Common Sense Institute says Oregon faces high mental illness prevalence, limited access and behavioral-health infrastructure gaps cited in a May 2025 state audit.
Report findings
Common Sense Institute’s report, Oregon's Mental Health Crisis: Access, Outcomes, and the Cost of Inaction, says nearly one in three Oregon adults experience mental illness. The report also says Oregon ranks among the worst states nationally for both mental health prevalence and access.
According to Common Sense Institute, the report frames these issues as part of a broader mental health crisis in Oregon. The supplied report extract does not provide a statewide count of people seeking care, a breakdown of available services, or details about specific treatment options.
Access and infrastructure
Common Sense Institute cites a May 2025 audit by the Oregon Secretary of State as evidence of gaps in the state’s behavioral health infrastructure. The report does not describe the individual infrastructure gaps in the supplied extract, but identifies the audit as part of its discussion of access challenges.
The report’s stated national ranking concern combines two issues: the prevalence of mental illness among Oregon adults and access to mental health care. Common Sense Institute does not provide the underlying national ranking position or comparison methodology in the supplied extract.
Suicide trend noted
Common Sense Institute also reports that Oregon’s suicide rate has remained above national averages since 2000. The supplied extract does not provide annual suicide-rate figures, identify changes over time, or explain factors associated with the rate.
The report places the suicide-rate trend alongside its findings on mental illness prevalence, access, and behavioral health infrastructure. It does not state in the supplied extract that any particular service, provider type, or treatment would address the reported access gaps.
Source scope
The Common Sense Institute extract identifies mental health access as a statewide concern and points to a state audit of behavioral health infrastructure. It does not discuss TMS specifically, name individual treatment locations, or describe coverage rules, referral requirements, or eligibility standards.
What this means for Oregon patients
For Oregonians looking for treatment locally, the report highlights the importance of access and available behavioral health infrastructure. The directory lists 39 published clinics in Oregon, which may help people identify local treatment options to research and discuss with a qualified professional.
This is general information, not medical advice.
More Oregon reporting on access & coverage.
This report is educational and is not medical advice. Coverage, availability and eligibility can change; verify details with the named source or your care team.

