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Mississippi welfare funds wound up in a Ghanaian gold bar hoax, court filing alleges

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Mississippi welfare officials for years directed federal funds intended to serve the state's poorest residents to suspicious causes such as a university volleyball stadium, drug rehab for a former pro wrestler, a horse ranch for a former pro football player, and dozens of other things auditors have since flagged.

Text messages obtained by Mississippi Today and a new court filing reveal that the state's welfare funds may have been lost in another stunning plot: an African heiress gold bar scam.

For the majority of 2019, the federal welfare funds quietly flowed to a pharmaceutical startup with questionable financial prospects. The payments are one component of civil litigation the state is bringing against dozens of people or companies that misspent or improperly received welfare funds.

A pleading filed Dec. 12 in the alleges that the company's founder, a defendant in the case, turned around and sent at least some of that money to an investment group in Ghana, Africa, for a venture that he thought would make him rich but turned out to be a scam.

The founder estimates he lost no more than $30,000 in company funds during a time when the company was primarily funded by a welfare grant, though it's unclear how much of that amount may have originated from the federal funds. At that time, it would have taken a family of three 15 years to receive that much through the welfare program — a monthly check of $170 — which would have been impossible because the assistance maxes out after five years.

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A defense attorney for another defendant recounted painstaking details of the hoax in his lengthy court filing, which alleges former Gov. Phil Bryant was behind the welfare department's spending, including the intertwining of a drug manufacturing with a federally-funded anti-poverty initiative. Bryant has repeatedly denied directing any of the welfare spending in question.

Jake Vanlandingham, a neuroscientist from Florida, founded a pharmaceutical startup called Prevacus in 2012 with the idea of developing a drug to treat concussions. To build up the company, he brought on former NFL quarterback Brett Favre, who himself suffered from concussions and used his platform as a famous athlete to raise awareness about the issue.

Favre and Vanlandingham would later take the project to then-Gov. Bryant and then secure $2 million in welfare funds through an economic development partnership that Bryant has tried to distance himself from since arrests in early 2020.

But before all that, the scientist became involved with an inventor who appears to have led him into a movie-like investment scam.

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According to texts obtained by Mississippi Today, Vanlandingham began consulting with a man named Don Martin around 2017 to find additional funding and investors for Prevacus. Martin was based in Columbus, Ohio, and had his own concussion-related “smart helmet” venture.

He told Vanlandingham he was working on a deal with an investor named Daniella who owned land in Africa worth hundreds of millions that she was trying to sell to the government. Martin, now 71, told Mississippi Today last that he met the supposed investor, a wealthy heiress from Ghana, when she reached out to him on Facebook.

Simultaneously, Vanlandingham said he was working to secure patents in China, to which he said he owed hundreds of thousands of dollars.

Through 2018, Martin had promised to secure an investment of $1 million out of the Ghana deal for Prevacus. That prospect, however far-fetched, was enticing to Vanlandingham, who said he needed the money to leverage an additional $2 million from the U.S. Department of Defense.

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But after months of stringing the scientist along, Martin finally told Vanlandingham he would have to first put up $25,000 to help pay for a “geological analysis” for the land that Martin said his overseas investor required.

Vanlandingham tried to find the money, but the scientist's contacts had dried up and he was experiencing deep personal financial problems, according to the texts. He was forced to sell his family's home to pay the taxes for Prevacus, he said, and ask his mom for a loan to get into a rental. Martin tried to put him at ease by saying things like, “I know what we are doing is pleasing to God.”

Vanlandingham tried to get Favre to secure the $25,000 through an investment in Prevacus from one of his fellow professional athletes, but they wouldn't bite.

Then Favre suggested they ask the then-Mississippi governor for help and offer him stock in the company. Bryant bit. The met with several others for dinner in Jackson at Walker's Drive-In in late December of 2018.

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Days later on Jan. 2, 2019, the scientist and Favre met with then-welfare agency director John Davis and nonprofit operator Nancy New. There, they struck a deal — which Bryant denies facilitating — to push $1.7 million in federal welfare grant funds to Prevacus.

“Davis conferred with Bryant concerning using MDHS grant funds to benefit Prevacus,” alleges the court document filed Dec. 12 on behalf of New's nonprofit Mississippi Community Education Center. “Bryant, Davis, and other MDHS Executives directed, approved, facilitated, and furthered the use of MDHS grant funds … to benefit Prevacus.”

