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Lawmakers could limit when county officials in Mississippi can jail people awaiting psychiatric treatment

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This article was produced for ProPublica’s Local Reporting Network in partnership with Mississippi Today. Sign up for Dispatches to get stories like this one as soon as they are published.

Key Mississippi lawmakers have introduced several bills that would drastically limit when people can be jailed without criminal charges as they await court-ordered psychiatric treatment.

The proposals follow an investigation by Mississippi Today and ProPublica finding that hundreds of people in the state are jailed without charges every year as they go through the civil commitment process, in which a judge can force people to undergo treatment if they’re deemed dangerous to themselves or others. People who were jailed said they were treated like criminal defendants and received no mental health care. Since 2006, at least 17 people have died after being jailed during the commitment process, raising questions about whether jails can protect people in the midst of a mental health crisis.

Civil rights lawyers contend Mississippi’s practice is unconstitutional because it amounts to punishing people for mental illness, but the state’s civil commitment law allows it. That law spells out the process by which people suffering from severe mental illness can be detained, evaluated and ordered into treatment. Under the law, those people can be held in jail until they’re admitted to a state psychiatric hospital or another mental health facility if there is “no reasonable alternative.” If there isn’t room at a publicly funded facility or open beds are too far away, local officials often conclude that they have no other option besides jail.

“Putting a person in jail because they’re hearing voices and you don’t know what to do with them — that’s not right,” said state Rep. Kevin Felsher, R-Biloxi, one of the lawmakers behind legislation to curtail the practice. The news stories, he said, showed that people are jailed for longer than he thought and that Mississippi is unique in doing so.

The proposals represent the biggest effort to change the state’s civil commitment process since at least 2010, according to a review of legislation and interviews with mental health advocates. That year, lawmakers standardized the commitment process across the state and gave county officials the option to call on crisis teams before initiating the commitment process. A measure that would have prohibited jail detentions altogether ultimately failed.

A bill proposed by Felsher would allow jail detentions during the commitment process only for “protective custody purposes and only while awaiting transportation” to a medical facility. It would restrict such detentions to 72 hours. 

A bill authored by House Public Health Chairman Sam Creekmore, R-New Albany, chair of the House Public Health and Human Services Committee, would clamp down on the practice even more, allowing counties to jail people without criminal charges only if they are “actively violent” and for no longer than 24 hours. 

The vast majority of the 2,000 jail detentions in 19 counties analyzed by Mississippi Today and ProPublica lasted longer than 24 hours. About 1,200 lasted longer than 72 hours. (Those figures include detentions between 2019 and 2022 for both mental illness and substance abuse; the legislation would address only the commitment process for mental illness.)

Rep. Sam Creekmore, R-New Albany, has proposed a bill that would prohibit jail detentions for people going through the civil commitment process unless they are “actively violent” and would limit such detentions to 24 hours. The vast majority of detentions in 19 counties over four years lasted longer than that, according to an analysis by Mississippi Today and ProPublica. (Eric J. Shelton/Mississippi Today) Credit: Eric J. Shelton/Mississippi Today

Creekmore’s bill, which passed out of committee without opposition Thursday, aims to reduce unnecessary commitments by generally requiring people to be screened for mental illness before paperwork can be filed to have them committed. Those screenings would be conducted in most cases by community mental health centers — independent organizations, partly funded by state grants, that are supposed to provide mental health care close to home. That bill also would require those organizations to treat people while they’re in jail.

A bill authored by Sen. Nicole Boyd, R-Oxford, to increase state oversight of community mental health centers contains language similar to Creekmore’s proposal restricting jail detentions. Her bill has been referred to the Judiciary A committee, which is chaired by one of its co-authors, Sen. Brice Wiggins, R-Pascagoula.

The bills would bring Mississippi more in line with other states that allow people going through the civil commitment process to be jailed in limited circumstances. South Dakota permits jail detentions without criminal charges but limits them to 24 hours. Wyoming permits them in an “extreme emergency” and only for 72 hours before a hearing. 

The Mississippi Department of Mental Health says reforming the commitment process is a priority this legislative session. “We don’t want someone to have to wait in jail simply because they need mental health treatment,” said Wendy Bailey, director of the agency, at a January conference attended by county officials from all over the state.

