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North Dakota: D

Grading the States 2009 Report Card: North Dakota

In 2006, North Dakota’s mental health care system received an F grade. Three years later, it has advanced to a D—a poor grade, but one that indicates the potential for steady advancement. 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: 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.


  • CIT and IDDT pilot programs
  • Consumer and Family Network
  • Peer specialists proposal program

Urgent Needs

  • Implement ACT pilot programs
  • Housing options
  • Expand evidence-based practices

Additional Information and Resources

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

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Grading the States 2006 Report Card: North Dakota

"Desperately need more services . . . The programs are not operating appropriately due to low salaries of staff to provide the services ... so frequent turnover and lack of support. The programs appear to be in name only."