National Alliance on Mental Illness
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Grading the States 2009: State by State

The following chart may be sorted by each state's overall grade as well as its grade in each of NAMI's 2009 scoring categories (I. Health Promotion and Measurement, II. Financing & Core Treatment/Recovery Services, III. Consumer & Family Empowerment, and IV. Community Integration and Social Inclusion).

The data also may be sorted by the number of individuals with serious mental illness (prevalence) in each state and the 2006 state grade.

Distribution of Grades

Click on a State Name to View Report Card

Click on a Header to Rank

State 2009 Grade 2006 Grade Category I Category II Category III Category IV Prevalence*
United States D D D C D D 10,585,435
California C C B C D B 1,175,006
Maine B B B B B B 51,248
Oregon C C C B F B 137,345
Ohio C B C C C B 418,207
Oklahoma B D B C C C 147,343
New York B N/A C B B C 672,924
North Carolina D D D C F C 334,855
Maryland B C B B B C 175,173
Massachusetts B C B B C C 210,815
Arizona C D D B B C 220,909
Connecticut B B B B A C 108,730
District of Columbia C C D B D C 22,811
Florida D C F D D C 660,443
Georgia D D D C C C 348,789
Hawaii C C D B D D 32,435
Idaho D F F D D D 54,375
Illinois D F D C C D 420,841
Indiana D D D D D D 226,713
Iowa D F D D F D 104,922
Kansas D F D C D D 95,110
Delaware D C D D F D 28,652
Louisiana D D D D D D 182,593
Colorado C N/A F B C D 157,828
Michigan D C F B D D 348,154
Minnesota C C D C C D 167,810
Missouri C C C C D D 222,596
New Hampshire C D C C D D 42,818
New Jersey C C C C B D 258,617
New Mexico C C C C F D 71,674
Pennsylvania C D D C C D 448,455
Rhode Island C C D C D D 37,739
Wisconsin C B D B C D 188,057
Tennessee D C D C C D 246,003
Texas D C F D F D 832,795
Utah D D F C C D 82,362
Vermont C C C C C D 22,712
Virginia C D C C C D 261,959
Washington C D D B F D 218,585
West Virginia F D D F F F 81,214
Wyoming F D F D F F 19,733
Alabama D D F C D F 186,541
South Carolina D B F C C F 170,022
South Dakota F F F F F F 30,351
North Dakota D F F D D F 24,131
Montana D F F C D F 38,961
Nebraska D D F D F F 60,744
Nevada D D F D D F 88,540
Missippi F D F F C F 125,269
Arkansas F D F D F F 116,435
Alaska D D D C F F 23,650
Kentucky F F F D D F 181,441

* Source: Charles E. Holzer, III, Ph.D. of the University of Texas Medical Branch in Galveston, Texas and Hoang T. Nguyen, Ph.D. of LifeStat LLC (see for additional information). Note: National total is 10,585,435.

"Recovery means being able to function at the highest quality of life for me with a variety of services, medications, and treatments available to help me do that."
-- North Dakota