The Illinois Department of Human Services (IDHS) has announced significant changes to the Choate Mental Health and Developmental Center in Anna, Southern Illinois. These adjustments, aimed at realigning services with state needs, will see a reduction in residential units for individuals with intellectual and developmental disabilities and a phase-down of mental health beds. The decision comes as the state seeks to address the growing demand for mental health services in Northern Illinois.
The changes at Choate are part of a broader strategy to transform the state’s support system for individuals with intellectual and developmental disabilities (I/DD). The IDHS has cited a decline in census at state-operated developmental centers and an increasing preference for community living arrangements as key factors in this decision. The state’s commitment to reducing institutionalization and promoting community-based care is at the forefront of this transition.
Changes in Residential and Mental Health Services
By September 30, 2026, the residential units serving the general population with intellectual and developmental disabilities at Choate will cease operations. This decision is driven by the completion of the Choate transformation and the reduced need for such services at the facility. Additionally, the 75 civil mental health beds at Choate will be phased down by March, with these services being relocated to the Madden Mental Health Center in the Chicago metro area to better meet the needs of Northern Illinois.
The 40-bed forensic developmental disabilities unit will continue to operate at Choate, ensuring that forensic services remain available. Other IDHS administrative offices on the Choate campus will also remain functional. The IDHS has emphasized its commitment to supporting affected employees, offering opportunities for transfer to other state-operated facilities or state employment.
Impact on Employees and Community
State Senator Terri Bryant (R-Murphysboro) has expressed deep concern over the impact of these changes on Southern Illinois. She stated, “This is a devastating blow to Southern Illinois. The state’s decision will cost our region hundreds of jobs, uproot vulnerable patients, and create chaos for families and employees who deserve far better than this.” Senator Bryant has been a vocal advocate for maintaining services at Choate and is disappointed by the state’s decision.
The American Federation of State, County and Municipal Employees (AFSCME) Council 31, which represents Choate employees, has strongly objected to the IDHS’s plan. Roberta Lynch, Executive Director of AFSCME Council 31, criticized the department for not consulting with the union to develop a more rational and fair plan. She highlighted the potential upheaval in the lives of hundreds of Choate employees and their families, as well as the weakening of services for the most vulnerable mentally ill individuals.
The IDHS has pointed to job openings at other downstate mental health facilities, such as Murray, Chester, and Alton, as potential opportunities for Choate employees. However, these positions may require extensive travel, posing challenges for employees who are often required to work overtime.
Community-Based Care and Future Plans
The Illinois Association of Rehabilitation Facilities (IARF) has supported the Pritzker Administration’s decision, emphasizing the importance of transitioning residents to community-based care. The IARF statement highlighted the governor’s commitment to increasing investments in adult community-based services, providing a foundation for individuals to receive support closer to home. The transition at Choate represents an opportunity to strengthen Illinois’ community-based system of care.
Governor JB Pritzker’s vision for transformational change within the state’s support system for those with I/DD includes reducing institutionalization and enabling individuals to live in the least restrictive environment of their choice. The census across Illinois’ seven State Operated Developmental Centers (SODCs) has decreased from 1,639 in to 1,413 as of July 17, 2026, reflecting the state’s progress in this area.
As the state moves forward with these changes, the focus remains on ensuring the safety, dignity, and well-being of individuals with intellectual and developmental disabilities. The transition at Choate is a significant step in Illinois’ ongoing efforts to provide high-quality, person-centered services and supports for all its residents.
