The 2025 EBRI Employer Mental Health Survey is based on a survey of about 400 employers of 500 or more employees conducted in February and March 2025. All respondents had held an employee benefits decision-making role for at least six months. The survey sought to better understand the breadth and depth of the mental health benefits being offered, changes in benefits offered, views of employer responsibilities regarding worker physical and mental health, and perceived challenges and opportunities regarding worker engagement, among other topics. Poor mental health in the work force is widely understood to result in lower productivity, higher turnover, and higher health care costs for employers.
Q62: In the next 5–10 years, is there a point at which you believe there would need to Q25: Does your health plan or mental health vendor Q Q Q Q Q20: 28: 22: 52: 40: How Does Does Do Are yany ou eff y you ou ecti surv of r r healt healt th ve e e ydo fo yh h ou llow y plan plan ou r enrolled ing feel or men or men collectin your tal tal current healt healt g h h men vend tal or Q29: Q21: Q Q A 53: re 23: A y How r ou How e ysatisfied ou eff satisfied ecti satisfied ve wdo ith are w y th ith ou you e the inf feel wormat ith information you thr e ion current inf prov ormat ided men ion tal Q24: Does your health plan or mental Q15: Q38: Q49: Q30: Q27: Q63: Q32: Q36: Q45: Q50: Q46: Q42: Q13: Q58: Ho Is What Does Which Ho What What Which What To Does To Ho wcost w w w w do hat hat im w m other chal oppo y y y oul our our dem of the shari portant ou ental extent extent d len currently heal com rtuni ograph benefits yng ou ges heal foll th pany do do are for ties rate odo th w pl ics y y out these ian ou ou do benefits ng does y offe y hav ou our and/ -or bel bel of y in ou r e face - form aspects m net com cov y iev iev a strategy or our ental see does w e em e em speci erage in ation pany ork com en for heal pl pl of y prov alty couragi im ’s eff our do pany oy oy for for m th prov ers ers b ental y id m com v ou ackgroun orts im endor col ers the ental offe can can in ng prov receiv Q heal pany g engagem 55: to r em create im that heal hel in W th sam pl prov e hat g y currently ds p lect oy care suppo th from im ty our e are ee sustainabl e m serv pes as prov in ent serv engagem y em in form ental of rt our in ices? clu o w partn e y - ov pl ices net ff it ation oy heal ded erall er? h our heal w erships e ees’ men m (Sel to ork ent change th ental (Sel in em em th on y ect y ou cost w care pl our ect pl do the it heal oy all as oy h y tal all in ou m ees’ m ee w that access an the ental th that ental find ell- Q54: Do you have any other relationships to Q41: Do you measure employee satisfaction with share reimbursement rates for mental health em in he sy ven fo st alt pl do rmat em oy h r be at ees co io ical ne llect n an fit on ly s d/ in assess t y are or ou foth rmat r in eir m ad en io im de dressi ta n el pe l on y he nd access f av ng alt en erage h m ts be en ab ne or ta ou fit l in he t s -ne alttw h care ork to ycollected ou he co by alt llect h you be ed and r ne an he fit d alt prov s pro h are pl ided van in id ed redu or to to m ycin ou y en ou g ta by l by ot he y he our yalt ou r he h health r v he alt en alt h do care h plan r on Health be Method a greater Plan olo Q rol ual gy e ity for P gov rom ernm otion ent in providing mental health coverage and containing Q3. Q37: Q10: Q43: Q39: Q6: healt Q12: h Ho Which Did Ho Do To Did vend ww w y m any any or ou hat satisfie any of mo col of of the extent nit U.S the the lect or foll d reimbu . are em heal heal or o do wpl receiv y in y rsement th th ou oy ou g pl pl ees best w agree ans ans e ith the are descri these cov cov or foll currently er er di o bes aspects sagree any any winthe g of of o inthe these n form in w of y it dustry our h m serv ation the ental treat com ices foll your m w heal pany o it ent liw h sted? com in th respect s ’s g by care pay stat pany telem rol em serv to is l? ents edi access? in ices? ? cin ? e? most beneficial for providing mental health provide mental health services? any of the following? apply health and qual health empl w apply health w breakdo being? benef plan/ ell ell.) be be oy TPA/m )its? ing? ing care benef plan's er? w ity n in enta w market of its? the it directories? net hout l follo health work w gov w ithout ing prov ernment i serv areas gov iders? ices ernment i ?prov nterv ider rega ention? ntervention? rding its mental health care services? sharing? providers with you? need