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Trillium Health Resources details county behavioral-health services and mobile crisis response

Scotland County Board of Commissioners · March 10, 2026
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Summary

Cecilia Pierce, regional vice president for Trillium Health Resources, told the Scotland County Board of Commissioners that the tailored Medicaid plan provides local crisis response, reentry care management, digital supports and community training; she reported early diversion results, local membership counts and distribution of 261 Narcan kits.

Cecilia Pierce, regional vice president for the Southern Region of Trillium Health Resources, told the Scotland County Board of Commissioners on March 9 that Trillium operates tailored Medicaid behavioral-health services across a multi-county southern region and provides a range of local programs in Scotland County, including mobile crisis response, reentry care management and digital support tools.

Pierce said Trillium serves the most vulnerable Medicaid members — people with significant mental-health, substance-use and developmental needs — and that the plan seeks to connect people to services rather than to emergency departments. She reported county-level figures drawn from the state dashboard: a little over 17,000 individuals in Scotland County are on Medicaid; Trillium covers roughly 30–31% of that population through standard plans and about 9% through tailored-plan membership, with roughly 1,500 members served locally last year. Pierce also said Trillium’s catchment served just over 103,000 members last fiscal year and that the plan’s community spending was “a little under $1,000,000,000.”

On mobile crisis services, Pierce said Southeastern Integrated Care assumed local mobile-crisis coverage after a transition from Monarch. She told commissioners that in December the provider received three calls that resulted in two diversions from the hospital and that in January and February they received eight calls, all of which were diverted from emergency-department care and connected to substance-use or behavioral-health services. Pierce said the county-only numbers were modest (the region-wide totals are larger) and that the provider’s local response times have typically ranged from about 30 to 45 minutes. "We consider them a support for law enforcement," she said, adding that the provider aims to coordinate as a co-responder behind law enforcement when scenes are safe.

Pierce highlighted several county-facing programs and supports: a reentry care-management team that expanded to assist people within 90 days of jail release; a mobile integrated-care unit run by Stevens Outreach that visits the county twice monthly; distribution of 261 Narcan kits for overdose prevention; and digital supports such as the Trillium Ultimate Living Assistant tablet program and apps (ChessHealth, Attend Behavior and a state-launched peer-support app for young people). She said the crisis line (888...) operates 24/7 and that callers do not have to be Trillium members to access local resources; callers to 988 may be connected with local services.

Pierce closed by offering follow-up information and local contact details and by saying she would provide additional updates about law-enforcement coordination if the board wanted more detail. Commissioners thanked her and asked for clarification on local versus regional metrics; Pierce reaffirmed the county-specific diversion counts and offered to check in with the mobile-crisis provider on coordination progress.

The presentation is part of the board’s regular updates on county service partners; Pierce said Trillium is recruiting members for its Consumer and Family Advisory Committee and that community participation helps shape local service delivery.