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Grading the States 2009 Report Card: North Dakota
In 2006, North Dakota’s mental health care system received an F grade. Three years later, it has advanced to a D—a poor grade, but one that indicates the potential for steady advancement. 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: D 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
- CIT and IDDT pilot programs
- Consumer and Family Network
- Peer specialists proposal program
Urgent Needs
- Implement ACT pilot programs
- Housing options
- Expand evidence-based practices
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"Desperately need more services . . . The programs are not operating appropriately due to low salaries of staff to provide the services ... so frequent turnover and lack of support. The programs appear to be in name only."
"The best thing is that services are available, and costs are prorated according to income. However, you have to be able to get to them (driving many miles), and follow-up appointments with medical personnel may be infrequent."
"The state has such a small population that everyone knows someone who knows the patient ... People here are proud and stoic and don’t always seek help because of the loss of privacy involved along with the stigma of mental illness."