men experience? app their oin tal s? satisfact tm healt enth (Select w ion and aitin w sub ith g t all imes? stan healt that ce h app ben use serv lyefit .) s?ices? the or fo serv plan llow mental ices? ing or men … heatal lth healt and substanc h vendor? e use services? rates for mental health providers? costs? support? Extremely important Very important Moderately important Slightly important Not at all important No, 11% Employee Assistance Programs (EAPs): Confidential services offering short-term counseling, Yes, please Ineffective, 1% Very 80% VeryA ccommodation or food servi 660 0ce % % s 72% 4% 90% Extremely satisfied Somewhat satisfied 2025 EBRI Neutra Emplo l, 6% yer Mental Health Survey 50% 56%Ineffective, 3% resources, and referrals for mental health issues. Extremely satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Extremely dissatisfied 80% specify:, 6% Overall satisfaction with health care ineffective, 0% 9 1 1 90 0 0 00 % % 0% % 84% 96% ineffective, 1% No, 6% Strongly agreeLarge So exte me nw t hat ag Con re Exce si e derab llent N leeith exte Ve er a nt ry gGo ree oM d nor d odeGo r is at ag e od rext eeent FairSoSli m Po e gh w or t e haxt t disag ent reeNot atS atro ll ngly disagree Neither satisfied nor dissatisfied Somewhat dissatisfied Not at all, 0% Therapy and Counseling Coverage: Insurance coverage for individual or group therapy sessions 37% 70% Slight exteA nd t, m 5% inistrative or support services 0% Acce 93%ss to providers No, but plan to No, and do not plan to Not 55% 37% 6% Enhanced communication about available services 47% Access to providers 63% plan 62% 10,000 or more, 11% Access to providers Provider-to-enrollee ra 52% tio72% s 39% 7% 47% Stigma awi rou th n lid cen m se en d m tal h enta ea l h lth ealth professionals. 70% Q35: Does your health plan or mental health vendor promote and r 45 e % ward 43% Extremely dissatisfied 43% 80% develop a strategy in develop a strategy, 2% sure, 65% 50% No, 32% 97% 80% Agriculture, forestry, fishing, hunting, or mining 66% 100% 0% 9 90 0% % No, 14% 67% 50% Telehealth Services: Access to virtual mental health care, allowing employees to connect with 77% 80% 70% systemic behavioral health measurements, such as PHQ9 and/or GAD-7? 80% Training for managers on mental health 50% 46% Telehealth options Telehealth options the future, 7% 43% 40% 13% 73% 13% 69% Telehealth options 50% 40% 7% Information for this report was collected from a 15-minute Overaonli ll exp ne erien sur ce with vey ca ofrri410 er full-time benefits decision No, 20% providers from home or other convenient locations. 44% 40% 72% Arts, entertainment, or recreation 1% 500 –999, 25% 60% Geographic standards Neutral, 14% 44% 61% NotCr su isre is I, nte 11 r% vention Services: Immediate support options, such as hotlines or on-site crisis Lack of awareness of available benefits 43% 47% Incentives for using mental health services 42% Financial wellbeing 53% 34% 37% 20% 7% 8 80 0 7% % 0% makers conducted in February and March 2025. 40% 40% Compre Compreh he en nsive sive co cove ver ra ag ge e 53% 53% 34% 9% 7Y 0% our company has a responsibility to make sure employees are healthy Compre 60% hensive coverage 49% Construction or utilities 36% 10% 12% 70% counseling for urgent mental health needs. 60% 31% 7% 35% 40% 64% Average appointment waiting times 42% 42% 9% and physically well OOP cost for prescription drugs Wellness Programs: Initiatives focused on overall well-being, including stress management 40% 36% 50% Promote mental health awareness 51% 80% Percentage of providers accepting new patients 58% Educational services (academic institutions/universities) 4% Large extent, 25% 68% Employee assistance programs (EAPs) 60% Very effective, Employee assistance programs (EAPs) 44% 38% 15% 7 70 0% % workshopE s, A mi Pnd s fulness sessions, and resilienc 43% e training. 