Supporting the Needs of People Living with IDD

Integral Care Transparencies

A Message From Our CEO

In celebration of Developmental Disabilities Awareness Month, I want to recognize the important work our team is doing in the community each day to ensure that adults and children with Intellectual and Developmental Disabilities (IDD) have the tools they need to build healthy relationships, live in the community and thrive.  

One example is the Outpatient Biopsychosocial Approach for IDD Services (OBI) pilot program. We launched OBI in November 2020 alongside four other Local IDD Authorities (LIDDAs). This state-funded pilot program provides outpatient mental health services for people living with both IDD and mental illness who also have frequent encounters with police, emergency rooms, and/or psychiatric hospitals. Clients participate in an extensive biopsychosocial assessment and person-centered recovery plan to identify needs and goals that will improve their physical and mental health. OBI services include emotional regulation skills training, motivational interviewing, strengthening systems of support, navigating healthcare programs and services, improving physical health, medication monitoring, and complex case management.  

The program is now beginning its second round of therapeutic skills groups, where clients with IDD and co-occurring mental health needs can attend weekly groups to learn emotional regulation skills. These groups provide skills training on yoga and meditation, Dialectical Behavioral Therapy and art therapy. In addition to promoting emotional health, these groups provide important socialization opportunities.   

Since launching, this program has seen positive results. Recently, OBI partnered with Adult Behavioral Health, Optum Value Based Care, the Judge Guy Herman Center for Mental Health Crisis Care and IDD PACE to help a client gain admission to Home Community Based Services (HCBS), a lifelong permanent supported housing program. This program has steep eligibility requirements, which the Collaborative Care Case Manager was able to help the client navigate. Now, the client has safe and stable housing, no longer bouncing between unlicensed boarding homes or worrying about becoming unhoused. With the basic need of safety now met, the team can assist them with changing their legal name to reflect their gender identity and authentic self. 

I have worked with this client since September of 2022. Since September, the client has lived in four boarding homes and visited with the Herman Center three times due to issues with her housing impacting her mental health. I was able to help the client apply to the Home and Community Based Services (HCBS), which provides mental health services and permanent housing. The client was originally denied, but I was able to work with the client’s team to reassess her and resubmit the application. The application was accepted, and the client was able to move into a licensed group home where she has lived stably for months. The HCBS program has assisted the client with finding counseling and scheduling and transporting her to medical appointments. This client has worked with the IDD crisis team for many years. This is the first time we have seen her in such stable housing.” — Tunisia Smith, Collaborative Care Case Manager

I am heartened to see the difference OBI has been able to make in the lives of those living with IDD in Travis County and am grateful for the state’s investment in this program. 

To those at Integral Care and across the greater community who are supporting the needs of people living with IDD, I share my deepest thanks. The critical work you’re doing makes our community a better place.

David Evans
Chief Executive Officer

Transparencies Archive

Past Transparencies sorted by year


January 2023: Celebrating the 23rd Annual Central Texas African American Family Support Conference

February 2023: Honoring Black History Month


December 2022: Looking Ahead to the 88th Legislative Session

November 2022: Supporting Children’s Mental Health

October 2022: Working Toward Racial Equity

September 2022: Coming Together on the Road to Recovery & Suicide Prevention

August 2022: Expanding Access to Critical Mental Health Support

July 2022: Supporting BIPOC Mental Health through Data

June 2022: Celebrating Pride Month

April-May 2022: Looking Ahead to Mental Health Month

March 2022: Honoring Developmental Disabilities Awareness Month

February 2022: Strengthening Our Network of Mental Health Support

January 2022: Looking Ahead in 2022


December 2021: Celebrating Progress & Innovation in 2021

November 2021: Action Steps Toward Preventing and Ending Homelessness

October 2021: Language Access & Racial Equity

September 2021: Treatment & Addiction Psychiatry at Integral Care

August 2021: Returning to School plus the Legislative Wrap-up

July 2021: Creating Lasting Change for BIPOC Mental Health

June 2021: Facts & Resources This Pride Month

May 2021: Mental Health Month

April 2021: How do we help Austinites experiencing homelessness?

