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Thursday Forecast For North Mississippi

Mostly cloudy skies will prevail this morning with a 50% chance of showers and thunderstorms. We will have a mix of sun and clouds this afternoon with highs in the upper 80s. Winds becoming southwest around 5 mph in the afternoon. Tonight we have a slight chance of showers and thunderstorms. Otherwise, it will be mostly clear with lows in the mid 70s.

Who received PPP loans in Mississippi?

Doctor’s offices, restaurants and car dealers were the top businesses in Mississippi to receive loans from the $2 trillion coronavirus relief package signed into law this spring.

The U.S. Treasury Department released the names of 650,000 businesses that received loans of $150,000 or more on Monday as part of the Paycheck Protection Program (PPP) designed to help small businesses, including nearly 4,000 in Mississippi. The program is part of the Coronavirus Aid, Relief and Economic Security Act President Donald Trump signed.

The released data also include information about smaller loan recipients, but excluded their names. In total, Mississippi businesses received between $2.5 billion and $4.4 billion in loans, spread across 45,000 recipients — loans of $150,000 or larger are only disclosed in ranges. There is not an exact figure because many of these loans are disclosed in ranges.

Below is a chart of the types of businesses receiving the most money in Mississippi:

Some Mississippi borrowers receiving between $5-$10 million in those categories include GI Associates, a gastroenterology group in Flowood, Ridgeland-based law firm Butler Snow, and two restaurant companies, Mid River Restaurants in Natchez and The Retzer Group in Greenville.

Religious groups in the state received between $53 and $80 million, spread across 80 different organizations.

According to the data set, these loans will allow the businesses to retain a total of 412,492 jobs.

The data also included the demographics of borrowers, although two-thirds of the state’s borrowers declined to provide a gender and three-quarters declined to provide a race or ethnicity. Of the Mississippi businesses that did answer, 75 percent were male, and 83 percent were white.

In Mississippi, 17 businesses received loans between $5-$10 million, the highest range of funding. For a full breakdown of which businesses received loans of $150,000 or more, see the tables below:

Disclosure: Mississippi Today sought a Paycheck Protection Program loan, which has been approved and disbursed. 

The post Who received PPP loans in Mississippi? appeared first on Mississippi Today.

Legislature’s top leaders test positive for coronavirus

Eric J. Shelton/Mississippi Today, Report For America

Mississippi Lt. Gov. Delbert Hosemann, left, and House speaker Philip Gunn speak to media concerning the legislative session and the coronavirus Tuesday, March 17, 2020.

The Legislature’s two presiding officers, Lt. Gov. Delbert Hosemann, 73, in the Senate and House Speaker Philip Gunn, 57, are at home quarantining after testing positive for COVID-19.

They are among a growing number of legislators, particularly in the House, and legislative staff who have tested positive in recent days.

The cases come after a hectic and historic past 10 days of the 2020 session as legislators voted to remove the state flag, which contains the Confederate battle emblem as part of its design, distribute about $1 billion in federal funds to deal with the coronavirus, and  pass a budget for the new fiscal year.

Throughout that time period, recommended safety precautions to combat COVID-19, like wearing masks and social distancing, were to a large extent ignored by most legislators, though some did wear masks.

“It is the way we have been doing things in our country,” said Jarvis Dortch, who served Jackson as a Democrat in the House until this past Thursday when he stepped down to become executive director of the American Civil Liberties Union of Mississippi. “We get tired of the safety precautions and it becomes business as usual.”

While not all of the members who contracted the virus have been made public, Dortch said he could count as many as 12 House members whom he had heard tested positive for the virus. Others said the numbers are higher. On Tuesday afternoon, state Health Officer Thomas Dobbs said eight legislators had tested positive, though, many others were waiting on test results.

When the session resumed in May after taking a recess in March because of concerns over the coronavirus, multiple safety precautions were put in place. The number of people allowed in the House and Senate chambers where the members’ desks are only a few feet apart, were limited. Most everyone, though not all, were wearing masks.

In late March, a Capitol Police officer reportedly tested positive for coronavirus while the Legislature was on hiatus, and in June legislative leaders also confirmed that an employee who occasionally works at the state Capitol tested positive as well.

