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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Washington: C

Grading the States 2009 Report Card: Washington

In 2006, Washington’s mental health care system received a D. Three years later, the state received a C. Modest improvements have occurred, but serious problems and gaps remain, compounded by looming budget cuts. Full narrative (PDF).

Grades by Category Detailed Score Card (PDF)

  1. Health Promotion and Measurement: D 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: B 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: D 15% of Total Grade
    Includes activities that require collaboration among state mental health agencies and other state agencies and systems.


  • ACT programs with strong adherence to fidelity standards
  • Reductions in seclusion and restraint in state hospitals
  • Progress on jail diversion and community reentry

Urgent Needs

  • Eliminate regional disparities in services
  • Increase acute care treatment beds and crisis stabilization programs
  • Fund services for uninsured individuals ineligible for Medicaid
  • Fix problems with involuntary treatment laws

Additional Information and Resources

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

NAMI Washington: Connect with the NAMI nearest you.

Grading the States Online Discussion: Share your comments, reactions, personal stories, and ideas around NAMI's report on the state of America's health care system for serious mental illness.

Grading the States 2006 Report Card: Washington

"The cutbacks in service have adversely affected the community as a whole ... Especially overwhelming the court and jail systems."
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Mike Fitzpatrick, NAMI Executive Director

Consumer and Family Member Comments
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