Table 2.

The 2009 National Alliance on Mental Illness category grades.

Categorya	California grade	Texas grade
I. Health Promotion & Measurement	B	F
II. Financing & Core Treatment/Recovery Services	C	D
III. Consumer and Family Empowerment	D	F
IV. Community Integration & Social Inclusion	B	D

^aNational Alliance on Mental Illness category grades are based on 4 categories: Health Promotion and Measurement considers the services states provide, the development of mental health policy planning, and data collection; Financing and Core Treatment/Recovery Services entails the accessibility and availability of mental health services, reimbursement for these services through state Medicaid programs, the severity of current shortages in the mental health workforce, and state efforts to improve the cultural competence of their mental health care systems; Consumer and Family Empowerment grades are determined by the states’ opportunities for family and consumer education and empowerment; and Community Integration and Social Inclusion determines whether states are compensating for extreme mental illnesses that go beyond those addressed by mental health agencies (this includes data on public health education and housing resources).