fbpx
Connect with us

Mississippi Today

Jackson hospitals’ psychiatric beds are full weeks after St. Dominic closed behavioral health

Published

on

Weeks after a -based hospital announced the closure of its behavioral services unit, two metro-area hospitals are too full to accept psychiatric patients.

Both the University of Mississippi Medical Center and Merit Central have repeatedly been on psychiatric diversion – meaning neither are accepting new patients – since July 4.

It’s not clear when the facilities became full. MED-COM, the state‘s hub for medical communication for emergency response hospitals, agencies and first responders, is housed under UMMC and operates a diversion board showing which hospitals are at capacity throughout each day.

UMMC spokespeople declined to provide information about what health facilities were on psych diversion over the holiday . UMMC officials also did not respond to questions about the closure’s impact on UMMC’s psychiatric bed availability.

Advertisement

As of July 10, both health systems remain on psych diversion, while Merit Health Rankin’s geriatric psychiatric facility has also been added to the list.

While Merit Health Central’s June census was slightly higher than May’s, hospital spokespeople declined to attribute the uptick to the St. Dominic closure and said it was in line with what they’ve observed over the past two years.

“Demand for behavioral health services is high and we, along with other hospitals in the area, have seen an increase in patients seeking services,” said Melanie McMillan, Merit’s Jackson and Vicksburg area marketing , in an emailed statement.

McMillan said that when the hospital is at capacity, patients are referred to the closest available behavioral health facility, and if that’s not an option, patients are cared for on-site in the emergency department until a bed is available.

Advertisement

St. Dominic announced it was shuttering its behavioral health services unit on June 5, citing financial challenges in recent years. The 83-bed unit unit had been providing inpatient mental health and geriatric psychiatric treatment.

Despite saying in a statement announcing the closure that St. Dominic’s was working with partners “to help patients access the care they need,” spokesperson Meredith Bailess responded to Mississippi Today’s most recent questions that the health facility is still “exploring” those potential partners.

“We have been pleased to receive outreach from a number of interested and are in active conversations,” she said. “We do not have more specific information to share at this time.”

On the heels of the closure, community members and advocates expressed concerns about the availability of mental health services in the Jackson area.

Advertisement

St. Dominic was one of only two single point-of-entry hospitals for Hinds Behavioral Health Services for people with mental health issues in the Jackson area. When Hinds has a single point-of-entry agreement in place with a hospital, patients referred by Hinds can be immediately admitted for care and bypass emergency rooms. Now, the only remaining one is Merit Health Central, which has 71 psychiatric beds, according to the state Department of Health.

The other option is the Hinds Behavioral Health 16-bed crisis stabilization unit, one of 14 regional community health centers throughout the . The unit operates 24/7 and is aimed at avoiding institutionalization and stabilizing people undergoing crises.

CSUs do not accept every referral, however. They can be turned away because of lack of or if they are deemed too violent. Data from a request revealed that from January 2022 to March 2023, the Hinds CSU had 109 admissions and 194 denials.

Jamie Evans, the supervisor of the mobile crisis unit at Hinds, wouldn’t comment on that data. She said when the facility is full, however, they contact CSUs in other regions of Mississippi. The next closest is in Brookhaven about an hour away.

Advertisement

Angela Ladner, executive director of the Mississippi Psychiatric Association, said it’s too soon to say if the diversions are related to the St. Dominic closure, but it does add urgency to the situation.

“When you take a community as large as the Jackson area … I’m not sure how it couldn’t put a strain on other facilities,” Ladner said.

UMMC has 33 beds, and while the Mississippi State Hospital has recently reopened 20 adult psychiatric beds, its wait time averages two days.

Evans reported that the demand of the unit’s services remains steady and that CSU hasn’t seen an increase in patients since the St. Dominic closure. However, it has taken more coordination with all of the stakeholders involved to fill the gap left by St. Dominic, she said.

Advertisement

“In some instances, it may have called for a little longer wait time, but we have not had to turn anyone away,” she said. “We will not turn anyone around who is experiencing a mental health emergency. We will do whatever we need to do to ensure that they receive the assistance they need.”

