A serious problem that is driving many of the social and behavioral determinants of health in Arkansas is poor mental health. In 2018 Arkansas ranked low (35th) for overall mental health when compared to other states.  Lack of family and social support and even community safety play a part in mental health. Not getting enough sleep (behavioral determinant of health) also affects mental health. Access to mental health care also plays a part in mental health status. In Arkansas there are not enough mental health professionals, so many adults and children with mental illness cannot get the mental health care they need. This is especially true in rural areas. In 2017, it was estimated that there was only 1 mental health professional for every 490 people who needed mental health care.