The Heart of Texas Behavioral Health Network (formerly Heart of Texas Region MHMR Center) offers an array of Behavioral Health Services and Crisis Services.

Click Here To See The Adult Behavioral Health Services Brochure


The Admissions Unit provides open access to any individual seeking adult mental health services. Please call for initial screening at 1-866-752-3451. If you call after hours, please press Option 4 during your call when applying for services.

The Admissions Unit has open access at the Clifton Street Clinic anytime Monday through Thursday from 8:00 a.m. until 3:00 p.m. Later assessment times are available by appointment. If you are in Bosque, Limestone, Hill, Freestone, or Falls Counties and cannot come to the Clifton Street Clinic for open access, we can arrange an assessment using telehealth equipment at our regional offices.

The Admissions staff will also provide information and referral to assist those not eligible for Center services.


Planning, Coordination, and Monitoring of services are provided at least monthly for all admitted clients of the Center by qualified mental health professionals. Mental Health Case Managers are responsible for assessing consumers' needs, identifying treatment strategies, linking consumers to community resources, integrating consumer choice in their treatment planning, and working towards recovery as defined by the individual. This facility is a member of the National Health Service Corps: NHSC.hrsa.gov


Counseling, Skills Training, and Psychosocial Rehabilitation services for adults are provided by Bachelor's and Master's level clinicians throughout the HOT region. In addition, licensed professionals (Counselors, Social Workers, and Psychologists) are available to help with particular issues, to provide Cognitive Behavior Therapy for depression, Cognitive Processing Therapy for trauma-related issues, and to provide clinical supervision.


The Center provides a full array of Psychiatric Medical Services for our consumers. The professional staff includes psychiatrists, nurse practitioners, registered nurses, pharmacy assistants, support staff, and a program director. The staff conducts regular and crisis assessments of all consumers, prescribes and manages medications, coordinates the distribution of psychiatric medicines, assists consumers in accessing Pharmacy Assistance Programs, manages medication samples, monitors metabolic symptoms, and provides clinical leadership for all consumers served by the Center.


This mobile unit supports individuals with the most severe and persistent mental illness by providing intensive treatment, rehabilitation, and support services at consumers' homes and other community settings. ACT services are provided 24 hours per day, seven days per week, to ensure consumers have continuous treatment support.


The Continuity of Care team offers support for individuals in psychiatric hospitals to develop a discharge plan and assist individuals with obtaining necessary services when they return to the community. In addition, they work closely with staff at state hospitals as well as local psychiatric hospitals to provide aftercare appointments, assistance with medications, and ensuring that individuals have their daily needs met. This service may be reached at (254) 297-77


The Center established an Integrated Health Clinic by agreement with the Family Health Center (FHC) at the Main Center to serve the health needs of active consumers. The clinic coordinates physical and behavioral health treatment and provides a variety of wellness initiatives designed to provide healthier lives for consumers and staff.


The Center has a specialized integrated health program for 60 and older. Staff provides intensive services to seniors who, in addition to their behavioral health issues, have physical health problems and difficulty adjusting to normal aging changes, which interfere with their ability to live a full and productive lifestyle. The program also works with individuals in nursing homes through the PASRR program. In this program, staff assists individuals with special psychiatric needs or who need assistance developing skills that could help them return to the community and live independently. This facility is a member of the National Health Service Corps: NHSC.hrsa.gov


The Center has expanded its services to include Outpatient Substance Use Services for adult clients who need substance use treatment. These services are provided in addition to other behavioral health services provided by the Center, and can include anyone in the community who is struggling with a Substance Use Disorder. The length and type of services are determined with screening during the initial appointment to assess the appropriateness of treatment. Co-occurring Disorders are addressed and treated through a specialized program that provides intensive services and support designed to reduce the harm associated with substance use. Specialized case management and counseling are also available. Recently the program has added a job development specialist who can assist individuals with substance use issues in identifying employment opportunities. The specialist will also work to locate local businesses willing to consider employing individuals with a substance use history.

Outpatient and Behavioral Health Services are available to anyone in the community suffering from a Substance Use Disorder. We accept referrals from all sources, including state agencies such as CPS, Probation, Parole, Drug Court, the Veterans Administration, or any Private referral—call (254) 297-8999 to schedule a screening or to learn more about our services. WALKS INS are also welcome.


