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Iowa: D

Grading the States 2009 Report Card: Iowa

In 2006, Iowa’s mental health care system received an F grade. Three years later, it receives a D. Iowa has charted a course for progress, but much work remains to be done. Full narrative (PDF).

Grades by Category Detailed Score Card (PDF)

  1. Health Promotion and Measurement: D 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: D 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: F 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.


  • Mental Health Systems Improvement initiative
  • Expansion of co-occurring disorders treatment
  • Crisis services pilot projects

Urgent Needs

  • Uniform statewide data collection system
  • Crisis response and stabilization services
  • Address mental health workforce shortage

Additional Information and Resources

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

NAMI Iowa: Connect with the NAMI nearest you.

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Grading the States 2006 Report Card: Iowa

"The system is too confusing. It’s impossible to know what happens from county to county in Iowa."