Throughout the process, everyone has had to undergo a temperature check when entering the Capitol, though that was about the only safety precaution that was not eschewed.

As the historic debate to change the flag intensified, unusual focus was placed on the House Rules Committee since that is the committee where the flag legislation originated. Often, Rules Committee meetings, held in a small room, were crowded, near elbow to elbow. Gunn serves on this committee as do other members who reports indicate have tested positive.

Ironically, though, the first member to announce he was positive for COVID-19 was Rep. Bo Brown, D-Jackson, who was never seen not wearing a mask and often was wearing gloves.

“He even left his mask on to ask questions,” said Rep. Bryant Clark, D-Pickens. “He might have gotten it away from the Capitol.”

Dortch said he was glad Brown was wearing a mask. He said the people sitting near Brown in the House chamber have all been tested and none of them thus far have tested positive. Dortch said research indicates a mask worn by a person with the virus can provide a certain amount of protection for people the person with the illness comes in contact.

Senate Pro Tem Dean Kirby, R-Pearl, said Tuesday he was awaiting his test results. Should the Legislature be forced to come back into session before Hosemann recovers, Kirby would preside. If he was sick, Kirby said any senator could preside, though, it might fall to the Senate Rules Committee Vice Chair Walter Michel, a Madison County Republican. Kirby is Rules chair.

In the House, Pro-Tem Jason White, R-West, confirmed he had symptoms and was expecting to receive a positive test.

He said Gunn, who said Sunday he was not exhibiting many symptoms, remained in charge, but it is not clear who would preside if both he and the speaker were quarantined. Perhaps that would fall to Rules Chair Rep. Jerry Turner, R-Baldwyn.

The Legislature had planned to come back late this week to try to pass a budget for the Department of Marine Resources for the new fiscal year that began on July 1. Since the new budget year began, the Gulf Coast agency had been performing only basic services.

DMR was the only agency left unfunded when the Legislature adjourned last week.

On Tuesday, Gov. Tate Reeves, who was with both Gunn and Hosemann last week when he signed into law a bill retiring the state flag, announced, he had tested negatively.

 

The post Legislature’s top leaders test positive for coronavirus appeared first on Mississippi Today.

Rooting for and rooting out the Confederate mascot in small town Mississippi

Anna Wolfe

Alex Hurdle, who graduated from Caledonia High School this year, supports a change to the school’s Confederate nickname. She said she’s embarrassed to tell her peers from other schools she’s an alum of a school with what she believes is a racially-charged mascot. “Our mascot does not represent any of the good parts of Caledonia. I feel like it obscures what it really means to be a student here,” she told Mississippi Today.

Rooting for and rooting out the Confederate mascot in small town Mississippi

When a federal judge scrutinized Caledonia’s Confederate mascot eight years ago, he quoted William Faulkner in his opinion: “We need to talk, to tell, since oratory is our heritage.”

The town is talking now.

By Anna Wolfe | July 7, 2020

CALEDONIA, Miss. — Graduating senior Teri Shellman was one of few Black students at her school in the small, rural northeast Mississippi town of Caledonia. She arrived there in third grade after the U.S. Air Force stationed her father at the base in nearby Columbus.

Shellman and her classmates were the “Confederates” — the public school’s current nickname and the name of the Southern army that fought to preserve slavery in the 1860s.

She said she never learned that fact about the Confederacy in her history classes, at her school located on Confederate Drive, but she does remember when her parents refused to purchase the band’s T-shirt for her in middle school.

“It’s a deep-rooted issue that everyone has just kind of ignored,” Shellman said. “It’s like everybody knows but nobody wants to open that can of worms.”

Following protests against Confederate imagery across the country, a group of parents are now petitioning the Lowndes County School District to change the mascot. Caledonia — a town of about 1,400, where nearly nine in ten people are white — is home to the better-ranked schools parents have flocked to in recent decades as the quality of the majority-Black Columbus Municipal School District declined.

Courtesy Teri Shellman

Teri Shellman, a senior at Caledonia High School in northeast Mississippi, embraces her mom NaTarsha Shellman after their graduation ceremony on June 26, 2020. The high school held a limited attendance, socially distanced ceremony in the football stadium due to the ongoing COVID-19 pandemic.

