A Report on America’s Health Care System for Adults with Serious Mental Illness
Grading the States 2009: A Report on America’s Health Care Sytem for Adults with Serious Mental Illness
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Alabama: D

Grading the States 2009 Report Card: Alabama

In 2006, Alabama’s mental health care system received an overall grade of D. In three years, its grade has not changed.Poverty and historic bureaucratic inertia are major reasons for the D.

Investment in the mental health system is inadequate, and implementation of programs that work remains scarce. Hospitals are filled beyond capacity, and shortages in acute care hospital and crisis beds have reached critical levels. 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: 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: 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.


  • Reduction in use of restraints and seclusion in state hospitals
  • Center of Excellence to develop statewide evidence-based practices
  • Psychiatric residencies at state medical schools

Urgent Needs

  • Address acute and crisis care shortages
  • Integrated dual diagnosis treatment and supported employment
  • Reduce workforce shortage of mental health professionals

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: Alabama

"One of the most important things I receive is preventative care ... that my support team catches a potential problem before it turns into a crisis."
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Mike Fitzpatrick, NAMI Executive Director

Consumer and Family Member Comments
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