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Grading the States 2009 Report Card: Michigan
In 2006, Michigan’s mental health care system received a grade of C. Three years later, it has dropped to a D. As a result of the foundering economy, the need for mental health services is increasing, but the community mental health system is greatly challenged. Full narrative (PDF).
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Health Promotion and Measurement: F 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: D 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
- Evidence-based practices
- Person-centered planning and recovery focus
- IDDT for co-occurring mental health and substance use disorders
Urgent Needs
- Non-Medicaid mental health services
- Mental health courts and jail diversion programs
- Comprehensive insurance parity
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"Michigan is WAY ahead of other states with regards to the recovery movement. Folks come into our public mental health services automatically hearing that recovery is possible."
"Emergency services said [my son] was not suicidal or threatening, so they released him in slippers, and a hospital gown. I found him delusional, wandering the parking lot in (sub)-zero temperatures. No person with ANY OTHER ILLNESS would be treated so poorly!"
"In Michigan, jails and prisons are becoming the de facto institutions of care. And they don’t care about mental health in jail or prison. We are punishing the victims of untreated mental illness for not having treatment. That is a damned shame."