Efforts to change the nickname, which began with conversations among the military families, have riled some locals, who made their opposition known through crass comments on a neighborhood Facebook page.

“Leave Caledonia alone,” one said. “If you don’t like the ‘Feds’ don’t move there.”

Though they have the option between the county or city school systems, virtually all parents who live on base enroll their kids in Caledonia, the only schools that send a bus there now. Even more families who move to the area for work are choosing to locate in the county district for the schools, which receives A or B grades from the Mississippi Department of Education, in contrast to many Ds and Fs among the elementary and middle schools in Columbus.

The Caledonia mascot, a nod to a proposed government founded on the principle that Black people are inferior to white, became an issue about a decade ago when the district sought to finally escape a federal consent order over unequal education that had carried on since integration.

But without vocal outcry over the nickname at the time, it has remained.

Protesters left a “HARRY MUST GO!” sign outside the Lowndes County Courthouse in Columbus on June 30, 2020 after gathering during the latest Board of Supervisor’s meeting to demand the resignation of Supervisor Harry Sanders, whose district encompasses Caledonia. Residents and some board members want Sanders to resign after he remarked to the local newspaper The Commercial Dispatch that Black people in America “didn’t have to go out and earn any money; they didn’t have to do anything,” during the 250 years white people violently forced Black people into slavery, and that they had failed to assimilate American culture as a result. His comments came during a debate over whether to remove the Confederate soldier statue outside the courthouse, a measure the Supervisors first voted against, then approved three weeks later.

“It’s frankly … a backwards way of, in my opinion, trying to segregate the school,” said Makade Archibald, a white Caledonia resident, father of three and steel mill engineer. “By making people of color uncomfortable with the mascot, you’re discouraging them from joining the school.”

Caledonia is also represented by Lowndes County Supervisor Harry Sanders, who made national headlines in June when he remarked that Black people in America are the only group “having problems” because, he said, they had become dependent during the 250 years white people violently forced them into slavery. He made the inflammatory comments after the board voted against relocating the Confederate monument in front of the Lowndes courthouse on June 15. The board later voted on July 6 in favor of moving the statue.

Shellman told Mississippi Today that while growing up in Caledonia, a quiet town where residents generally get along, she never felt people treated her differently because of her skin color.

“I never noticed it because I didn’t want to, I guess,” Shellman said, though she did recall a few years ago when a student called her younger brother the n-word on the school bus.

Shellman said it wasn’t until the police killing of George Floyd in Minneapolis in late May, and the national conversation surrounding race that ensued, that she learned how divided her town really is.

“Recently, I’ve felt like I was kind of like blindsided by everything that’s going on,” she said, especially after sharing her thoughts on current events and using the “Black Lives Matter” expression on social media. “I thought everybody thought Black lives mattered. I didn’t realize that people actually thought there was an opposing statement to that.”

“My parents have always told me that I think everybody in the world is so nice … I have to be a little bit more mature about the way I look at everybody now,” she added.

Anna Wolfe

Caledonia, a small town in rural northeast Mississippi, is “Home of the Feds,” short for the “Confederates” — the nickname for the school’s sports teams and the army that fought on behalf of Southern states in the 1860s with the goal of preserving the institution of slavery.

Stay-at-home mom of two Amanda Nielson, who is white, said she loves the feel of older homes. So when the Air Force stationed her husband in Columbus three years ago, she began looking at houses in the city, which were, as an added bonus, lower priced than property out in the county.

Ultimately though, “we could not handle the difference in the school quality, so we sucked it up and we moved out here,” Nielson said.

She initially bought T-shirts that read “Feds” to support her 8-year-old son, who is on a recreational football team. But she quickly became uneasy about where she and her husband would wear the shirts and what message they may be sending. “And you should never feel uneasy about something like that,” Nielson said.

After Floyd died, Nielson felt compelled to better educate herself about systemic racism. She wasn’t sure how she would go about fixing inequities in large, stubborn systems — such as segregated and unequal public education — but “I can think of this one thing at my school that does seem unfair to a group of people,” she said, referencing the Confederate nickname at the local schools.

“So just from my own sphere of influence, maybe that’s something that I could address,” she added.

