National Alliance on Mental Illness
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Grading the States 2009 Report Card: North Carolina
In 2006, North Carolina’s mental health system received a grade of D. Three years later, the grade remains the same, but does not even begin to convey the chaos that now pervades the state’s mental health care system. Full narrative (PDF).
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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.
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Financing & Core Treatment/Recovery Services: C 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.
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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.
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Community Integration and Social Inclusion: C 15% of Total Grade
Includes activities that require collaboration among state mental health agencies and other state agencies and systems.
Innovations
- Integrated physical and medical care pilot program
- Prescription pattern feedback
- Post-incarceration Medicaid reinstatement
Urgent Needs
- Restore confidence and order to overall system
- Improve state hospitals to enable transition to newer facility
- Restore ACT funding cuts
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"It takes 24-48 hours to get a hospital bed if I need to be admitted."
"The state reorganized services several years ago ... the psychiatrists all left the area."
"The implementation of the peer support program has been the best thing since sliced bread."
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