| pre-vocational services, sheltered workshops, support work, and independent employment. Services are both residential and nonresidential. (II) TXMHMR provides these services directly through 13 state schools located throughout Texas. The 13 state schools are certified as intermediate care facilities for the mentally retarded (ICF-MR). Persons' needs are assessed by interdisciplinary teams, then the services are provided which best meet their individual needs. (ii) Campus-based services. (I) Campus-based services include residential services, therapeutic care and treatment, meals, education, medical care, and recreation for persons with mental retardation. Because many individuals have visual and hearing problems, muscular and/or skeletal anomalies or metabolic and nervous disorders, the facility also helps them cope with or correct their physical
disabilities. (II) Under the Social Security Act (Medicaid), the federal government reimburses the state for a significant portion of the costs of providing ICF-MR services to eligible persons at a matching rate of approximately 36% state and 64% federal. The Texas State Legislature appropriates general revenue funds to TXMHMR to cover the costs of operating the schools. The reimbursement obtained from the federal government is returned to the state treasury and is not reflected in TXMHMR's budget. (2) Mental health services. (A) Mental health priority population. (i) There are an estimated 2.6 million persons with mental illness in Texas. TXMHMR's priority population consists of approximately 15% of these persons. It is estimated that in 1993, 347,248 of those were persons with a major diagnosis of mental illness and functional impairment. TXMHMR's estimates suggest that there are
approximately 90,000 persons in the priority population who currently need our agency's services but are not receiving them. (ii) The department's priority population for mental health services consist of: (I) children and adolescents under age 18 who have a diagnosis of mental illness, exhibit severe emotional or social disabilities which are life-threatening, or require prolonged intervention; and (II) adults who have severe and persistent mental illnesses, such as schizophrenia, major depression, manic depressive disorders, or other severely disabling mental disorders which require crisis resolution or ongoing and long-term support and treatment. (iii) In targeting services to the priority populations, the choice of and admission to services is determined jointly by the person seeking service and the provider. Factors used to make these determinations are the level of functioning of
the individual, the need of the individual, and the availability of resources. TXMHMR funding is directed to provide the identified core services which are designed to meet the needs of these priority populations. Providers who wish to offer services to people other than those in the priority populations may do so using non-department funds. (iv) The agency's strategic plan also identifies groups within the priority population with special needs. These include: (I) children and adolescents; (II) older adults; (III) minorities; and (IV) persons with mental illness in the criminal justice system. (B) Campus-based services. (i) Campus-based services include residential, therapeutic care and treatment; meals; medical care; and recreation for persons with mental illness. These services are provided at eight state hospitals,
two state centers, and one state center for youth. The average daily census in these state facilities is approximately 3,300. Nearly 18,000 persons receive residential services annually. (ii) All state hospitals are accredited by the Joint Commission on Accreditation of Hospitals (JCAH). Certain units providing services for elderly patients are also certified to receive Medicare funds. (C) Community services. (i) Community mental health services are provided by 63 mental health authorities. Included in these authorities are 35 community mental health and mental retardation centers which provide mental health services under contract with TXMHMR. The remaining mental health authorities are state hospital or state center programs provided through community service centers which are located in the local service areas of the hospitals or state centers. These programs currently provide services to over 150,000 individuals
annually. (ii) Other programs include 24-hour emergency screening and assessment; community and state hospital liaison; family support programs; medication related services; psychosocial rehabilitation programs; day treatment; and case management services. (iii) Services provided by the local mental health authorities consist of individual support services; family support services; psychosocial rehabilitation services; service coordination; and residential services and housing, which may include supervised living arrangements. The crisis stabilization component of the residential services must be available to the residents of a mental health authority. (D) Legislative mandates. (i) The Texas State Legislature and TXMHMR require the provision of core services aimed at meeting individual needs and enhancing personal skills for optimum community living. (ii) The Texas Mental
Health and Mental Retardation Act specifies the core services as: (I) 24-hour emergency screening and rapid crisis stabilization services; (II) community-based crisis residential service or hospitalization; (III) community-based assessments, including the development of interdisciplinary treatment plans and diagnosis and evaluation; (IV) medication-related services, including medication clinics, laboratory monitoring, medication education, mental health maintenance education, and the provision of medication; (V) family support services, including respite care; (VI) psychosocial rehabilitation services, including social support activities, independent living skills, and vocational training; and (VII) case management services. (c) Service delivery data. The following data may be obtained by contacting
the administrative head of the section or by contacting the director of planning and policy development, at (512) 465-4698 or STS 824-4698. (1) Public Information Office. This office produces the annual report and a directory of TXMHMR services. Telephone: (512) 465-4540. (2) Strategic planning. This office is responsible for demographic data and long-range planning. Telephone: (512) 465-4620. (3) Financial services. This area publishes the TXMHMR Annual Operating Budget and the Biennial Legislative Appropriations Request. Telephone: (512) 465-4550. (4) Information services. This office processes client data information from client assignment and registration system (CARE). Telephone: (512) 465- 4570. (5) Mental health services. Questions regarding mental health services program and/or policy issues can be directed to this section. Telephone: adults (512) 465-4511 and adolescents and
children (512) 465-4832. (6) Mental retardation services. This section responds to inquiries about Mental Retardation Services Program and/or policy issues. Telephone: (512) 465-4521. (7) Consumer services and rights protection services. This area is responsible for information regarding issues or statistics regarding client rights. Telephone: (512) 323-3242.
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