Currently Mississippi’s Department of Mental Health and the U.S. Department of Justice are engaged in a huge civil lawsuit over mental health policy in our state. Mississippi has for too long relied on mass institutionalization rather than decentralized community-based treatment plans. Effective crisis response teams are one of the key aspects of this lawsuit, with the feds pushing our state to do more. After losing yet again, Mississippi is appealing.
The irony is that Mississippi could actually save tens, maybe hundreds of millions of dollars annually by complying with the federal lawsuit. The Mississippi Department of Mental Health has a budget of about $600 million a year. It employs thousands of people, more than any other state agency. Most of these employees work for six large statewide and regional mental health institutions.
The federal lawsuit seeks to move treatment for mental illness from large facilities to community-based facilities. This treatment has proven to be far more effective and humane for mentally ill people. Treating locally leads to quick recoveries and reduces stress to mentally ill individuals. Institutionalization far too often leads to a “lock ’em up and throw away the key” mentality, producing a lifetime of institutionalization, which is expensive to the state and destructive to the individuals. In addition, locally based treatment can be funded through Medicaid and other federal programs, shifting the cost from the state to the feds. This is good for Mississippi taxpayers.
Community-based mental health treatment is better for patients and taxpayers. So why is the Mississippi Attorney General’s Office appealing this lawsuit? Why doesn’t the Department of Mental Health get with the program and shift resources away from institutionalization and toward community-based treatment?