Amanda Nielson, a mother of two, inadvertently began a community-wide discussion around changing the local school’s nickname — the Confederates — when she posted a status on the Columbus Air Force Base’s Facebook page, gauging its members’ opinions. She recognized the mascot was problematic when she began feeling apprehensive about wearing the team’s T-shirt outside of Caledonia.

She wrote a post in a Facebook page for military members, thinking she would slowly gauge the feelings of her community on the mascot, but opponents of the change picked up and shared her post on a larger platform, prompting a firestorm of messages. “This all started when some knot headed air force mom stuck her nose in some business it DID NOT belong in,” one commented.

Others defend the nickname, suggesting to change it would be to “destroy our school history.”

Anna Wolfe

Makade Archibald, an engineer at the local steel mill, and his wife moved to Columbus three years ago and chose a house that would put their three boys in the Caledonia schools district. Since speaking out in favor of changing the school’s nickname from the “Confederates”, Archibald said he’s been confused by the resistance to getting rid of the clearly offensive name.

“You’ve got to give me a logical reason. And all I hear is like, ‘Blah, blah, blah, history,’” Archibald said of these arguments. “Do we really preserve history with high school mascots? Is that how history preservation is done? I just don’t get it. Where are the Caledonia Dwight D. Eisenhower’s?”

Mississippi Today reached out to a dozen people who voiced opposition to the name change on Facebook but almost none of them responded or agreed to an interview. One former student, Rita Flippo Boykin, said she didn’t oppose the name change, but wishes the students could offer some input. Jimmy Brewer, a Caledonia parent, felt the same way, adding, “the ones that want it changed should be willing to pay the bill for it all.”

The Lowndes County School Board has agreed to consider changing the name and will include a survey about the mascot in the enrollment packets it sends to parents at the start of the school year, Superintendent Sam Allison said.

Once Nielson explained in simple terms to her son and 6-year-old daughter the purpose of her campaign to change the nickname, “they instantly thought of their friends, who are Black, and were really sad for them.”

The girl, a cheerleader named Lottie, became solemn and asked her mom if she should stop saying “Go Feds!” in her team’s routine.

“I wish that more people would feel that way, not for the politics of it … but just on a personal level, if we would have conversations with our friends and our neighbors and just genuinely say, ‘How do you feel about it?’ And then be open to listening about their personal experience,” Nielson said. “I think that’s where that change of heart comes from.”

Thomas McAfee, whose wife was stationed at Columbus last year, said they were already apprehensive about moving to Mississippi because of its reputation, but were excited about the quality of the schools in Caledonia.

Anna Wolfe

Thomas McAfee, his wife and two children moved to the Columbus Air Force Base last year and chose Caledonia schools because of their high academic scores. But when they realized their children would be referred to as the “Feds,” short for “Confederates” — the school nickname — they had second thoughts.

“It wasn’t until after we actually got them enrolled that we realized their mascot was the Confederates,” Taylor, who is Black, said. “We were considering moving them over to the Columbus school system.”

One mom, who is also Black and attended Columbus schools herself, also struggled to decide where to send her daughter, who’s now in middle school, before enrolling her at Caledonia.

“It was a really tough decision, you know? What do you do? You deal with the mascot, put her in the school that’s rating or grading higher? Or do you send her to where she would probably be more comfortable but not have as many opportunities?” said the mom, who did not want her name printed for fear of retaliation against her daughter at school.

Her son also went to Caledonia and played on the basketball team before he graduated. She said she felt they were the butt of a joke as she strategically cropped out the gigantic “Caledonia Confederates” lettering on the gym walls in her photos of him on the court.

Another Air Force parent who did not want to be named and no longer lives in the state told Mississippi Today he enrolled his Black 14-year-old son in Columbus High School, against the advice of all the advisors on base, purely because of the nickname at Caledonia. He was not happy with the quality of the education and eventually sent his son to live in Colorado with his grandparents during his second year stationed in Columbus.

Anna Wolfe

Graves in Caledonia’s Unity Cemetery are segregated by race, with the few marked graves for Black residents located closest to Wolfe Road and the white graves, many topped with Confederate battle flags and American flags, further back. Soldiers who fought in the Civil War and Revolutionary War are buried in Unity Cemetery. During a Facebook debate over changing the Caledonia schools’ nickname from the Confederates, one commenter wrote, “Maybe these people that are not from Caledonia need to study up on their history. Or better yet… take a walk through Unity Cemetery. Do some research about the town. We don’t go to their hometowns and try to change what we don’t like there.”

