Integral Care helps people build health and well-being so everyone has the foundation to reach their full potential.

We support adults and children living with mental illness, substance use disorder and intellectual and developmental disabilities in Travis County. Our services include a 24-hour helpline for anyone who needs immediate support, ongoing counseling to improve mental health, drug and alcohol treatment to help  with recovery, and housing to regain health and independence. Integral Care helps provide a strong foundation for well-being.


Travis County Residents Served Last Year


Staff in Austin/Travis County


Operating Budget

Last Year

56 Years

of Proud Service to Our Community

As the Local Mental Health and Intellectual and Developmental Disability Authority, Integral Care strengthens our community by supporting our most important asset, our people, to achieve well-being. Integral Care provides individuals with high quality mental health care, collaborates with community partners to strengthen programs and systems, and works to raise awareness of mental health issues in our community.

About Us Mission


Healthy Living for Everyone.


Integral Care’s mission is to improve the lives of people affected by behavioral health and developmental and/or intellectual challenges.

About Us Values


Integral Care will strive to uphold core values related to people, equity, integrity, excellence, collaboration and compassion.

Integral Care’s greatest strength is people – our team members, those we support, their families, and the Travis County community. We build strong connections with all of them while promoting an environment of inclusion, equity, and diversity.

Integral Care is dedicated to eradicating institutional racism, advancing a culture of inclusion, and supporting people of all identities. We establish policies that remove barriers to health equity, access, and quality services. We work proactively to identify and address biases in our environment.

Integral Care delivers on our promises and is accountable for our performance. We build trust through ongoing, honest, transparent communication with our clients, team members, stakeholders, collaborators, and funders.

Integral Care is committed to providing person-centered, trauma-informed, recovery-oriented, evidence-based, and culturally adaptive care. We ensure our culture, leaders, and team members are continuously improving and innovating.

Integral Care listens first, aligns with other service providers, and supports community movements aiding people living with mental health, substance use, and IDD needs. We coordinate community efforts to facilitate systems of comprehensive care.

Integral Care engages the people we support, our community, and our team members with empathy, care, and understanding. We are a source of comfort to every person we encounter.


In 1963, President Kennedy signed the Community Mental Health Act. The Act helped establish community mental health centers throughout the country – bringing care for people living with mental illness out of institutions and back into the community. Integral Care, formerly the Austin-Travis County Mental Health Mental Retardation Center, has worked for five decades to make that bold vision a reality in Travis County.

Since 1967, Integral Care has supported the health and well-being of adults and children living with mental illness, substance use disorder and intellectual and developmental disabilities. Integral Care was the first community center to provide high-quality, community-based behavioral health and intellectual disabilities services in Central Texas so that people seeking our services could reach their full potential and thrive.

As the Local Mental Health and Intellectual and Developmental Disability Authority, Integral Care partners with local organizations to strengthen a community network in support of mental health, offers guidance to other behavioral health agencies, and continues to battle stigma surrounding mental illness throughout the community.

Integral Care had a modest start with one location on Red River Street and a Quonset hut next door, which housed our methadone clinic. We now have over 40 locations across Travis County.

Integral Care is here and ready to meet the needs in Travis County for the next 50 years and beyond.


The beginning of the 2020s sent shockwaves through the world, taking a toll on our collective health – mentally and physically. Today, Integral Care seeks to heal our community and plan for delivery of critical care in a new and ever-changing landscape. Integral Care’s FY23-25 Strategic Plan is built around four foundational goals that will guide our work for the coming years – Cultivate Workforce, Build Equity, Deliver Quality Health Care, and Collaborate.

Cultivate Workforce

Support team members’ well-being, provide opportunities for growth, and recruit a team that reflects the people we support.

  • Use innovative approaches to recruit and retain new team members and providers that reflect the people we support
  • Provide opportunities for growth, advancement, well-being, and development
  • Establish and maintain a culture based on our values
  • Develop sustainable funding sources to support our workforce

Build Equity

Build racial and health equity in the community and an inclusive environment for team members and providers.

  • Provide care that fits the diverse needs of all people we serve
  • Cultivate a culturally adaptive, diverse workforce and provider network
  • Use data to track progress and inform decision-making to advance equity
  • Secure and allocate funding that bolsters health equity

Deliver Quality Health Care

Provide responsive, innovative, evidence-based, suicide-safer health care to the individuals we support.

