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Missouri lawmakers raise concerns about long waits in jail for court-ordered mental health care

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missouriindependent.com – Clara Bates – 2025-02-17 15:37:00

by Clara Bates, Missouri Independent
February 17, 2025

Leaders of Missouri’s public defender system urged lawmakers on Monday to take action to reduce the growing number of people languishing in jails across the state who are in need of mental health treatment.

As of last month, 418 people were in Missouri jails waiting to be transferred to a state mental health bed, up from around 300 at this time last year. The average wait time was 14 months, with some held longer than the maximum sentence for the crime for which they were charged.

These are Missourians who were arrested but found incompetent to stand trial and ordered into treatment designed to restore their ability to have their day in court. Competency restoration generally includes medication treatment and therapy.

Missourians waiting in jail for court-ordered mental health care reaches all-time high

The Missouri House Health and Mental Health Committee spent most of an informational hearing Monday addressing the Department of Mental Health’s competency restoration program, with a presentation by Mary Fox, the director of the Missouri State Public Defender system, and Annie Legomsky, who runs the state public defense system’s holistic defense services program. 

“When somebody sits in a jail unmedicated and uncared for,” Fox said, “their mental health can get worse and so bad that they can never be cured.” 

Legomsky and Fox urged changes to state law to increase court referrals to community-based treatment, instead of holding those charged with nonviolent, low-level offenses in jail for months.

“If we could figure out a way to take care of more of these folks in the community,” Fox said,”we’re not only saving the state money in the competence restoration process, but we’re setting them up for success when they return to the community.” 

The state can’t create beds overnight, Fox said. 

“And until we can either create the community restoration and let folks receive the treatment that way or create the beds, we don’t have a quick solution to the problem,” she said.

Many of the public defender’s office’s clients who are found incompetent have schizophrenia, intellectual disabilities or are on the autism spectrum, Fox said. 

The legislature in 2023 passed a law giving the department the authority to provide treatment on an outpatient basis if the person could be safely released and wasn’t charged with a dangerous felony. But the department told The Independent last month that only two people have participated in the program so far.

The state also passed a law giving the department of mental health the ability to treat people within jails. The programs have been slow to get up and running, and three counties are in their early days of getting the programs started, the department told The Independent. 

Legomsky said Monday that solution is “not ideal” since “the jail is not a therapeutic environment.”

The hearing was designed to inform lawmakers, not to discuss any particular legislation. 

Rep. David Dolan, a Sikeston Republican, speaks at the House Health and Mental Health committee on Monday (Tim Bommel/Missouri House Communications).

Several of the legislators serving on the committee expressed concern with the waitlist.

“We just don’t have enough beds, that’s the answer,” said state Rep. David Dolan, a Republican of Sikeston “We don’t have enough beds, and restoration within county jails is very hit and miss.” 

State Rep. Tony Harbison, a Republican of Arcadia, said small counties are footing the bill, since counties are responsible for paying for jail stays.

“Fourteen months — we’re already spending a lot of money,” he said.

Legomsky estimated that the state would save around $480 in savings per day to do community-based competency restoration as opposed to the hospital setting, not to mention the cost savings for counties currently housing those individuals in jails.

One client, Fox said, was a 78-year-old woman with dementia who tossed lit matches in a laundromat waste basket — but was held in jail for a year, waiting for a mental health bed. 

State Rep. Jo Doll, a Democrat of St. Louis, responded: “Where’s the common sense part of that? How does someone, how do you all these people see this person day after day and let someone sit there for a year?”

A handful of lawmakers asked about the potential for a public-private partnership, and whether private hospitals could be included. The public defenders said that would be a question for the department of mental health. 

Mary Fox and Annie Legomsky, with Missouri State Public Defender’s Office, testify to the House Health and Mental Health Committee on Monday (Tim Bommel/Missouri House Communications).

Others asked about states that do things better. Legomsky said Washington state limits the wait time to 14 days, and recommended time limits be established in Missouri statute.

“Even closer to 30 days would be a huge improvement over 14 months,” she said.

Other recommendations included increasing funding for community crisis care, housing and substance use disorder treatment — wraparound services to help people become competent and remain healthy, Legomsky said. The state could also make community-based treatment the presumption for those charged with low-level, nonviolent offenses. She said the public defenders estimate around 80% of those on the waitlist are charged with low-level, nonviolent offenses, and could be treated on an outpatient basis. 

“We’re on the same side as the prosecutors, the sheriffs, the courts,” Legomsky said. “I think we all just want to find a solution.” 

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Missouri Independent is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Missouri Independent maintains editorial independence. Contact Editor Jason Hancock for questions: info@missouriindependent.com.

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Nutriformance shares how strength training can help your golf game

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www.youtube.com – FOX 2 St. Louis – 2025-04-30 11:50:49

SUMMARY: Nutriformance emphasizes the importance of strength training for golfers to maintain power, endurance, and consistent swing performance throughout the season. Bill Button, a golf fitness trainer, highlights in-season strength training as crucial to prevent loss of distance and stamina, especially for the back nine. Recommended exercises include shoulder rotation and balance drills using medicine balls or bodyweight to enhance power, lower body strength, and balance. Nutriformance also offers golf-specific fitness, personal training, nutrition coaching, physical therapy, and massage. Mobility exercises, like spine rotation with kinetic energy, are key to maintaining flexibility and preventing injury for golfers.

