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Mississippi moves from last to 33rd in developmental screenings of kids

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Mississippi moves from last to 33rd in developmental screenings of kids

For years, Mississippi children were more likely to miss out on early childhood development screenings than anywhere else in the country.

But after a $17-million federal grant and the work of a state health childhood development project, Mississippi’s early childhood screening rate shot up from dead-last to No. 33, according to ranking by the National Health Foundation. This means more children are receiving screenings designed to catch delays before they turn into serious problems later.

Dr. Susan Buttross, the University of Mississippi Medical Center’s director of the child development clinic, called it an unprecedented improvement.

“But we’re not done yet,” Buttross said.

Ultimately, most kids in Mississippi, and nationwide, still aren’t being screened.

Despite the end to the five years of federal funding that created the project to grow the number of early childhood screenings – dubbed Mississippi Thrive! – Buttross and her team are continuing their work as the Early Childhood Development Coalition. Buttross, the director of the coalition, said she’s garnered enough financial support to keep their work going while seeking more stable funding over the next year. 

“Many times when we get grant money to work on a project, the work is done in a sort of silo fashion,” Buttross said. “The grant goes away and the work stops. But one of the benefits with this project was that part of the project was to really collaborate and work with other entities in the state.” 

That means even with the official project over, the mission is still well alive. 
That level of collaboration the project fostered, Buttross said, is what led Mississippi from having only 17% of children undergo developmental screenings in 2016 to 34.1% in the most recent data set available. At that rate, Mississippi is less than a single percentage point away from the national average. 

“There is a great deal of data that shows children do better if they enter school healthy and ready to learn,” Buttross said. “The earlier you discover speech or language delay … and the earlier you correct them, the child is going to be way better off.” 

The “Thrive!” project was a joint effort between the University of Mississippi Medical Center and the Social Science Research Center at Mississippi State University to educate pediatricians, nurse practitioners, social workers, childcare providers and parents on the importance of developmental screenings and how to conduct them.

The screenings are most commonly done by pediatric physicians. Ideally, doctors are checking with parents at their babies’ 3, 18 and 30-month checkups. Physicians are working off a checklist of age-appropriate milestones from eye contact to leg kicks, according to Dr. Ruth Patterson, a pediatric specialist at UMMC in the coalition with Buttross. 

“A screening does not make a diagnosis,” Patterson said. “But it discerns if a child is at risk for a developmental delay.”

Often, speech delays are tied to hearing problems – but without the screening questions, a parent might not realize their child isn’t meeting the appropriate language benchmarks. 

Titanna Brown holds her daughter, 9-month-old Nova Brown, during a childhood development screening at the Batson Kids Clinic in Jackson, Miss., Tuesday, April 18, 2023.

During the five-year project, Buttross, Patterson and others created a hands-on pilot program to show how much working directly physicians could improve screening rates and outcomes. The pilot focused on 31 physicians in six clinics between Jackson and the Gulf Coast. 

The physicians who underwent that training improved their developmental screening rate to 85%. 

“We went directly to these primary care provider offices to make sure we provided them with tools and training,” Patterson said. “We know the capability is there if the providers are provided with the right support.” 

Some pediatricians in the state were trained years ago, and simply aren’t aware of the latest screening methods and tools.

Ideally, the screenings take place in a doctor’s office, said pediatric nurse practitioner Lauren Elliott. 

“But we have engaged across communities, in whatever circles parents are in, we are trying to engage them,” Elliott said. “We have them complete a questionnaire to give them an idea.”

If parents find their child isn’t meeting the benchmarks mentioned on the form, they’re more likely to get into a doctor’s office. But even those with the best intentions are likely to face barriers. 

In Mississippi, many children don’t have a primary care doctor. Some counties in the Delta don’t have a single pediatrician, and parents don’t have the means to travel far with their children for checkups. An urgent care or emergency room is handling a specific emergent health issue, not checking in on milestones. 

Even if a physician screens a child, it may be difficult to get a referral to a specialist.

White children, insured children, children from an English-speaking household, or a higher-income home are all more likely to be screened, according to the National Health Foundation.

In Mississippi, federally funded child care centers called Head Start centers fill some of those gaps, completing 30% of the state’s overall screenings despite comprising only 10% of the state’s childcare center, according to a 2021 study by the Children’s Foundation of Mississippi

Despite the five-year project concluding, much of the work is just starting, according to the coalition.  

The Legislature, Buttross said, allocated funds to support a fellowship to train early childhood specialists, something federal funds once covered. The $1.2 million appropriation to UMMC supported fellows who will graduate this June. The same funding was approved again this most recent session to train another eight fellows arriving in the coming academic year, though the bill has not yet been signed by the governor. 

The “Thrive!” website is still active and a trove of information for both parents and physicians with support from the state’s human services office. 

All positive steps, Buttross said, but not enough. 

“There has not been enough funding to our early intervention programs,” she said. “We fund it with far less dollars than any of the surrounding states.”

And it’s the children who lose out without early intervention. 

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

Mississippi Today

On this day in 1997

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mississippitoday.org – Jerry Mitchell – 2024-12-22 07:00:00

Dec. 22, 1997

Myrlie Evers and Reena Evers-Everette cheer the jury verdict of Feb. 5, 1994, when Byron De La Beckwith was found guilty of the 1963 murder of Mississippi NAACP leader Medgar Evers. Credit: AP/Rogelio Solis

The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers. 

In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.” 

He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.” 

The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.

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

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Medicaid expansion tracker approaches $1 billion loss for Mississippi

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mississippitoday.org – Bobby Harrison – 2024-12-22 06:00:00

About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.

The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.

Some who oppose Medicaid expansion say the digital tracker is flawed.

During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.

“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”

White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.

Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.

White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.

Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.

People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.

During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.

White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.

They are correct.

But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.

As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.

Some have speculated that Medicaid expansion also could be on Musk’s chopping block.

That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.

Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?

If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.

The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.

In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.

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

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On this day in 1911

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mississippitoday.org – Jerry Mitchell – 2024-12-21 07:00:00

Dec. 21, 1911

A colorized photograph of Josh Gibson, who was playing with the Homestead Grays Credit: Wikipedia

Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia. 

When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs. 

He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame. 

The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays. 

Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.

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

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