Bryant, who is suing Mississippi Today for defamation and has sent threats to the news outlet for continuing to report this story, declined through an attorney to answer questions about this story or respond to allegations in the latest court filing.

The concept was for Prevacus to locate its clinical trial site and eventually the drug manufacturing plant at Tradition, a real estate development and medical corridor on the Mississippi Gulf Coast. Bryant would later become vice president of the venture, and the developer, Joe Canizaro, said he paid Bryant on retainer for consulting services for years after he left office.

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The grant money for Prevacus didn't come through instantaneously. “Is the grant submitted now? Have you been pre-approved? Are you confident funds will be within 48 hours?” Martin texted anxiously. “I need to update the attorneys.”

Vanlandingham assured Martin he'd secured the grant from Mississippi and the money was on its way. Martin said he was at peace “Knowing all is good and the communication with the grant lady is specific to distribution date.”

Vanlandingham had held Martin off for months as the hopeful inventor badgered Vanlandingham for some portion of the $25,000. But once Prevacus' first payment of $750,000 in Mississippi welfare money came in mid-January 2019, Vanlandingham almost immediately wired an unspecified amount to Martin's company ACTEX, texts show. “Wire sent your way. Make us proud,” Vanlandingham texted Martin on Jan. 23, 2019.

Vanlandingham texted another public official, Leonard Bentz, the director of South Mississippi Planning & Development District, formerly an elected public service commissioner for the southern district, who was at the meeting with Bryant in December.

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“Hey brother lots of good stuff happening for us. 1.95M with the Governors help. We are excited. Good time to get investors!!!” Vanlandingham wrote in a never-before-published text. Bentz did not respond to this text. While he initially expressed enthusiasm about potentially finding funding for Prevacus at the Mississippi Development Authority, it wasn't too long until Bentz stopped responding to Vanladingham altogether. Bentz said he was unaware welfare agency grant funds were used on the venture.

“I don't think the governor and them have as much involvement as everybody's making it out to be,” Bentz told Mississippi Today last week. “It is what it is, if those people who were managing those funds didn't do right, then it sounds like the criminal justice system is going to get them for not doing right.”

Bentz added that if the concussion drug, which Prevacus has since sold to another company, ends up being legitimate, he still wants the manufacturing facility located in Mississippi. “Tell them we'd love to sit down with them,” he said.

For two weeks after Vanlandingham sent the funds to Martin, nothing happened until Martin explained “there is serious political unrest” in Ghana where his contact was located. He told Vanlandingham that Daniella was unsafe because there had been a rash of kidnappings of wealthy people in her region. Martin often discussed the plan to fly the wealthy heiress to the states, though he denied to Mississippi Today ever having a romantic relationship with the woman.

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“The plan is first focus to get her to me safe,” Martin texted.

A week or so later, Martin broke the news to Vanlandingham that Ghana Vice President Mahamudu Bawumia had been in a serious car accident that killed his driver — a story news outlets widely reported but was later debunked. Another two weeks later, Martin said Daniella was in critical with malaria and depression. “They say she may not make it,” Martin said.

Vanlandingham sent another wire. “Bless you Jake! Daniella is better thanks to your thoughtfulness,” Martin responded. A month later, Martin asked for another $500, because “the government did not accept” the initial payment.

“This is it for me,” Vanlandingham responded. “I'm worried shitless this is a scam. I have until April 9th to pay 300k to China.”

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By mid-April, Vanlandingham was saying, “I'm dead man … I owe 336k a week ago.”

But Martin had good news: their multi-million dollar payment was approved and ready to , they just needed “a legal permit to the holding bank” which the government required “to meet compliance on source of monies.”

They were just short $4,000. The same day, April 18, 2019, New's nonprofit sent Prevacus another $500,000.

The texts show Vanlandingham sent Martin another wire the next day. “Money cleared,” Martin texted, and Vanlandingham responded, “I'm counting on u brother.”

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When Favre asked Vanlandingham for an update on Prevacus' finances, the scientist responded, “Not much still pushing the African money.”

Then the attorney on the ground in Ghana who they were allegedly working with to close the deal asked for a $1,000 stipend. Martin relayed his message: “Please try your best and get me the 1k to survive on I have no one here.”