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Nutriformance is located at 1033 Corporate Square in Creve Coeur

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26k+ still powerless: CU talks Wednesday repair plans

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www.ozarksfirst.com – Jesse Inman – 2025-04-30 07:39:00

SUMMARY: Springfield is experiencing its worst power outage event since 2007, caused by storms with winds up to 90 mph that toppled trees and power lines. City Utilities declared a large-scale emergency Tuesday, calling in mutual-aid crews. Approximately 26,500 people remain without power as of early Wednesday, about half the peak outage number. Crews are working around the clock but progress is slow, especially overnight. Priorities include restoring power to critical locations like hospitals and areas where repairs can restore electricity to many customers quickly. Customers with damaged weather heads or service points face longer repair times. The utility warns against approaching downed power lines.

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Missouri lawmakers should reject fake ‘chaplains’ in schools bill

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missouriindependent.com – Brian Kaylor – 2025-04-30 06:15:00

by Brian Kaylor, Missouri Independent
April 30, 2025

As the 2025 legislative session of the Missouri General Assembly nears the finish line, one bill moving closer to Gov. Mike Kehoe’s desk purports to allow public schools to hire spiritual chaplains.

However, if one reads the text of the legislation, it’s actually just pushing chaplains in name only.

The bill already cleared the Senate and House committees, thus just needing support from the full House. As a Baptist minister and the father of a public school child, I hope lawmakers will recognize the bill remains fundamentally flawed.

A chaplain is not just a pastor or a Sunday School teacher or a street preacher shouting through a bullhorn. This is a unique role, often in a secular setting that requires a chaplain to assist with a variety of religious traditions and oversee a number of administrative tasks.

That’s why the U.S. military, Missouri Department of Corrections, and many other institutions include standards for chaplains like meeting educational requirements, having past experience, and receiving an endorsement from a religious denominational body.

In contrast, the legislation on school “chaplains” originally sponsored by Republican Sens. Rusty Black and Mike Moon includes no requirements for who can be chosen as a paid or volunteer school “chaplain.” Someone chosen to serve must pass a background check and cannot be a registered sex offender, but those are baseline expectations for anyone serving in our schools.

While a good start, simply passing a background check does mean one is qualified to serve as a chaplain.

The only other stipulation in the bill governing who can serve as a school “chaplain” is that they must be a member of a religious group that is eligible to endorse chaplains for the military. Senators added this amendment to prevent atheists or members of the Satanic Temple from qualifying as a school “chaplain.”

Members of the Satanic Temple testified in a Senate Education Committee hearing that they opposed the bill but would seek to fill the positions if created, which apparently spooked lawmakers. That discriminatory amendment, however, does nothing to ensure a chosen “chaplain” is actually qualified. For instance, the Episcopal Church is on the military’s list of endorsing organizations. Just because some Episcopalians meet the military’s requirements for chaplains and can serve does not mean all Episcopalians should be considered for a chaplaincy position.

While rejecting this unnecessary bill is the best option, if lawmakers really want to create a school chaplaincy program, they must significantly alter the bill to create real chaplain standards. Lawmakers could look to other states for inspiration on how to fix it.

For instance, Arizona lawmakers a few weeks ago passed a similar bill — except their legislation includes numerous requirements to limit who can serve as a chaplain. Among the various standards in the Arizona bill is that individuals chosen to serve as a school chaplain must hold a Bachelor’s degree, have at least two years of experience as a chaplain, have a graduate degree in counseling or theology or have at least seven years of chaplaincy experience and have official standing in a local religious group.

Rather than passing a pseudo-chaplaincy bill, Missouri lawmakers should add similar provisions.

The Arizona bill also includes other important guardrails missing in Missouri’s bill that will help protect the rights of students and their parents. Arizona lawmakers created provisions to require written parental consent for students to participate in programs provided by a chaplain. Especially given the lack of standards for who can serve as a school “chaplain,” the absence of parental consent forms remains especially troubling.

Additionally, Missouri’s school “chaplain” bill includes no prohibition against proselytization. This is particularly concerning since the conservative Christian group who helped craft the bill in Missouri and other states — and who sent a representative to Jefferson City to testify for the bill in a committee hearing — has clearly stated their goal is to bring unconstitutional government prayer back into public schools.

To be clear, the U.S. Supreme Court did not kick prayer out of schools. As long as there are math tests, there will be prayer in schools. What the justices did was block the government from writing a prayer and requiring students to listen to it each day. Such government coercion violated the religious liberty rights of students, parents, and houses of worship, so the justices rightly prohibited it. Using “chaplains” to return to such coercion is wrong and should be opposed.

There are many proposals and initiatives lawmakers could focus on in these waning weeks of the session if they really want to improve public education. There are numerous ways they could work to better support our teachers and assist our students. Attempting to turn public schools into Sunday Schools is not the answer.

Missouri Independent is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Missouri Independent maintains editorial independence. Contact Editor Jason Hancock for questions: info@missouriindependent.com.

The post Missouri lawmakers should reject fake ‘chaplains’ in schools bill appeared first on missouriindependent.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

The article critiques proposed legislation in Missouri that would allow public schools to hire “spiritual chaplains,” arguing that the bill is insufficiently rigorous in defining qualifications and raises concerns about religious proselytization in schools. The author’s perspective is clear in its opposition to the bill, highlighting the lack of standards for chaplain selection and the potential for the legislation to be a vehicle for promoting government-sponsored religion in schools. The tone is critical of the bill’s sponsors, particularly the conservative Christian groups behind it, and references U.S. Supreme Court rulings on school prayer to reinforce the argument against the proposal. The language and framing suggest a liberal-leaning stance on the separation of church and state, and the article advocates for stronger protections to prevent religious coercion in public education. While the author presents factual details, such as comparing Missouri’s bill to Arizona’s more stringent chaplaincy standards, the overall argument pushes for a progressive stance on religious freedom and public school policies, leading to a Center-Left bias.

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