The nation's adult mental health system is a mess, according to a report released by the National Alliance on Mental Illness. (NAMI) which released its scorecard.Each of the 50 states were examined on 82 targets such as evidence-based practices or the promotion of consumer-run programs. These were among the benchmarks established by the 2003 New Freedom Commission.

No state received the highest grade of "A" for its overall work and the advocacy organization also assessed the strengths and "urgent needs" for each state. For Georgia, the scandal-wrapped state which received a "D," NAMI recommends strong political leadership; for New York, it suggests a crisis intervention program; and for Mass., it is attention to suicide in the jails. The expansion of a telemedicine program in Missouri was among the noted innovations. The report did not address children's issues.