In mid-May, Prevacus received another $250,000 in Mississippi grant funds. About a week later, Martin offered more good news: he could increase his investment in Prevacus to $1.5 million “if you can wire $5k to me today or pay to accelerate.” Vanlandingham sent another wire.

“Man I'm stoked. … It's our time!!!” Vanlandingham texted. Then, after receiving no money four days later, “Yo, my brother. I'm dying!!!”

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Around the same time, the court filing shows that Vanlandingham was updating Prevacus investors about “clinical patient intake site at Tradition,” telling them, “A great deal of this has been funded with the help of folks in Mississippi including the Governor.”

In early June, Martin again told Vanlandingham they needed more money to close. Daniella had found two more parcels that the government wanted to add to the real estate deal, but Vanlandingham would have to put up another $8,000 in closing costs.

“What if we don't?” Vanlandingham asked. Martin responded, “Wow…if we don't then according to the attorney the government can get ugly and take the land.”

A few days later, Vanlandingham said he secured another investor and sent another wire to Martin. “Make us proud brother,” he texted.

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A couple weeks later, the story went that there was a hold up at the bank. While the attorney, who they called Steven, was trying to wire the money, “the Ghana Coalition against illegal small-scale mining came up to Steven seeing the wire was a great deal of money stopping to question him…holding him until yesterday.”

“A friend of the Minister and Steven's is putting up $17k for attorneys fees to clear Steven and release the wire,” Martin said.

Vanlandingham responded, “This sounds positive at some level?”

Now, Martin said, they needed to find an additional $18,000 to release the hold.

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Vanlandingham began researching what are called “4-1-9” fraud schemes and found an article on the website for the U.S. Embassy in Ghana describing a scenario eerily similar to what he was experiencing.

The website states, “The goal of the criminal is to delude the target into thinking that he is being drawn into a very lucrative, albeit questionable, arrangement.”

Vanlandingham texted Martin a link to the article, explaining that he'd been looking into this “fraud stuff” where “it's always ‘urgent' and there's always just ‘one more' payment.”

Martin, whom the Dec. 12 court filing described as “unflappable”, responded by acknowledging the existence of such schemes — “Yes – there is…Steven told me all about it” — but then appeared to try to distract from the issue by describing in detail an unrelated illegal mining operation.

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“…especially regarding the Chinese national at the heart of illegal mining in Ghana, … Nicknamed as the “galamsey queen”, … who was arraigned in Ghana in 2017 for engaging in illegal small-scale mining at Bepotenten in the Amansie Central District in the Ashanti Region, was later deported in December 2018 by the government,” Martin wrote.

A few days later, Vanlandingham began talking about involving the FBI “if this gets hung up much longer.”

When he suggested this to the lawyer in Ghana, Vanlandingham received the response, “You can report to FBI like you said am not scared sir am not a criminal if us every thing is for real you will regret thinking other wise.”

But the scientist proceeded with them earnestly. “Worse still, Martin had begun proposing unusual transactions,” the court filing reads. “For example, Martin told Vanlandingham that ‘[w]hen Steven wires to Prevacus $2k, you will wire back the $2k to same source he sent from then you will wire me 4500 … and I will wire him 4500 – closing same day.'”

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The deal was falling apart, but Martin said Daniella had a backup plan: “the gold bars her father gave her before he died she is trying to sell … she sent me a .”

“So to be clear as of now we are betting on selling gold bars for me just to get my money back?” Vanlandingham texted.

The same day, on July, 16, 2019, Favre texted Gov. Bryant about funding for another pharmaceutical product he said New had promised to support but had apparently dropped. “Hey Governor we are in a little bit of a crunch. … Jake can explain more but bottom line we need investors and need your direction.”

“Will get with Jake.. will help all I can,” Bryant responded.

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Also the same day, Prevacus received another $400,000 in Mississippi welfare money. New had told Vanlandingham, “I will need to let Brett know that we will need to pull this from what we were hoping to help him with [volleyball]….”

That evening, Favre Bryant. On his way, Favre texted Bryant, “I really need your help with Nancy and Jake. I'll be mowing your lawn for years after this!!”

“You my man… we are all in..” Bryant responded.

After seeing Favre that night, Bryant texted New, “Just left Brett Favre. Can we help him with his project. We should meet soon to see how I can make sure we keep your projects on course.”

