National Alliance on Mental Illness
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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).
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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: 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.
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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: D 15% of Total Grade
Includes activities that require collaboration among state mental health agencies and other state agencies and systems.
Innovations
- 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
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"The cutbacks in service have adversely affected the community as a whole ... Especially overwhelming the court and jail systems."
"Peer counselors have started to become more and more available. That is huge for assisting keeping people out of crisis services."
"If my son had gotten the care he needed the first time ... he would have had a much better chance of recovery. It took three hospital stays before he received follow-up care ... Now it is costing the state more by not addressing the problem the first time."
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