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

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Weeks after a Jackson-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 Health 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 weekend. UMMC officials also did not respond to questions about the closure’s impact on UMMC’s psychiatric bed availability.

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 manager, 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.

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 organizations 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.

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 state. 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 space or if they are deemed too violent. Data from a records 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.

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.

“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 funding 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 law enforcement to reduce the incidence of that scenario, but the impact of that legislation isn’t instantaneous.

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

Meet the 2 Candidates for Mississippi Supreme Court’s Nov. 26 Runoff Election

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mississippitoday.org – The Marshall Project – 2024-11-25 09:30:00

On Tuesday, Nov. 26, voters will determine who will hold one of central Mississippi’s three seats on the nine-member state Supreme Court. This 22-county area includes Hinds County and Jackson.

Justice Jim Kitchens is seeking a third, eight-year term on the high court. State Sen. Jenifer B. Branning is the challenger.

The state Supreme Court often has the final say in cases involving criminal, civil and death penalty appeals, questions on the state’s laws and constitution, and legal issues of public interest. It hears appeals from lower courts, such as the chancery and circuit courts. The court decided 260 cases in 2023 and issued rulings in 2,656 motions and petitions.

The Marshall Project – Jackson and Mississippi Today compiled information about each candidate to help you make an informed decision at the polls.

Admitted to Mississippi Bar: 1967

Residence: Crystal Springs, Copiah County

Relevant experience: Completing second term as Supreme Court justice; 41 years as practicing attorney, including nine as district attorney of Copiah, Walthall, Pike and Lincoln counties.

Campaign finance: As of Oct. 10, his campaign committee has raised $288,502, mostly from trial lawyers, and spent $189,675, leaving the campaign with $98,827. Read the latest report here.

Statement of economic interest: Kitchens and his wife are partners in a real estate company, Kitchens Properties, LLC, in Copiah County. Read the latest report here.

Kitchens was first elected to this seat in 2008, after more than 40 years practicing law, which includes nine years as a district attorney across four counties. He is one of two presiding justices, who have the most years on the bench, following the chief justice. Presiding justice is a role on the court’s executive committee that includes administrative duties, such as enforcing the court’s deadlines, and presiding over panels during oral arguments.

Campaigning at the 2024 Neshoba County Fair, Kitchens stressed his experience in the courtroom, especially on criminal cases, and promised impartiality.

Kitchens said he is “the guy that carries his oath of office around in his pocket as a daily reminder of what he swore to do. That oath teaches me that I’m not supposed to care whether people before the court are rich, poor, Black, White, Republican, Democrat, Libertarian or Independent. And I don’t care.”

Mississippi College of Law Professor Matthew Steffey described Kitchens as a “middle-of-the-road centrist.” On the bench, Kitchens’ dissents have keyed in on what the justice called oversteps in judicial power and scrutinized prosecutorial decisions.

Kitchens wrote a partial dissent on the decision about House Bill 1020, calling the creation of the court in Hinds County a “fiction of convenience that overreaches our judicial function, and of ultimate importance, our constitutional duty.” He also joined a dissenting opinion in the case that killed Mississippi’s ballot initiative.

Ensuring defendants who can’t afford representation have court-appointed lawyers is a theme throughout Kitchens’ career. He was the chair of the Public Defender Task Force, which was created in 2000 to study and make recommendations on the public defender systems in the state. In a 2018 interview with Mississippi Today, Kitchens expressed support for a more well-organized and adequately funded state public defender system for Mississippi.

The bulk of Kitchens’ campaign donations through Oct. 10 have come from trial lawyers. In addition to Mississippi attorneys, the campaign also received contributions from lawyers as far away as Oregon and Pennsylvania. In the three months since the July finance report, Kitchens’ campaign raised over $200,000, more than it had previously raised in the entire race. He has also received an endorsement from the Southern Poverty Law Center, an advocacy group specializing in civil rights litigation.

? Read Kitchens’ response to the candidate questionnaire from The Marshall Project – Jackson and Mississippi Today.

Admitted to Mississippi Bar: 2004

Residence: Philadelphia, Neshoba County

Relevant experience: State senator since 2016.

