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Montana: D

Grading the States 2009 Report Card: Montana

In 2006, Montana received an F grade. Three years later, it has advanced to a D. For a rural state with a low population and relatively low per capita income, it demonstrates that progress is possible. Full narrative (PDF).

Grades by Category Detailed Score Card (PDF)

  1. Health Promotion and Measurement: F 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: F 15% of Total Grade
    Includes activities that require collaboration among state mental health agencies and other state agencies and systems.


  • Expansion of ACT
  • Increase in inpatient psychiatric beds in Helena
  • Access to short-term inpatient care, regardless of insurance

Urgent Needs

  • Address workforce shortage
  • Solutions to overcrowding at Montana State Hospital
  • Community housing and crisis services

Additional Information and Resources

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

NAMI Montana: 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: Montana

"There is a lack of culturally competent therapists."