44% 11% Access to mental Comple health ca xity reof benefits 34% 44% 39% 19% 3% 60% 60% 48% 50% 30% 55% Yes, 68% 60% Yes, 40% 33% Mental Health Days: Paid or unpaid leave specPe ificer sup ally despo ignr ate t grou d for p me s ntal health purposes, 5,000 –9,999, 15% Finance, insurance, or real estate 6% 37% Very effective, 67% Not sure, 15% 54% 40% All respondents were in an employee benefits de 54% cision-making role for at least 52% six months and working at Crisis support 30% 46% 77% OOP co Tim st eo ly a f pcce hysical h ss for i en a-ne lth ca two re rk Crisi al s su lowin pg e pomp rt loyees to take time off as need 43% ed. 43% 10% 44% Percentage of provid Cr eisi rs se s su ep ing po p rtatients on full-time basis 47% 58% 36% 13% 58% 6 60 0% % 49% 35% 47% 41% 8% Health care or social assistance (hospitals, non-insurance health services) 11% 25% 30% Lower out-of-pocket costs for employees 39% Workpl5 E a0 c m e % Me otio nta na l He l we alltlb h Tr eing aining: Programs for managers and employees to raise awareness and mental health services 36% 39% 18% 6% organizations with 500 or more employees. Respondents were required to: 5 40 0% % Limited resources or budget 45% 33% 45% Q3 54 0: % Does your health plan or mental health vendor facilitate the integration of 48% No, 48% 60% Preventive services 47% promote understanding of mental health issues. 43% Preventive services 46% 39% 11% 2025 EBRI 30% 85% Information (including publish Preve ing, nt teiv lee co servi mmu ces nications, broadcasting, an 44% d information technology) 38% 14% 16% Q26: Are in-network mental healt OOP co h prov st for m ider ental/behavioral health clinical data in order to support a whole person health approach? 19% Network adequacy and participation M fo ob r ilp esych appia strists 5 50 0% % Moderate extent, 29% 20% 33% 58% Peer Support Programs: Initiatives that connect employees with trained peers for support and 42% 20% • Offer health insurance to active employees. Your company has a responsibility Employer toEmployer ma Opp ke suEmployer Health re emortun Health ploNetw yeePriorities s are me Views ities an Plan ork nta Plan llDemograp y Asses Providers on Public Policy and Offerings d Chal sments Satis lenges hics faction 17% care 32% 40% No, but are currently reimbursement rates comparable to the same codes Management of companies and enterprises Integration with primary care 55% 0% 47% 35% 7% sharing experiences related to mental health. Inte3 g0 r% ation with primary care 48% 40% 10% 40% 40% Confidentiality concerns Network size Integration w he ith alth pri y m aa nry ca d emre otionally well 41% 39% 46%40% 15% 38% 10% 20% 20% developing Ad a d ress strate co gyEmploy n, fid 23% entiality concerner s Mental Health Survey 31% Stigma Reduction Campaigns: Efforts to create an open and supportive environment around for in-network medical 15prov % iders, such as primary • Offer mental health care services or substance use treatment through the health plan. 4 40 0% % Ease of getting an appointment with Manufacturing 21% 17% Effective, 57% Network adequacy and participation for psychologists 57% 12% mental health, Cultu redu rc ailng co sm tigm pe at an end e cyncouraging help-seeking behavior. 26% 60% Cultural competency 41% 39% Yes, 52% 17% 34 0% 0% physical health care provider Cultural competencare cy providers? 10% Encourage work-life balan31% ce 39% 40% 21% Ph 2ysi 0%cal wellbeing 40% 38% 18% 3% 9% Health a 30% n3 d W 0% ellness Incentives: Programs that encourage pP arti rof ce ipa ssion tion in a me l, scie ntaln he tific, alth a or t ctie vich ties n ,ical services Con 6%siderable extent, 41% 10% 10% • Have at least moderate influence on their c ompan y ’ s mental health benefits program and selection of Cultural barriers 60% 5% 33% 3 30 0% % Demographic characteristics of such as gym memberships, meditation classes, or wellness challenges. Wellness programs 65% Wellness programs 52% 37% 9% Ease 10 o % f getting an appointment with 2% Network adequacy and participation for master's-level providers 37% 42% 40% 12% Employee assistance programs (EAPs) Ye Pu s, blic ad 71% ministration 1% 46% Wellness programs 0% 1% 1% 20% No, 20% Ye48% s, 80% 22% 34% 14% Cultural Competency Remental sources: Acheal cess to th men offering tal health ss e. rvices that address diverse cultural providers 61% 10% 5% mental/behavioral health ca 26% re provider Yes, 68% Quality of mental health care 30% 40% 4% 23% 7% 19% 20 0% % Effective, 50% 20% backgrounds and unique employee needs. 0% Confidentiality and privacy 1 45% ,000 –4,999, 49% Confidentiality and privacy 53% Retail trade 34% 10% 10% Yes, 83% 17% 2% 2 20 0% % Integra Q3 tio3 n: o Do f m ee s yo ntau l h r h ea ela th lth with plan o th or m er w en etlla -b l h ee ing alth in itiat venives dor promote 28% Barriers to access 24% 20% 1% 0% InY su oran ur co cempS ap ne y h cialist as a respMy onsibility B to e ma nefike ts sure e Oth m ep r,loyeNo, es a n re o one Self-Care ResourceCon s •: Acfid Hol ces es n t d tia o tli o an ty olsa , a n ex pp d p sec , o riva ruti pl cy atf voe, rms o tha ffi t prom cer, oteor self-m care, s anager uch as gu pos idedition in the areas of human resources, compensation, or 54% 36% 7% Wait times for appointments Extremely Somewhat Neith 48% er Somewhat Extremely 10% 47% 37% 47% 11% collaboration/communication between mental health providers and prima0% ry care 81% Waste management or remediation services 0% meditations, mental health assessments, or edu10% cational materials. Quality of physical health care received 66% company mentalfinan co cially se mpanycuco re a nsu nd lta we ntll please is collecting 0% Utilization data 0% Utilization data 44% 22% 42% 12% satiR sfeim iedburseme satint sf rat iedes satisfied 8% nor dissatisfied dissatisfied Social wellbe Inteing gration of mental health with primary care 44% 41% 10% 10% 37% 35% 26% 18% 9% finance. Community-based Nonprofit Local government State government Advocacy Other, please providers, otherwise known as a Collaborative Care Model (CoCM)? 1 10 0 10 % %% Long-term Therapy Options: Coverage or support for ongoing mental health treatment for chronic heaUtil lth izatio (be n d na etfits a describe information Extremely Somewhat Neither Somewhat Extremely 34% 42% 19% Physical health benefits (e.g., g W ym holesale Fltra exible de, t w ran orsp k a orr rta an tig oe nm , o er w ntsarehousing Financial wellness p 5% rograms dissa Ptisfie rofession d al development 33% mental health organizations programs programs organizations specify: Employee out-of-pocket costs 27% Use of out-of-network providers conditions. 31% 0% Ongoing training Ongoing training Other, please spe43% cify: 15% Quality of mental/beh 39% avioral health 1% 15% provider a No nd , h 94% uman 0% satisfied satisfied satisfied nor dissatisfied dissatisfied memberships, wellness programs) organizations opportunities • Not be an insurance/benefits broker, agent, or consultant. Other, please specify 68% 3% 0% 0% 0% 0% LGBTQ+ Black Hispanic Asian Gender Languages Religion Age Ongoing training Other (please specify): care received resources) 35% 0% 42% 0% dissatisfie 20% d 17% 40% 60% 80% 100% 0% YHea es, 0% lm Y the e p s, nla ta m n l h y h 0% 0% eM a elth e a 1n lth 0 ca t% a p l h re se lan e 0% 0% 1 a 10 lth 0 rvi % % ca ce 2 Ot 0 re se s% he5% r TPA r2 2 1 vice 0 0 0% % %s 3 0% 0% 10% 0% 3 30 Y 0 Y 2 % % e 0 e s, % s, su 4 m 1 0 0% b 5 y men 1 % sta % 01 % 4 Carve 4 0 n 0 0 % ce % % t1 a 3 u 0 l h 0-i % % se 2 n e 5 0a 0 t % lth % re 2 2 5 2 5 a p 0 0 0 0 0 tme % % lan % % % n 4 2t3 0 50 % % 6% 0% 3 6 60 0 0% 4 % % 3 sp 0 S Carve 0 3 % u % o 0b ke % 5sta 07 n % 5 -ou 0 n 04 % 7 7 ce % 0 0 0 t% % % u 3se 56 % 4 0 0 tr % % e 68 a 00 tme % 8 8 5% 7 0 0 00 % % 4 % No n No % 0t% 85 0 Ove 0 7 9 % 9 % 9 0 6 00 0 % 4 % 0% % r % 5lay % 90% 1 1 1 18 7 6 5 0 0 0 00 0 0 0 0 0 0 0% % % % % % % % Yes, for providing mental health coverage Yes, 80% Yes, for containing mental health care costs 0% 5% 10% 15% 20% 25% 0% 10% 20% 30% 40% 50% 60% 70% 80% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 0% 20% 40% 60% 80% Note: Percentages in the tables and charts may not total to 100 due to rounding and/or missing categories. © © © © © © © © © © © © © © © © © © © © © © © © © © © © © © © © © © © © © © Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Em Emp p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p pllllllllllllllllllllllllllllllllllllllo o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o oy y y y y y y y y y y y y y y y y y y y y y y y y y y y y y y y y y y y y ye e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e ee e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Be Ben n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n ne e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e efi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fit t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Res Rese e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e ea a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a arc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rc rch h h h h h h h h h h h h h h h h h h h h h h h h h h h h h h h h h h h h h In In In In In In In In In In In In In In In In In In In In In In In In In In In In In In In In In In In In In Ins s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s sti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti ti titu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tu tute te te te te te te te te te te te te te te te te te te te te te te te te te te te te te te te te te te te te te 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 02 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 25 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5