Mental Health Services for Adults


The Texas Department of State Health Services (DSHS) contracts with 39 Community Mental Health Centers and NorthSTAR to deliver mental health services in communities across Texas. NorthSTAR is a Medicaid managed care plan that serves seven counties in the Dallas Medicaid service region.

Today, community mental health centers, also referred to as Local Mental Health Authorities (LMHA's) provide services to a specific geographic area of the state, called the local service area. To find out which LMHA provides services in your area, you need to know which county you live in.

In addition to providing services, LMHA's have specific responsibilities. DSHS requires each authority to plan, develop policy, coordinate and allocate and develop resources for mental health services in the local service area. Each LMHA is also required to consider public input, the ultimate cost-benefit, and client care issues to:

  • ensure consumer choice and the best use of public money in assembling a network of service providers and determining whether to become a provider of service or to contract that service to another organization, and

  • in making recommendations relating to the most appropriate and available treatment alternatives for individuals in need of mental health or mental retardation services.

Adult Services

ACT is a self-contained program that serves as the fixed point of responsibility for providing treatment, rehabilitation and support services to identify consumers with severe and persistent mental illnesses. Using an integrated services approach, the ACT team merges clinical and rehabilitation staff expertise, e.g., psychiatric, substance abuse, employment, and housing within one mobile service delivery system.

Supported Employment
Supported employment provides individualized services to assist people in choosing, getting and keeping employment.

Supported Housing
Supported housing provides individualized services to assist people in choosing, getting and keeping housing. Support services such as accessing transportation, meal preparation, and budgeting may also be provided through this program.

COPSD (Co-occurring Psychiatric and Substance Use Disorders)
To identify, develop, and implement effective and efficient methods of engagement, assessment, and treatment models for persons with co-occurring substance use and mental illness disorders.

DSHS provides funding for mental health professionals in 13 Texas communities to assist persons who experience mental illness and who are without housing or shelter. These professionals provide outreach to the streets, shelters or wherever persons in need may be found.

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Last updated February 23, 2011