All Texas Access is a legislatively mandated initiative that focuses on increasing access to mental health services in rural Texas communities.
Regional groups of rural-serving local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs) collaborate to develop regional plans that decrease:
- 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.
For the 2022 report, HHSC is collaborating with the rural-serving LMHA/LBHAs to focus on diverting more Texans with mental illness away from the criminal justice system and into treatment. The 2022 All Texas Access Report will be published no later than Dec. 1, 2022.
The first All Texas Access report was published on Dec. 1, 2020. The All Texas Access Report (PDF) outlines regional plans developed by rural serving LMHA/LBHAs to increase access to care for rural Texans.
All Texas Access Data
HHSC produced several data workbooks to illustrate the cost of behavioral health care to rural communities.
- Workbook 1 includes:
- 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 and cost of people incarcerated with mental illness in county jails; and
- Workbook 2 includes:
- The estimated number of hospital emergency room visits by people with mental illness.
2021-2022 Technical Assistance Opportunities
HHSC is participating in several competitive, national technical assistance (TA) learning opportunities with rural LMHA/LBHAs to enhance its rural crisis system and divert people with a behavioral health condition away from jail. The national TA opportunities HHSC is participating in include:
- Substance Abuse and Mental Health Services Administration Gather (SAMHSA), Access, Integrate, Network and Stimulate Center for Behavioral Health and Justice Transformation,
- Safety and Justice Challenge IMPACT Network with the John D. and Catherine T. MacArthur Foundation, and
- National Academy for State Health Policy (NASHP) on Rural Mental Health Crisis Services.
- Mental Health Crisis Transportation Overview (PDF)
- Integrating 911 and Behavioral Health Response (PDF)