Jackson Free Press

Community stakeholders sent a letter to lawmakers on the Health Budget Review Committee asking them to take several steps in working to reform the state's mental healthcare system and focus more community-based mental healthcare.

The letter is reproduced in full below:

Dear Members of the Legislative Mental Health Tax and Budget Review Committee:

We, the undersigned stakeholders, appreciate the concern you have shown by your close examination of the state's mental health budget. But we fear that you and the legislature are ignoring a much more fundamental and dire issue, and what is actually the real problem: Our State's mental health system is antiquated and costly, both in dollars but even more in human lives.

Because our system overly relies on expensive institutional care in state hospitals and other long term care facilities, Mississippi has not developed to scale the types of services in the community that we know will most help people. As a result, many people are torn away from their families and communities. That is unfair to them and violates their basic civil rights. It also deprives us of benefiting from their presence and their contributions. And perhaps most importantly in your examination of the mental health budget, this over reliance on institutional care is why Mississippi is being sued by the Justice Department. In fact, the DOJ has actively promoted community-based services as a means of preventing the needless isolated institutionalization of people with mental illness.

With early and effective intervention, almost all adults and children with mental illnesses can and want to be part of their families, meaningfully contribute to their communities, and work and/or go to school, outside of institutions. It is alarming to us that your budget discussions have started with the assumption that mental health care is best delivered through institutions. That assumption is not true. It is also harmful. You as legislators are in a unique position to transform our mental health system and bring it into the 21st century.

These are some steps that we strongly urge you to take:

• Meet directly with your constituents with mental illness and their families and ask them about their experiences with the mental health system and what would help them live productive lives. We encourage you to hold public hearings throughout the state.

• Visit the Community Mental Health Centers and mental health nonprofits in your district and find out what support they need to deliver these kinds of services. Find out how effectively the money you appropriated is being spent and what support mental health centers need to maximize the impact of the funds.

• Reach out to your counterparts in other states that have transitioned to an effective community-based system to learn how they did it. New Hampshire, Delaware and Georgia are recent examples.

• Partner with the consumer and family organizations that represent people with mental illness. They can and are willing to provide you data, help you gather feedback and …

Mississippi received a $647,461 federal grant aimed at reducing recidivism by addressing untreated co-occurring substance use and mental health disorders in offenders under community supervision.

The Departments of Corrections and Mental Health will partner up to administer the program. The Second Chance Act Reentry Program for Adults with Co-Occurring Substance Use and Mental Disorders will start on Oct. 1 and run for three years.

“Our state is in dire need of programs that can offer ex-offenders a full continuum of integrated care that will improve their functioning and outcomes when they return to their communities,” MDOC Commissioner Marshall Fisher said in a press release. “Therefore, when the Department of Mental Health approached me about supporting its efforts to get this grant, I didn’t hesitate.”

There are 3,194 inmates receiving ongoing mental health treatment and about 15,000 have self-reported abusing alcohol and drugs, a press release from both departments said.

“We believe individuals with co-occurring mental illness and substance use disorders represent a group of people who have been under-identified and may have had difficulties accessing the services they need,” DMH Executive Director Diana Mikula said in a press release. “The Mississippi Second Chance Act Reentry Program will work to identify these needs and get people the services that can help them begin their recovery process.”

The grant allows the two departments to improve identification of inmates with co-occurring substance use and mental health disorders, provide training to staff, integrate individualized treatment plans and track participant outcomes.

The departments will use mental health assessments to determine individuals’ needs and collaborate to develop re-entry plans, including pre- and post-release treatment. Those treatment services will include cognitive-behavioral therapy, crisis intervention, and recovery support services such as housing, vocational, and educational services.

The program will start focusing on non-violent offenders returning to Hinds County. Current plans are to serve 90 individuals during the three-year pilot program in order to develop a program model that can be replicated statewide with the receipt of additional federal grant funding, the press release says. The program will require people under community supervision to participate in a minimum number of intensive outpatient therapeutic hours, based on their individual recidivism risk level.

“Through our collaboration with the Department of Corrections, we know there are a number of eligible individuals right here in Hinds County,” Mikula said in the press release. “We will be collaborating and using existing resources in the state mental health system to get these Mississippians the treatment and support services they need. I know that with all of us working together, we can create a better tomorrow for the people of our state.”

The Mississippi Department of Corrections plans to use the former Walnut Grove Correctional Facility site for other purposes, like alternative or re-entry programs, a press release from the department says.

Commissioner Marshall Fisher has mentioned the mental health of inmates as a pressing concern in his department at government working group meetings this month and MDOC has formed a partnership with the Mississippi Department of Mental Health.

“We do not intend for the Walnut Grove site to go unused,” Fisher said in the press release. “Just as we have formed a partnership with the Mississippi Department of Mental Health to assist us in supervising mentally ill inmates both inside and outside prison, we are strongly pursuing other ways to help inmates re-enter their communities in a meaningful way and remain out of prison.”

MDOC is refocusing its resources on rehabilitation, a press release from the department says. There are 3,194 inmates reported to have mental health diagnoses and about 15,000 reporting substance abuse, including drug and alcohol use.

The former prison could be used as a technical violation center, which was created under the comprehensive criminal justice reform legislation in 2014 as an alternative to incarceration. MDOC currently operates three such centers in Rankin, Leflore, and Simpson counties.

Walnut Grove closed late last week when MDOC moved the last prisoners to the state-run facilities. MDOC announced the closure on June 10, before the U.S. Bureau of Prisons announced that it would be phasing out its use of private prisons.

“MDOC’s decision to close Walnut Grove is in no way connected to the U.S. Department of Justice’s decision nor is the closure the result of any advocacy group’s ‘victory’,” Fisher said in the press release. “When the prison closed, significant improvements had been made under Management & Training Corporation, and juvenile offenders were no longer being housed there. We believe enough significant improvements had been made that the consent decree providing oversight was no longer needed.”

On Thursday, Republican and Democratic U.S. representatives introduced the "Supporting Youth Opportunity and Preventing Delinquency Act," in the U.S. House of Representatives. House Bill 5963 would update the Juvenile Justice and Delinquency Prevention Act of 1974, adding new language to encourage states, cities and reservations to utilize evidence-based programs that are "trauma informed" to help address juvenile crime in the country.

The bill lists several evidence-based programs "including delinquency prevention, intervention, mental health, behavioral health and substance abuse treatment, family services, and services for children exposed to violence." The bill would also change the definition of an "adult inmate" so it would not include a person who "at the time of the time of the offense, was younger than the maximum age at which a youth can be held in a juvenile facility under applicable State law."

House Bill 5963 would also require much more data collection on juvenile offenders than is currently required now. It would require the Administrator of the Office of Juvenile Justice and Delinquency Prevention to collect data on state and localities' use of restraint and seclusion, the number of juveniles released from custody and the type of living arrangements to which they were released, the number of juveniles whose offense originated on school grounds and the number of juveniles who are pregnant but in secure detention.

In a press release from the Education and Workforce Committee Democrats, principal author of the bill Rep. Carlos Curbelo (R-FL) said that the purpose of the bill was to help children born into circumstances outside of their control a better path forward.

"These bipartisan reforms will deliver state and local leaders the tools they need to help the most vulnerable kids in their communities put the past behind them and work toward a brighter future," Curbelo said in the press release. "I want to thank Ranking Member (Bobby) Scott (D-VA) for all he has done to move this issue forward and for working together to deliver these bipartisan reforms.”