  • Deliver accessible and timely care to meet community needs
  • Provide training and support to team members and provider networks
  • Enhance equitable access and engagement across the systems of care
  • Increase flexible and value-based funding


Collaborate with governmental, nonprofit, private sector, and community organizations to meet the needs of our community.

  • Coalesce networks to coordinate behavioral health care delivery and outreach
  • Optimize collaborative team member, provider and community trainings
  • Maximize collaborative impact with team members and community stakeholders
  • Collaborate with government, nonprofit, private sector and community organizations to expand and sustain services


  • 2008

    Texas Advocates Employer of the Year

  • 2009

    National Council Award of Excellence for Mayor’s Mental Health Task Force, Central Texas African American Family Support Conference, E-Merge Program Texas Council Risk Management..Read More

  • 2010

    National Council Award of Excellence for Consumer and Family Advocacy Lifetime Achievement in Volunteer Leadership – Genevieve Hearon

  • 2011

    Texas Council Risk Management Fund Outstanding Achievement in Workers Compensation and Loss Prevention Austin Business Journal Healthiest Employer Texas Department of..Read More

  • 2012

    CEO Cancer Gold Standard Award Texas Council Risk Management Fund Outstanding Achievement in Workers Compensation and Loss Prevention Austin Business Journal..Read More

  • 2013

    The International Academy of the Visual Arts Communicator Awards for 2012 Annual Report and Budget Infographic National Council Community Impact Award for Mental Health First..Read More

  • 2014

    The Joint Commission Accreditation CEO Cancer Gold Standard Award

  • 2015

    CEO Cancer Gold Standard Award Texas Council Risk Management Fund Outstanding Achievement in Workers Compensation and Loss Prevention

  • 2016

    The John & Kitty Holman Award for Expanded Mobile Crisis Outreach Team (EMCOT) CEO Cancer Gold Standard Award American Association of..Read More


  • 1960’s

    Integral Care, founded as Austin-Travis County Mental Health Mental Retardation Center (ATCMHMR), begins providing services in Travis County.

  • 1970’s

    Freedom Connection, a methadone maintenance program for adults, starts. Partial Care, a short-term residential drug and alcohol treatment program, expands and..Read More

  • 1980’s

    Several new programs for adults and children living with mental illness, substance use disorder and intellectual and developmental disabilities open. Alameda..Read More

  • 1990’s

    East 2nd St. facility opens and offers behavioral health services to adults. The Nadine L. Jay facility opens and provides psychiatric..Read More

  • 2000’s

    The Central Texas African American Family Support Conference (CTAAFSC) begins, bringing together families, consumers and professionals. The conference aims to raise..Read More

  • 2010’s

    Central Health replaces the Austin Independent School District as an appointing agency after amending and restating the Articles of Organization. As..Read More

Integral Care’s nine-member volunteer Board of Trustees is appointed by Central Health, the City of Austin and Travis County. Each appoints three representatives to reflect the needs of our local community. The trustees are a diverse group with various professional backgrounds, bringing expertise in the areas of criminal justice, health care, management and rehabilitation services. The Board volunteers their time and skills by participating in regular meetings, training sessions and Integral Care functions. We thank them for their invaluable service. Click here to view a list of upcoming meetings.


Hal Katz
Appointed 2010
Katz is a partner at Husch Blackwell and is board-certified in healthcare law by the Texas Board of Legal Specialization. He focuses his representation on clients doing business within the healthcare industry. His clients include physicians, hospitals, provider networks, managed care organizations, governmental entities, diagnostic centers and other healthcare providers across the state of Texas. Representation of these clients includes advising on corporate, transactional, regulatory and public policy matters. Katz was Chair of the CommUnityCare board, where he served from 1998-2010, and is the Vice Chair of the Austin Arts Commission. Katz is also on the Integral Care Foundation Board of Directors.

Tom Young
Appointed 2010
Young has more than 40 years of experience in healthcare business and management. Most recently, he has worked as a private consultant with the Seton Healthcare Network, Austin Medical Education Programs and Covenant Management Systems. He has also held a variety of executive positions with Covenant Management Systems, Austin Regional Clinic, Travis County Medical Society and Brackenridge Hospital. Young began his career as a Lieutenant in the Medical Service Corps with the United States Navy. He served on Central Health’s Founding Board of Managers from 2004-2006. Young received his MBA from the University of Chicago Graduate School of Business and a B.A. in philosophy from Georgetown University.

