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
Connecticut B B B B A C 108,730
Arizona C D D B B C 220,909
Maine B B B B B B 51,248
Maryland B C B B B C 175,173
New Jersey C C C C B D 258,617
New York B N/A C B B C 672,924
Ohio C B C C C B 418,207
Oklahoma B D B C C C 147,343
Pennsylvania C D D C C D 448,455
Minnesota C C D C C D 167,810
Missippi F D F F C F 125,269
Massachusetts B C B B C C 210,815
Georgia D D D C C C 348,789
Illinois D F D C C D 420,841
Colorado C N/A F B C D 157,828
South Carolina D B F C C F 170,022
Tennessee D C D C C D 246,003
Utah D D F C C D 82,362
Vermont C C C C C D 22,712
Virginia C D C C C D 261,959
Wisconsin C B D B C D 188,057
North Dakota D F F D D F 24,131
Alabama D D F C D F 186,541
Florida D C F D D C 660,443
District of Columbia C C D B D C 22,811
California C C B C D B 1,175,006
Indiana D D D D D D 226,713
Hawaii C C D B D D 32,435
Idaho D F F D D D 54,375
Michigan D C F B D D 348,154
Missouri C C C C D D 222,596
Montana D F F C D F 38,961
Kansas D F D C D D 95,110
Kentucky F F F D D F 181,441
Louisiana D D D D D D 182,593
Nevada D D F D D F 88,540
New Hampshire C D C C D D 42,818
Rhode Island C C D C D D 37,739
Oregon C C C B F B 137,345
North Carolina D D D C F C 334,855
New Mexico C C C C F D 71,674
Nebraska D D F D F F 60,744
Iowa D F D D F D 104,922
Alaska D D D C F F 23,650
Arkansas F D F D F F 116,435
Delaware D C D D F D 28,652
Wyoming F D F D F F 19,733
Washington C D D B F D 218,585
West Virginia F D D F F F 81,214
Texas D C F D F D 832,795
South Dakota F F F F F F 30,351

* 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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