By 2012, Lowndes County School District was still under a federal consent degree dating back to the 1970 court order that permanently prohibited many school districts across the state from discriminating or offering unequal education to their students based on their race.

When the district asked the court that year to grant them unitary status, certifying that they had indeed rectified the lingering effects of past segregation, the judge had one primary reservation: the Confederate nickname at Caledonia.

“Simply stated, the court can discern no good reason why a Mississippi public school would wish to associate itself with any divisive nickname or symbol,” U.S. District Judge Michael Mills wrote in his order.

Mike Halford, a former superintendent who spoke on behalf of the district at the hearing, “appeared to recognize that such a nickname can hinder the school’s mission of educating students of all races,” Justice Mills wrote.

But Halford argued the district had distanced itself from the Confederates nickname — using the shortened “Feds” for chants and on some sports jerseys.

He also sought points with the judge by emphasizing “how the school did not replace the painting of a Confederate soldier on the wall in Caledonia High School’s gymnasium after it was destroyed in a tornado,” in 2009, the opinion reads. But students had painted “Caledonia Confederates” in big red and white letters on the walls inside the current building, longtime teacher Christi Carter told Mississippi Today.

The judge also examined the use of the “n-word” among students in the district, for which there had been 26 complaints 2010-2012 — which Halford called a small number.

Ultimately, the judge granted the district unitary status, dismissing the original case in large part because no one from the community actually spoke out against the Confederate mascot.

“You pick your battles,” the mom from Columbus told Mississippi Today as she recalled the younger years of her son, who has since graduated from Caledonia.

She never tried to fight the Confederate nickname, explaining: “Going through a divorce, having to start over, raising a son. It’s hard enough just … keeping him on the right track and having people not see him as a threat. I just had my hands full and that just was a beast I was not equipped to take on at the time.”

“I never liked it,” she said.

In his order, Mills acknowledged there were “strong feelings” on both sides of the debate and that officials had taken the “political path of least resistance” by choosing not to act.

“On the one hand, some will say ‘we mean no harm, we are only honoring our heritage.’ On the other hand, another will say ‘this is a heritage which demeans me.’ The best minds of the South have long known that those with competing interpretations of the past need to find a way to overcome the past.”

Anna Wolfe

Sonniah Ramirez, a 12-year-old student at Caledonia Middle School, has participated in recent demonstrations to remove symbols of the Confederacy from her community, such as the statue outside the Lowndes County Courthouse and the nickname at her school. She said she wants to see the monuments to the Confederacy removed because “they wanted to me to stay a slave. They wanted my people and people of color to stay in slavery. That’s basically what they did and basically what they fought for.”

Eight years later, the name of the South’s failed alliance still appears on the gym walls and in a half circle around first plate on the baseball field — a new addition in the last few years, Allison said.

It also lives on through merchandise designed by the local booster club and the Dollar General in town still sells shirts with “Caledonia Confederates” emblazoned across the front, Shellman said.

And student are still subjected to racist slurs.

“They’re basically allowing us, Black people, to come to a school that represents keeping slavery around. There’s a lot of racists in that school,” said 12-year-old Caledonia middle schooler Sonniah Ramirez, who is Black and Hispanic. “Me and my friends, we have been called a n*****.”

Ramirez said the student who called her the racial slur this past school year was only disciplined with a write-up. “Nothing happened,” she said. “You could tell they (administrators) didn’t care.”

Anna Wolfe

Seniors at Caledonia High School can reserve their own parking spot for the year and paint it with the design of their choice. From left to right: the Mississippi State flag and American flag; a painting of the Earth and message, “Be the change”; the school logo, which is an image of two swords crossed and flag reading “Feds”.

For the 2019 Homecoming parade, students at Caledonia High School crafted a float entitled “Imprison the Indians”, in reference to the team they played in football that week, the Itawamba Agriculture High School Indians. Several students and family members told Mississippi Today they found the float, approved by school faculty, offensive.

