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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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

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

* 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 psy.utmb.edu 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
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Mike Fitzpatrick, NAMI Executive Director

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