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UH Researchers Map Houston鈥檚 Mental Health Deserts for the First Time

Study Reveals Major Gaps in Psychological Services in 鈥楧istressed鈥� ZIP Codes

By Kelly Schafler 鈥� 713-743-1153

shadowed image of chakema carmack and damien kelly standing in front of a mental health map

Researchers at the 91视频鈥檚 HEALTH Center for Addictions Research and Cancer Prevention have mapped the city of Houston鈥檚 mental health care deserts for the first time. 

Key Takeaways

  • 91视频 researchers have mapped Houston鈥檚 鈥渕ental health deserts,鈥� revealing that low-income and minority neighborhoods have the fewest licensed mental health professionals.
  • Nearly half of the city of Houston鈥檚 ZIP codes are classified as 鈥渄istressed,鈥� and 39 have no mental health providers at all, highlighting inequities in access to care.
  • UH researchers are partnering with local officials to develop policy solutions that expand mental health services in underserved areas.

For the first time, 91视频 researchers have mapped Houston鈥檚 鈥渕ental health deserts,鈥� revealing inequities in access to care across the city.

, published Oct. 15 in Frontiers of Public Health, highlights the uneven distribution of mental health professionals and calls for targeted interventions and policy solutions. The research was conducted at UH鈥檚 HEALTH Center for Addictions Research and Cancer Prevention.

The idea stemmed from lead author Damien Kelly, former community educator at the HEALTH Center for Addictions Research and Cancer Prevention, who noticed that residents in minority communities were increasingly open to mental health care 鈥� but had few options nearby.

鈥淪o many neighborhoods had no mental health professionals in their ZIP codes,鈥� said Chakema Carmack, senior author and associate professor in the Department of Psychological, Health, and Learning Sciences in UH鈥檚 College of Education. 鈥淚t does follow patterns of other lack-of-access variables out there, such as food access, physical care access, clinic access and insurance coverage.鈥�

Damien Kelly and Chakema Carmack
The study鈥檚 authors, Damien Kelly (left) and Chakema Carmack, stand in front of a map showing the city of Houston鈥檚 mental health gaps by ZIP code.

Mapping the Gaps

To create the map, the team combined the U.S. Census Bureau鈥檚 Distressed Community Index (DCI) with Psychology Today鈥檚 registry of 395 licensed mental health professionals in the city of Houston. The DCI rates ZIP codes as 鈥渄istressed,鈥� 鈥渁t-risk,鈥� 鈥渕id-tier,鈥� 鈥渃omfortable鈥� or 鈥減rosperous鈥� based on unemployment, poverty, education, job growth and other factors.

Through their research of 96 ZIP codes that fall at least partially within the city of Houston鈥檚 boundary, the team found:

  • 鈥淒istressed鈥� ZIP codes averaged only 1.9 mental health professionals, compared to 11 in 鈥減rosperous鈥� areas.
  • 39 of 96 ZIP codes had no licensed mental health professionals, including the neighborhoods of Kashmere Gardens, Fifth Ward and Sunnyside.
  • Nearly 43% of ZIP codes, 42 total, are considered 鈥渄istressed.鈥�

鈥淵our mental clarity is a part of your physical health,鈥� Carmack said. 鈥淵ou can live a better life, a more productive life. The quality of your life is so much better when you are mentally healthy.鈥�

Next Steps 

Identifying mental health deserts is only the beginning. UH researchers have partnered with Harris County Precinct 4 to identify community barriers to care and develop policy solutions in the most affected neighborhoods. A follow-up report is expected in spring 2026.  

Potential policy recommendations include:

  • Incentives or stipends for professionals to practice in underserved areas
  • Programs to promote mental health awareness and normalize help-seeking
  • Insurance reforms to cover travel for care or telehealth services

鈥淚f you build it, they will come,鈥� Carmack said. 鈥淏ut we need to build that mental health care into the system, and that can only be done through policy changes.鈥�

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