Guadalupe Zamora, M.D.
Appointed 2014
Dr. Zamora has 24 years of experience as a practicing physician. When not on staff at St. David’s Medical Center, he works at his own family medicine clinic in East Austin alongside his niece, Dr. Belda Zamora. He has served as the past president, secretary, and treasurer of the Travis County Medical Society, and was formerly on the advisory board for the Medical Access Program (MAP), prior to the existence of Central Health. Most recently, he served as treasurer of Healthy ATX, a local organization that supports the improvement of the local healthcare system.

Robert T. Chapa, Jr.
Appointed 2004
Chapa serves as Integral Care’s representative for the Texas Council of Community Centers. He has worked for the Texas State Comptroller’s Office since 1975 and is responsible for managing the annual budget, preparing and submitting the agency’s biennial appropriations request and seven-year strategic plan to the legislature as the State Comptroller’s Office Budget Director and Chief Financial Officer. Chapa brings a broad range of invaluable skills and experience to Integral Care and other organizations including the Hispanic Committee on Scouting, where he has actively participated in fundraising initiatives that promote scouting in East Austin.

Exalton Delco, Ph.D.
Appointed 1994
Delco has served as a university administrator at The University of Texas at Austin in various capacities including adjunct professor of the Community College Leadership Program and Special Assistant to the Office of the President. He has more than 40 years of experience as a professor of biology and has been published in scientific academic journals and books. Delco is also a member of the Salvation Army Advisory Board and the Board of the Boy Scouts of America.


Richard Hopkins
Appointed 1993
Hopkins is the Director of Programs for the Texas Rehabilitation Commission and an active member of the National Rehabilitation and Texas Rehabilitation associations. A native of Mississippi, Hopkins provides expertise in the area of human resources and employee issues. He has worked tirelessly on behalf of many community organizations, among them the Austin Capital City Lions Club and the Austin Sickle Cell Anemia Associates. Hopkins has been instrumental in the creation and development of the Central Texas African American Family Support Conference, a free community event hosted by Integral Care. Hopkins is also on the Integral Care Foundation Board of Directors.

Matt Snapp, Ph.D.
Appointed 2008
Snapp is a Past President of Integral Care Foundation. He has been in private practice since 1980 specializing in individual, couples and group therapy for adolescents and adults. Snapp was Director of Counseling and Guidance and Director of Student Development for AISD and an Adjunct Associate Professor of Educational Psychology at The University of Texas at Austin. He is a co-founder of Organization Management Systems Global, a management-consulting firm, and has served as an advisor to the United States Treasury’s International Affairs Office.

Vincent Torres
Appointed 2011
Vincent Torres has been employed by The University of Texas at Austin since 1986 where he is the Associate Director of the Center for Energy & Environmental Resources. He has been active in the Austin community serving on over ten committees, has worked tirelessly on securing state legislation for victims of violent crime and has been a board member of the Austin Independent School District since 2006, yielding him countless volunteer awards. In 2003, the Texas Chapter of the National Association of Social Workers named Torres their Public Citizen of the Year. He attended the United States Naval Academy and graduated from The University of Texas at Austin with a Master of Science in Engineering. Torres is a San Antonio native and is married to Suzanne Torres. They have two children.

  • David L. EvansChief Executive Officer

    David L. Evans serves as Chief Executive Officer of Integral Care and New Milestones Foundation and has more than 30 years of experience as a leader in behavioral health and developmental disabilities. He is adjunct faculty at The University of Texas at Austin. He serves on the Austin Wellness and Prevention Committee, Community Action Network Administrative Council, Texas Council of Community MHMR Centers Executive Directors’ Consortium and is a board member of Tejas Behavioral Health Services. He is a member of the Hispanic Chamber of Commerce and National Alliance for the Mentally Ill (NAMI). Previously, Evans served as State Commissioner in Georgia for Mental Health, Mental Retardation and Substance Abuse, State Director in Nebraska for Mental Retardation Services, Trustee for the Commission for the Accreditation of Rehabilitation Facilities and President of the National Association for State Mental Retardation Program Directors. He also served on the Georgia Governing Planning Council for Developmental Disabilities and the National Association of State Mental Health Directors.

