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‘Bringing mental health into the spaces where moms already are’: UMMC program takes off

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mississippitoday.org – Sophia Paffenroth – 2024-12-23 06:00:00

A program aimed at increasing access to mental health services for mothers has taken off at the University of Mississippi Medical Center. 

The program, called CHAMP4Moms, is an extension of an existing program called CHAMP – which stands for Child Access to Mental Health and Psychiatry. The goal is to make it easier for moms to reach mental health resources during a phase when some may need it the most and have the least time. 

CHAMP4Moms offers a direct phone line that health providers can call if they are caring for a pregnant woman or new mother they believe may have unaddressed mental health issues. On the line, health providers can speak directly to a reproductive psychiatrist who can guide them on how to screen, diagnose and treat mothers. That means that moms don’t have to go out of their way to find a psychiatrist, and health care providers who don’t have extensive training in psychiatry can still help these women. 

“Basically, we’re trying to bring mental health into the spaces where moms already are,” explained Calandrea Taylor, the program manager. “Because of the low workforce that we have in the state, it’s a lot to try to fill the state with mental health providers. But what we do is bring the mental health practice to you and where mothers are. And we’re hoping that that reduces stigma.”

Launched in 2023, the program has had a slow lift off, Taylor said. But the phone line is up and running, as the team continues to make additions to the program – including a website with resources that Taylor expects will go live next year. 

To fill the role of medical director, UMMC brought in a California-based reproductive psychiatrist, Dr. Emily Dossett. Dossett, who grew up in Mississippi and still has family in the state, says it has been rewarding to come full circle and serve her home state – which suffers a dearth of mental health providers and has no reproductive psychiatrists

“I love it. It’s really satisfying to take the experience I’ve been able to pull together over the past 20 years practicing medicine and then apply it to a place I love,” Dossett said. “I feel like I understand the people I work with, I relate to them, I like hearing where they’re from and being able to picture it … That piece of it has really been very much a joy.”

As medical director, Dossett is able to educate maternal health providers on mental health issues. But she’s also an affiliate professor at UMMC, which she says allows her to train up the next generation of psychiatrists on the importance of maternal and reproductive psychiatry – an often-overlooked aspect in the field. 

If people think of reproductive mental health at all, they likely think of postpartum depression, Dossett said. But reproductive psychiatry is far more encompassing than just the postpartum time period – and includes many more conditions than just depression. 

“Most reproductive psychiatrists work with pregnant and postpartum people, but there’s also work to be done around people who have issues connected to their menstrual cycle or perimenopause,” she explained. “… There’s depression, certainly. But we actually see more anxiety, which comes in lots of different forms – it can be panic disorder, general anxiety, OCD.”

Tackling mental health in this population doesn’t just improve people’s quality of life. It can be lifesaving – and has the potential to mitigate some of the state’s worst health metrics.

Mental health disorders are the leading cause of pregnancy-related death, which is defined by the Centers for Disease Control as any death up to a year postpartum that is caused by or worsened by pregnancy. 

In Mississippi, 80% of pregnancy-related deaths between 2016 and 2020 were deemed preventable, according to the latest Mississippi Maternal Mortality Report.

Mississippi is not alone in this, Dossett said. Historically, mental health has not been taken seriously in the western world, for a number of reasons – including stigma and a somewhat arbitrary division between mind and body, Dossett explained.

“You see commercials on TV of happy pregnant ladies. You see magazines of celebrities and their baby bumps, and everybody is super happy. And so, if you don’t feel that way, there’s this tremendous amount of shame … But another part of it is medicine and the way that our health system is set up, it’s just classically divided between physical and mental health.”

Dossett encourages women to tell their doctor about any challenges they’re facing – even if they seem normal.

“There are a lot of people who have significant symptoms, but they think it’s normal,” Dossett said. “They don’t know that there’s a difference between the sort of normal adjustment that people have after having a baby – and it is a huge adjustment – and symptoms that get in the way of their ability to connect or bond with the baby, or their ability to eat or sleep, or take care of their other children or eventually go to work.”

