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Patients, advocates worry more people will end up in jail or without treatment following St. Dominic behavioral health closure

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Julie Whitehead of Brandon is a longtime patient of St. Dominic’s behavioral health services. After being admitted to the hospital following a suicide attempt in 2006, Whitehead was diagnosed with bipolar disorder.

She was admitted again six times over the next 15 years.

“Each one of those times, if I had not been admitted to St. D, I would be dead,” Whitehead said.

So when she heard the news the 83-bed unit was closing last week, she took it hard.

She has always considered herself lucky – she works part time and has Medicare and private insurance through her husband.

“I have resources. I’m not in the fix that a lot of people are in who suffer from mental illness. I’m not dependent on Medicaid and trying to find doctors who will take Medicaid, so I’m never worried about getting care,” she said.

But when St. Dominic’s announced the closure, her perspective changed.

“I’ve just kind of been in shock because if the beds aren’t there, it doesn’t matter whether I can pay for it or not …” she said.

The unit had been providing inpatient mental health and geriatric psychiatric treatment. But the nonprofit hospital, citing “significant financial challenges” and losses of several million dollars, announced it was discontinuing the services and laying off 5.5% of its total workforce earlier this month.

The hospital’s most recent available tax filing for the fiscal year ending June 2021 showed a loss of $21.7 million for the prior year. That year’s tax filing showed a gain but coincided with hospitals receiving an influx of federal COVID-19 aid.

Hinds County Sheriff Tyree Jones listens to opinions on possible crime deterrents during a Violent Crime Prevention Summit held at the Two Mississippi Museums, Thursday, Jan. 5, 2023 in Jackson. Credit: Vickie D. King/Mississippi Today

Advocates and law enforcement worry that as a result of the closure, more people in the Jackson area who need treatment will end up in jails or without the help they need.

Hinds County Sheriff Tyree Jones called the move “disappointing” in a tweet.

“Jails across our state and America are populated with ‘patients’ suffering from mental illnesses. Sheriffs and wardens assume the responsibility of these individuals when in reality, SOME of them should not be in jail but rather a treatment institution,” he wrote. “The risks will increase.”

A spokesperson for St. Dominic said the hospital recognizes mental health is “a significant need.”

“While continuing to meet these needs directly is no longer viable for St. Dominic’s, we are working with partners to help patients access the care they need,” Meredith Bailess said in an emailed statement. “Our health system will continue to advocate for additional state and federal resources to stabilize healthcare providers in Mississippi.”

Although the Mississippi State Hospital opened 20 adult psychiatric beds earlier this year that had been closed due to staffing issues, reliance on the state-funded hospital is no longer a viable option as jailed suspects wait weeks and even months for an available bed for a mental health evaluation. Bed availability at the University of Mississippi Medical Center in Jackson is limited, with only 21 adult beds and 12 beds for children.

Hinds Behavioral Health Services is one of 14 regional community mental health centers in Mississippi. The goal of the centers is to provide services to citizens with mental health issues and, when possible, keep people out of institutions.

The center runs a 24/7 mobile crisis unit that responds to people in crisis and attempts to stabilize them.

However, of the 1,196 people the unit came in contact with over the last year, 643 of those required a higher level of care, or admission to an inpatient facility, according to Jamie Evans, the supervisor for the mobile crisis unit at Hinds Behavioral Health Services.

When that happens, there are two options in the metro area for those people to go and immediately receive care: St. Dominic and Merit Health Central. The other options, which are referred to as a “single point-of-entry,” is the 16-bed crisis stabilization unit in Jackson. Another is the unit in Brookhaven, about an hour drive from Jackson.

Crisis stabilization units are short-term residential treatment facilities run by community health centers where people having a mental health crisis can be stabilized.

Single point-of-entry locations have memorandums of understanding with the community health center, and patients are able to bypass emergency rooms and be immediately admitted for care.

“It’s almost as if even if they are full, they secure beds on the side for us, because we’re meeting an individual in crisis, in one of the most vulnerable points in their mental health,” said Evans, explaining the relationship between Hinds Behavioral Health Services and single points of entry. “It’s very fast paced, and we really don’t have time to sit in the ER and wait for a doctor to see them.”

Now, however, the only single point-of-entry option besides the crisis stabilization unit in Jackson is Merit Health Central, which houses around 70 psychiatric beds, according to Evans. 

St. Dominic Hospital Behavioral Health Services in Jackson, Miss., Friday, June 9, 2023. Credit: Eric Shelton/Mississippi Today

The services’ closure, which Hinds Behavioral Health Services learned about at the same time the hospital made its public announcement, will leave a substantial gap, Evans and other mental health advocates agreed.

“There will be a huge impact to the systems, especially the elderly and those that find themselves in a crisis situation,” said Angela Ladner, executive director of the Mississippi Psychiatric Association.

She also said the speed at which the closure is happening is “disconcerting.”

In worse-case scenarios, mentally ill people with nowhere to go can end up in jail – unregulated facilities that are detrimental to people going through a mental health crisis.

In an attempt to minimize that practice, the Legislature this year passed House Bill 1222, which required mental health training for law enforcement agencies.

The hospital, which was purchased by the Baton Rouge-based Franciscan Missionaries of Our Lady Health System in 2019, announced the unit was closing on June 5 and would stop accepting patients at 7 a.m. the next day.

In the meantime, Evans and other advocates say they will work together to find a way to bridge the gap. Hinds Behavioral Health Services received funding to open a second, 16-bed crisis stabilization unit in Hinds County, but that won’t happen immediately.

Whitehead says her next steps are to collect a “portable” version of her more-than-a-decade worth of medical records to take with her wherever she lands next.

She guesses the only other thing she can do is “do my best to stay stable.”

Correction 6/14/23: This story has been updated to reflect that there is also a crisis stabilization unit in Jackson.

Editor’s note: Julie Whitehead freelanced for the Mississippi Center for Investigative Reporting, which is now part of Mississippi Today.

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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Mississippi Today

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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Mississippi Today

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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