But the Mississippi Association of Supervisors, which represents county governments, has raised questions about whether the bills would force county officials to spend more money. Under state law, counties are responsible for housing residents going through the commitment process until they are admitted to a state hospital. Some local officials contend they don’t have any place other than jail to put people.

“I think you’ll find all 82 clerks, all 82 sheriffs, all 400 supervisors understand that the jail is not the place they need to be,” said Bill Benson, who as Lee County’s chancery clerk coordinates the commitment process there. “But there has to be a place. If it’s not the jail, there has to be a place available.”

Derrick Surrette, executive director of the Mississippi Association of Supervisors, said county leaders are “all for” keeping people out of jail while they wait for mental health care. But, he said, they’re concerned that they’ll be forced to pay for treatment in private facilities because there aren’t enough publicly funded beds. None of the proposals would expand publicly funded treatment beds, nor would they provide funding to counties. The association hasn’t taken a position on the bills to limit jail detentions.

“It’s a whole lot of legislation being proposed telling the county and a regional mental facility what to do,” Surrette said. “Is there very much in there telling what the state shall do?”

The Department of Mental Health advises local officials to direct people who need help to outpatient mental health care when appropriate and to rely on the civil commitment process only when needed. If the commitment process can’t be avoided, the department says officials should work with their local community mental health centers to seek alternatives to jail.

A padded cell used to hold people awaiting psychiatric evaluation and court-ordered treatment at the Adams County jail in Natchez, Mississippi. Lacey Robinette Handjis, a 37-year-old hospice care consultant and mother of two, was found dead in one of the jail’s two padded cells in late August, less than 24 hours after she was booked with no criminal charges to await mental health treatment. Credit: Eric Shelton/Mississippi Today

The state has expanded the number of beds in crisis stabilization units, which are designed to provide short-term treatment in a less restrictive setting than state hospitals. Chancery clerks and sheriff’s deputies complain that those facilities frequently refuse to accept people they deem to be violent or in need of additional medical care, though state data shows those refusals are declining. 

An additional bill filed by Felsher would require counties to pay for care at a medical facility if a judge has ordered someone into treatment, no publicly funded bed is available and the person can’t pay for treatment. Although the Mississippi Association of Supervisors hasn’t taken a position on that bill, either, it opposed a similar provision last year because the measure didn’t provide any funding.

At a hearing in November 2022, Felsher asked Benson, the chancery clerk in Lee County, whether he would support his county paying hospitals to treat residents as an alternative to jail. Benson responded that if he did, “My supervisors would hang me.”

Benson said in an interview that it costs just $40 a day on average to jail someone in Lee County. By contrast, Neshoba County, which is among those that contract with private providers, pays between $625 and $675 a day to Alliance Health Center to treat county residents when no public bed is available.

Felsher said he hopes to expand the availability of public treatment facilities so counties aren’t on the hook except in rare circumstances. But he also said he believes the cost of alternatives can’t justify jailing people who haven’t been charged with crimes.

“We can’t send people with mental illness to jail because the county doesn’t want to pay for it,” he said. “If it is a fight, it’s a fight that I will have. We may not win it, but we’ll have it.”

Staffers with Disability Rights Mississippi say the bills don’t go far enough because they don’t ban jail detentions outright. At least a dozen states, including neighboring Alabama, Louisiana and Tennessee, have done so.

Without such a ban, Disability Rights Mississippi staff say they’re planning to sue the state and some counties, alleging the practice is unconstitutional. A federal lawsuit in Alabama led to a ruling in 1984 prohibiting the practice there.

“Mississippi Today’s reporting has revealed the horrifying scope of this problem, including those who have met an untimely death and data to back it up,” said Polly Tribble, the organization’s director. “I hope that, in light of these dire situations, the Legislature will be motivated to address these issues.”

Bailey, head of the state Department of Mental Health, said she was not aware of the possibility of litigation until Mississippi Today asked about it. She said her agency is working to find ways to make sure people get mental health treatment without going through the civil commitment process, and to restrict the use of jail when they do.

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

Mississippi Today

On this day in 1857

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mississippitoday.org – Jerry Mitchell – 2025-03-06 07:00:00

March 6, 1857

Dred Scott sought to buy freedom for him and his family. Credit: Wikipedia

In Dred Scott v. Sandford, the U.S. Supreme Court upheld slavery in a 7-2 vote. 

