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Texas Department of Mental Health
and Mental Retardation Community Mental Health Programs
Purchaser: Texas Department of Mental Health and Mental Retardation
Program: Community Mental Health and Mental Retardation Centers, State-Operated Community Services

Description: The Texas Department of Mental Health and Mental Retardation (MHMR) serves most of its mental health clients in the community through a network of local mental health authorities, such as Community Mental Health and Mental Retardation Centers (CMHMRCs) and State-Operated Community Services, (SOCS), community hospitals, and private providers.

In 1965, the Legislature authorized cities, counties, hospital districts, and other units of local government to create CMHMRCs as independent, nonprofit corporations. As of 2000, 38 CMHMRCs provide mental health services to clients through annual performance contracts with MHMR.

MHMR formed SOCS in 1996 to deliver community services in areas of the state that do not have CMHMRCs. Often, these were rural areas. MHMR currently administers 13 SOCS.

The CMHMRCs and the SOCS provide the following mental health community services:

  1. Assessing an individual’s needs and coordinating timely services;

  2. Providing training and support services to help people with mental illness live independently;

  3. Providing crisis, medical, and counseling services in the community;

  4. Providing inpatient and outpatient treatment, crisis assessment, and medical services to persons in community hospitals; and

  5. Developing and providing coordinated services for emotionally disturbed children and their families through Texas Children’s Mental Health Services.

MHMR spent nearly $477 million on community mental health programs in fiscal 1998. More than $124 million was paid with Medicaid funds. Another $18 million in funding came from contracts with the Texas Commission on Alcohol and Drug Abuse and the Texas Rehabilitation Commission. The remaining $334 million is unduplicated funding.

Texas Total, Fiscal 1998
Amount Spent:
  $442,430,638 CMHMRC Expenditures
  $34,352,106 SOCS Expenditures
  $476,782,744 Total Community MH Program Expenditures
  $142,705,924 Reimbursed Funding
  $334,076,820 Unduplicated funding
Note: The $420 million shown in Table 1 represents all nonlocal funding for community mental health care services.
Type of Funding:
Method of Finance: $279,107,781 General Revenue
  $19,654,699 Federal Funds (not including Medicaid)
  $77,602,891 Federal Medicaid Funds
  $4,719,943 Grants
  $39,317,317 Earned Income
  $56,380,113 Local Funds
  $476,782,744 Total Community MH Program Funding
Number of Recipients:
  138,000 Assessment and Coordination Services
  36,566 Training and Support Services
  8,000 MH Crisis Residential Services
  76,124 MH Counseling and Medication Services
  15,000 MH New Generation Medication Services
  4,426 Community Hospital Services
  35,858 Children’s Mental Health Services
Average Amount Spent:
  $324 Assessment and Coordination Cost per Month
  $275 Training and Support Cost per Month
  $2,984 Crisis Residential Bed Cost per Month
  $125 Counseling and Medication Cost per Month
  $120 New Generation Medication Cost per Month
  $10,163 Community Residential Bed Cost per Month
  $300 Children’s Mental Health Services Cost per Month

Source: Texas Department of Mental Health and Mental Retardation