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Favre thanked Bryant and the governor responded that he had scheduled a meeting with New and arranged a call with the White House. “This can help with our concussion project,” the governor wrote.

The court filing points out, “Again, Bryant described Prevacus as ‘our … project.'”

The next day, Martin forwarded the video of the gold bars to Vanlandingham. In it, a man intentionally displays his hand with two large rings on his pinky and ring fingers as another man in a suit bends down to open a gray safe on the floor to reveal the bars.

Vanlandingham reviewed the video and responded, “You-Tube? FBI time?”

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The attorney representing New's nonprofit, who wrote the latest court filing, alleged that Vanlandingham communicated with Favre and Bryant about the Ghana situation.

“Based on information and belief, Vanlandingham spoke to Bryant concerning his investment in Ghana and its importance to Prevacus,” the filing reads.“Based on information and belief, the Prevacus funds that Vanlandingham invested in Ghana included grant funds from the State of Mississippi.”

“Good news,” Vanlandingham texted Martin on July 19, 2019. “I'm pretty good friends with the Governor and he has direct access to Stephanie Sullivan the US ambassador to Ghana. We can run communication through the Governor and get these thieves!!!!”

The latest court filing then highlights the fact that Bryant traveled to Ghana less than a month later in August 2019. Documents obtained by Mississippi Today show, however, that Bryant's trip to Ghana and bordering Togo was planned beforehand and dealt with strengthening trade ties between Mississippi and West Africa.

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“During his remarks, he (Bryant) said, a lot of investors based in Mississippi are interested in doing business in Ghana, the reason for which he is in the country to build an economic and investment bridge to facilitate future trade,” reads a press release from the American Chamber of Commerce-Ghana.

Bryant traveled to Ghana with the CEO of a south Mississippi-based product called Sparta Mosquito Eradicator to discuss selling the company's product to the country to deal with malaria outbreaks. Vanlandingham's attorney George Schmidt told Mississippi Today last week that Bryant did not travel to the country on behalf of Prevacus and that the timing of the trip was a coincidence.

While Bryant was in Ghana, though, he continued to consult Favre on how to secure funds from the state welfare agency for the construction of a volleyball stadium at University of Southern Mississippi — another project at the center of the scandal.

“Taking off from Ghana so this may be my last message for a while,” Bryant texted Favre Aug. 16, 2019.

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Back in the states, Vanlandingham complained to Martin that, “You have put my (sic) in a fraudulent situation with my company … I gave u company money not returned on my books.”

But Vanlandingham continued to inquire on the sale of the gold bars until Martin finally told him they'd been confiscated. The scientist finally snapped, saying, “Wow. What a joke. You got played. I'll do fbi myself brother. … Pitiful for me to have been involved … What makes me the most furious is u never raised money for Actex. It also makes me curious to your involvement.”

“U continued to take me down satans road,” Vanlandingham said.

Yet Vanlandingham still kept hoping for something to turn around. Two days later, he texted, “I'm pretty devastated please share any progress. I'm out 120k with nothing to show for it.”

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Martin said Daniella reached out to a Greek investor who might be willing to put up the money to release the wire. “Wow!!!!” Vanlandingham responded. “Bring it home brother!!!”

Vanlandingham wired another $1,000, supposedly to match what the Greek investor planned to put up towards the closing costs. But then the heiress told Martin that the investor had backed out, and implored him to find the money himself. “If you really can please do honey because we are at the edge of closing,” Daniella said, according to a message Martin forwarded to Vanlandingham.

“So did I throw away another 1k?” Vanlandingham asked.

When Vanlandingham asked where the money went, Martin responded that “Daniella is tired and not well.”

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This went on for several more months, despite Vanlaningham's stated connections to authorities in Ghana. The game continued even after investigators from the State Auditor's Office began questioning Vanlandingham as part of the Mississippi welfare scandal. After New and Davis were arrested in February of 2020 on embezzlement charges partially related to the Prevacus payments, Vanlandingham and Martin were still discussing traveling to Berlin to get $300,000 for the scientist out of the Bank of Ghana.

From the texts, it's hard to discern if Martin, who was at least initially reluctant to alert the authorities, was complicit, or if he, too, was swindled. Asked for comment for the story, Vanlandingham said he would contact his counsel but said by text that “Dons a good guy with interesting technology.”