She also encourages health care providers to develop a basic understanding of mental health issues and to ask patients questions about their mood, thoughts and feelings. 

CHAMP4Moms is a resource Dossett hopes providers will take advantage of – but she also hopes they will shape and inform the program in its inaugural year. 

“We’re available, we’re open for calls, we’re open for feedback and suggestions, we’re open for collaboration,” she said. “We want this to be something that can hopefully really move the needle on perinatal mental health and substance use in the state – and I think it can.”

Providers can call the CHAMP main line at 601-984-2080 for resources and referral options throughout the state. 

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

Mississippi Today

On this day in 1848

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mississippitoday.org – Jerry Mitchell – 2025-02-15 07:00:00

Feb. 15, 1848

Like the Black children shown in this engraving from the Anti-Slavery Almanac in Boston, Sarah Roberts was denied entrance to school because of the color of her skin. Credit: Public Domain

Sarah Roberts, a 5-year-old Black American, entered an all-white school in Boston, only to be turned away. She wound up entering four more white schools, and each time she was shown the door. And so she found herself walking from home, passing five all-white schools on the way to an all-black school the city of Boston was forcing her to attend. 

This angered her father, Benjamin, one of the nation’s first Black American printers, and he sued the city. Robert Morris, one of the nation’s first Black lawyers, took up the case. 

“Any child unlawfully excluded from public school shall recover damages therefore against the city or town by which such public instruction is supported,” Morris wrote. 

He and co-counsel Charles Sumner argued that the Constitution of Massachusetts held all are equal before the law, regardless of race, and that the laws creating public schools made no distinctions. 

Sumner wrote, “Prejudice is the child of ignorance … sure to prevail where people do not know each other.” 

In 1850, the Massachusetts Supreme Judicial Court upheld the racial segregation of public schools. The attorneys brought the issue to state lawmakers. In 1855, the Commonwealth of Massachusetts banned segregated schools — the first law barring segregated schools in the U.S.

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

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State, MS Power extend life of coal unit to energize data centers

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mississippitoday.org – Alex Rozier – 2025-02-14 14:53:00

Last week, the state Public Service Commission unanimously approved a special contract that will extend the life of a Mississippi Power coal unit in order to meet energy demands for a recently announced data center project in Meridian.

Mississippi Public Service Central District Commissioner De’Keither Stamps, discusses current agency operations across the state during an interview at district headquarters, Friday, Feb. 23, 2024, in Jackson. Credit: Vickie D. King/Mississippi Today

Gov. Tate Reeves announced last month a $10 billion investment from Compass Datacenters. The Dallas-based company will build eight centers, and in exchange will receive multiple tax exemptions, Mississippi Today reported. The project will be located within the Mississippi Power service area. The utility, a subsidiary of Southern Company, serves 192,000 customers in the southern and eastern parts of the state.

Following a 2020 directive from the PSC to get rid of excess generation capacity, Mississippi Power initially planned to close the two coal-powered units at Plant Victor J. Daniel — in Jackson County, about 10 miles north of Moss Point — by 2027. In 2023, though, the utility pushed the retirement date back a year in order to support demand needs for its sibling company, Georgia Power, Grist reported.

Then on Jan. 9, Mississippi Power informed the PSC that, in order to power the Compass Datacenter facilities, it would have to delay closure of at least one of the coal units, as well as “potentially other fossil steam units,” until the mid-2030s.

Central District Public Service Commissioner De’Keither Stamps told Mississippi Today that the PSC’s job is to meet demand, and that until Mississippi Power has the option to include nuclear power in its arsenal, “we’re going to need all the power we can get in that service area.”

“We can’t stop economic development because we’ve got to wait, you know, 15 years for some nuclear power in the service area,” Stamps said.

