05/28/2026
Over 60 million people in the U.S. have a mental illness. PAIMI protects all of them.
PAIMI stands for the Protection and Advocacy for Individuals with Mental Illness Act. With a PAIMI program, Protection & Advocacy (P&A) agencies can protect individuals with mental health conditions from abuse and neglect.
PAIMI allows P&As to investigate mistreatment in any place where people with mental illness live and learn, such as:
🏥 hospitals,
🏫 schools,
🏛️prisons, or
🏠care homes.
P&As exist in every state and territory to defend people with mental health conditions. If it’s happening to one of us, it matters to all of us.
Need help? Anyone with a disability, or anyone who supports someone with disability, can request PAIMI support. Find your P&A: https://www.ndrn.org/about/ndrn-member-agencies/.
ALT TEXT/IMAGE DESCRIPTIONS
Image 1: Purple background with pink text on all slides. Who protects the rights of individuals with mental illness? Five portraits of individuals, showing their faces and upper bodies,
Image 2: Who- The Protection and Advocacy for Individuals with Mental Illness (PAIMI) Program protects the rights of youth and adults with mental illness or “emotional impairment.” PAIMI programs can also assist families of individuals with mental illness in becoming better advocates and allies.
Image 3: What - Protection and Advocacy agencies (P&As) with a PAIMI program act as watchdogs and advocates for individuals with mental health conditions. The PAIMI program also gives P&As “access authority.” This allows the P&A to enter facilities, review client records, and speak with individuals receiving services. PAIMI ensures individuals with a mental illness are not being abused or neglected.
Image 4: Where - PAIMI is a nationwide, federally-funded program that exists in every U.S. state and territory. PAIMI originally began by protecting individuals in residential facilities, but was expanded in 2001 to also include individuals living in the community. This can include: Hospitals Schools Nursing homes Foster care homes Board and care homes Homeless shelters Jails, prisons, and juvenile detention Other community facilities
Image 5: When - PAIMI was created by Congress in 1986. Investigative journalism & public inquiries pushed Congress to investigate the treatment of individuals with mental health conditions in residential facilities. Congress found that these individuals were vulnerable to abuse, injury, and neglect. Many facilities had inadequate treatment, nutrition, clothing, health care, & discharge planning. Congress found that State systems to monitor compliance were inadequate,& an independent watchdog was needed.
Image 6: Why - To this day, overcrowded facilities and understaffing are realities in mental health systems. The demand for these services is growing and PAIMI programs across the nation should expand to meet that need. We hold these systems accountable, ensure collaboration instead of control, and empower the voices of the most vulnerable. We ensure that individuals with mental health conditions do not fall through the cracks.
Image 7: How - Anyone with a disability, or anyone who supports someone with disability, can request PAIMI support. Need help? Find your P&A ndrn.org/about/ndrn-member-agencies