Many states are valiantly trying to improve systems and promote recovery, despite a stranglehold of rising demand and inadequate resources. Many states are adopting better policies and plans, promoting evidence-based practices, and encouraging more peer-run and peer-delivered services. But state improvements are neither deep nor widespread across the nation. This reportís findings follow the four categories in which each state was graded:
Health Promotion and Management
- States are not focusing on wellness and survival for people with serious mental illnesses.
- States do not have adequate data on critical mental health services.
- Few states have public health insurance plans that adequately meet the needs of people with serious mental illnesses.
- Private insurance plans often lack sufficient coverage for mental health and substance use disorders.
- Most states have inadequate plans for developing and maintaining the mental health workforce.
Financing and Core Treatment/Recovery Services
- State mental health financing decisions are often penny-wise, pound-foolish.
- States are not adequately providing services that are the lynchpins of a comprehensive system of care, such as Assertive Community Treatment, integrated mental health and substance abuse treatment, and hospital based care when needed.
- States are not ensuring that their service delivery is culturally competent.
Consumer and Family Empowerment
- Information from state mental health agencies is not readily accessible.
- States are not creating a culture of respect.
- Consumers and family members do not have sufficient opportunities to help monitor the performance of mental health systems.
Community Integration and Social Inclusion
- Few states are developing plans or investing the resources to address long-term housing needs for people with serious mental illnesses.
- Effective diversion from the criminal justice system is more common, but remains scattershot without state-level leadership.
- Most states are beginning to provide public education on mental illness, but stigma remains a major concern.