Texas Targeted Opioid Response Providers

The Texas Targeted Opioid Response expands access to treatment, prevention and early intervention, and provides long-term recovery supports for people with a history of, or who are at risk for developing, opioid use disorders and overdose.

To learn more about TTOR program projects and related activities, visit the HHS TTOR webpage.

Mental Health TTOR

This new opioid response initiative will also enhance employment, effective crisis response and re-entry for people affected by opioid use.

TTOR – High Fidelity Supported Employment Pilot Program

TTOR Supported Employment to people with an opioid use disorder is a vocational rehabilitation program that uses individual placement and supports evidence-based model. For co-occurring populations with opioid use disorder history, these intensive services provide personalized assistance to clients choosing and obtaining employment in integrated work sites in a regular community.

TTOR – Job Developer Pilot Program

TTOR funded providers will hire full-time positions dedicated to job development. Job developers will work collaboratively with other providers to increase job placements in surrounding areas, engage employers and educate Substance Use Disorder and Medication Assisted Treatment providers about supported employment and individual placement and supports principles. The funded positions will enhance already established supported employment programs at the host agency that use the individual placement and supports model.

Mental Health Peer Support Re-entry Pilot Program

TTOR Local Mental Health Authority jail re-entry expansion programs provide community-based peer services which assist with transition or “re-entry” into clinically appropriate community-based mental health services.

Mobile Crisis Outreach Team

MCOT responds immediately to where a psychiatric crisis is occurring and comprises medical and mental health professionals. MCOT expansion under TTOR is to include a Licensed Chemical Dependency Counselor and respond to substance use related crises.

Existing Providers

TTOR – Supported Employment

  • Tropical Texas Behavioral Health - 1901 S. 24th Ave., Edinburg, Texas

TTOR – Job Development

  • Center for Health Care Services – 3031 IH 10 West, San Antonio, Texas
  • Central Counties Services– 304 S. 22nd St., Temple, Texas
  • Community Healthcore – 107 Woodbine Place, Longview, Texas
  • Emergence Health Network – 102 E. Main, Suite 600, El Paso, Texas
  • Heart of Texas MHMR – 110 S. 12th St., Waco, Texas

Peer Support Re-entry Pilot Program

  • The Harris Center – 9401 Southwest Freeway, Houston, Texas
  • My Health My Resources of Tarrant County – 3840 Hulen Tower North, Fort Worth, Texas
  • Tropical Texas Behavioral Health - 1901 S. 24th Ave., Edinburg, Texas


The training requirements vary as per training needs identified in project proposal of the TTOR program projects.

Providers who are contracted to implement high fidelity supported employment and job developers under the TTOR grant shall ensure their designated employment staff and program manager complete required trainings as identified by their contract. The trainings include, but are not limited to, the following:

  • Program staff
    • Individual Placement and Supports Training
    • Opioid misuse and abuse prevention
    • Suicide prevention
    • Comprehensive overdose prevention
    • Medication-assisted treatment advocate training
    • Motivational interviewing
  • Management staff
    • Opioid misuse and abuse prevention
    • Comprehensive overdose prevention
    • Medication-assisted treatment advocate training


Supported Employment Fidelity review Manual – Individual Placements and Supports Fidelity Manual


Contact Us

Mailbox for high fidelity supported employment, job developers and peer re-entry programs: AdultMH@hhsc.state.tx.us

Mailbox for MCOT: