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Missouri: C

Grading the States 2009 Report Card: Missouri

In 2006, Missouri received a grade of C. At the time, the state had cut its Medicaid program and mental health care systems to the bone. Three years later, the state also receives a C; but, in many respects, the overall situation seems worse. Full narrative (PDF).

Grades by Category Detailed Score Card (PDF)

  1. Health Promotion and Measurement: C 25% of Total Grade
    Basic measures, such as the number of programs delivering evidence-based practices, emergency room wait-times, and the quantity of psychiatric beds by setting.
  2. Financing & Core Treatment/Recovery Services: C 45% of Total Grade
    A variety of financing measures, such as whether Medicaid reimburses providers for all, or part of evidence-based practices; and more.
  3. Consumer & Family Empowerment: D 15% of Total Grade
    Includes measures such as consumer and family access to essential information from the state, promotion of consumer-run programs, and family and peer education and support.
  4. Community Integration and Social Inclusion: D 15% of Total Grade
    Includes activities that require collaboration among state mental health agencies and other state agencies and systems.


  • ACT
  • Clinically driven prescription feedback
  • Telemedicine expansion
  • Transformation grant for consumer and family involvement

Urgent Needs

  • Address growing uninsured population
  • Department of Mental Health management of state hospital beds
  • Beds in hospitals, not jails
  • Housing and community supports

Additional Information and Resources

Full Narrative (PDF) | Detailed Score Card (PDF) | Full Report | Order Hard Copy

NAMI Missouri: Connect with the NAMI nearest you.

Grading the States Online Discussion: Share your comments, reactions, personal stories, and ideas around NAMI's report on the state of America's health care system for serious mental illness.

Grading the States 2006 Report Card: Missouri

"I drive one and a half hours to see the doctor."