Campaign finance: As of Oct. 10, Branning’s campaign committee has raised $665,624, including a $250,000 loan from the candidate, and spent $343,728. The campaign reported a balance of $319,876, which left a discrepancy of about $2,000. Read the latest report here.

Statement of economic interest: Branning is listed as member, owner, stockholder or partner in several companies located in Philadelphia, including her law firm, Branning Properties, LLC, and Triple E Investments. Read her latest report here.

Republican state Sen. Jenifer B. Branning is running on a platform to represent Mississippians’ conservative values on the Supreme Court, she said at the 2024 Neshoba County Fair candidate forum.

Branning has no judicial experience. Since she joined the Mississippi Bar in 2004, she has practiced as an attorney, primarily representing businesses through her private practice in areas including real estate development, banking and agribusiness. She has also served as a special prosecutor in Neshoba County, a guardian ad litem in Neshoba and Winston counties, and as a staff attorney in the Mississippi Secretary of State’s Division of Business Services & Regulation.

Branning described herself as a “Christian conservative.” She has been endorsed by the state’s Republican Party and the National Federation of Independent Business Mississippi PAC, a special interest group for small businesses. She has been outspoken about overturning Roe v. Wade and supporting the state’s abortion ban, and about reducing taxes on businesses. Branning is also a member of the National Rifle Association. On criminal justice issues, Branning has voted in favor of mandatory and increased minimum sentences for crimes including shoplifting, motor vehicle theft and fleeing law enforcement.

In the state Senate, Branning chairs the Highways and Transportation Committee. She has touted her record on lowering taxes and reducing regulations on farmers and small business owners.

Branning comes from multiple generations of business owners in Neshoba County. Her grandfather, Olen Burrage Jr., owned and operated a truck farm, hauling timber and corn, according to previous news reports.

Her election committee has received contributions from political action groups including Truck PAC, Mississippi Petroleum Marketers & Convenience Stores Association PAC and the Mississippi REALTOR PAC.

Much of Branning’s campaign funding, however, comes from the candidate herself. She kicked off her campaign with a $250,000 candidate loan. She has also bankrolled her previous senate campaigns, with candidate loans as high as $50,000 in 2018. This year, her campaign committee also received funding from other Republican politicians and their campaign funds, including Lt. Gov. Delbert Hosemann, the Committee to Elect Jeremy England (state senator), Harkins for MS (state Senator Josh Harkins), and Friends of Jason White (Mississippi House speaker).

Branning did not acknowledge or return the candidate questionnaire from The Marshall Project – Jackson and Mississippi Today.

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

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Mississippi Today

On this day in 1915

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mississippitoday.org – Jerry Mitchell – 2024-11-25 07:00:00

Nov. 25, 1915

Credit: Wikipedia

A week before the silent film, “Birth of a Nation,” premiered at an Atlanta theater, William Simmons, along with 15 other men (including some who lynched Leo Frank) burned a cross on Stone Mountain, Georgia, signaling the rebirth of the Ku Klux Klan. 

The movie’s racist portrayals of Black Americans prompted outrage by the NAACP and others, leading to huge protests in towns such as Boston and the film’s closing in Chicago. 

Despite these protests, the movie became Hollywood’s first blockbuster, making as much as $100 million at the box office (the equivalent of $2.4 billion today). In the wake of the movie, the KKK became a national organization, swelling beyond 4 million members.

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

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Mississippi Today

Podcast: Mississippi Hospital Association’s Roberson discusses Medicaid expansion outlook under Trump, other 2025 legislative health care issues

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mississippitoday.org – Bobby Harrison and Geoff Pender – 2024-11-25 06:30:00

Richard Roberson, president and CEO of the Mississippi Hospital Association, tells Mississippi Today’s Bobby Harrison and Geoff Pender a new Trump administration would likely approve Mississippi Medicaid expansion work requirements. He says revamping the state’s certificate of need laws is likely to be a major issue before lawmakers, and he discusses a new alliance of hospitals that left the MHA and formed a new organization.

READ MORE: As lawmakers look to cut taxes, Mississippi mayors and county leaders outline infrastructure needs

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

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