Dred Scott and his family were enslaved, and when he tried to purchase their freedom, they were refused. He and his wife, Harriet, each filed separate lawsuits, calling for their freedom. They noted that they had lived for years in both free states and free territories. 

A jury ruled in favor of Scott and his family. But on appeal, the Supreme Court ruled that Black Americans, whether slave or free, had no right to sue. 

In a stinging dissent, Justice Benjamin Robbins Curtis wrote that the claim Black Americans could not be citizens was baseless: “At the time of the ratification of the Articles of Confederation, all free native-born inhabitants of the States of New Hampshire, Massachusetts, New York, New Jersey, and North Carolina, though descended from African slaves, were not only citizens of those States, but such of them as had the other necessary qualifications possessed the franchise of electors, on equal terms with other citizens.” 

He noted that the Declaration of Independence didn’t say that “the Creator of all men had endowed the white race, exclusively with the great natural rights.

” The decision drew wrath from many, including future President Abraham Lincoln, who called it “erroneous.” Two months later, Scott won his freedom when the sons of his first owner, Peter Blow, purchased his emancipation, setting off celebrations in the North. 

The court decision helped lead to the Civil War, and the 13th, 14th and 15th Amendments were adopted to counter the ruling. In 2017, on the 160th Anniversary of the Dred Scott decision, the great-great-grandnephew of Supreme Court Chief Justice Roger Taney apologized to Scott’s great-great-granddaughter and all Black Americans “for the terrible injustice of the Dred Scott decision.”

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

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Legislation to license midwives dies in the Senate after making historic headway

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mississippitoday.org – Sophia Paffenroth – 2025-03-05 17:48:00

A bill to license and regulate professional midwifery died on the calendar without a vote after Public Health Chair Hob Bryan, D-Amory, did not bring it up in committee before the deadline Tuesday night. 

Bryan said he didn’t take the legislation up this year because he’s not in favor of encouraging midwives to handle births independently from OB-GYNs – even though they already do, and keeping them unlicensed makes it easier for untrained midwives to practice. The proposed legislation would create stricter standards around who can call themselves a midwife – but Bryan doesn’t want to pass legislation recognizing the group at all.

“I don’t wish to encourage that activity,” he told Mississippi Today.

Midwifery is one of the oldest professions in the world. 

Proponents of the legislation say it would legitimize the profession, create a clear pathway toward midwifery in Mississippi, and increase the number of midwives in a state riddled with maternity health care deserts. 

Opponents of the proposal exist on either end of the spectrum. Some think it does too much and limits the freedom of those currently practicing as midwives in the state, while others say it doesn’t do enough to regulate the profession or protect the public.

The bill, authored by Rep. Dana McLean, R-Columbus, made it further than it has in years past, passing the full House mid-February. 

As it stands, Mississippi is one of 13 states that has no regulations around professional midwifery – a freedom that hasn’t benefited midwives or mothers, advocates say.

Tanya Smith-Johnson is a midwife on the board of Better Birth Mississippi, a group advocating for licensure. 

“Consumers should be able to birth wherever they want and with whom they want – but they should know who is a midwife and who isn’t,” Smith-Johnson said. “… It’s hard for a midwife to be sustainable here … What is the standard of how much midwifery can cost if anyone and everyone can say they’re a midwife?”

There are some midwives — though it isn’t clear there are many — who do not favor licensure.

One such midwife posted in a private Facebook group lamenting the legislation, which would make it illegal for her to continue to practice under the title “midwife” without undergoing the required training and certification decided by the board.

On the other end of the spectrum, among those who think the bill doesn’t go far enough in regulating midwives, is Getty Israel, founder of community health clinic Sisters in Birth – though she said she would rather have seen the bill amended than killed. Israel wanted the bill to be amended in several ways, including to mandate midwives pay for professional liability insurance, which it did not.

“As a public health expert, I support licensing and regulating all health care providers, including direct entry midwives, who are providing care for the most vulnerable population, pregnant women,” she said. “To that end, direct entry midwives should be required to carry professional liability insurance, as are certified nurse midwives, to protect ill-informed consumers.”

The longer Mississippi midwives go without licensure, the closer they get to being regulated by doctors who don’t have midwives’ best interests in mind. 

That’s part of why the group Better Birth felt an urgency in getting legislation passed this year. 

“I think there’s just been more iffy situations happening in the state, and it’s caused the midwives to realize that if we don’t do something now, it’s going to get done for us,” said Erin Raftery, president of the group.

