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Texas: D

Grading the States 2009 Report Card: Texas

Texas’ mental health care system is dwindling and faces a multitude of challenges. In 2006, it received a C grade. Three years later, it has dropped to a D. Greater investment is needed in order for the state to truly transform and move toward an evidence-based, cost-effective mental health system. 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: 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 crisis services redesign
  • Local Planning and Network Development
  • Bexar County Jail Diversion Program

Urgent Needs

  • Equitable funding for Local Mental Health Authorities
  • Improve access to services in all areas
  • Expand health insurance coverage to uninsured persons
  • Address cultural competence and workforce shortage

Additional Information and Resources

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

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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: Texas

"Lack of continuity from one provider to the next is the worst part of the system. There needs to be a continuum of care -- much like with the military -- where records are carried with the consumer or centralized for more effective health care management."