Vanlandingham's lawyer, Schmidt, told Mississippi Today last week that his client's payments to the Ghana deal totaled no more than $30,000. The lawyer said he was unaware those funds originated from the welfare program.

Martin told Mississippi Today by phone last week that he'd fallen for the scam and that he never received a dime from the Ghana investor group. He couldn't say how much in total he'd received from Vanlandingham, all of which he said he sent to Ghana, and that also he didn't know the money potentially originated from federal grant funds earmarked for Mississippians. But when Martin finally filed a police report, he estimated his total losses at $500,000.

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An incident report Martin provided to Mississippi Today shows he reported the scam to the Powell Police Department in Ohio in May of 2022 and the local police department forwarded the case through the FBI to the authorities in Ghana. “I advised Mr. Martin that this was a known scam and he would not be likely to get his money back,” reads the officer's report.

By the end, it had gotten worse. Martin said the Ghanaians had threatened to kidnap his daughter, and forced him to max out his credit cards purchasing products like laptops and iPhones for them. The police report shows that even after Martin initially reported the incident, the scammers told him there was a warrant for his arrest and convinced him to send $40,000 to remove the warrant. Martin said he's in $140,000 worth of credit card debt. He also said he experienced a fire in 2021 and he's been living in the dilapidated house, exposed to the elements with no heat or water.

“I'm totally broke,” Martin told Mississippi Today on Dec. 14.

Martin is still promoting his helmet invention and company, ACTEX, but he's never raised the money to develop a prototype. He explained that the main reason he fell for the Ghana hoax, which went on for about three years, is his strong faith in God and the belief that he was created for a purpose.

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“The way I looked at it was, God works in unusual ways. See, because ACTEX is dedicated for God's kingdom. And it's there to save lives and to help people. That's part of my mission statement. So I kept thinking, ‘Well, okay.' Because I prayed about it. (And God said), ‘Yes, this is what I want you to do.' ‘Yes, yes, yes.'”

Martin still believes that he acted in obedience of the Lord and that “he'll bless ACTEX and many doors will open.”

Meanwhile, the Mississippi welfare funds allegedly lost to the Ghanaians in the scam have yet to be recovered. New and her son have pleaded guilty to felonies for pushing welfare funds to Prevacus. Vanlandingham and Favre are facing civil charges. Bryant has not criminal or civil charges. The criminal investigation is ongoing.

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 1954

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mississippitoday.org – Jerry Mitchell – 2024-05-17 07:00:00

MAY 17, 1954

Ella J. Rice talks to one of her pupils, all of them white, in a third grade classroom of Draper Elementary School in Washington, D.C., on September 13, 1954. This was the first day of non-segregated schools for teachers and . Rice was the only Black teacher in the school. Credit: AP

In Brown v. Board of Education and Bolling v. Sharpe, the unanimously ruled that the “separate but equal” doctrine in Plessy v. Ferguson was unconstitutional under the 14th Amendment, which guaranteed equal treatment under the

The historic brought an end to federal tolerance of racial segregation, ruling in the case of student Linda Brown, who was denied admission to her local elementary school in Topeka, Kansas, because of the color of her skin. 

In Mississippi, segregationist called the day “Black Monday” and took up the charge of the just-created white Citizens' Council to preserve racial segregation at all costs.

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

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Every university but Delta State to increase tuition this year

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mississippitoday.org – Molly Minta – 2024-05-17 06:30:00

Every in Mississippi is increasing tuition in the fall except for Delta University.

The new rates were approved by the governing board of the eight universities, the Institutions of Higher Learning Board of Trustees, at its regular meeting Thursday. 

The average cost of tuition in Mississippi is now $8,833 a year, a roughly 3% increase from last year. can expect to pay tuition ranging from $7,942 a year at Mississippi Valley State University to $10,052 a year at Mississippi State University. 

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In recent years, universities have cited and rising insurance costs as reasons for the tuition increases. At Thursday's meeting, the board heard a presentation on how property insurance is becoming more expensive for the eight universities as Mississippi sees more tornadoes and storms with severe wind and hail.  

READ MORE: Tuition increases yet again at most public universities

But it's an ongoing trend. Mississippi's public universities have steadily increased tuition since 2000, putting the cost of college increasingly out of reach for the average Mississippi . More than half of Mississippi college students graduated with an average of $29,714 in student debt in 2020, according to the Institution for College Access and .

