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Grading the States 2009 Report Card: Montana
In 2006, Montana received an F grade. Three years later, it has advanced to a D. For a rural state with a low population and relatively low per capita income, it demonstrates that progress is possible. 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: 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: 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: F 15% of Total Grade
Includes activities that require collaboration among state mental health agencies and other state agencies and systems.
Innovations
- Expansion of ACT
- Increase in inpatient psychiatric beds in Helena
- Access to short-term inpatient care, regardless of insurance
Urgent Needs
- Address workforce shortage
- Solutions to overcrowding at Montana State Hospital
- Community housing and crisis services
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"There is a lack of culturally competent therapists."
"At present, when there is a need for transport, the patient is handcuffed and taken to the hospital in a sheriff’s squad car, like a criminal."
"Doctors are good ... but don’t last very long."
