Census Bureau, TIGERweb (2020 county boundaries and 2020 Census population)
If you live in a shortage area
Finding care when psychiatrists are scarce
A shortage designation doesn't mean care is impossible to get; it means you may need to look further or wait longer. Your primary care clinician can often start treatment for common conditions and refer you on. Our guide to choosing the right kind of mental health professional explains who does what.
Telepsychiatry can help when the nearest psychiatrist is hours away, as long as the clinician is licensed in your state. shrinkMD is opening first in Maine and Nebraska; you can join the waitlist. If you're in crisis, call or text 988 or call 911.
Go deeper across The Shrink Network
- Shrinkiatry: Nebraska psychiatric care programs
- AnxietyResearch: Psychiatric wait times in the United States
- AnxietyResource: Anxiety resources in Nebraska
- DepressionResource: Depression resources in Nebraska
These sites and shrinkMD are part of The Shrink Network, founded by Shariq Refai, MD.
Frequently asked questions
Good questions, clear answers
Is there a psychiatrist shortage in Nebraska?
Federal data says yes for most of the state. As of September 28, 2026, 88 of Nebraska's 93 counties are entirely inside a designated mental health professional shortage area. The exceptions are Cass, Dodge, Douglas, Sarpy, and Washington counties.
Is there a psychiatrist shortage in Maine?
Parts of Maine are designated. As of September 28, 2026, 12 of Maine's 16 counties have all or part of their area inside an active mental health shortage designation. Cumberland, Lincoln, Sagadahoc, and York counties have none.
What's a mental health HPSA score?
A number from 0 to 25 that HRSA assigns to each mental health shortage designation. Higher scores mean a greater shortage, based on the population-to-provider ratio, poverty, the share of older adults and children, substance use prevalence, and travel time to care.
Where does this data come from?
HRSA's official shortage designation data, retrieved September 28, 2026, with 2020 Census county populations. Downloads and the full methodology are on this page.
Can I use this map or data?
Yes. Please credit "shrinkMD analysis of HRSA shortage designation data" and link to this page.
Your next step in The Shrink Network
You are here: shrinkMD, the clinical care layer of The Shrink Network.
Each site in the network has one job. No matter where you enter, we help you find the next step that makes sense.
Get clinical care with shrinkMD
Want to understand more first?