Frequently Asked Questions

Adult Behavioral Health

Who is eligible for services?

Any person age 18 or older who has a mental health diagnosis on our priority list as determined by the State per DSHS and is a Bexar County resident.

How do I pay for services? What insurance do you accept?

The Center for Health Care Services accepts many insurance plans including Medicaid and Medicare. Payment of your estimated consumer portion is expected at the time services are provided. This includes deductibles, copays, and any other predetermined fees due for this visit. CHCS will not refuse services to a person based on inability to pay. You may qualify for financial assistance towards your payments. This qualification will be determined based on your income and family size. In order to determine the appropriate monthly fee, you must provide required documents and complete a Financial Assessment. Please be prepared to show proof of insurance, proof of residency and family income upon check-in.

Monthly Ability to Pay Fee Schedule

What if I don’t qualify for services here?

If you do not qualify for our services a clinician will provide you with an appropriate referral to see another provider in the community.

Why can’t I just see the physician for medication?

Medication is only one piece of the treatment team. The TRR model brings other specialties and disciplines into the treatment team to help you with your recovery goals. Medication may help with symptoms but the other members of your treatment team help you find ways to manage your emotional and social needs. Your treatment team can consist of a combination of: medication, case management, counseling and nursing services. You will meet with different members of your treatment team multiple times per month, most often in a community setting. The TRR model has proven to be effective for long term recovery. If TRR services are not for you, please let the Intake assessor know you prefer to be referred to a community-based provider.

I feel better. Why do I need to keep working with my treatment team?

Recovery is a process and a journey. Once someone feels they no longer need the TRR model, they are able to talk to their case manager for help finding a clinic in the community that only provides medication management.

What is a recovery plan?

Using a reoccurring assessment, your treatment team will work with you to develop a recovery plan based on your individualized goals. These are items that you and your treatment team have agreed are important for your recovery and growth. The Recovery Plan means that you are making a commitment to work on these specific areas to help you reach recovery.

Children’s Behavioral Health

What makes the CHCS Crisis-Respite Residential Center unique?

Qualifying families receive care that is tailored to meet their children’s needs. The program will provide staff to child ratios of 1-4 during waking hours. All staff are Qualified Mental Health Professionals with experience providing services to children with mental health needs.

How long can my children stay in the Crisis-Respite Residential Center?

A minimum of 24 hours to a maximum of 90 days depending on the child’s needs. The average length of a respite stay is three days.

Who can refer a child to the Crisis-Respite Residential Center?

Parents, Mental Health Professionals, Physicians, Youth Workers and Schools can refer a child for respite care.

  • When the family of a child with a diagnosed mental health condition is experiencing high levels of stress
  • When a child who is diagnosed with a mental health condition is suspended from school and parents are unable to supervise
  • When the parent of a child who is diagnosed with a mental health condition needs temporary care for the child
  • When a child who is diagnosed with a mental health condition is “stepping down” from a psychiatric hospitalization

How do we qualify to receive respite?

If you reside in Bexar County and have a child (age 5-17) with a mental health diagnosis and/ or have a child in foster care, your child may be referred to the Crisis-Respite Residential Center. Admission considerations include:

  • Males and females 5-17 years of age
  • Have an IQ of 70 or above
  • May have been abused or neglected
  • May have Post Traumatic Stress Disorder
  • May have a history of behavior or social adjustment problems
  • May have history of running away
  • May have depressive or anxiety symptoms
  • May have conduct disorder
  • Physical aggression must be responsive to intervention
  • Can benefit from counseling and therapy
  • May take psychotropic medications and need a nurturing short-term alternative supervised living situation

What should we expect from the Crisis-Respite Residential Center?

The Crisis-Respite Residential Center maintains a daytime staff ratio of one highly qualified mental health professional for every four children, and staff members are on duty throughout the night to monitor and support the children. Whenever appropriate, children are transported to their home schools to attend class.

What should we bring to the Crisis-Respite Residential Center?

A list of things you can/should bring to the Crisis-Respite Center will be provided at orientation. Initially, the child just needs a change of clothes.

For other questions not listed here, please contact the External Relations Department. Please allow up to 7 business days for a response.