At Delta State University, the president, Daniel Ennis, announced that he will attempt to avoid tuition increases as the regional college in the Mississippi Delta undergoes drastic budget cuts in an effort to become more financially sustainable. 

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“We will resist tuition increases so that our most economically vulnerable students can continue to have access to the opportunities that a college degree can ,” he wrote in a memo to faculty and staff on Monday. “We will move beyond basic survival and into a place where we have the capacity to take better advantage of our undeniable strengths.” 

Delta State didn't increase tuition last year, either. have been concerned the university is becoming too pricey for the students it serves. 

Tuition for the 2024-25 academic year, by school:

  • Alcorn State University: $8,105
  • Delta State University: $8,435
  • State University: $8,690
  • Mississippi State University: $10,052
  • Mississippi University for Women: $8,392
  • Mississippi Valley State University: $7,492
  • University of Mississippi: $9,612
  • University of Southern Mississippi: $9,888

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

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Federal panel prescribes new mental health strategy to curb maternal deaths

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For , call or text the National Maternal Mental Health Hotline at 1-833-TLC-MAMA (1-833-852-6262) or contact the 988 Suicide & Crisis Lifeline by dialing or texting “988.” Spanish-language services are also available.

BRIDGEPORT, Conn. — Milagros Aquino was trying to find a new place to live and had been struggling to get used to new foods after she moved to Bridgeport from Peru with her husband and young son in 2023.

When Aquino, now 31, got pregnant in May 2023, “instantly everything got so much worse than before,” she said. “I was so sad and lying in bed all day. I was really lost and just surviving.”

Aquino has lots of company.

Perinatal depression affects as many as 20% of women in the United States during pregnancy, the postpartum period, or both, according to studies. In some states, anxiety or depression afflicts nearly a quarter of new mothers or pregnant women.

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Many women in the U.S. go untreated because there is no widely deployed system to screen for mental illness in mothers, despite widespread recommendations to do so. Experts say the lack of screening has driven higher rates of mental illness, suicide, and drug overdoses that are now the leading causes of death in the first year after a woman gives birth.

“This is a systemic issue, a medical issue, and a human rights issue,” said Lindsay R. Standeven, a perinatal psychiatrist and the clinical and education director of the Johns Hopkins Reproductive Mental Health Center.

Standeven said the root causes of the problem include racial and socioeconomic disparities in maternal care and a lack of systems for new mothers. She also pointed a finger at a shortage of mental health professionals, insufficient maternal mental health for providers, and insufficient reimbursement for mental health services. Finally, Standeven said, the problem is exacerbated by the absence of national maternity leave policies, and the access to weapons.

Those factors helped drive a 105% increase in postpartum depression from 2010 to 2021, according to the American Journal of Obstetrics & Gynecology.

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For Aquino, it wasn't until the last weeks of her pregnancy, when she signed up for acupuncture to relieve her stress, that a social worker helped her get care through the Emme Coalition, which connects girls and women with financial help, mental health counseling services, and other resources.

Mothers diagnosed with perinatal depression or anxiety during or after pregnancy are at about three times the risk of suicidal behavior and six times the risk of suicide compared with mothers without a mood disorder, according to recent U.S. and international studies in JAMA Network Open and The BMJ.

The toll of the maternal mental health crisis is particularly acute in rural communities that have become maternity care deserts, as small hospitals close their labor and delivery units because of plummeting birth rates, or because of financial or staffing issues.

This , the Maternal Mental Health Task Force — co-led by the Office on Women's Health and the Substance Abuse and Mental Health Services Administration and formed in September to respond to the problem — recommended creating maternity care centers that could serve as hubs of integrated care and birthing facilities by building upon the services and personnel already in communities.

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The task force will soon determine what portions of the plan will require congressional action and funding to implement and what will be “low-hanging fruit,” said Joy Burkhard, a member of the task force and the executive director of the nonprofit Policy Center for Maternal Mental Health.

Burkhard said equitable access to care is essential. The task force recommended that federal officials identify where maternity centers should be placed based on data identifying the underserved. “Rural America,” she said, “is first and foremost.”

There are shortages of care in “unlikely areas,” Los Angeles County, where some maternity wards have recently closed, said Burkhard. Urban areas that are underserved would also be eligible to get the new centers.

“All that mothers are asking for is maternity care that makes sense. Right now, none of that exists,” she said.

