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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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