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NAMI’s Grading the States: A Tool for Transformation. MENTAL HEALTH MATTERS Education Program, NAMI St. Mary’s County June 26, 2006 Author: Ron Honberg, J.D. Director for Policy and Legal Affairs, NAMI National Presenter: Connie Walker, M.S. Ed President, NAMI St Mary’s County .

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nami s grading the states a tool for transformation

NAMI’s Grading the States:A Tool for Transformation

MENTAL HEALTH MATTERS

Education Program, NAMI St. Mary’s County

June 26, 2006

Author: Ron Honberg, J.D.

Director for Policy and Legal Affairs, NAMI National

Presenter: Connie Walker, M.S. Ed

President, NAMI St Mary’s County

grading the states
Grading the States
  • Report released on March 1, 2006
  • Provides the first comprehensive survey of adult public mental health systems in every state and DC since 1990
  • The full report is available online at www.nami.org/grades
grading the states intentions
Grading the States – Intentions
  • The report is intended to …

-- provide advocates and policymakers with a specific action agenda

-- be a baseline for future measurement

-- promote dialogue among ALL stakeholders about what is and is not working in America’s MH system

-- serve as a catalyst for improving services for adults with Serious Mental Illnesses (SMI)

grading the states the grades
Grading the States … the Grades
  • The National Average: D
  • No state received an A
  • Five states received Bs (CT, ME, OH, SC, WI)
  • Eight states received Fs

(IO, ID, IL, KS, KY, MT, ND, SD)

  • Maryland received a C + “ Maryland is an underachiever. The state has a lot going for it, but can do better. There also are warning signs of a downward slide. ”
grading the states methodology 1
Grading the States – Methodology (1)
  • The report card is based on four sources

1. Responses from state mental health agencies

2. Public information

3. Interviews with consumers and families

4. The Consumer / Family Test Drive

  • Grades are based on 39 criteria
grading the states methodology 2
Grading the States – Methodology (2)
  • The Consumer / Family Test Drive

-- Test of information accessibility across ten basic items (housing; how to get help; apply for Medicaid; information in a non-English language; etc.)

-- Consumers and families went online and made phone calls to each state MH agency to see how easily this information could be obtained

grading the states methodology 3
Grading the States – Methodology (3)

The Consumer / Family Test Drive (cont’d)

  • States failed this “pop quiz”
  • More than 40 states scored less than 50% of the total points available in the Test Drive
  • One state employee told a consumer “I will not help you.”
  • MD scored 8 out of 10 points on a curved basis

(18 out of 40 points, without the curve)

maryland grades by category
Maryland Grades by Category
  • Infrastructure(workforce, data, cultural competence, etc): C
  • Information Access (test drive, consumer and family input and participation, etc): B
  • Services (EBPs, access to medications, interagency collaboration, Medicaid, etc): C+
  • Recovery Supports (supported housing, employment, peer supports, family & consumer education, etc): C -
maryland innovations
Maryland Innovations
  • Progress in implementing Evidence Based Practices (EBPs)
  • TSIG grant provides significant opportunities for progress
  • TAMAR and other collaboration between MH and criminal justice system
  • Centralized Admission and Referral Center
maryland s urgent needs
Maryland’s Urgent Needs
  • Restore and increase funding
  • Workforce development and strategic plan
  • Additional inpatient capacity and acute care beds
  • Affordable housing options
new freedom commission on mental health subcommittee on rural issues june 04
New Freedom Commission on Mental HealthSubcommittee on Rural Issues (June ‘04)
  • Defining Rural America
  • Review of Rural Behavioral Health Epidemiologic Evidence
  • Challenges in Caring for the Country

-- Accessibility, Availability, Acceptability

  • Mental Health Practice

-- Urban Assumptions and Rural Realities

resources
Resources

Grading the States

www.nami.org

www.nami.org/grades

http://www.nami.org/gtstemplate.cfm?section=grading_the_states

New Freedom Commission on Mental Health

http://www.mentalhealthcommission.gov/reports/reports.htm

http://www.mentalhealthcommission.gov/papers/Rural.pdf

http://www.mentalhealthcommission.gov/reports/EBP_Final_040605.pdf

NAMI St. Mary’s County …. Transitioning to NAMI Southern Maryland for

Charles, Calvert, and St. Mary’s County