Hinds recently received to open a second CSU, but it’s not clear when that will be. And while Merit Health Central in Jackson plans to open an additional 50 behavioral health beds — 20 adolescent, 20 adult and 10 chemical dependency — that won’t happen until later this summer.

Collaboration is needed more than ever to avoid the worst-case scenario — mentally ill people being jailed, Ladner said.

The Legislature passed House Bill 1222 this session, which requires mental health training for enforcement to reduce the incidence of that scenario, but the impact of that legislation isn’t instantaneous.

Advertisement

Ladner stressed that if the number of available psychiatric beds in Jackson don’t increase “in a very speedy manner,” the consequences could be dire.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

Inside the four-hour U.S. House hearing on welfare reform featuring Brett Favre

Published

on

mississippitoday.org – Anna Wolfe – 2024-09-24 18:05:45

WASHINGTON — Minutes before the U.S. House Committee on Ways and Means held a hearing Tuesday on the topic of the Temporary Assistance for Needy Families, the subject of a still unfolding scandal in Mississippi, Chairman Rep. Jason Smith huddled with his colleagues.

The other congressmen wanted to know why the chairman had invited former NFL quarterback Brett Favre — who is facing civil charges for his alleged role in diverting TANF funds to a volleyball stadium and a pharmaceutical startup — to testify. 

Then, Smith revealed, one of the congressmen asked a question that underscored the larger problem: “What is TANF?”

Advertisement

Temporary Assistance for Needy Families is a $16 billion-a-year federal block grant administered by states to address poverty. While it is known for providing cash assistance, known as the welfare check, to low-income families, states have been spending the vast majority of the money in other ways, “including some with tenuous connections to a TANF purpose,” the federal agency that oversees the funds recently concluded.

The unnamed lawmaker is about four years late to the game.

Favre said he learned what TANF was in 2020, when Mississippi State Auditor Shad White released an audit naming Favre as one of the improper recipients of an estimated $94 million in misused funds.

“Now I know, TANF is one of our country’s most important welfare programs to help people in need,” Favre told members of House Ways and Means, the budgeting committee responsible for revenue-related legislation within the nation’s social safety net programs. “Importantly, I have learned that nobody was — or is — watching how TANF funds are spent.”

Advertisement

Smith said he invited Favre to testify about rampant abuse in the program, which ensnared the athlete in a reputation-marring scandal, as part of a conversation about how to transform TANF to reach needy families and move people into work. Tuesday’s hearing, which lasted more than four hours, followed a subcommittee of Ways and Means held a similar hearing more than a year ago.

But four years after the original audit, Mississippians have more to learn about how the misspending occurred, who all was responsible and how the government plans to hold them accountable. A federal criminal investigation quietly drags on as seven people who pleaded guilty await prison sentencing; a slow-moving state civil lawsuit against Favre and three dozen others gags defendants and their attorneys from speaking publicly about the case; and the federal human service agency has yet to enact meaningful guardrails around the program.

A report that the committee requested last year, and was released Tuesday, found that accounting deficiencies within the TANF program occur in all 50 states and little is done to correct them.


The committee heard Tuesday from a beneficiary of Missouri’s TANF work program, Matt Underhile, a corrections officer and father of seven children.

Advertisement

Underhile was in his early 40s when he took action to turn his life around after nearly two decades of drug abuse and unstable employment. He learned about the state’s TANF-funded work program called the Missouri Excel Center on Facebook. Through it, he received transportation assistance to get to and from class and earned his high school diploma. He said the program offered to pay for things like steel-toe boots or scrubs to help people succeed at work.

He said the program taught him “that there is always a way to remove any barrier you may have; that there are people and programs out there that care and can help you.”

But Mississippi’s TANF program hardly works this way. In 2022, the cash assistance program — no more than $260 a month for a family of three — served just 291 adults. Of those, fewer than 1% were employed, according to federal data

TANF is supposed to be a work program, but Mississippi imposes such strict eligibility requirements and such harsh sanctions — such as taking away a person’s food benefits — that low-income Mississippians are scared to apply, said Jarvis Dortch, director of the ACLU of Mississippi.