Use of the n-word is not the only example of racist microaggressions perceived by parents and students who spoke to Mississippi Today: During the high school’s 2019 Homecoming parade, students on one float stood in a mock prison cell, dressed in costumes with feather headpieces. Their sign read “Imprison the Indians,” referring to their opponent in football that week, the Itawamba Agriculture High School Indians. Students told Mississippi Today that faculty voted it best float in the annual contest.

Alex Hurdle, a graduating senior, recalled that the school suspended her Black classmate after using a curse word, though other white students frequently curse with much less severe, if any, repercussions.

Allison, the superintendent, said he had not encountered any of these issues since taking the position in January and that any kind of racial harassment is “a huge infraction across the district,” and incidents are “treated as serious as they are.”

Shellman, the recent Caledonia graduate, said she believes some of her peers who reject “Black Lives Matter” or who’ve said they prefer to keep the Confederate mascot “are falling behind what they hear their parents say.”

“And I feel like they’re doing that because we weren’t taught in-depth about the Confederacy, so they don’t have enough information to actually form their own opinion.”

In middle school, Shellman’s teachers taught her the South fought the Civil War over states’ rights. They taught separately that slavery ended after the war, Shellman said, as if they expected students to connect the dots themselves.

Shellman said she also believes her school shied away from the Confederacy’s history because of the iconography at the school, which subconsciously hinders them from addressing those hard truths.

“I’ve been reminding myself that I can’t be angry at people for things they don’t understand,” Shellman said. “I think a lot of people, they’re not fully educated on what’s actually happening and they’re just acting on feeling right now. They just feel like the world is against them and it’s more like the world is finally being unveiled for what it actually is.”

The post Rooting for and rooting out the Confederate mascot in small town Mississippi appeared first on Mississippi Today.

Wednesday Forecast

Temperatures are currently in the low to mid 70s, under mostly cloudy skies in North Mississippi. Scattered showers and thunderstorms are likely this morning and in the afternoon. Highs will be in the mid to upper 80s. Southwest winds around 5 mph. Chance of rain 60%. Tonight will be partly cloudy with a chance of showers and thunderstorms. Lows in the lower 70s.

Scattered showers and thunderstorms will be possible each day through the weekend.

Coronavirus outbreak leaves Legislature’s plans in limbo

Eric J. Shelton/Mississippi Today

The Mississippi Capitol in Jackson, Miss., on Tuesday, June 30, 2020.

The Mississippi House, reeling from its presiding officer, Speaker Philip Gunn, and multiple other members testing positive for the coronavirus over the weekend, sent most of its staff home Monday for two weeks.

The House clerk’s office will remain open to accept Gov. Tate Reeves’ signings or vetoes of the dozens of bills passed by the Legislature last week, according to people familiar with the operations of the House.

Reeves, who met with Gunn last week for the signing of the historic bill to change the state flag, announced Monday he was being tested.

A spokesperson confirmed at least one person on the Senate staff has tested positive for the coronavirus, and the Senate is following the recommendations of the Health Department concerning with COVID-19.

The Department of Health provided tests at the Capitol Monday, where people waited an hour of more in a line of cars that snaked their way through the Capitol grounds to be tested.

It was not clear Monday how or when the Legislature will address the budget for the Department of Marine Research, which is a regulatory and law enforcement agency on the Gulf Coast. The Legislature left last Thursday after funding all of state government for the new fiscal year that began on July 1 except for Marine Resources. There was a dispute over the $50 million the agency receives from oil and gas drilling in the Gulf of Mexico. House leaders said the Legislature should have more oversight of the funds.

The Legislature was expected to come back late this week to try to reach agreement on a budget for the agency. Now it is not clear what the plans are.

Reeves, who was critical of the House leaders, saying they wanted to take over the funds to spend them on their own projects, tweeted that the agency can provide basic services without a budget for the new fiscal year, but for only a short period of time.

“We were able to find a temporary funding solution…to allow people to safely fish,” he said. “Won’t last long – still need Legislature to do their job and pass a budget.”

The post Coronavirus outbreak leaves Legislature’s plans in limbo appeared first on Mississippi Today.

Telemental health visits soar. Is it a stopgap measure during pandemic or roadmap for the future?

Bruce Newman/MCIR

Johnny Douglas, a University of Mississippi student in the MBA program, said the presence of roommates made it difficult to achieve privacy during his telemental health sessions.

