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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South Dakota: F

Grading the States 2009 Report Card: South Dakota

In 2006, South Dakota’s mental health care system received an F grade. Three years later, the grade remains the same. South Dakota was the only state in the nation that declined to respond to NAMI’s survey on which this report is primarily based. 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: F 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: F 15% of Total Grade
    Includes activities that require collaboration among state mental health agencies and other state agencies and systems.


  • Depression screening and treatment in primary care
  • Efforts to improve outcome measurement
  • Promotion of co-occurring disorders treatment

Urgent Needs

  • Supportive housing
  • Supported employment
  • Workforce development
  • Crisis services and alternatives to hospitalization

Additional Information and Resources

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

NAMI South Dakota: Connect with the NAMI nearest you.

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Grading the States 2006 Report Card: South Dakota

"I have a case manager who comes to my town every other week. Her schedule is rigid and the office appears to be closing permanently. However, her services right now are a major part of my stability. She is my touchstone."
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Mike Fitzpatrick, NAMI Executive Director

Consumer and Family Member Comments
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