One in five Texans experience a mental health condition each year. Half a million Texas children have a serious emotional disturbance. More than two-thirds of people with a behavioral health condition get no treatment for that condition.
Workforce shortages, limited funding and insurance/treatment barriers create obstacles to accessing appropriate behavioral health care. The result is that adults and children in Texas with behavioral health needs increasingly rely on clinically inappropriate settings, such as hospital emergency departments, to receive needed behavioral health treatment.
To improve the behavioral health care system and improve access to care, the Texas Hospital Association supports:
Increased Behavioral Health Funding
Texas hospitals support the necessary state funding to ensure timely and appropriate access to inpatient and outpatient, community-based services and supports for Texans with a behavioral health need. Although appropriations by the 83rd and 84th Texas Legislatures have increased funding for behavioral health care, Texas still ranks at the bottom of states in mental health funding. According to the Kaiser Family Foundation, Texas is 48th in the nation for per capita mental health spending. The national per capita average is $120; Texas has a per capita average of $41.
Mental Health Parity
Texas hospitals support increasing the Texas Department of Insurance’s authority to enforce the existing federal parity law. Health plans’ differential management of mental health and physical health treatment exacerbates the behavioral health issues that many Texans experience. Eliminating differences in how treatment for physical and mental health conditions is reimbursed and administered will improve access to timely, medically necessary behavioral health treatment.
Growing the Substance Use Provider Workforce
Despite the 84th Texas Legislature’s investment of more than $325 million in substance abuse prevention and treatment services, Texas still has a severe shortage of substance use providers, and the problem is more acute as rates of opioid abuse increase. Adding licensed chemical dependency counselors to the state’s Loan Repayment Program for Mental Health Professionals incentivizes LCDCs to practice in shortage areas and serve underserved patients by providing educational loan repayment assistance. Expanding the substance use provider workforce will build on the state’s investment.
Application Deadline Extended for Mental Health Grant Program for Justice-Involved Individuals
Dec. 1 is the newly extended deadline for Harvey-affected community collaboratives to apply for the Mental Health Grant Program for Justice-Involved Individuals, which is a new grant program, authorized by Senate Bill 292, to reduce recidivism rates, arrests and incarceration among individuals with mental illness as well as wait times for forensic commitments.
Community collaboratives should complete the Texas Health and Human Services Commission’s Needs and Capacity Assessment by Dec. 1 and be prepared to match the amount of their request with funds other than those appropriated by the state. To raise the required non-state funds, a collaborative may seek and receive gifts, grants or donations from any person.
Community collaboratives include hospital districts, local mental/behavioral health authorities and counties with a population of 250,000 or more.
THHSC identified the following LMHAs/LBHAs as serving Harvey-affected areas.
Behavioral Health Center of Nueces County
Bluebonnet Trails Community Services
Center for Healthcare Services
Central Counties Center
Coastal Plains Community Center
Gulf Bend Center
Gulf Coast Center
Mental Health Mental Retardation Authority of Brazos Valley
My Health My Resource Tarrant County
North Texas Behavioral Health Authority
Tropical Texas Behavioral Health
Related Materials for Mental Health Grant Program for Justice-Involved Individuals
Attachment I: NCA Mental Health Grant Program for Justice-Involved Individuals (Word)
Attachment II: Frequently Asked Questions
Attachment III: Form P Annual Budget Template (Excel)
Attachment IV: Draft Statement of Work
Attachment V: Texas Statewide Behavioral Health Strategic Plan
Letter to Ted Shaw 11-6-17
Texas Hospital Association Behavioral Health Council Member Testifies in Support of Mental Health Parity Bill
Charge: To discuss and make policy recommendations to the Council on Policy Development regarding behavioral health care issues affecting hospital members that provide behavioral health services (meets as needed).
Chair: Matthew Feehery, Memorial Hermann Prevention/Recovery, Houston
Vice-Chair: Christine (Chris) Bryan, Clarity Child Guidance Center, San Antonio
Houston Methodist Hospital
Sally Taylor, MD,
University Health System, San Antonio
Jacob Cuellar, MD,
Phillip (Wayne) Young,
JPS Health Network, Fort Worth
Ben Taub General Hospital, Houston
Texoma Medical Center – Behavioral Health Center, Sherman
Green Oaks Hospital, Dallas
ETMC Behavioral Health, Tyler
Parkland Health & Hospital System
Valley Baptist Behavioral Health System, Brownsville
Oceans Behavioral Hospital Lufkin
UTHealth Harris County Psychiatric Center, Houston
Texas NeuroRehab Center, Austin