RESEARCH: MENTAL HEALTH NEEDS IN MISSOURI JAILS
Part 1: Surveying County Sheriffs and Jail Administrators
Missouri Appleseed’s recent survey, conducted with the Missouri Sheriff’s Association and the Missouri Association of Counties, reveals the overwhelming mental health needs facing jails in the state. Jail leaders report that facilities are stretched beyond capacity, caring for residents with severe mental illness and substance abuse issues without adequate resources or funding. Nearly all jails hold individuals awaiting Department of Mental Health assessments or transfers, with average wait times of 18 months up to almost 3 years for a transfer. Forty-two percent of jail leaders said three-quarters of their residents face mental health challenges, well above national estimates. Leaders emphasized the need for improved facilities, medical staffing, and training, as well as opportunities to increase Medicaid enrollment prior to release to improve reentry outcomes. The findings underscore critical systemic gaps and the need for statewide investment and policy reform in mental health services.

EDUCATION: MEDICAID & INCARCERATION CONFERENCE
On September 18, Missouri Appleseed’s 2025 Medicaid & Incarceration Convening brought together sheriffs, jail administrators, state officials, healthcare providers, and advocates from over 30 Missouri counties to build momentum around expanding healthcare access for incarcerated individuals. Together, we shared tools, discussed strategies, and took concrete action to advance policies that improve outcomes across Missouri.
View presenter materials here >





Thank you to our presenting partners

TEAM SPOTLIGHT: WELCOME LAURA LAGESSE
We are happy to announce Laura LaGesse as the Director of Research at Missouri Appleseed. Laura received her bachelor’s degree in anthropology from Whitman College and a Master of Public Health from Washington University in St. Louis. Before joining Appleseed, Laura worked in public health research and within local public health departments. Her experience includes working in correctional environments, helping incarcerated residents get connected to resources and enrolled in Medicaid.
EDUCATION: MISSOURI MATERNAL HEALTH ACTION NETWORK SUMMIT
Missouri Appleseed was honored to speak on a panel at the recent Missouri Maternal Health Action Network’s (MMHAN) Summit on September 26th. Our executive director, Mary Quandt, joined Jackson County Family Court Commissioner Katie Rooney and Missouri Appleseed Board member Liz Larsen of Legal Services of Eastern Missouri to discuss legal challenges and opportunities facing mothers dealing with substance use disorders.
We’re proud to partner with such amazing organizations dedicated to improving family health and child welfare in Missouri!
BOARD SPOTLIGHT: ELIZABETH LARSEN
This month, we spotlight Liz Larsen, Board Treasurer and co-panelist at the recent MMHAN conference.
Liz has been an “access to health care” advocate since her time at Saint Louis University School of Law where she graduated with a health law concentration in 2016. In her current role as Program Director of the Advocates for Family Health team at Legal Services of Eastern Missouri, she works with families to not only access Medicaid health insurance, but to utilize the benefits to their fullest. Liz engages in both direct client and systemic advocacy to ensure all Missourians have meaningful access to their Medicaid and SNAP benefits.
LEGISLATIVE NEWS: VETO DAY
Grassroots students and Missouri Appleseed staff attended the Veto Day session on September 10th in Jefferson City. We met with more than ten legislators and their staff who have supported us in the past and will be our partners in the upcoming 2026 session.
IMPACT: ESTABLISHING A PRISON NURSERY IN MISSOURI
The Missouri Catholic Conference published a story in “The Messenger” highlighting three women currently participating in the nursery program. Each shares her journey to prison and hopes for her child and the future.

– Sarah
ADVOCACY SPOTLIGHT: SEE US, SUPPORT US
Every October, See Us, Support Us (SUSU) spreads awareness about children of incarcerated parents, highlighting their voices, strengths, and needs. This October, SUSU commemorates the 20th anniversary of the groundbreaking Children of Incarcerated Parents’ Bill of Rights which outlines rights that are vital to young people. It provides us with a guiding framework for ensuring children are seen and supported.
The Prison Policy Initiative highlights Missouri’s Primary Caretaker Law, advocated by Missouri Appleseed, as one of 12 state bills that promote the rights of children of incarcerated parents.
Children of Incarcerated Parents’
Bill of Rights
I have the right:
- to be kept safe and informed at the time of my parent’s arrest.
- to be heard when decisions are made about me.
- to be considered when decisions are made about my parent.
- to be well cared for in my parent’s absence.
- to speak with, see, and touch my parent.
- to support as I struggle with my parent’s incarceration.
- not to be judged, blamed, or labeled because of my parent’s incarceration.
- to a lifelong relationship with my parent.
Through research and policy reform, Missouri Appleseed advances initiatives designed to have a lasting, systemic impact on justice-involved Missourians, their families, and the greater community.

























