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Midshore Behavioral Health Seeks FY27 Letter of Agreement; Board Approves LOA

Queen Anne's County Commissioners · May 26, 2026
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Summary

Midshore Behavioral Health delivered its annual update highlighting crisis response, school-based behavioral health, mobile crisis services and workforce development; commissioners approved the FY27 Letter of Agreement to continue Midshore's role as the regional core service agency.

Midshore Behavioral Health presented its annual report to the Queen Anne's County commissioners on May 26, detailing regional behavioral-health activities and requesting a FY27 Letter of Agreement to continue serving as the county's core service agency.

CEO Katie Dilly said Midshore oversees funding and oversight of mental-health and substance-use services across five Midshore counties and, for some grant programs, across nine counties on the Eastern Shore. Dilly said the organization manages approximately $26 million in state and federal grant funds that support crisis response, school-based services, homeless-services funding, specialty-population programs and a forensic mental-health initiative.

Behavioral health coordinator Sarah Fagan highlighted service delivery metrics and initiatives: the Eastern Shore Crisis Operations Center received 8,435 calls in fiscal 2025 and 3,671 calls in the first six months of fiscal 2026; Queen Anne's County had 70 mobile-crisis dispatches in FY25 and 60 in the first half of FY26; more than 1,000 students in Queen Anne's County have received school-based supports under consortium funding; and Midshore distributed 900+ firearm safety devices as part of a suicide-prevention campaign.

"We have grown to manage close to $26 million in grant funds that support crisis and recovery services across the region," Dilly said. She asked the commissioners to authorize the FY27 Letter of Agreement so Midshore may continue as the county's core service agency.

Commissioners moved to sign the FY27 Letter of Agreement; the motion was seconded and carried by voice vote.

Why it matters: the LOA maintains the county's contractual relationship with Midshore, which coordinates crisis response, school-based behavioral health, housing-related supports for people experiencing homelessness, and workforce initiatives for behavioral-health staff across the region.