Advertisement

When the state has contracted with outside agencies to provide work training like Underhile described, it has not produced reports to say what the programs offered or who they served. 

The largest subrecipients of non-assistance funds are not workforce training agencies, but organizations that work with children — the child abuse and neglect investigations department, the & Girls Club, a children’s mental health organization and a global humanitarian nonprofit.

“Mississippi continues to spend little on direct cash assistance while continuing to provide TANF dollars to unaccountable third parties,” Dortch said in his testimony on Tuesday.

The federal government gathers little information about how states choose to use their TANF grants, except for periodic reporting of how they divvy up the money among several vague categories — basic assistance, child welfare services, work, education or training activities, work supports, child care out of wedlock pregnancy prevention, fatherhood and two-parent family formation and maintenance programs, etc.

Advertisement

Mississippi consistently spends a much greater share of its TANF grant on “work, education and training activities” than most states — 40% in 2022. With that statistic, Mississippi’s TANF program might seem as if it’s prioritizing solutions to generational poverty.

“Sounds good until you look under the hood,” Dortch said.

A closer look shows that roughly 80% of that spending is on a college scholarship program serving many middle-class families, Mississippi Today first reported in 2019.

Dortch offered an alternative: More child care funding for working parents. Mississippi is allowed to transfer up to 30% of its TANF funding to the existing Child Care Fund to provide vouchers to more families, though it hasn’t opted to do this in recent years. Dortch also pointed to the success of Magnolia Mother’s Trust universal basic income program created by Jackson-based Springboard to Opportunity. 

Advertisement

“People that get cash assistance … they’re able to get the space to breathe to be able to do things like apply to go to school, look for other jobs, they aren’t so pressured in life by to make ends meet,” Dortch said.


In Mississippi, $5 million of the spending that it labeled work activities, work supports or fatherhood programs was actually the construction of a new volleyball stadium.

In 2017, Favre started lobbying for money from a nonprofit funded almost entirely by TANF funds to build a volleyball stadium at his alma mater, of Southern Mississippi. The nonprofit founder, Nancy New, informed him that federal restrictions prevented her from using the money on construction projects. But, they thought, if they called the facility a “Wellness Center,” and included classrooms where the nonprofit could ostensibly hold classes for needy parents, the nonprofit could provide the funding through a $5 million upfront lease of the property. 

Lawyers hired by the state welfare department in 2022 filed civil charges against the university’s athletic foundation and seven people they say are responsible for this sham, including Favre. New is awaiting sentencing on state charges for her role in the overarching scheme.

Advertisement

U.S. Rep. Adrian Smith, R-Nebraska, asked Favre on Tuesday how officials characterized the source of the funding he was seeking. Favre said it was his understanding that they were grants.

“Never was TANF or welfare funds mentioned in any conversations,” Favre said.

“Were public funds mentioned?” Adrian Smith asked, and Favre didn’t immediately respond. “Was it your understanding that it was private funds from a wealthy individual or some source?”

“I don’t recall. I just remember that grant money,” Favre said.

Advertisement

Favre and New also arranged an additional $1.1 million payment in exchange for Favre to record a radio promoting the welfare program, which aired the following year. 

“If you were to pay me is there anyway the can find out where it came from and how much?” Favre once texted the nonprofit operator.

U.S. Rep. Linda Sanchez, D-California, enlarged and printed the text message on a display board that she brought to the hearing. Favre returned those funds to the state in 2020 and 2021.

After Favre secured the funds for the initial groundbreaking on the volleyball stadium, he returned to New for an additional investment in a startup pharmaceutical venture claiming it was going to produce a drug to treat concussions — an injury with which Favre was familiar. The project received over $2 million in welfare funds, but no drug was developed. 

Advertisement

“Sadly, I also lost my investment in a company that I believed was developing a breakthrough concussion drug I thought would help others,” Favre said in his testimony. “As I’m sure you’ll understand, while it’s too late for me — I’ve recently been diagnosed with Parkinson’s — this is also a cause dear to my heart.”

