Central Counties Services provides services to adults with severe and persistent mental illness using the Texas Recovery and Resiliency (TRR) Model provided by the Texas Department of State Health Services. Evidence- based practices are an integral part of TRR. Through the use of these proven practices, the services and supports provided within our Center will result in measurable outcomes and, ultimately, the resilience, recovery, and achievement of improvements in the mental health and quality of life for the individuals we serve through the elimination or management of symptoms of psychiatric disorders.

Other goals of the model include: a) determining eligibility for services, b) determining how to best manage service delivery, c) measuring clinical outcomes (overall impact of services), and d) determining how much services should cost.

To qualify for services, a person must be assessed as being a part of the State’s target population diagnostic group- typically, Schizophrenia, Bipolar Disorder, or Major Depressive Disorder. However, all persons in crisis may be served by our Center.

After assessment for eligibility, the following array of services may be available dependent on the individual’s needs:

Crisis Hotline: Telephone crisis services available 24 hours a day, 7 days a week, staffed by a Qualified Mental Health Professional (QMHP) to provide screening, assessment, and intervention. The Crisis Hotline telephone number is 1-800-888-4036.

Crisis Intervention:  Services provided in response to a crisis situation to reduce or alleviate symptoms to prevent an admission to a more restrictive environment, i.e. inpatient psychiatric unit or incarceration. These services are typically provided by the Mobile Crisis Outreach Team (MCOT) staffed by QMHPs.

Screening:  Initial assessment provided by a QMHP to determine need for a more in-depth assessment (Intake). Screenings may be conducted by telephone or face-to-face.

Intake: In-depth assessment to determine diagnosis and eligibility of services conducted by a Licensed Practitioner of the Healing Arts (LPHA). Assessment involves the collection of past social, psychiatric, family, drug/alcohol, legal, and other historical information as well as past and current symptoms to determine diagnostic impression. This assessment may be done face-to-face or via telehealth system.

Routine Case Management:  A variety of services provided by a QMHP designed to assist an individual in obtaining resources necessary to improve their current quality of life. The QMHP assists through referral, linkage, and advocacy with community and natural resources to assist the individual with gaining and maintaining access to care and services necessary to fulfill their needs.

Medication Training and Support:  Educational and instructional guidance about medications, medication side effects, and symptoms of mental illnesses provided by a QMHP or LVN/RN using approved curricula.

Skills Training:  Training provided to the individual by the QMHP to address problems related to having a severe and persistent mental illness in order to promote learning new skills which improve functioning and decreasing overall detrimental impact. This training includes, but is not limited to, basic symptom coping skills, communication skills, anger management, and assertiveness training.

Supported Employment:  Includes a variety of individualized services provided by a QMHP which are designed to assist individuals in choosing, obtaining, and maintaining competitive employment.

Supported Housing:  Includes a variety of individualized services provided by a QMHP to assist individuals in choosing, obtaining, and maintaining housing. This may also include supplemental services such as assistance in accessing transportation, learning about meal preparation, and learning to budget appropriately.

Counseling:  Individual counseling utilizing the Cognitive Behavioral model to address symptoms of mental illness that are causing impairment in the individual’s ability to perform activities of daily living.

Pharmacological Management/Provision of Medication:  Services provided by a physician or other medical professional to determine medications necessary for symptom reduction or remission. In addition, medications are provided to those with no source of funds or insurance, if determined to be medically necessary and prescribed by Center prescribing staff, at no cost to the individual with minimal requirements.

Assertive Community Treatment (ACT):  The Assertive Community Treatment team is an intensive, community-based treatment protocol that focuses on providing treatment, psychosocial rehabilitative services, and other supports to individuals meeting the criterion for this level of services.

Psychosocial Rehabilitative Services:  Social, educational, behavioral and cognitive interventions provided by ACT Team providers to address identified deficits in developing and maintaining social relationships, reaching educational or occupational goals, learning and maintaining independent living skills, and maintaining suitable housing as a result of severe and persistent mental illness.  

Crisis Respite Transition Services:  This is an 1115B Waiver program established to provide temporary, short-term relief for individuals experiencing life situations that may precipitate mental health crises if not addressed and is intended to assist in keeping individuals from requiring a more restrictive placement. It is voluntary and is intended as a hospital or jail diversion program. Services offered during the respite stay include, but are not limited to, recreational activities, linking to community resources, and group skills training. Services are provided in a structured environment that allows interaction with others that may be experiencing similar issues.  

Temple Day Program:  (Bell County residents only) This is an 1115B Waiver program established to assist participants in forming relationships with other participants in a safe, nurturing environment while learning issues such as relationship building, budgeting, anger management, symptom management, and other daily living skills through group skills training. Services are provided Monday through Friday from 9 am to 3 pm.