Raftery says she was inspired to see the bill make headway this year after not making it out of committee several years in a row. 

“We are hopeful that next year this bill will pass and open doors that improve outcomes in our state,” she said. “Mississippi families deserve safe, competent community midwifery care.”

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

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New Mississippi legislative maps head to court for approval despite DeSoto lawmakers’ objections

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mississippitoday.org – Taylor Vance – 2025-03-05 17:03:00

Voters from 15 Mississippi legislative districts will decide special elections this November, if a federal court approves two redistricting maps that lawmakers approved on Wednesday. 

The Legislature passed House and Senate redistricting maps, over the objections of some Democrats and DeSoto County lawmakers. The map creates a majority-Black House district in Chickasaw County and creates two new majority-Black Senate districts in DeSoto and Lamar counties. 

“What I did was fair and something we all thought the courts would approve,” Senate President Pro Tempore Dean Kirby told Mississippi Today on the Senate plan. 

Even though legislative elections were held in 2023, lawmakers have to tweak some districts because a three-judge federal panel determined last year that the Legislature violated federal law by not creating enough Black-majority districts when it redrew districts in 2022.

The Senate plan creates one new majority-Black district each in DeSoto County and the Hattiesburg area, with no incumbent senator in either district. To account for this, the plan also pits two incumbents against each other in northwest Mississippi. 

READ MORE: See the proposed new Mississippi legislative districts here.

The proposal puts Sen. Michael McLendon, a Republican from Hernando, who is white, and Sen. Reginald Jackson, a Democrat from Marks, who is Black, in the same district. The redrawn district contains a Black voting-age population of 52.4% and includes portions of DeSoto, Tunica, Quitman and Coahoma counties. 

McLendon has vehemently opposed the plan, said the process for drawing a new map wasn’t transparent and said Senate leaders selectively drew certain districts to protect senators who are key allies. 

McLendon proposed an alternative map for the DeSoto County area and is frustrated that Senate leaders did not run analytical tests on it like they did on the plan the Senate leadership proposed. 

“I would love to have my map vetted along with the other map to compare apples to apples,” McLendon said. “I would love for someone to say, ‘No, it’s not good’ or ‘Yes, it passes muster.’”

Kirby said McLendon’s assertions are not factual and he only tried to “protect all the senators” he could. 

The Senate plan has also drawn criticism from some House members and from DeSoto County leaders. 

Rep. Dan Eubanks, a Republican from Walls, said he was concerned with the large geographical size of the revised northwest district and believes a Senator would be unable to represent the area adequately.

“Let’s say somebody down further into that district gets elected, DeSoto County is worried it won’t get the representation it wants,” Eubanks said. “And if somebody gets elected in DeSoto County, the Delta is worried that it won’t get the representation it wants and needs.”

The DeSoto County Board of Supervisors on Tuesday published a statement on social media saying it had hired outside counsel to pursue legal options related to the Senate redistricting plan. 

Robert Foster, a former House member and current DeSoto County supervisor, declined comment on what the board intended to do. Still, he said several citizens and business leaders in DeSoto County were unhappy with the Senate plan. 

House Elections Chairman Noah Sanford, a Republican from Collins, presented the Senate plan on the House floor and said he opposed it because Senate leaders did not listen to his concerns over how it redrew Senate districts in Covington County, his home district. 

“They had no interest in talking to me, they had no interest in hearing my concerns about my county whatsoever, and I’m the one expected to present it,” Sanford said. “Now that is a lack of professional courtesy, and it’s a lack of personal respect to me.” 

Kirby said House leaders were responsible for redrawing the House plan and Senate leaders were responsible for redrawing the Senate districts, which has historically been the custom. 

“I had to do what was best for the Senate and what I thought was pass the court,” Kirby said. 

The court ordered the Legislature to tweak only one House district, so it had fewer objections among lawmakers. Legislators voted to redraw five districts in north Mississippi and made the House district in Chickasaw County a majority-Black district. 

Under the legislation, the qualifying period for new elections would run from May 19 to May 30. The primaries would be held on August 5, with a potential primary runoff on Sept. 2 and the general election on Nov, 4.

It’s unclear when the federal panel will review the maps, but it ordered attorneys representing the state to notify them once the lawmakers had proposed a new map. 

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

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