University of Mississippi student Johnny Douglas of Oxford was worried that his therapy for depression and anxiety might stop in its tracks when the COVID-19 pandemic started.

Instead, beginning in March, his private counselor and his psychiatrist tried out a method of meeting that didn’t involve Douglas leaving his apartment—wireless telehealth counseling and medication sessions – a mode of treatment that exploded in numbers in Mississippi during shelter-in-place orders.

Numbers aren’t available for the increase among patients like Douglas treated via telehealth through private insurance, but among those covered by Medicaid, the numbers soared.

“In state fiscal year 2019 there were 6,078 total telehealth visits for mental health services. By contrast, between March 1 and May 25 of this year – roughly three months – there were at least 14,852 telehealth visits for mental health services,” said Matt Westerfield, communications director for Medicaid.

Bruce Newman/MCIR

Johnny Douglas, a student in the MBA program at the University of Mississippi, had come to rely on counseling to help him deal with his anxieties and worried he’d lose that support when the pandemic shut down his therapist’s office. But he was able to continue his sessions via telehealth until he could resume in-person sessions.

Douglas at first was not enamored with the idea of using telehealth. But he had been seeing his counselor once every two weeks since January and didn’t want to lose that support he’d had since he’d begun going in November for stresses from law school and a bad breakup. He graduated from law school this summer and is now in the MBA program.

“I feel like it kept me in the habit of going,” Douglas said. He said that while he didn’t make as much progress as he would have liked in his treatment, it kept him from regressing into a deeper episode

Mississippi authorized the use of telehealth one or more chronic conditions, as defined by the Centers for Medicare and Medicaid Services, including mental health. It also requires health insurance or employee benefit plan to charge the same deductible, co-payment, or coinsurance for a health care service provided through telemedicine as it does for in-person consultation.

But the main block to Mississippi mental health centers using telehealth regularly before this time was that Medicaid did not reimburse centers for much of the care delivered over telehealth, insisting that the patient be seen in person by a clinician.

That changed when Mississippi’s Division of Medicaid put in place an Emergency Telehealth Policy on March 20, 2020, in response to the pandemic. “Essentially, the emergency policies temporarily increase the number of services eligible for telehealth and give providers the flexibility to deliver those services via audio only modes of communication,” said Phaedre Cole, executive director for Region 6 Community Mental Health Center and  board president for the Mississippi Association of CMHCs.

“With regard to mental health, this ability to access services from their home is particularly crucial because beneficiaries can limit unnecessary travel and potential exposure to coronavirus while maintaining regular support,” Westerfield said. “Virtually every mental health service covered by Mississippi Medicaid can now be accessed through telehealth, programs such as individual therapy, group therapy, psychosocial rehabilitation, and peer support.”

Such emergency policies were to end June 30, Cole said. ”It is our hope that these emergency policies will be extended.”

Westerfield noted that the number of beneficiaries has not increased—simply the number of times they have used telehealth. “From what we can tell, there doesn’t seem to be a noticeable increase in the number of beneficiaries receiving mental health services as a result of telehealth because the volume of billing claims is comparable to pre-COVID-19 months.”

Cole noted that the visits are provided through whatever avenues are available to the center and the patient, including FaceTime, Skype, GoToMeeting, or simply in a phone conversation.

The use of telehealth or telemedicine in mental health treatment already was a topic of discussion before the pandemic. A 2016 analysis published in the National Institutes of Health’s Telemedicine Journal and E-Health explored the use of “telemental health” in treating mental disorders as a way of mitigating such factors as the critical shortage of mental health professionals. According to the study, there’s an estimated shortage of 10,000-20,000 psychiatrists in the United States with even more serious shortages of child and adolescent and geriatric psychiatrists.

The analysis assessed the merit of using telemedicine in terms of feasibility, acceptance, effects on medication compliance, health outcomes and cost. The global cost of mental health disorders, according to the analysis, is projected to reach over $6 trillion this year. The analysis was based on a review of 22 studies into the feasibility and acceptance of telemental health, seven that investigated medication adherence and five with cost. All feasibility and acceptance studies reached similar conclusions regarding satisfaction, and all treatment adherence reported positive results in terms of medication compliance. Cost-effectiveness and cost savings appeared to be volume sensitive with the minimal volume savings being 250 consultations.

