The Mental Health Commission, composed of seven members, appoints the director of the Department of Mental Health with confirmation by the state Senate. Commissioners are appointed to four-year terms by the Governor, again with the confirmation of the Senate. The commissioners serve as principle policy advisors to the department director.

The Commission, by law, must include an advocate of community mental health services, a physician who is an expert in the treatment of mental illness, a physician concerned with developmental disabilities, a member with business expertise, an advocate of substance abuse treatment, a citizen who represents the interests of consumers of psychiatric services, and a citizen who represents the interests of consumers of developmental disabilities services. E-mail the Commissioners at [email protected]

Kathy Carter picture

Kathy A. Carter, Four Seasons, Mo., served as the president/CEO of the Missouri Coalition of Community Mental Health Centers (MCCMHC) for 26 years until her retirement in December 2005. She also served as director of public affairs for the Missouri Association for Mental Health and president of the Jasper County Mental Health Association in Carthage. An active volunteer on behalf of people with mental illnesses, Carter is the recipient of numerous honors, including state and national Mental Health Volunteer of the Year, Lifetime Achievement Awards from various organizations, and the Eternal Flame of Hope Award from the Department of Mental Health's Division of Comprehensive Psychiatric Services. In 2005, the MCCMHC cited Carter as "The single most constant and influential force in the promotion of community mental health in the state of Missouri."

Dennis Tesreau picture

Dennis Tesreau is an attorney with the firm of Wegmann, Stewart, Tesreau, Sherman, Eden & Mikale, P.C. at Hillsboro, Missouri. Dennis has extensive experience in Municipal Law, including City Attorney for the City of Herculaneum and former Prosecuting Attorney for the City of Herculaneum and City of Hillsboro. He currently serves as Director of the Community Advisory Committee with the Missouri Foundation for Health, is former Director of Community Mental Health Board of Jefferson County, former Board Member of the Children’s Learning and Rehabilitation Center, and former President of Jefferson County Bar Association.


Steve Roling picture

Steve Roling, Kansas City, served as President/CEO of the Health Care Foundation of Greater Kansas City until 2013 when he retired. Steve obtained both his undergraduate and graduate degrees from the University of Missouri in Columbia. Steve is married to his wife Judi who is a nurse practitioner and they have two grown daughters who live in the Kansas City area. Steve started his career as resident director of a youth treatment center in Marshall, Missouri while he was still in college and graduate school. After graduation, Steve worked as a community organizer for MASW for over one year. He then became a legislative assistant to former United States Senator Tom Eagleton in Washington, D.C. For six years Steve worked with the Senator on human service issues. He then came back to Missouri and was a banker for four years. In 1985, he became Publisher of the Kansas City Business Journal for six years. In 1991, he joined the Ewing Marion Kauffman Foundation and became the Senior Vice President of the foundation until 2002. In 2003, former Governor Bob Holden appointed Steve as the Director of the Missouri Department of Social Services. In that role he was responsible for a $6.2 billion budget with over 8,500 staff and 300 local offices located throughout the state. After serving as the Director of Social Services, he then became President/CEO of the $472 Million Health Care Foundation. Steve worked with a dedicated Board of Directors, and seventeen staff who were committed to improving the quality of health care in the region for the medically indigent and underserved.


Mary Patrick Seigfreid is an attorney and founder of The Seigfreid Law Firm in Mexico, Missouri, where she practiced law until 2015. She worked as Assistant Audrain County Prosecuting Attorney and served as Executive Director of the Audrain Medical Center Charitable Foundation in Mexico. Mary was staff assistant to U.S. Senator John C. Danforth after graduating magna cum laude from the University of Missouri-Columbia (UMC) in 1979 and was an Assistant Attorney General to Missouri Attorney General John Ashcroft following law school at UMC. Mary has been a director on many boards including Mexico A+ for Education, Mexico Area Family YMCA, Audrain County Historical Society, Mexico Area Chamber of Commerce and United Way of Audrain County. She currently serves as treasurer of the Audrain County Law Enforcement Restitution Fund.

Kenneth Dobbins

Kenneth Dobbins, Ph.D.


Karl Wilson

Karl Wilson, Ph.D.