Thirteen Bexar County independent school districts have been given the opportunity to pursue mental health programs based on the need of their communities. These programs are intended to:

• Identify and support mental health needs early
• Build strong mental health foundations in students and educators
• Remove barriers to services in historically underserved communities and populations

Law Enforcement

S.M.A.R.T.

This program created specialized teams that add mental health support to county emergency services. These teams include law enforcement, paramedics, and mental health professionals. For more information on the "Specialized Multidisciplinary Alternate Response Team" (S.M.A.R.T.), visit their website.

S.M.A.R.T. for Mental Health

LAW ENFORCEMENT TRAINING

This short-term program provides law enforcement staff with training in key areas such as Advanced Crisis Intervention, De-escalation, and Trauma-Informed Care. To provide these courses going forward, several law enforcement staff members will be certified as trainers for the Bexar County Sheriff's Office and will conduct additional training on a regular basis.

Initial Detention

JUSTICE INTAKE AND ASSESSMENT ANNEX

We all make mistakes, but sometimes untreated mental health issues can lead to poor decision-making and unfortunate consequences. Bexar County's Justice Intake and Assessment Annex is responsible for the processing of recently arrested individuals. During processing, mental health professionals assess individuals for potential mental health and substance use concerns. Eligible individuals are given the opportunity to participate in outpatient treatment as a condition of a personal bond.

In-Custody

IDD JAIL LIAISON

This program focuses on the identification, coordination, and diversion of persons with Intellectual and Developmental Disabilities (IDD) and related conditions from the Adult Detention Center. When early identification and case coordination occur, it helps prevent future delays within the court system.

Jail-Based Competency Restoration

Everyone accused of a crime has the right to a fair case; however, there are individuals with severe mental health issues who are not capable of understanding or actively participating in their court proceedings. These individuals are deemed incompetent to stand trial. When this occurs, the court will provide treatment, which may include therapy, medication, or other interventions, to assist the person to the point where they are able to understand the court proceedings. Once that level of competency, or understanding, is achieved, the legal case can continue.

Since there is often a waitlist for the facilities offering competency restoration treatment, this specific jail-based program will allow these services to begin within the Bexar County Adult Detention Center while individuals await transfer to the mental health facility.

COURTS

Mental Health Court (County Court #12)

This court specializes in and advocates for incarcerated persons with mental illness and provides access to mental health treatment, community resources, and support to reduce their involvement in the criminal justice system.

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Mental Health Court (Probate Court #1)

This court handles civil mental health commitments in Bexar County. Judges preside over certain hearings to determine if a mentally ill person is a danger to themselves or others and thus requires hospitalization.

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ReEntry & Community Corrections

Community Reintegration Program

Jail diversion mental health program that provides immediate assessment for mental health treatment for misdemeanor Pre-Trial cases to include: psychiatric medication management and comprehensive community support services.

Juvenile Justice Program

Clinic, home, and community-based mental health services for youth referred by the Bexar County Juvenile Probation Department or the County Magistrate.

NOW Clinic

Everyone should have access to mental health support. This mental health clinic was created for individuals who cannot afford insurance or pay for services. Bexar County is working to expand these services and create additional locations in underserved areas. 

Pre-crisis Program

Our mental health can spiral out of control. While there are programs in place that can help with the aftermath of a crisis, Bexar County is working to create accessible mental health resources that can provide support before a crisis can occur. This program will include a local helpline that can provide mental health resources and provide service connections. There will also be a county-wide marketing campaign to reduce the stigma of mental health and promote mental wellness. 

SASH Reuse Study

With the San Antonio State Hospital (SASH) moving to its updated facility in 2024, Bexar County is researching the possibilities of using the previous location to create a wellness campus for individuals struggling with mental health.