The founder of the company, Jake Vanlandingham, pleaded guilty within the ongoing federal probe in July. The revelation of Favre’s Parkinson’s diagnosis made national headlines before the TANF hearing concluded.


Testimony from Sam Adolphsen, policy director for the conservative think tank Foundation for Government Accountability, challenged whether states should be entirely to blame for TANF misspending.

When Adolphsen served as the chief operating officer of the Maine Department of Health and Human Services, he said his agency exercised policy that allows states to transfer TANF funds to another federal program, the Social Services Block Grant, which involved home-based services for seniors and people with disabilities, domestic violence support centers, transportation, and other services.

Advertisement

This resulted in a similar comingling of funds that got Mississippi officials in trouble.

Adolphsen said in his written testimony that Maine officials sought guidance from the federal agency that administers the funds, the U.S. Department of Health and Human Services, “with often unclear communications from the officials.” Maine auditors eventually raised concerns about some of this transfer spending and the state reversed the expenditures.

In Mississippi, at least one defendant in the ongoing civil case has said that federal welfare officials were present in the planning of programs that auditors later found unlawful. 

“More work can be done in federal to provide states with more clarity on the flexibility of these transfers in advance of such expenditures,” Adolphsen said in his testimony.

Advertisement

Adolphsen’s organization, FGA, lauded Mississippi for policies it enacted during the scandal, including the HOPE Act — a law that imposed some of the strictest eligibility requirements in the nation, creating a maze of bureaucratic red tape that current Mississippi Department of Human Services Director Bob Anderson said burdens the department and should be repealed.

Last year, the House Ways and Means Committee requested that the Government Accountability Office conduct a nationwide of non-cash TANF spending, which is where 78% of the funds go. The committee wanted to know, among other things, how states track the performance of their non-assistance programs, how they ensure they are submitting accurate financial reports, and what the federal government does with the annual TANF audit findings it receives.

The report, released in conjunction with the hearing, shows that from 2021-2023, all 50 states had unresolved audit findings in their TANF programs, 50 of which were “severe” and the majority of which were repeated findings from previous years. 

Before the Mississippi welfare scandal became known, these audit deficiencies proved to be a warning sign of the larger program breakdown.

Advertisement

Virginia has recorded an accounting deficiency for 15 years. Thirty-one of the 155 findings contained questioned costs, like the ones cited in Mississippi’s widely publicized 2019 audit. One state’s questioned costs involved over $107 million and repeated for two years.

As for how the federal government follows up on these unresolved findings, the Government Accountability Office didn’t have an answer, but said that it would examine this process in its ongoing work.


Movement in the civil case against Favre and roughly three dozen other people or companies — which attempts to claw back an implausible $80 million in misspending — picked up the day before Favre’s testimony.

On Monday, Favre’s lawyers fired off 10 new subpoenas requiring depositions from the state auditor’s office, deputy state auditor Stephanie Palmertree, the attorney general’s office, the lieutenant governor’s office, Gov. Tate Reeves, former Reeves chief of staff Brad White, former First Lady Deborah Bryant, and three individual Mississippi Department of Human Services employees.

Advertisement

At the hearing, Favre predictably threw shade at State Auditor Shad White, the state official who launched the initial investigation into welfare spending and has since written a book about the ordeal with Favre’s name in the subtitle. The athlete is currently suing White for defamation. 

Favre called White “an ambitious public official who decided to tarnish my reputation to try to advance his own political career.” 

White wrote a letter to the Ways and Means committee Monday evening in an effort to preempt any negative impression Favre may give of him. White included photos of Favre’s text messages to remind lawmakers of the athlete’s interest in keeping the payments confidential.

Favre also questioned the current leadership of the state welfare agency, which has paid Jones Walker law firm nearly $1.5 million in TANF funds to bring the ongoing civil action.

Advertisement

“Those same lawyers, before they sued me, came to my home town to try to convince me to retain them in this very dispute,” Favre said. 

