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Mississippi Department of Mental Health

Bureau of Behavioral Health Services

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Brent Hurley Dr. Mallory Malkin

Bureau Director Chief Clinical Officer

DMH Funded Children and Youth Services

• Responsive to a child/youth’s multidimensional dynamic needs
• Main goal is to reduce inpatient psychiatric care admissions and promote successful transitions from inpatient places back to their respective communities with supports/resources in place
• Plays a pivotal role in care coordination across mental health system (e.g., local school, CPS, Chancery Court, Youth Court, crisis response, substance use services, etc.).
• Enable and Support children/youth to function in their least restrictive, most natural community environment, increase independence and improve overall quality of life

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• Regions currently operating ICSS for children and youth
• 1, 2, 3, 6, 7, 8, 11, and 12

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• SB 2865
• Additional 6 Intensive Community Support Specialists for children and adolescents at CMHCs ($315,000 per year)
• Plan to expand this services to Regions 4, 9, 10, 14, and 15

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ICSS

• Provide detained youth in juvenile detention centers through MS with behavioral and mental health services
• assessments, screening, therapy, connections to community resources while in detention and at least 6 months following discharge
• Focused on maintaining psychologically stability while in detention and support successful transition back to their home, school, and community.
• Regions currently operating Juvenile Outreach Programs (JOP)
• 3, 4, 6, 7, 8, 9, 10, 11, 12, 14 and 15

JOP

Juvenile Outreach Programs

• SB 2865
• Re-initiating AOPs throughout the state in FY23
• AOP developed at each of the 13 CMHCs ($2,600,000 per year)
• AOPs utilize a day treatment model and evidenced based curriculum for juvenile offenders (SPARCS)
• Youth court judges will be able to utilize AOPs as an alternative to court-ordered juvenile detention
• AOPs target youth ages 12 to 18 years old who have:
• Committed non-violent crimes, misdemeanors or status offenses (e.g., curfew violations, truancy)
• Suspected of or diagnosed with a mental health or substance use diagnosis
• Youth participating in AOPs receive individual therapy, family therapy, & Community Support Services.

AOP

Adolescent Offender Programs

• AOP model
• At least 4 but no more than 10 youth in the program
• A licensed or DMH credentialed master’s level therapist is required
• An assistant with at least a high school diploma or GED
• Operates at least two days per week for 2 hours each day up to 5 days a week for 5 hours a day.
• Length of the program is determined at the discretion of the judge and/or when identified goals in the Individual Service Plan are achieved. (typical length of stay averages 9 months)

AOP

Adolescent Offender Programs

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• Region 12 is currently operating the only Youth Mental Health Court in the state

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• At least 75% of youth in the juvenile justice system have an underlying mental health need or challenge. 

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• Youth Mental Health Courts are a path to accessibility of mental health services for youth entering or involved in the juvenile justice system. 

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• Mental health needs for the youth and family are identified in court and referrals to needed services are able to be made instantaneously.  

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• Youth Mental Health Courts work to decriminalize mental illness in youth, destigmatize juvenile justice interactions, and create trauma-informed courts for youth involved in the juvenile justice system.   

Youth Mental Health Court

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• 2 Children’s CSUs
• Ruth Wilson CSU operated by Hinds Behavioral Health (Region 9)
• Methodist Children’s Home (Jackson, MS)
• Both accept children and youth under 18 years old

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• Provides psychiatric supervision, nursing services, structured therapeutic activities and intensive psychotherapy (individual, family and/or group) to youth who are experiencing a period of acute psychiatric distress which severely impairs their ability to cope with normal life circumstances.

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• Crisis Stabilization Services are designed to prevent civil commitment and/or longer-term inpatient psychiatric hospitalization by addressing acute symptoms, distress, and further decompensation.   

CSUs

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• An evidence-based, coordinated specialty care treatment approach for youth and young adults, ages 15-30, experiencing  First Episode Psychosis

• The NAVIGATE team includes the following:
• Team Leader, Prescriber, Individual Resiliency Trainer, Family Education Clinician, Supported Employment and Education Specialist and Case Manager. 

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• Services are provided both in the community & in a clinic setting to assist the youth/young adult and their family in managing the challenges associated with disorders of psychosis

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• Provide education, treatment, and support to help the youth/young adult keep their life on track and prevent the need for inpatient or acute care.

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• Regions 2, 4, 6, 7, 8, 9, 14 and 15 currently operate NAVIGATE programs

• Provide youth/young adults with Severe Emotional Disturbances (SED) and other high-risk factors with the services and resources necessary to become independent and productively engaged in the community.
• Ages 14-21 years

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• The goals of TOP include:
• providing access to services and supports specific to this population
• increasing the ability to obtain independent living and interpersonal skills
• assisting with the achievement of educational and/or employment goals. 

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• DMH certifies 3 programs in MS: Meridian, Hattiesburg, and on the Coast

TOP

Transitional Outreach Programs

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• Wraparound Facilitation Training and Coaching
• The University of Southern Mississippi (USM) works in collaboration with the Department of Mental Health and the Division of Medicaid to train, support, and sustain high-fidelity Wraparound Facilitation (WF) in Mississippi through the Mississippi Wraparound Institute (MWI) located on the campus of USM. 

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• The staff at MWI provides training and coaching to DMH certified providers of Wraparound Facilitation, outreach and education through affiliation with conferences, and assistance to community stakeholders and families in learning how to strengthen communities. 

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• MAP Teams serve children and youth (up to 21 years of age) with serious emotional/behavioral disorders or serious mental illness who are at-risk for entering an inpatient hospital or facility due to lack of availability of services and supports. 

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• MAP Teams also serve those children/youth who are returning to their home/community from an inpatient acute psychiatric hospital or psychiatric residential treatment facility. 
• Each local level MAP team includes representatives from the local schools, the Community Mental Health Center, Child Protection Services, the local Department of Health, the local Department of Vocational Rehabilitation, a parent/caregiver, and therapist providing services in the Juvenile Outreach Program. 
• Every county in the state of Mississippi has access to a local level MAP Team. 

Multidisciplinary Assessment and Planning (MAP) Teams

State Operated Programs�

Mississippi State Hospital

- Oak Circle Center

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Oak Circle Center is a diagnostic evaluation and short-term treatment unit for children and adolescents between the ages of 4 years and 17 years-11 months. 

This unit consists of five wards: two for adolescent males, two for adolescent females and one for young children.  

Specialized services are provided for children and adolescents who may have impaired emotional, social, psychological or academic functioning. 

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*Must have Commitment Order to be placed and treated at Oak Circle Center

State Operated Programs�

Specialized Treatment Facility (STF)

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STF provides psychiatric residential services for Mississippi adolescents who have a mental health diagnosis. Care is centered around evidence-based or best practice models. Adolescents eligible for admission are between the ages of 13 and 18 who present with a diagnosable disorder and need psychiatric residential services. STF also provides an alcohol and drug prevention program.

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Roger A. McMurtry School on site. The school serves 9^th – 12^th grade and a General Education Diploma Program.  

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*Must have Commitment Order to be placed and treated at STF

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Dr. Mallory Malkin

Chief Clinical Officer

Bureau of Behavioral Health Services

Mallory.Malkin@dmh.ms.gov

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Brent Hurley

Bureau Director

Bureau of Behavioral Health Services

Brent.Hurley@dmh.ms.gov

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Lynda Stewart

Director of the Division of Children and Youth Community Mental Health Services

Bureau of Behavioral Health Services

Lynda.Stewart@dmh.ms.gov