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Texas Department of Mental Health
Retardation Community Mental Retardation 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 retardation clients in the community through a network of local mental retardation authorities, such as Community Mental Health and Mental Retardation Centers (CMHMRs) and State-Operated Community Services (SOCS).

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 retardation 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 so that they could have community services. Often, these were rural areas. MHMR currently administers 13 SOCS.

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

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

  2. Providing vocational and support services to help people with mental retardation prepare, find, and maintain employment;

  3. Providing training and support to allow individuals to maintain living arrangements in the community; and

  4. Providing residential services and support for people with mental retardation in the community.

MHMR spent nearly $974 million on community mental retardation programs in fiscal 1998. More than $810 million was paid with Medicaid funds. Another $720,413 came from contracts with the Texas Rehabilitation Commission. The remaining $163 million is unduplicated funding.

Texas Total, Fiscal 1998
Amount Spent:
Program Costs
  $317,767,802 CMHMRC Expenditures
  $92,942,953 SOCS Expenditures
  $359,057,748 Contracts with Private ICF-MR Providers
  $204,174,633 Contracts with Private HCS Providers
  $973,943,136 Total Community MR Program Expenditures
  $810,871,193 Duplicated Funding
  $163,071,943 Unduplicated Funding
 
Type of Funding/Method of Finance
  $391,600,586 General Revenue
  $504,561,905 Federal Medicaid Funds
  $100,756 Grants
  $61,593,408 Earned Income
  $16,086,481 Local Funds
  $973,943,136 Total Community MR Program Funding
 
Note: The nearly $958 million in funding shown in Table 1 represents all nonlocal funding for community mental retardation services.
 
Number of Recipients:
  29,028 Assessment and Coordination Services
  7,000 Vocational Services
  12,165 Training and Support Services
  4,582 Home and Community Based Services (HCS)
  8,035 Intermediate Care Facilities for Mental Retardation(ICF-MR) (per month)
  N/A Other MR Community Residential Programs
 
Average Amount Spent:
  $2,416 Assessment and Coordination Cost per Month
  $766 Vocational Services
  $489 Training and Support cost per Month
  $3,846 Home and Community Based Services (HCS)
  N/A Intermediate Care Facilities for Mental Retardation (ICF-MR)
  N/A Other MR Community Residential Programs

Source: Texas Department of Mental Health and Mental Retardation