University of Southern Mississippi attempted to resolve the claims against it by setting up a scholarship program for TANF-eligible students, Favre said, but the plaintiff rejected the settlement, which “would have shut off the spigot of TANF funds to the lawyers.”


Back to the original question by Chairman Smith’s colleagues: What’s the purpose of inviting Favre to speak before Congress?

“If someone in Mississippi is accused of misspending $50 in SNAP benefits, that person’s life will be turned upside down. Mr. Favre’s right here and he’s accused of misspending a million dollars and he’s speaking before Congress,” Dortch told the committee. “Something is wrong.”

Advertisement

For years in Mississippi, state employees and politicians scrambled to please Favre when he reached out about funding for projects or requests for meetings. One of the state’s favorite and most notable sons was in their corner, and they often responded accordingly.

Similar behavior was on full display in the House committee hearing on Tuesday. When Favre entered the Longfellow Office Building hearing room, cameras clicked and attendees turned their heads to catch a glimpse of the NFL Hall of Famer.

U.S. Rep. Beth Van Duyne, R-, said it seemed Favre had become a victim of his own celebrity.

Sanchez, the California representative, delivered the most aggressive questions about Favre’s involvement in the welfare scandal, to which U.S. Rep. Drew Ferguson, R-Georgia, responded, “Unlike my colleague, I’m not mad at you about much, but I am mad that you couldn’t stay with the Atlanta Falcons.”

Advertisement

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Continue Reading

Mississippi Today

Most at Speaker White’s summit want tax cuts, but some say ‘baby steps’ needed

Published

on

mississippitoday.org – Bobby Harrison – 2024-09-24 17:40:33

Most everyone at House Speaker Jason White’s tax summit said they cutting taxes – even eliminating the personal income tax — but there were concerns expressed by many on whether that goal could be accomplished without negatively impacting vital services.

White’s  chair of the tax-writing House Ways and Means Committee, Rep. Trey Lamar, R-Senatobia, told the crowd gathered at a Flowood hotel Tuesday for the daylong summit that the upcoming 2025 legislative session is the time to begin the of phasing out the income tax.

“I believe it is time to make really big transformative changes in our tax system,” Lamar said.

Advertisement

He said eliminating the income tax would make the state more competitive.

On the other hand, Sen. Jeremy England, R-, said he also supported tax cuts, but said “baby steps” might be needed to ensure funds are available to pay for state services.

Josh Harkins, R-Flowood, the chair of the Senate’s tax writing Finance Committee, cautioned that time might be needed to see the results of previous massive tax cuts passed in 2022 and in 2016 that are still being phased in. Plus, Harkins pointed out that the state and its citizens received about $33 billion in federal relief funds that have artificially bolstered state revenue. He said time might be needed to look at the financial of the state’s after the impact of those COVID-19 funds had faded.

White, who organized the summit that had more than 500 people registered to attend, stressed that there were no preconceived notions on what the House leadership’s recommendations for tax changes would be during the upcoming session. White said he had the summit as part of an effort to discuss and build consensus on improving the state’s tax structure.

Advertisement

But both White and Lamar have voiced strong support for phasing out the personal income and also for at least reducing the state’s 7% tax on groceries which is the highest of its kind in the nation.

Gov. Tate Reves, who also spoke at the summit at the invitation of White, also spelled out his reasons for supporting the elimination of the income tax.

He said Mississippi “was in the best financial situation … in our state’s history. Because of that there has never been a better time to eliminate the income tax.”

Harkins said eliminating the income tax would take about $2.2 billion out of state coffers. The grocery tax would reduce state revenue by less than $500 million.

Advertisement

Harkins said the state has many needs ranging from transportation to shoring up the state’s public pension program that has a deficit of $25 billion.

Beside eliminating the income tax, Lamar said the goals of House leaders in their plan to make “monumental” changes in tax policy are to ensure cities and counties have sufficient revenue and  “to fix” the funding issues at the state Department of Transportation.

