a monthly newsletter from Integral Care

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

A Message From Our CEO


May marked the end of the regular 87th Texas legislative session, with a special session currently underway. The last year and a half have been a collectively challenging time for our communities and a shining example that policy matters. The cumulative impact of the pandemic has led to increased behavioral health needs across the country – for both adults and children. Texas legislators responded to the need for significant solutions to improve access to services. Through legislative action, they appropriated $8.44 billion to behavioral health across 25 state agencies, an increase of roughly $350 million over the previous biennium. Let’s take a look at the wins from this session.


Telehealth flexibilities allowing easier access to behavioral health services

  • HB 4 makes certain behavioral health services delivered by telemedicine, telehealth, or telephone reimbursable by Medicaid.
  • HB 5 establishes a Broadband Development Office. Increasing broadband access is critical to leveraging telemedicine and telehealth access for remote and underserved areas.

Better access to mental health care in the primary care setting

  • SB 672 authorizes Collaborative Care reimbursement in Texas Medicaid, for both children and adults. This increases access to behavioral health services integrated in primary care. Since early intervention is more effective, it means significant long-term cost savings.

Addressing the well-being of children and youth

Maintaining and increasing funding for key areas impacting our local community

  • HB 3088 maintains funding for the Healthy Community Collaborative, a significant source of state funding for individuals experiencing homelessness and mental illness and/or substance use disorders.
  • HB 2 provides $124 million for Phase 3 of the Austin State Hospital System Redesign. It is now fully funded and scheduled to open in June 2023.

Streamlining Substance Use Treatment Process

  • Rider 56 directs Texas Health and Human Services (HHSC) to evaluate the feasibility and costs associated with including patient dosage information in the opioid treatment program Central Registry. The Central Registry is a statewide database managed by HHSC and maintains a confidential registry of Narcotic Treatment Clinic patients to prevent multiple clinic enrollment. Currently, the registry holds client demographics without dosing information, which slowed down services during the winter storm. Emergency staff had to contact providers to verify dosing information for individuals seeking treatment during winter storm closures. Integral Care is proud to have worked closely with Representative Donna Howard to pass Rider 56.

We appreciate our legislators for their hard work and continued dedication to behavioral health. Read more in our End of Session Report, which highlights additional behavioral health legislation passed this session.


David Evans
Chief Executive Officer


Texas Child Health Access Through Telemedicine

Created by the 86th Legislature, the Texas Child Mental Health Care Consortium (TCMHCC) spent its first year launching initiatives through 12 health-related institutions of higher education across the state to address urgent mental health challenges and improve the mental health care system in this state in relation to children and adolescents. This session, the state legislature saw the value of the consortium and increased funding to continue key initiatives and maintain systems of care for Texas children.


The Texas Child Health Access Through Telemedicine (TCHATT) initiative gives schools access to health providers via telemedicine and telehealth to help meet the mental health needs of children and adolescents. Dell Medical School is one of the health-related institutions of higher education included in the TCHATT program, with an interlocal agreement with Integral Care, to provide student mental health evaluations, ensure smooth linkage to ongoing services and consultation and trainings for teachers.  TCHATT clinicians include Dell Medical School’s child and adolescent psychiatrist and psychologist and other licensed mental health professionals.


The social isolation and psychosocial stress of the COVID-19 pandemic has taken its toll on children, adolescents and families struggling with mental health concerns. The mental health sequelae of this pandemic are likely to affect our community for years to come. TCHATT has been a wonderful community collaboration and service that has allowed us to meet the acute and chronic mental health needs of our community within the school setting. To date, we have provided over 2,000 telehealth appointments to 549 unique students. We are grateful for the continued support of the Texas legislature as we look to continue and expand the scope of our program within Central Texas. – Roshni L. Koli, MD, Medical Director, Pediatric Mental Health, Dell Children’s Medical Center

TCHATT is a free telemedicine program provided through our collaboration with Dell Medical School, school districts and primary care providers. The program can be utilized whether a student is on campus or in distance learning at home.


Integral Care has also successfully collaborated with the University of Texas School of Psychology to bring on interns and externs for supervision to this experience. This expanded commitment to TCMHCC and early identification and treatment for mental health issues demonstrates Texas’s continued commitment to children’s mental health and well-being.

Share Our New Teen Suicide Prevention Videos!