March 2021: Growth and Positive Change

February 2021: How Do We Create a Better Future?

January 2021: Looking Ahead to the Legislative Session


December 2020: Supporting Your Mental Health This Winter

November 2020: How do we rebuild health and well-being during a pandemic?

October 2020: With Collaboration Comes Innovation

September 2020: Success Stories of Recovery and Suicide Prevention

August 2020: A Back to School Season Like Never Before

July 2020: Minority Health Disparities & COVID-19

June 2020: Stronger Together

May 2020: Surviving and Thriving During Uncertain Times

April 2020: Persevering During COVID-19

March 2020: Collaborations and Initiatives to Improve Health for the IDD Population

February 2020:Solutions to Health and Health Care Disparities

January 2020: Sucicide Prevention a Local Effort


December 2019: A Year of Thriving Care & Collaboration

November 2019: Teamwork and Collaboration Impact Homelessness in Travis County

October 2019:Making Strides for World Mental Health

September 2019: Taking Steps to Recovery Support

August 2019: Working Together for Child & Youth Mental Health

July 2019: Legislative Wrap-Up – Some Bipartisan Wins for Healthcare

June 2019: Strengthening Access for Veterans and the Entire Military Family

May 2019: Women and Mental Health

April 2019: Legislative Session Status Report

March 2019: Making Opportunities for Recovery More Accessible

February 2019: Recovery is Possible

January 2019: Stronger Outcomes Through Collaboration

December 2018: Looking ahead to the 86th Texas Legislature

November 2018: How Tech is Changing the Face of Mental Health

October 2018: A Few Questions Could Help Save a Life

September 2018: Anyone Can Save a Life

August 2018: A Milestone Moment

July 2018: Equity in Mental Health Care for All

June 2018: Expanding Services for Veterans


May 2018: Your Mental Health Toolkit

April 2018: Time of Terror Calls for Increased Emotional Support

March 2018: Stopping the cycle of incarceration for individuals with mental illness

February 2018: Equity in mental healthcare for everyone

January 2018 : Improving Mental Health Through Partnership & Collaboration


December 2017: Strength Through Community

November 2017 : Healthy Lifestyles Improve Well-Being

October 2017 : National Child Health Day

September 2017 : Strengthening Families and Communities

Highlight: “Like a Glove,” by Ed Orozco, IDD TxHmL Employment Specialist

Integral Care IDD TxHmL Employment Specialist meeting with a client.

“There have been some magical moments for me professionally as an Employment Specialist while collaborating with people with intellectual and developmental disabilities. Striving for that elusive “perfect job.” Maybe not perfect, but I’ve gotten so close sometimes that I register those airy moments as successes, and I pull these moments out when the going gets tough.  

One client had just left a perfectly good job at Macbeth Recreation Center providing janitorial services. Not even the prospect of seeing his friends every day at work could keep him interested in his janitorial job. It just wasn’t appealing enough. We thought about it and planned until we figured out that his greatest love in the world was his love for these miniaturized noisy vessels that travelled a model track on a slab of wood and took up about 80% of his bedroom. We endeavored for several months and lucked out with Hobby Lobby where we struck gold. My client got a job vacuuming and cleaning windows. It wasn’t too far off from janitorial but with a consequential difference: it housed a motherlode of model trains, train tracks, train parts, and an owner with an encyclopedic knowledge of the hobby’s history. Let’s just say that the challenge was not in job skills training, but in making sure my client didn’t give all his earnings right back to his new employer!  

Another client worked at KFC for the longest time until his manager left the store, and the client lost the support he required for both success and happiness—the most essential to long-term success. His boldness and need for that eternal good time transcended and pulled people in whether they were ready for it or not. His dream was to be an entertainer, and he found something close at Gattitown Pizza. He landed a job as a busser that eventually morphed into a greeter, then straight up master of ceremonies until his physical health began to fail. There were no scheduled birthdays or parties where he failed to serenade the lucky guest with “Happy Birthday” or recite a poem. There were the regulars that expected a well marinated jeer from him aimed at their sports team, and there were the quiet ones that he would inform that he would pray for them. Like many stars, his opportunity burned out after several years, but he has his Oscars in the form of a blue shirt uniform and a nametag!” 