The Center's community outpatient clinic was established for individuals who do not meet the state requirements for services at the Center. The program emphasizes counseling to deal with maladaptive behaviors developed to cope with situational stressors and/or traumatic experiences.

The Counseling Center has recently hired a Spanish-speaking therapist who can work with individuals in their natural language. Another new program establishes a specialized service for individuals experiencing post-partum depression or where parent/child attachment issues are present. Therapists will work to assist both mother and child in navigating this difficult time in their lives. Case management and minimal medication management are also available to support the counseling offered. This facility is a member of the National Health Service Corps: NHSC.hrsa.gov

Click Here For The Heart of Texas Counseling Center Brochure


The Center has expanded Peer Services to provide training and support to other consumers, specifically around healthy lifestyle choices. Peer Services and outings can be accessed at the Independence Center, (254) 756-0258 or Mexia Peer Support Center, (254) 562-4336). There is no charge for any service or activity other than meals, snacks, and outings.


The PATH Program is designed to support the delivery of services to persons who are homeless persons or at risk of becoming homeless, who have serious mental illnesses or co-occurring substance use disorders. An emphasis is placed on persons most in need of services and on services that are not supported by mainstream mental health programs.


HOTBHN has several programs providing supportive housing for our consumers. For example, the Permanent Supportive Housing program brings individuals and families out of homeless shelters and off the streets into permanent housing while offering the wrap-around services needed to make this transition successful. In addition, a housing navigator is available to assist individuals seeking suitable housing who have barriers that traditionally have kept them from being able to rent. The navigator works with landlords and directs individuals to locations where they may be able to secure housing.

The Landlord Liaison Project provides financial protections to landlords willing to rent to high-risk tenants. The funds cover loss of rent due to evictions or tenants breaking their leases and damages to the property where applicable.

The Tenant-Based Rental Assistance program provides one year of rental assistance to low-income, disabled individuals. In addition, our Rapid Rehousing program provides intensive but short-term assistance for homeless individuals who need a few months of help to get back on track. These services are offered to anyone in ongoing services with the Center.


One caseworker is designated to provide supported employment services to those individuals seeking assistance in locating and successfully securing employment. The caseworker works in the community to develop employment opportunities for consumers and then works aggressively with individuals to assist in placing them into competitive employment. This caseworker serves about 30 individuals at any given time in this program.


In partnership with the Family Health Center, the Heart of Texas Behavioral Health Network (formerly HOTRMHMR) can arrange for local physicians to consult with national experts to staff cases to help them become more comfortable prescribing medications to individuals with behavioral health issues. Due to national shortages in psychiatry, general practitioners are increasingly being asked to fill this void. This program can assist them in developing the skills needed to enhance their practices.



In this program, individuals who historically have been sent to the state hospital, if determined to be incompetent, to stand trial are now able to receive their competency restoration locally. The team works with the individual on the legal aspects of restoring competence and working intensively with the individual on establishing treatment supports that will keep the person from decompensating in the future. In addition, the team works closely with the judicial system to advocate for the best outcome for the individuals during treatment. Contact Linus Gilbert, Director of Behavioral Health Justice-Involved Programs, by calling (254) 297-7791.


The TCOOMMI program provides service coordination and rehabilitation services to individuals currently on parole or probation upon referral from the criminal justice system. The program works in collaboration with specially dedicated mental health probation and parole officers to create a unique partnership that has led to the lowest recidivism rate in the country.

(The Klaras Center for Families' TCOOMMI Program, provides similar services to juveniles with mental health needs who are involved with the legal system.)


The Center provides clinicians in all county jails in the catchment area. The clinicians assess individuals who may have a behavioral health issues to assist the jails in providing the appropriate level of care while incarcerated. The staff help the jail with suicide precautions and work with medical staff on starting or maintaining behavioral health medications. Staff also work closely with the legal system to identify which individuals would benefit from treatment rather than incarceration. Staff facilitates discharge planning and tries and maintain continuity of care once they are discharged.


In this joint project with the McLennan County District Attorney's Office, staff assess and make recommendations to the DA regarding admission into the program for individuals with behavioral health issues. If approved, staff coordinate care and ensure compliance with treatment objectives.


This program works with incarcerated individuals to prepare them for reentry into the community. Staff facilitates groups and individual support while the individual is in jail and then maintains services and support upon discharge. Particular emphasis is placed on assisting with employment, housing, peer mentoring, and support.