  • Dr. James BakerSystems Chief Medical Officer

    James G. Baker, MD, MBA, serves as Integral Care’s Systems Chief Medical Officer where he provides oversight of medical policy, system-wide utilization and quality management, and provider credentialing. Board-certified in both general psychiatry and child/adolescent psychiatry, Dr. Baker has over 20 years of medical administrative experience in behavioral health. He is clinical associate professor at Dell Medical School and UT-Southwestern Medical Center in Dallas, and is the author of numerous papers on behavioral health administration. Dr. Baker is a Distinguished Fellow of the American Psychiatric Association and is a recipient of the National Alliance for the Mentally Ill Exemplary Psychiatrist Award. He is also a recipient of the Mental Health America of Greater Dallas Pamela Blumenthal Memorial Award for long-term commitment to quality of care and delivery of services to people with mental illnesses.

  • Dawn HandleyChief Operations Officer

    Dawn Handley, LPC, serves as Chief Operations Officer of Integral Care and has more than 20 years experience in behavioral health care. She graduated from Stephen F. Austin State University with a Bachelor of Arts in psychology and a Master of Education in counseling. Handley joined Integral Care in 2008 and is responsible for directing adult and children’s behavioral health, disease management, crisis services and integrated care. She is a member of the Crisis Services Implementation and Psychiatric Services Stakeholder Committees. Previously, Handley served as Chief Operating Officer for Connections Individual and Family Services and Interim Executive Director for Waterloo Counseling Services. She also held leadership positions in other healthcare organizations. Handley was Board Chair for Waterloo Counseling Services and received awards for her outstanding contributions from the Texas Network of Youth Services

  • Lisa Ott LakyGeneral Counsel

    Lisa Ott Laky serves as General Counsel for Integral Care where she oversees the human resources department and all legal affairs. Laky was in private practice from 1984 through 2001, became a director of the Austin firm of Hilgers & Watkins in 1993 and also served as Vice President and General Counsel for Q-Up, Inc. She joined Integral Care in 2004. Laky served on the board of the Family Crisis Center of Bastrop, Lee and Fayette Counties and was chair of the City of Austin Historic Landmark Commission from 2003-2005. Laky graduated from Texas A&M University cum laude in 1981 and from The University of Texas School of Law in 1984.

  • Louise LynchProvider Network Authority Officer

    Louise Lynch serves as Provider Network Authority Officer at Integral Care where she implements expansion of the organization’s external network to enhance consumer choice and best value. She joined Integral Care in 1987. Lynch has an extensive background serving individuals with intellectual disabilities and is a lecturer and field faculty for The University of Texas at Austin. Lynch holds a Masters of Science degree in social work from The University of Texas at Austin and is a licensed social worker with advanced practice recognition. She is a member of the National Association of Social Workers and is past president of the Texas Association on Intellectual and Developmental Disabilities.

  • Ellen RichardsChief Strategy Officer

    Ellen Richards serves as Chief Strategy Officer of Integral Care where she brings skills in strategic and community planning, research and analysis, fundraising, and community and political organizing. She has been with the organization since 2014. Richards’ professional experience includes the for-profit, non-profit, political and government arenas, primarily in the field of health and human services. Over the past 15 years, Richards has developed in-depth knowledge of local issues through her work with Austin/Travis County Health and Human Services Department, Travis County Health and Human Services and Veterans Service and Central Health. Richards earned a Master of Public Affairs from the Lyndon B. Johnson School of Public Affairs at The University of Texas at Austin and a Bachelor of Science in social work from St. Edward’s University.

  • David WedenChief Administrative Officer

    David Weden, CPA, serves as Chief Administrative Officer and Chief Financial Officer of Integral Care. He brings a wealth of experience including work with managed care organizations, creation of the Linda J. Werlein Crisis Stabilization Unit and development of a significant number of 1115 Medicaid Transformation Waiver projects across four regional healthcare partnerships. He began his career with Texas Lutheran University, including serving as controller for the university with responsibility for all financial reporting, business office functions and coordination of the external audit. For the last 16 years, Weden has served in multiple roles, including Chief Accountant and Chief Operating Officer with Hill County Mental Health and Developmental Disability Centers and Treasurer of the National Association for Rural Mental Health. He received his Master of Accountancy degree from Texas State University and his Bachelor’s Degree in Accounting from Texas Lutheran University.

Integral Care uses input from several committees and councils to help make sure we stay true to our mission, promote diversity, create policies and build an environment that best serves our clients.

