Mental Health Commission

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

Kathy A. Carter, Mental Health Commission

Kathy A. Carter, Four Seasons, 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 illness, 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." Carter is a founding Board member of the Missouri Mental Health Foundation and currently serves as Treasurer.

Stephen Huss, Ph.D., Mental Health Commission

Stephen Huss, Ph.D., served as the President and Chief Executive Officer of Community Treatment Inc., known as COMTREA, from its inception in 1973 to his retirement in January 2016. The non-profit agency provides medical, dental, mental health, domestic violence shelter and substance abuse treatment services in Jefferson County and south St. Louis County. He was also a certified alcoholism and drug abuse counselor. During his 43 years at COMTREA, Stephen planned, directed and supervised a staff of 358 in seven departments. He also personally developed and presented more than 300 workshops for teachers, clergy, police officers, parents, mental health staff and other professionals on many leadership and personnel development topics including: Total Quality Management, Clinical Treatment of Post-Traumatic Stress Disorder, and Preventing Youth Violence. Stephen Huss is very active in his community, has received honors over the years for his leadership and service, and is an accomplished author having written several books and contributed articles to numerous local, state and national publications.

Steve Roling, Mental Health Commission

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, Mental Health Commission

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.

Dennis Tesreau, Mental Health Commission

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.

Karl Wilson, Ph.D., Mental Health Commission

Karl Wilson, Ph.D., is a clinical psychologist (University of Florida, 1976) who was trained in and identifies himself as a community psychologist. He was the first President and CEO of Crider Health Center, which he led for 33 years, retiring in 2012. This safety net community health and mental health center serves the Missouri counties of Lincoln, Warren, Franklin and St. Charles with a staff of 450+ and a $35+ million annual budget. He taught at Washington University in St. Louis for 38 years, first in psychology and then in social work where he taught mental health policy. He has served as Chair of the Boards of Directors of the Missouri Coalition of Community Mental Health Centers, Mental Health America of Eastern Missouri, Missouri Foundation for Health, Community Council of St. Charles County, Non-Profit Services Center and Behavioral Health Response. He served on the national Board of Mental Health America and on the founding Board of Missouri Health Connection, the state’s health information exchange. He is the proud recipient of a number of professional, advocacy and community awards.