Mental Health Services Summary
Mental Health Admissions
The Admissions Unit in each county serves as point of first contact for persons seeking adult mental health services. Persons with mental health concerns or needs who request services are encouraged to call or may be seen at our Center to discuss those matters privately. Our qualified personnel will provide you with information about treatment resources in the community or within the HOTRMHMR system if eligible for those services. The Admissions Unit in each county may also assist you in times of crisis by serving to coordinate crisis services when needed.
Inpatient Psychiatric Hospitalization
The Center provides for inpatient psychiatric hospitalization services for individuals in the community who are experiencing severe psychiatric decompensation or who is a threat to them or others based on their psychological state. This service is provided under contract by the DePaul Center and Providence Hospital. The inpatient services provide a safe and secure environment dedicated to the short-term psychiatric stabilization of the individual. For longer-term stabilization individuals are transferred to the Austin State Hospital or other available inpatient state hospital settings.
After Hours Emergency Services
Accessible in all six counties, the Emergency Services unit provides mental health crisis screening and assessment when HOTRMHMR offices are closed. Three master's level clinicians coordinate with Center psychiatrists, local hospital emergency rooms, law enforcement, and the DePaul Center for Psychiatry to ensure client safety. Click here for Emergency Services phone numbers.
Crisis Hotline
The Crisis Hotline is a continuously available telephone service staffed by trained and competent crisis counselors that provides information, screening, intervention, support, and referrals to callers 24 hours per day, 7 days per week. Counselors who are certified by the American Association of Suicidology staff the Crisis Hotline.
Mobile Crisis Outreach Teams
The Mobile Crisis Outreach Team (MCOT) provides a combination of crisis services including emergency care, urgent care, and crisis follow-up and relapse prevention to any child, adolescent, or adult in the community. The MCOT will provide crisis services for up to 30 days to help individuals who would not otherwise be eligible for MHMR services.
Mental Health Case Management
Planning, coordination, and monitoring of services are provided at least monthly for all admitted clients of the Center by bachelor's level staff. Case Management services are available in all six counties covered by HOTRMHMR. Please visit our Counties Served page and click on the county of your choice.
Psychiatric Services
This unit assesses and treats psychiatric related illnesses and coordinates admissions to the DePaul Center and DePaul Evaluation Center. It is staffed by two full time psychiatrists, three part time psychiatrists, a nurse practitioner, and two nurses. Psychiatric Services extend to all six counties served by HOTRMHMR.
Mental Health Rehabilitation and Counseling Services
Counseling, Skills Training and Psychosocial Rehabilitation services for adults are provided by Bachelor's and Master's level clinicians throughout the HOT region. Licensed professionals (Counselors, Social Workers and Psychologists) are available to help with special issues, to provide Cognitive Behavior Therapy for depression, and to provide supervision.
Pharmacy Services
A full time licensed pharmacist operating an in-house pharmacy, works closely with medical staff to provide psychotropic medication to qualified consumers. An average of 1,798 prescriptions are filled per month. This division also operates a Pharmacy Assistance program averaging approximately $50,000 in assistance monthly.
Assertive Community Treatment
This mobile unit supports individuals with the most severe and persistent mental illness by providing intensive treatment, rehabilitation and support services at consumer’s homes and other community settings.
Independence Center
Begun in May of 2005, the Independence Center is a joint project between the Veterans Administration and MHMR. The goal of the Independence Center is to provide consumers of mental health services in the Central Texas area the opportunity to help one another through the use of peer support programs. This program currently serves approximately 50 individuals each day.
Supported Housing
Intensive support and rehabilitation training is provided for those consumers who need assistance in obtaining and maintaining community housing. Consumers live in apartments and homes throughout the area. Some individuals reside in The Dean Maberry Center, formerly called the Phoenix Apartments. In collaboration with Waco Housing Authority, MHMR jointly facilitates operation of 23 HUD apartments.
Urgent Care Center
This unit was opened in 2006 and provides intensive treatment services to admitted MHMR consumers who are in a crisis and need additional support services to avoid inpatient hospitalization or reduce the time spent in the hospital. Center staff provides individual and group therapy as well as psychosocial rehabilitation training and case management services. Nursing and physical services are also available as needed.
TX Correctional Office on Offenders with Medical or Mental Impairments (TCOOMMI)
The TCOOMMI program provides service coordination and rehabilitation services to individuals currently on parole or probation upon referral from the criminal justice system. The program works in collaboration with specially dedicated mental health probation and parole officers to create a unique partnership that has led to the lowest recedivism rate in the country. The unit also provides similar services to juveniles with mental health needs who are involved with the legal system.
Klaras Center for Families
Children and adolescents, ages three through 17 years, who evidence significant emotional or behavioral problems may receive outpatient therapy, skills training, case management, family partner services, psychiatric services, and/or crisis intervention. This program also works closely with the Juvenile Justice System and area schools. Approximately 600 individuals are served annually. Klaras Center for Families is staffed by a combination of licensed master's level staff and bachelor's level workers.

