Mark Twain Behavorial Health
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Leadership Team

Our Office Locations:

Chief Executive Officer

Michael Cantrell, MBA

Chief Operations Officer:

Angela Caraway, MSW, LCSW, CRAADC

Mark Twain Behavorial offices Hannibal Macon Kirksville

Professional Affiliations:


CPRP Director:

Lisa Morrow, MA, LPC

Chief Financial Officer:

Jenny Haught, MBA



Medical Staff

David Goldman, DO - Psychiatrist
Andrew Lovy, DO - Psychiatrist
Geoff Westhoff, APN - Psychiatric Nurse Practitioner


Board of Directors


President: Gaylah Sublette
Vice President: Loretta Feldkamp
Treasurer: Donna Lawson
Secretary: Cindy Ayers


Deana Ball

Eileen Dawkins

Mike Hall

Wendy Nelson

Esther Plowman

David Pulliam


CARF accreditation is official recognition that our organization is guided by internationally recognized service standards and best practices and aligns with our mission to provide high-quality, person-centered healthcare. 

CARF International has accredited Mark Twain Behavioral Health for a period of three years for these programs:

Case Management/Services Coordination: 
Integrated: AOD/MH (Adults)
Case Management/Services Coordination: 
Psychosocial Rehabilitation (Adults)
Case Management/Services Coordination: 
Psychosocial Rehabilitation (Children and Adolescents)
Crisis Intervention: Mental Health (Adults)
Crisis Intervention: Mental Health (Children and Adolescents)
Health Home: Comprehensive Care (Adults)
Health Home: Comprehensive Care (Children and Adolescents)
Outpatient Treatment: Alcohol and Other Drugs/Addictions (Children and Adolescents)
Outpatient Treatment: Integrated: AOD/MH (Adults)
Outpatient Treatment: Mental Health (Adults)
Outpatient Treatment: Mental Health (Children and Adolescents)


Mark Twain Behavioral Health (MTBH) is a private not-for-profit community mental health center serving the citizens of northeast Missouri since 1975. MTBH is governed by a volunteer board of directors living throughout a nine county area, which includes the counties of Adair, Clark, Knox, Lewis, Macon, Marion, Schuyler, Scotland and Shelby.

MTBH opened in Hannibal, Missouri on February 1, 1975 with funding through federal grant dollars. A full-time office was established in Kirksville with satellite offices to be developed in the Macon and Memphis communities. Federal funding changed in 1981 when contracts were established with the Missouri Department of Mental Health. This allowed for an array of affordable behavioral health services to be offered to the service area. Since that time MTBH has served as the Administrative Agent for the Department of Mental Health in Service Area 14.

Today, Mark Twain Behavioral Health provides a wide range of services for adults, youth and families which include: Psychiatry and Medication Management, Counseling, Community Psychiatric Rehabilitation Program, Healthcare Home, Access Crisis Intervention Services-24 Hour Crisis Line, Emergency Room Enhancement Program and Educational Services including Mental Health First Aid.

MTBH is committed to caring for the individuals and the families that we serve and improving their overall health by providing a wrap-around treatment philosophy. This approach allows us to utilize a unique set of services and natural supports for the purpose of achieving positive health outcomes




Mark Twain Behavioral Health is committed to enhancing the health and wellbeing of those we serve as well as creating a culture of wellness for our employees. The MTBH Employee Wellness Program offers events and health challenges to promote a variety of healthy behaviors.

In Spring 2016, the Wellness Council of America (WELCOA) launched an exciting national challenge to get employees across the country On the Move. The On the Move competition was focused on fueling national corporate health initiatives to combat physical inactivity and initiate behavior change. Eighty-four companies representing almost 80,000 employees participated in this 12-week online challenge. The challenge engaged employees with educational resources, behavior change incentives, social support and, of course, movement. MTBH finished in second place with 63 employees participating in this nation-wide competition.





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