Central District Transportation Commissioner Willie Simmons, D-Cleveland, and Transportation Executive Director Brad White said the 18-cents-a-gallon gasoline tax and other revenue directed to the agency is not enough. They said the agency needs an additional $480 million a year for road maintenance.

In recent years, the Legislature had provided an additional $1.3 billion to the MDOT in addition to the designated sources of revenue. But they said the agency needed an additional recurring revenue stream instead of to wait to the end of each session to find out how much extra money the Legislature was providing transportation.

Advertisement

Other speakers included legislative leaders from other states that have worked on tax policy and national tax-cut advocate Grover Norquist. John McKay, executive director of the Mississippi Manufacturers Association, and Hattiesburg Toby Barker said the most important issues for companies are work force and site preparation.

At the end of the day-long summit, White unveiled poll results compiled by nationwide Republican pollster Cygnal. The poll found 64% of Mississippians supported phasing out the income tax over a five year period.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Advertisement
Continue Reading

Mississippi Today

Collaborative effort clears path from jail to mental health treatment

Published

on

mississippitoday.org – Mina Corpuz – 2024-09-24 14:06:05

A statewide program launched this month wants to help people with mental illness facing felony charges get out of jail and into treatment. 

The forensic navigator program is a grant-funded collaboration between the Roderick and Solange MacArthur Justice Center at the University of Mississippi School of and the Department of Mental Health. 

It’s hotline that is a resource for members and those in the criminal legal system. When they call, they can talk with an attorney who serves as a bridge among the courts, law enforcement and DMH to arrange mental health treatment. 

Advertisement
Credit: unknown

“These people who are in acute crises are in our jails and experiencing intense suffering,” said Cliff Johnson, director of the MacArthur Justice Center. “That makes the need to get to them quickly so critical and helps explain why sometimes those people can behave unpredictably.” 

A goal of the navigator program is to help reduce the wait time for forensic evaluations at the State Hospital. Evaluations help determine if a person is competent and able to understand the charges against them and they are able to help with their legal defense. 

If someone is found not to be competent, DMH treats them at the State Hospital to restore them to a point where they can stand trial. Some stay in jail for months or years until they can be admitted for competency restoration. 

DMH has 65 forensic beds and has plans to open additional beds in a new building, which would increase capacity to over 100 beds. 

Dr. RecoreDr. Thomas Recore

Dr. Thomas Recore, the department’s medical director, has served as head of forensic mental evaluations and has performed evaluations. 

For some with mental health needs facing lower felony charges like property damage or malicious mischief, it may be more helpful for that person to get out of jail to treatment, which can help them avoid future interactions with law enforcement while they are in crisis, he said. 

Advertisement

“We all know this is the right thing to do,” Recore said about the forensic navigator program.  

Stacy Ferraro, a Mississippi attorney who has represented those charged with capital offenses and juveniles to life without parole, will be the one on the other end of the phone line when people call the navigator. 

Johnson said Ferraro will work with families, DMH, attorneys, law enforcement and other players and act as “a person looking at the whole chessboard.” 

Even if everyone agrees someone doesn’t need to be in jail, there might be limitations that mean they aren’t able to get help, Johnson said. That could mean a bed isn’t available or a private facility can’t admit someone with a pending felony charge. 

Advertisement

The navigator program has already helped a north Mississippi family whose adult daughter an arson charge for setting her family’s home on fire during a mental health episode. 

Itawamba County Sheriff Mitch Nabors recognized the woman needed mental health care, but he knew the sheriff’s office couldn’t it. That’s when Johnson called, and Ferraro began speaking with the woman’s mother, Erica Hoskins, lawyers and from DMH. 

Within days, arrangements were made for the woman to leave jail and receive inpatient treatment. Through Ferraro’s work and conversations with attorneys, the woman’s case was remanded, Johnson said. 

The navigator program is the years-long cumulation of work between the department and MacArthur Justice Center. At one point, Johnson and attorney Paloma Wu, who was then with the Southern Poverty Law Center, wanted to sue DMH, but they saw an opportunity to try something different

Advertisement

A meeting at the State Hospital brought together people from all of the criminal justice system, department leaders, activists and others to agree there was a problem and they all have a role to play to reduce needless suffering. 