Sen. Jeremy England, R-Vancleave.
Sen. Jeremy England, R-Vancleave. Credit: Mississippi State Senate

Throughout the last couple decades, the country has moved away from coal as an energy source because of its contribution to global warming but also because of air and water pollution associated with coal-burning facilities. A 2023 study from George Mason University, the University of Texas and Harvard University found that exposure to fine particulate pollutants known as PM2.5 from coal plants contributed to 460,000 deaths around the country between 1999 and 2020, twice the mortality rate of PM2.5 exposure from other sources.

Sen. Jeremy England, R-Vancleave, whose district includes Plant Daniel, called the facility a “fixture of our community” because of the jobs and tax revenue it provides. He said he wasn’t aware of any health concerns related to air emissions from the plant.

“I don’t hear from any constituents that say, ‘Hey, we don’t want this here,’” England said.

England added that Plant Daniel retiring units could potentially hurt its tax assessment, meaning less revenue for public needs like the local school district. He also pointed to emission “scrubbers” that Plant Daniel and other coal facilities have added in recent years. The same 2023 study found that scrubbers have dramatically decreased sulfur dioxide emissions as well as air pollution-related deaths.

In addition to Compass Datacenters, Mississippi Power also entered into a special contract to supply power for a plywood manufacturer, owned by Hood Industries, in Beaumont, Mississippi.

The two deals, a spokesperson for Mississippi Power said, necessitate keeping the coal and other units set for retirement alive.

“We are committed to keeping the Mississippi Public Service Commission and our customers up to date and will present additional details in our upcoming 2025 Mid-Point Supply-Side Update,” spokesperson Jeff Shepard said via email. “These incredible economic development projects will create a significant number of jobs and bring billions of dollars of investment to southeast Mississippi.”

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

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Legislation to license midwifery clears another hurdle

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mississippitoday.org – Sophia Paffenroth – 2025-02-14 12:06:00

A bill that would establish a clear pathway for Mississippians seeking to become professional midwives passed the House after dying in committee several years in a row. 

“Midwives play an important role in our state, especially in areas where maternal health care is scarce,” said Rep. Dana McLean, R-Columbus and author of the bill. “I’m happy that House Bill 927 passed the House yesterday and urge our senators to join us in passing this much-needed legislation.”  

Despite the legislation imposing regulations on the profession and mandating formalized training, many midwives have voiced their support of the bill. They say it will help them care more holistically for women and allow them new privileges like the ability to administer certain labor medications – and will open the door to insurance reimbursement in the future. 

“We have so few midwives integrated in the system and so few midwives practicing in the state,” explained Amanda Smith, a midwife in Hattiesburg who went out of state to receive her professional midwifery license. “We believe that licensure really will help create a clear pathway so people know exactly how to become a midwife in Mississippi.”

It isn’t guaranteed that the bill would make midwifery more accessible to low-income women. But licensure makes it more likely. 

Currently, neither Medicaid nor private insurance reimburse for unlicensed midwifery services. Licensing professional midwifery wouldn’t necessarily mean that insurance companies would immediately start reimbursing for the services, but it’s the only way they might. 

A new federal program is seeking to make midwifery reimbursable by Medicaid. 

Mississippi is one of 15 states chosen by the federal government to participate in a new grant program called the Transforming Maternal Health Model, which began in January 2025 and will work to expand access and reimbursement for services – including licensed midwifery. 

The bill has historically faced opposition both from those who think it does too much, as well as those who think it does too little. 

To those who think it overregulates the profession, McLean says her loyalty lies with her constituents and making sure they have the most transparency when seeking birth options. Currently, anyone can operate under the title midwife in the state of Mississippi – with no required standard of training. 

“We are legitimizing (professional midwifery) … As a legislator, it’s my duty to try to protect the citizens of Mississippi,” McLean said. “And by putting this legislation forward, it helps to inform those clients that would want the services of a midwife but don’t know how to choose.”

As for those who think it does too little, McLean says the bill would leave the details up to a board – established by the bill and made up mostly of midwives – who would be able to decide requirements for professional midwifery better than a room full of lawmakers. 

“There’s a lot of men in here that know a lot about birthing babies,” McLean said during a lively floor debate Thursday.

The bill now advances to the Senate. 

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

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