Mental Health Services OverviewCrisis Care Center
The Crisis Care Center is located at 1200 Clifton St. in Waco, which currently houses the Center's Crisis Services Program. A 24-hour Triage Program allows for around the clock assessment and triage for individuals experiencing a behavioral health crisis. Triage staff facilitate in-patient hospitalization when needed, but also offer alternative options such as Crisis Respite, Safety Monitoring or MCOT services.
Mental Health Admissions
Persons with mental health concerns or needs who request services are encouraged to call 1-866-752-3451 (option 4), 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 staff 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 themselves 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.
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 transitional services for up to 90 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. Mental Health Case Managers are responsible for assessing consumers' needs, identifying treatment strategies, linking consumers to community resources, integrating consumer choice in their treatment planning and working towards recovery as defined by each individual.
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 Medical Services
This unit assesses and treats psychiatric related illnesses and coordinates admissions to the DePaul Center. It is staffed by three 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, Cognitive Processing Therapy specifically designed for trauma related issues, and to provide supervision.
Medication Coordination Services
The medication coordination unit manages our Patient Assistance Program (PAP) and medication coordination/distribution. This unit coordinates medication fill and refill requests through external pharmacies, as well as through our agreement with East Texas Behavioral Healthcare Network. This unit also runs a very successful Patient Assistance Program which helps our active consumers to obtain medication at no out-of-pocket cost for the individual.
Assertive Community Treatment (ACT)
This mobile unit supports individuals with the most severe and persistent mental illness by providing intensive treatment, rehabilitation and support services at consumers' homes and other community settings. ACT services are provided 24 hours per day, 7 days per week to ensure consumers have continuous treatment supports.
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.
New Resiliency Services have been added at the Independence Center. These services are designed for Center consumers and community members wanting to develop skills that assist them in coping with stress in a more appropriate manner. These services are available Monday through Thursday from 4 pm to 6 pm.
Mexia Peer Support Center
The Mexia Peer Support Center is a safe place where individuals who suffer from mental health issues can offer support to one another and are empowered to create and participate in self-enhancing activities. It is participant-managed and attendees choose what activities they would like to be involved in. To be eligible, a person must be at least 18 years of age and have been diagnosed with a mental illness. The public including veterans are welcome to apply.
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.
The Center also operates a Shelter Plus Care program that offers housing vouchers and wrap-around clinical services to individuals with mental health issues who are homeless. The Center currently has four grants totaling 27 vouchers. Individuals must be active consumers of the Heart of Texas Region MHMR Center in order to be eligible for these vouchers.
Projects for Assistance in Transition from Homelessness (PATH)
The PATH Program is designed to support the delivery of services to persons who are homeless, or at risk of becoming homeless, and have serious mental illnesses or co-occurring substance use disorders. A particular emphasis is placed on persons most in need of services and on services that are not supported by mainstream mental health programs.
Texas 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.