MacArthur Justice Center reserves the right to sue the department, which officials understand. 

Johnson said the collaboration is just the beginning and there is still room for progress and to address wait times for forensic beds and competency restoration treatment. 

He hopes those in power will shift responsibilities from sheriffs holding people with mental illness in jails and to those with the proper clinical experience and training, which he said can keep people safe and make communities safer. 

Advertisement

It’s hotline that is a resource for family members and those in the criminal legal system. When they call, they can talk with an attorney who serves as a bridge among the courts, law enforcement and DMH to arrange mental health treatment. 

The forensic navigator program is a grant-funded collaboration between the Roderick and Solange MacArthur Justice Center at the University of Mississippi School of Law and the Department of Mental Health. 

“These people who are in acute crises are in our jails and experiencing intense suffering,” said Cliff Johnson, director of the MacArthur Justice Center. “That makes the need to get to them quickly so critical and helps explain why sometimes those people can behave unpredictably.” 

A goal of the navigator program is to help reduce the wait time for forensic evaluations at the State Hospital. Evaluations help determine if a person is competent and able to understand the charges against them and they are able to help with their legal defense. 

Advertisement

If someone is found not to be competent, DMH treats them at the State Hospital to restore them to a point where they can stand trial. Some stay in jail for months or years until they can be admitted for competency restoration. 

DMH has 65 forensic beds and has plans to open additional beds in a new building, which would increase capacity to over 100 beds. 

Dr. Thomas Recore, the department’s medical director, has served as head of forensic mental evaluations and has performed evaluations. 

For some with mental health needs facing lower felony charges like property damage or malicious mischief, it may be more helpful for that person to get out of jail to receive treatment, which can help them avoid future interactions with law enforcement while they are in crisis, he said. 

Advertisement

“We all know this is the right thing to do,” Recore said about the forensic navigator program.  

Stacy Ferraro, a Mississippi attorney who has represented those charged with capital offenses and juveniles sentenced to life without parole, will be the one on the other end of the phone line when people call the navigator. 

Johnson said Ferraro will work with families, DMH, attorneys, law enforcement and other players and act as “a person looking at the whole chessboard.” 

Even if everyone agrees someone doesn’t need to be in jail, there might be limitations that mean they aren’t able to get help, Johnson said. That could mean a bed isn’t available or a private facility can’t admit someone with a pending felony charge. 

Advertisement

The navigator program has already helped a north Mississippi family whose adult daughter faced an arson charge for setting her family’s home on fire during a mental health episode. 

Itawamba County Sheriff Mitch Nabors recognized the woman needed mental health care, but he knew the sheriff’s office couldn’t provide it. That’s when Johnson called, and Ferraro began speaking with the woman’s mother, Erica Hoskins, lawyers and officials from DMH. 

Within days, arrangements were made for the woman to leave jail and receive inpatient treatment. Through Ferraro’s work and conversations with attorneys, the woman’s case was remanded, Johnson said. 

The navigator program is the years-long cumulation of work between the department and MacArthur Justice Center. At one point, Johnson and attorney Paloma Wu, who was then with the Southern Poverty Law Center, wanted to sue DMH, but they saw an opportunity to try something different

Advertisement

A meeting at the State Hospital brought together people from all areas of the criminal justice system, department leaders, civil rights activists and others to agree there was a problem and they all have a role to play to reduce needless suffering. 

MacArthur Justice Center reserves the right to sue the department, which officials understand. 

Johnson said the collaboration is just the beginning and there is still room for progress and to address wait times for forensic beds and competency restoration treatment. 

He hopes those in power will shift responsibilities from sheriffs holding people with mental illness in jails and to those with the proper clinical experience and training, which he said can keep people safe and make communities safer. 

Advertisement

The MacArthur Forensic Navigator Program can be contacted by email at forensic.navigator@macarthurjustice.org or by phone at 662-715-2907

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Continue Reading

Trending