Halfway through its effort to reform mental health treatment for those stuck in adult care homes, North Carolina is struggling to achieve goals detailed in a civil rights settlement with the federal government, according to a report by WRAL.

As of July 1, North Carolina should have 1,166 people out of adult care facilities and living on their own. The move is part of a court-approved settlement that requires the expansion of treatment options available to people with severe mental illness and prevents their segregation in facilities like nursing and adult homes.

But the state has repeatedly missed its goals. Totals through the end of June show that only 853 people have made the transition, a 27 percent shortfall.