All Texas Access is a legislatively mandated initiative resulting from Senate Bill 454, 87th Legislature, Regular Session 2021, whose focus is increasing access to mental health services in rural Texas communities. S.B. 454, 87R, Texas Legislature, 2021, is a continuation of the All Texas Access initiative that began with Senate Bill 633, 86th Legislature, Regular Session, 2019 (S.B. 633).
For the All Texas Access initiative, 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.
Beginning Dec. 1, 2022, HHSC is required to publish the updated regional plans for each group to include a description of actions taken by the regional groups to implement regional strategies, identify new strategies, and estimate the number of outpatient and inpatient beds necessary to meet the goals of each group’s regional strategy.
For the 2022 report, HHSC and the rural-serving LMHA/LBHAs will focus on how to increase appropriate behavioral health diversions from county jails. HHSC will work with each of the rural-serving LMHA/LBHAs to identify and begin implementing at least one opportunity to locally increase appropriate behavioral health jail diversions.
HHSC is participating as a co-applicant for rural-serving LMHA/LBHAs in two national grant opportunities for technical assistance on diverting people with a behavioral health condition away from jail. HHSC and the rural-serving LMHA/LBHA co-applicants are receiving technical assistance from:
- the Substance Abuse and Mental Health Services Administration Gather, Access, Integrate, Network and Stimulate Center for Behavioral Health and Justice Transformation (April 2021 – August 2021); and
- Safety and Justice Challenge IMPACT Network with the John D. and Catherine T. MacArthur Foundation (July 2021 – July 2022).
The first All Texas Access report was published on Dec. 1, 2019. The All Texas Access Report (PDF) includes a background, All Texas Access data, regional plans, a statewide analysis, legislative recommendations and appendices.
All Texas Access Data 2019
There are two All Texas Access data workbooks for 2019:
- All Texas Access Metrics, which 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
- The estimated number and cost of hospital emergency room visits by people with mental illness.
- All Texas Access ER Metrics, which includes:
- The estimated number of hospital emergency room visits by people with mental illness.
All Texas Access Regional Plans 2019
The All Texas Access initiative works with regional groups of rural-serving LMHA/LBHAs. Each of the regional groups have developed mental health service plans to reduce incidents of mental health crisis while providing care at the right time and place. The regional groups roughly align with the catchment areas of seven state hospitals in Texas:
- 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 2019
The All Texas Access report also includes:
All Texas Access Appendices 2019
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
- Mental Health Crisis Transportation Overview (PDF)
- Integrating 911 and Behavioral Health Response (PDF)