Highlight: IDD In-Home Respite Services

Integral Care client Hector Galvez stands with his mother.

The Intellectual and Developmental Disabilities (IDD) Division began delivering Respite Services, funded by Travis County Interlocal dollars, in June 2022. Charged with providing caregivers and individuals much needed breaks from their day-to-day routines, IDD In-Home Respite has served over 60 clients and families in the Travis County area.

In-Home Respite Services provide proactive intervention to prevent unnecessary emergency services interventions. One example of the work to alleviate stress and reduce crisis triggers is the work by the unit’s Respite Service Professionals (RSPs) with client Hector Galvez. Always wanting to do a variety of activities, the RSPs have supported Hector in many different settings and have assisted him with functional living tasks such as baking, meal preparation and money management while shopping. Hector has even shown an increase in confidence by singing in front of his family and the RSP during one of their scheduled visits. Since working with Hector, Mrs. Galvez has shared that Respite has helped significantly and makes Hector more independent.

Highlight: Transition to Individualized Skills and Socialization (ISS) Services

Texas Health and Human Services Commission is implementing a new program called Individualized Skills and Socialization (ISS) that will replace Day Habilitation services. ISS went into effect March 1st, 2023. Effective February 28, 2023, Day Habilitation will no longer be an available service in the state of Texas for HCS, TxHml, or DBMD waiver programs. A private provider must obtain an ISS license to provide ISS services. This change will impact all individuals currently engaged in day habilitation services, the families of these individuals, the providers of day habilitation services and those seeking to provide ISS services, as well as HCS/TxHml providers and Local IDD Authorities as they work to support individuals with IDD throughout this transition. Not all providers will make the transition to ISS, and community need may exceed available resources. It is important that people supporting individuals impacted by this transition are prepared to respond to this change. You can learn more through the resources below. 

HHSC ISS Website (Including resources pertaining to ISS policy and rules, training webinars, a list of ISS licensed providers and more)

Contact Information to Submit Questions to HHSC 

Phone: 512-438-3161 


Bridging the Gap Sponsor Highlight

FVF Law enthusiastically supports Integral Care’s tireless efforts to build healthy families and communities. As a service-focused personal injury law firm, we know that even people with exceptional resources can have difficulty obtaining needed services after trauma. Integral Care’s holistic approach to individual and community healing has been a game changer here in Austin and stands as a powerful reminder of what loving neighbors can do for each other with the right motivation, resources, and support.  

Integral Care is essential to human service delivery in our community. We do not think there is another organization in Travis County that does as much to support and uplift people in need. The staff of Integral Care is dedicated every day to helping the people of Travis County and last year provided services to over 30,000 people.

Austin Regional Clinic knows that mental and behavioral health is an important component of overall physical health and well-being. Supporting Integral Care, one of the community’s greatest resources, helps ensure adults and children have access to the vital services they need to stay healthy and live their best lives.

What's New

March 30th IDD Virtual Community Forum: IDD Peer Support Services

On Thursday, March 30th, Integral Care is excited to present a virtual community forum – Making a Difference: Peer Support in IDD Services. The panel discussion and Q & A will include community partners and individuals with IDD who have experience providing Peer Support Services. Learn about how peer support services work, the benefits and more.

KVUE Features the Judge Guy Herman Center for Mental Crisis Care

Last month, KVUE ran an article on plans to build a new mental health diversion center in Travis County to divert people away from jail and into treatment. It featured Integral Care’s Chief Operations Officer Dawn Handley talking about our Judge Guy Herman Center for Mental Crisis Care as a model for this approach.

Anne Nagelkirk Speaks to KVUE on Mental Health Service Demand

Integral Care Chief Strategy Officer Anne Nagelkirk talked to KVUE about Texas’ growing demand for mental health services and our work with Dell Medical School to build the local mental health care workforce.