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North Carolina: D

Grading the States 2009 Report Card: North Carolina

In 2006, North Carolina’s mental health system received a grade of D. Three years later, the grade remains the same, but does not even begin to convey the chaos that now pervades the state’s mental health care system. 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: 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: 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: C 15% of Total Grade
    Includes activities that require collaboration among state mental health agencies and other state agencies and systems.


  • Integrated physical and medical care pilot program
  • Prescription pattern feedback
  • Post-incarceration Medicaid reinstatement

Urgent Needs

  • Restore confidence and order to overall system
  • Improve state hospitals to enable transition to newer facility
  • Restore ACT funding cuts

Additional Information and Resources

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

NAMI North Carolina: Connect with the NAMI nearest you.

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Grading the States 2006 Report Card: North Carolina

"It takes 24-48 hours to get a hospital bed if I need to be admitted."