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Grading the States 2009 Report Card: Missouri
In 2006, Missouri received a grade of C. At the time, the state had cut its Medicaid program and mental health care systems to the bone. Three years later, the state also receives a C; but, in many respects, the overall situation seems worse. Full narrative (PDF).
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Health Promotion and Measurement: C 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: D 15% of Total Grade
Includes activities that require collaboration among state mental health agencies and other state agencies and systems.
Innovations
- ACT
- Clinically driven prescription feedback
- Telemedicine expansion
- Transformation grant for consumer and family involvement
Urgent Needs
- Address growing uninsured population
- Department of Mental Health management of state hospital beds
- Beds in hospitals, not jails
- Housing and community supports
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