In Mississippi, while the telehealth visits have dramatically increased since the beginning of the pandemic, barriers still exist for mental health patients seeking care, Cole said. “Many of our clients lack broadband access, do not possess the skills or equipment needed to engage in telehealth services, have limited data plans, and/or do not want to erode cellphone plan minutes on frequent or lengthy telephonic contacts. In addition to the technological challenges, valuable clinical information can be lost in a telephonic only encounter. For instance, nonverbal cues are missed, and rapport can be more difficult to establish.”

Douglas said early attempts at his telehealth visits were plagued by technical problems, with him not being able to log into the clinic’s telehealth software. He and his providers finally resorted to FaceTime on his cellphone to accomplish his sessions.

“It’s been an adjustment,” Douglas said.  He said that the presence of his roommates sometimes made it difficult to achieve the privacy he felt he needed to discuss his difficulties.

Mental health experts understand that social isolation can have devastating consequences on people’s mental and physical health, according to Cole. Cole said that experts hope the reduction of cases in coronavirus will enable face-to-face communications soon between patients and clinicians.  “The pandemic has forced social isolation upon the masses. While telehealth and telephonic services provide some level of human contact, it does not replace the benefits of face-to-face interventions.”

Douglas said he began regular in-person sessions again last week and was glad of it.  “It was weird to have therapy in my room,” Douglas said. “I don’t know that I got as much out of it.”

This story was produced by the Mississippi Center for Investigative Reporting, a nonprofit news organization that seeks to inform, educate and empower Mississippians in their communities through the use of investigative journalism. Sign up for our newsletter.

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Bolivar County will remove its Confederate monument

Photo by Rory Doyle

A Confederate statue remains outside the Bolivar County Courthouse in Cleveland, Mississippi on July 3, 2020.

CLEVELAND — The Bolivar County Board of Supervisors has voted to remove the Confederate monument in front of the Cleveland courthouse.

Supervisor Jacorius Liner made the motion to remove it; no supervisors voted against the motion. At their last meeting, the board authorized attorney Ellis Turnage to look into the legality of removing the monument. 

Turnage informed the board of state law at their regular Monday meeting — that for a Confederate monument to be moved it must be placed in a suitable location such as a cemetery or historical Civil War site. 

No decisions have yet been made by the board as to where the statue will go, when, or how much it will cost.

“Our responsibility today is not to find a suitable place , but to make a decision to have it removed and then we can begin to have those discussions with the appropriate entities across the state later,” Liner said. 

Board vice-president Donny Whitten initially wanted to delay the vote until the county had all questions answered about costs and logistics of moving the monument. When it came time for the vote, however, he did not vote against it.

To move [the Confederate monument] without having all questions answered is premature. But I understand the heartfelt emotions and reasonings behind the motion. I absolutely do,” Whitten said. 

Photo by Rory Doyle

Protestors demand the Confederate statue come down outside the Bolivar County Courthouse in Cleveland, Mississippi on July 3, 2020.

A group of about 20 people marched to the monument on July 3 demanding that the statue be removed, that no county or city dollars be used to remove it. The group also demanded that it be replaced by a monument honoring Black liberation commissioned by a Black artist from Bolivar county, and that the county and city shift resources away from policing and toward “community-led educational and recreational programs for Black youth.”

Liner, the supervisor, stated during the meeting that the county should bear the costs of moving the monument.

“It’s on our property, on our lawn. It would be our responsibility to bear the cost whatever the cost,” Liner said. 

This decision is the latest in a flood of movement across the state and nation to halt the glorification of the Confederacy, the most notable example perhaps being the Mississippi Legislature’s recent decision to change the state flag, which was the last in the nation to bear the Confederate emblem.  

The monument in Bolivar County was erected in 1908 and was sponsored by the Daughters of the Confederacy; their movement was part of a larger effort to re-write the history of the Confederacy and promote that the Civil War was more about “states’ rights” than it was about slavery. 

Toward the end of the meeting, Board vice-president Larry King commented that Confederate statues celebrate, “those that enslave us (African-Americans). I think we’re doing right to end that celebration and celebrate something more positive.” 

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