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Missouri is breaking federal law by housing mentally ill in nursing homes, DOJ finds

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Majority of Missourians sent to restrictive nursing homes because of mental illness would be better served in a less restrictive setting, a year-and-a-half federal investigation determined

June 21, 2024 at 4:00 a.m.

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By Clara Bates Missouri Independent



The Missouri Capitol is seen, April 5, 2024, in Jefferson City. State lawmakers were working to pass a budget on Friday, May 10, 2024. (AP Photo/David A. Lieb)

Missouri is violating federal disability law by unnecessarily institutionalizing thousands of adults with mental illness in nursing homes, the U.S. Department of Justice said in a scathing report published Tuesday.

The report, which is based on a year-and-a-half of investigation, determined that those suffering with mental illness are “subjected to unnecessary stays in nursing facilities, generally because of a series of systemic failures by the state.”

For years, Missouri has placed a higher portion of adults with mental health disabilities in nursing facilities than “all but a few states,” according to the report.

As of March 2023, there were 3,289 adults with mental health disabilities who had spent at least 100 days in Missouri’s nursing homes, according to the report. That number excludes those with Alzheimer’s and dementia.

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