What is a Core Service Agency (CSA)?


A Core Service Agency (CSA) is a state funded agency, as part of local health departments, local county governments, or non-profit organizations, that operates under contract with the State of Maryland’s Behavioral Health Administration (BHA), a division of the Maryland Department of Health (MDH). Core Service Agencies, Local Addictions Authorities, and Local Behavioral Health Authorities are mandated to comply with the Annotated Code of Maryland Health General Article 10-1201 through 1203. 


Mid Shore Behavioral Health (MSBH) is a private, not-for-profit 501(c)(3) regional CSA that serves five counties (Caroline, Dorchester, Kent, Queen Anne’s, and Talbot), making us the largest regional CSA in the state. Our primary responsibility is for community planning, management, and monitoring of publicly funded medically necessary mental health services in the five-county region for consumers across the life span: children, adolescents, adults and the aging population.

Our Mission


MSBH’s mission is to continually improve the provision of behavioral health services for residents of Caroline, Dorchester, Kent, Queen Anne's and Talbot Counties through effective coordination of care in collaboration with consumers, their natural support systems, providers and the community at large.

Our Vision


A rural behavioral healthcare delivery system that is clinically and culturally competent. This system will ensure access, have a community focus, be cost-effective, and be integrated to serve the community as a whole.

What We Do

We strive to enhance the regional behavioral health system of care through effective collaboration with consumers, their natural supports, providers, and community leaders. It is our goal to develop a full array of accessible services and resources for the consumer through partnership with our providers and other agencies. We offer guidance in understanding and navigating all that is available in our community.  


Beyond our primary responsibility for local publicly funded mental health services, MSBH understands that behavioral health is essential to overall health, and many domains of life contribute to one’s behavioral health, especially having a home, purpose and community connection. As such, MSBH seeks to address the needs of the whole person and collaborates to improve the systems of care of the whole community throughout the region.


The most important core value of our organization is hope: The belief that resiliency and recovery are real provides the essential and motivating message of a better future – that people and communities can, and do, overcome the internal and external challenges, barriers, and obstacles that confront them in order to achieve wellness.

© 2020 Mid Shore Behavioral Health, Inc.

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