The All Texas Access report documents the implementation of Senate Bill 633, 86th Legislature, Regular Session, 2019 (S.B. 633). This report is the result of ongoing collaboration between the Texas Health and Human Services Commission (HHSC), local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs). The report explores how access to mental health services could be improved in various rural Texas communities and how increasing regional capacity for mental health services could impact:
- The cost to local governments of providing services to people experiencing a mental health crisis;
- The transportation of people served by an LMHA/LBHA to mental health facilities;
- The incarceration of people with mental illness in county jails; and
- The number of hospital emergency room visits by people with mental illness.
The All Texas Access Report (PDF) includes a background, All Texas Access data, regional plans, a statewide analysis, legislative recommendations and appendices.
The All Texas Access Background Report (PDF) provides a general overview of mental health services in Texas. The background is designed to provide context for the rest of the report.
All Texas Access Data
The All Texas Access Report Data and Metrics (PDF) shows fiscal year 2019 data for:
- The estimated cost to local governments of providing services to people experiencing a mental health crisis;
- The estimated transportation costs of people served by an LMHA/LBHA to mental health facilities;
- The estimated number of people incarcerated with mental illness in county jails and the estimated cost of people incarcerated in a county jail; and
- The estimated number of visits to hospital emergency room visits by people with mental illness and the estimated charges for hospital emergency room visits by people with mental illness.
All Texas Access Regional Plans
S.B. 633 directed HHSC to identify LMHA/LBHAs serving at least one county with a population of 250,000 or fewer, assign those LMHA/LBHAs to groups of at least two authorities and develop plans with each group that would increase or improve mental health care access or services in ways that reduce incidents of mental health crisis. Each of the regional group’s boundaries align with seven state hospital catchment areas:
- All Texas Access Regional Groups Map (PDF)
- All Texas Access Austin State Hospital Regional Group Plan (PDF)
- All Texas Access Big Spring State Hospital Regional Group Plan (PDF)
- All Texas Access North Texas State Hospital Regional Group Plan (PDF)
- All Texas Access Rio Grande State Center Regional Group Plan (PDF)
- All Texas Access Rusk State Hospital Regional Group Plan (PDF)
- All Texas Access San Antonio State Hospital Regional Group Plan (PDF)
- All Texas Access Terrell State Hospital Regional Group Plan (PDF)
All Texas Access Analysis and Recommendations
The All Texas Access report also includes:
All Texas Access Appendices
This section includes the report appendices.
All Texas Access Conference
The Texas All Texas Access conference was held on Dec. 9, 2020. With over 1,000 attendees, the conference focused on key behavioral health initiatives, innovations and opportunities. Featured at the conference were many of the initiatives included in the All Texas Access regional plans developed by LMHA/LBHAs that serve rural areas of Texas.
All Texas Access Conference Session Videos
- All Texas Access Overview
- Behavioral Health Services Matching Grants: A Rural Perspective
- Certified Community Behavioral Health Clinics
- Community Partnerships in Behavioral Health: Opportunities and Challenges to Expanding Services
- CORE – Clinician and Officer Remote Evaluation
- School Mental Health: Helping Students Access the Right Services at the Right Time
- Innovative Programs for Serving Forensic and Justice-Involved Individuals
- Making Lemonade out of Lemons: Telehealth Innovations and Lessons learned from COVID-19
- Mental Health and Stigma in Rural Communities: Giving Voice to the Unspeakable
- Filling the Housing Gap: Models for Housing Persons with Serious Mental Illness
- Closing Remarks: All Texas Access Report Legislative Recommendations