Prescription for Wellness


 

Travis County's Local Adult Mental Health Authority

State Designated Local Authority

City/County Designated Local Authority

State Designated Local Authority

The concept of local authorities originated in Texas in 1984, as an administrative act of the TDMHMR commissioner, acting as the state authority. The local mental health and mental retardation authorities were conceived as entities at the local level to which TDMHMR could delegate its authority. Originally, the designation was related to service provision and lead responsibility for addressing the needs of individuals returned to their home communities from state schools and state hospitals. Community centers were named as the local authorities in the areas they served, and state facilities' community services division fulfilled these functions in areas not served by a local center. Local authorities were added to the Health and Safety Code and statutory provisions required that community centers be given preference as the designated Local Authority.

House Bill 2377, passed by the 74th session of the Legislature, was the catalyst for significant changes in the understanding of the concept of local authority. The state authority was authorized to delegate responsibilities to local entities. House Bill 2377 introduced the important concepts of consumer choice and best value, and placed the responsibility of ensuring both quality and cost-effectiveness on the Local Authority as it develops and manages a network of providers.

In the 75th Legislature, the concept of the local authority was taken a step further with House Bill 1734 which removed the statutory preference given to community centers and required that a process be developed to determine which community centers could be formally recognized as Local Authorities. For more information regarding Travis County's Local Authority, its purpose and responsibility, see Appendix B.

Austin Travis County Mental Health Mental Retardation Center served in developing best practices and the agency is one of three pilot sites in Texas to further develop rules and standards.

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Description of Adult Mental Health Home Page

City/County Designated Local Authority

Under an Interlocal Cooperation Agreement executed by the City of Austin and Travis County local governments, the Austin Travis County Mental Health Mental Retardation Center's responsibilities include (City of Austin, 1996, January 5):

  • Lead in assessment, planning functions relative to mental health, mental retardation, and substance abuse services in support of the Community Action Network.
  • Include community providers and participants in a process of collecting data and input on community needs and strengths.
  • Lead CAN mental health, mental retardation, and substance abuse planning activities and identify the critical issue areas to be addressed in the CAN application process.
  • Participate in CAN performance review for contracted services.

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Description of Adult Mental Health Home Page
Adult Mental Health Home Page