Suicide numbers for ages 10-24 have been on the rise since 2007.  We hope you’ll share our hopeful new videos with your network. One video is for teens, the other for a parent/teacher audience. Both are in English and Spanish. The videos dig into the warning signs and how to reach out for help.


According to a CDC report released in June, emergency department visits for suspected suicide attempts rose among 12 to 25-year-olds between January of 2019 and May of 2021. Among girls 12 to 17, average weekly visits to the emergency department for suspected attempts from February 2021 to March 2021 was 50.6% higher than the same period a year prior. Among boys of the same age, the increase was 3.7%.  It’s important to note that these were attempts, and CDC data for actual suicides in 2020 has not yet been released. Until that data is released, it is unclear the effect of the pandemic and racial reckoning of the past year and a half.


We’d like to thank the Moody Foundation for the generous grant to create these videos. We hope you’ll share them with friends, colleagues, perhaps your child’s school or other organizations.

Foster Children Deserve a Safe Landing

child hand grabbing adult hand

A foster child and foster family can be successful with the right support at the right time. Safe Landing was launched two years ago in response to the state’s foster care crisis – not having enough foster homes thereby leaving youth to live in Child Protective Services (CPS) offices. The program was created  with the support of Travis County and Mission Capitol with the goal of increasing the number of foster homes that can care for youth with complex behavioral health needs.


Safe Landing’s first phase built relationships with child placing agencies, providing intensive clinical and case management support to their foster youth and families. The program offers in-home child and family counseling, parent coaching, help creating a safety plan and mental health crisis response. Children recently placed in foster care may have complex behavioral health needs which require prompt attention and the right therapeutic interventions.


“A lot of our kids would be in a different place without them. We need therapists who can see the child within 24 to 48 hours, or we could be looking at a crisis situation. Before this program there could be as much as a 4-month wait to get an assessment with a therapist. Safe Landing staff bridge what was a gap in the system.” –  Samantha Schwartz, Program Manager, DePelchin Children’s Center

3 people on zoom call

the Safe Landing team

In addition to stabilizing crisis situations, our therapists provide a quick connection to psychiatric services, ongoing therapy for the child and tools for the parent to build their bond. Addressing past trauma and building trust and attachment is the recipe for success. Ms. Schwartz describes a 9-year-old child with serious behavioral struggles who had the potential to bounce around the foster care system. With a Safe Landing therapist’s ongoing help, that child and foster family are signing adoption paperwork.


The number of youth living in CPS offices, known as “Children without Placement”, started to increase again in 2021. Safe Landing is a key collaborator with Travis County Child Protective Services, Texas Department of Family and Protective Services and other foster care community organizations such as Partnerships for Children, Foster Angels and Casey Family in supporting these children. They help the youth stabilize and transition to a more permanent placement. Recently a Safe Landing therapist provided crucial support for a teenager without placement quarantining in a hotel isolation facility for COVID-19. Our therapist made daily clinical check ins and provided vital emotional support until the youth could be released from quarantine and placed in a family setting.


In 2 years, the program has helped 61 children. As we move into year 3 of the program, our goal is to reduce the number of children living in CPS offices by providing intensive support to foster families, so they feel confident in caring for children with complex behavioral health concerns. A big thank you to our collaborators – together we are making a difference and helping children and families achieve health and well-being.

Back to School Tips

For you parents out there, our school-based therapist team suggests these 10 tips to support your child’s mental health. Download the pdf, print it and post it on the fridge.


What’s New

  • SAMHSA renewed the Assisted Outpatient Treatment (AOT) grant for another year. In its first year the innovative AOT program helped 18 individuals, improving their adherence to mental health treatment plans, which reduces inpatient psychiatric stays and criminal justice involvement. This ultimately helps them reach their full potential and contribute to their communities. The program is a collaboration among Integral Care, Travis County Probate Court, Travis County Clerk’s Office and Dell Medical School.
  • Spectrum News produced an in-depth piece about our Terrace at Oak Springs housing community. They capture how the Housing First approach changes lives.
  • Dell Medical School and The LBJ School of Public Affairs have released a cost-saving analysis of The Inn, our 16-bed residential treatment program. The study shows that The Inn saves taxpayers millions of dollars while improving outcomes for people experiencing a mental health crisis. Check out media coverage on KUT.


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