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Several pilot programs are designed to help struggling mothers by training and equipping midwives and doulas, people who guidance and support to the mothers of newborns.

In Montana, rates of maternal depression before, during, and after pregnancy are higher than the national average. From 2017 to 2020, approximately 15% of mothers experienced postpartum depression and 27% experienced perinatal depression, according to the Montana Pregnancy Risk Assessment Monitoring System. The had the sixth-highest maternal mortality rate in the country in 2019, when it received a federal grant to begin training doulas.

To date, the program has trained 108 doulas, many of whom are Native American. Native Americans make up 6.6% of Montana's population. Indigenous people, particularly those in rural areas, have twice the national rate of severe maternal morbidity and mortality compared with white women, according to a study in Obstetrics and Gynecology.

Stephanie Fitch, grant manager at Montana Obstetrics & Maternal Support at Billings Clinic, said training doulas “has the potential to counter systemic barriers that disproportionately impact our tribal communities and improve overall community health.”

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Twelve states and Washington, D.C., have Medicaid coverage for doula care, according to the National Health Law Program. They are California, Florida, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, Oklahoma, Oregon, Rhode Island, and Virginia. Medicaid pays for about 41% of births in the U.S., according to the Centers for Disease Control and Prevention.

Jacqueline Carrizo, a doula assigned to Aquino through the Emme Coalition, played an important role in Aquino's recovery. Aquino said she couldn't have imagined going through such a “dark time alone.” With Carrizo's support, “I could make it,” she said.

Genetic and environmental factors, or a past mental health disorder, can increase the risk of depression or anxiety during pregnancy. But mood disorders can happen to anyone.

Teresa Martinez, 30, of Price, Utah, had struggled with anxiety and infertility for years before she conceived her first child. The joy and relief of giving birth to her son in 2012 were short-lived.

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Without warning, “a dark cloud came over me,” she said.

Martinez was afraid to tell her husband. “As a woman, you feel so much pressure and you don't want that stigma of not being a good mom,” she said.

In recent years, programs around the country have started to help doctors recognize mothers' mood disorders and learn how to help them before any harm is done.

One of the most successful is the Massachusetts Child Psychiatry Access Program for Moms, which began a decade ago and has since spread to 29 states. The program, supported by federal and state funding, provides tools and training for physicians and other providers to screen and identify disorders, triage patients, and offer treatment options.

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But the expansion of maternal mental health programs is taking place amid sparse resources in much of rural America. Many programs across the country have run out of money.

The federal task force proposed that Congress fund and create consultation programs similar to the one in Massachusetts, but not to replace the ones already in place, said Burkhard.

In April, Missouri became the latest state to adopt the Massachusetts model. Women on Medicaid in Missouri are 10 times as likely to die within one year of pregnancy as those with private insurance. From 2018 through 2020, an average of 70 Missouri women died each year while pregnant or within one year of giving birth, according to state government statistics.

Wendy Ell, executive director of the Maternal Health Access in Missouri, called her service a “lifesaving resource” that is free and easy to access for any health care provider in the state who sees patients in the perinatal period.

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About 50 health care providers have signed up for Ell's program since it began. Within 30 minutes of a request, the providers can consult over the phone with one of three perinatal psychiatrists. But while the doctors can get help from the psychiatrists, mental health resources for patients are not as readily available.

The task force called for federal funding to train more mental health providers and place them in high-need areas like Missouri. The task force also recommended training and certifying a more diverse workforce of community mental health workers, patient navigators, doulas, and peer support specialists in areas where they are most needed.

A new voluntary curriculum in reproductive psychiatry is designed to help psychiatry residents, fellows, and mental health practitioners who may have little or no training or education about the management of psychiatric illness in the perinatal period. A small study found that the curriculum significantly improved psychiatrists' ability to treat perinatal women with mental illness, said Standeven, who contributed to the training program and is one of the study's authors.

Nancy Byatt, a perinatal psychiatrist at the of Massachusetts Chan School of Medicine who led the launch of the Massachusetts Child Psychiatry Access Program for Moms in 2014, said there is still a lot of work to do.

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“I think that the most important thing is that we have made a lot of progress and, in that sense, I am kind of hopeful,” Byatt said.

Cheryl Platzman Weinstock's reporting is supported by a grant from the National Institute for Health Care Management Foundation. KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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

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