Consumer Council

The Consumer Council is made up of people who currently receive services from Integral Care. The council receives information about Integral Care’s services, policies, and procedures and discusses how they could impact current and future clients of the agency. The council also offers ideas to improve our services and helps hold Integral Care accountable to our mission. The Consumer Council meets quarterly on the second Tuesday of the month at 12:00 p.m. Meetings are a safe environment where people can openly share their thoughts about Integral Care.

If you’re interested in joining the council or would like additional information, email Phyllis.Wolf@IntegralCare.org. Click here to view meeting minutes.

Planning & Network Advisory Committee (PNAC)

PNAC is a volunteer committee selected by Integral Care’s Board of Trustees. The committee includes clients, family members, providers and community members. PNAC provides feedback and support to Integral Care regarding our policies and services. Committee members receive information on current issues and policies, including provider network evaluation and development, and present their recommendations to the Board of Trustees. PNAC meets the second Thursday of every month at 12:00 p.m.

If you’re interested in joining the committee or would like additional information, email Iris.Vanover@IntegralCare.org. Click here to view meeting minutes.

Central Texas African American Family Support Conference Committee (CTAAFSC)

The CTAAFSC is an annual conference hosted and sponsored by Integral Care and other community partners. The conference is held every February and brings together families, consumers and professionals to increase access to care and decrease health disparities. The goal of the conference is to raise awareness of mental and physical health care services while reducing the stigma associated with mental illness. The CTAAFSC is planned and organized by a volunteer Planning Committee that meets on the third Wednesday of every month.

If you’re interesting in joining the Planning Committee or volunteering at the event, e-mail info@ctaafsc.org. Learn more about the conference at ctaafsc.org.

Integral Care Foundation (ICF), formerly New Milestones Foundation, was founded in 1983 by Judy Yudof, a former chair of Integral Care’s Board of Trustees. Yudof saw an opportunity to further support Integral Care’s programs by raising awareness and resources for mental health.

In its early days, ICF secured grant dollars from the Robert Wood Johnson Foundation to purchase housing for people living with mental illness that would be managed by Integral Care staff. Today, ICF hosts Bridging the Gap, an annual gala to support its mission and raise funds for Integral Care.

ICF also hosts Speakers Bureaus in the community to help reduce the stigma associated with mental illness as well as increase awareness about Integral Care’s programs and services. Funds raised by ICF help Integral Care support adults and children living with mental illness, substance use disorder and intellectual and developmental disabilities in Travis County.

For more information, visit newmilestones.org or e-mail info@newmilestones.org.

Integral Care works with a variety of community partners to extend our work in providing innovative mental health care and services to Travis County residents. These vital partnerships enable us to meet the diverse needs of our growing population and respond to our community’s mental health needs.

Austin Police Department: http://www.austintexas.gov/department/police

APD continues its mission to keep our community safe with strong commitment to neighborhood-based policing.

Central Health: http://www.centralhealth.net/

Central Health works with a network of partners to provide access to the high-quality care everyone needs to get well and stay healthy.

City of Austin: http://www.austintexas.gov/

The City of Austin’s government has worked to serve its residents since the election of its first mayor in 1840.

Community Action Network: http://www.canatx.org/

Community Action Network is a partnership made up of government, nonprofit, private and faith-based organizations who work together to enhance the social, health, emotional and economic well-being of Central Texas.

Community Care Collaborative: http://www.ccc-ids.org/

Community Care Collaborative is a nonprofit corporation established by Central Health and Seton to help implement the Texas 1115 Medicaid Waiver and an integrated healthcare delivery network for uninsured and underinsured individuals in Travis County.

CommUnityCare: http://communitycaretx.org/

Dell Medical School https://dellmed.utexas.edu/

Department of Housing and Urban Development https://portal.hud.gov/hudportal/HUD?src=/states/texas

Department of Veterans Affairs https://www.va.gov/

Downtown Austin Alliance http://www.downtownaustin.com/

NAMI Austin http://www.namiaustin.org/

New Milestones Foundation https://www.newmilestones.org/

One Voice Central Texas http://onevoicecentraltx.org/

St. David’s Foundation https://stdavidsfoundation.org/

Texas Council of Community Centers http://txcouncil.com/

Texas Health and Human Services Commission https://hhs.texas.gov/

The University of Texas at Austin Dell Medical School https://dellmed.utexas.edu/

Travis County https://www.traviscountytx.gov/

Travis County Sheriff’s Department https://www.tcsheriff.org/