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Complex Care Might Be Right For You.

High Utilizers of Inpatient Treatment of ERs

Sometimes, people who are diagnosed with serious mental illness can become dependent on emergency departments and inpatient facilities when experiencing a mental health crisis.

The Center’s Complex Care program is designed to help people change their lives from a revolving door of psychiatric hospital units or rearrests and jail, to a life focused on independence, personal meaning and purpose.

CHCS Other Help - ER

How Does It Work?

Members of The Center’s Assertive Community Treatment (ACT) team and Forensic Assertive Community Treatment (FACT) work with local hospitals, healthcare and law enforcement agencies to provide the additional support a person needs to overcome obstacles. These services are tailored to a person’s specific needs, helping them learn effective coping skills for daily responsibilities, coordinate and advocate for benefits and treatment, and close the revolving door on hospitalizations and arrests.

  • Engagement with The Center for Health Care Services
  • Psychiatric medication management
  • Psychiatric nursing services
  • Primary care
  • Intensive case management and care coordination services
  • Substance use treatment
  • Peer support
  • Individual counseling
  • Group counseling

What Can I Expect If I Accept ACT or FACT services?

Upon meeting the requirements for ACT or FACT, you will receive no less than 8 hours a month of service, spread over the span of several weeks, from a personal, 3-member team. Additionally, you will receive services at The Center’s Northwest Clinic, and will be assigned to the team’s psychiatrist for prescriber services.


Complex Care Programs

Complex Care Programs serve people with serious mental illness, and an extensive history of emergency department utilization and/or inpatient hospitalization for mental health-related reasons. Each referral receives individualized review and consideration. Eligibility and admission will be determined on a case-by-case basis.

If you would like more information on our criteria, referral process and referral documentation, please contact us: or

Program for Intensive Care Coordination (PICC)

A multi-agency and multidisciplinary team organized to provide comprehensive care coordination aimed at reducing the reliance on emergency services by the most acute individuals in Bexar County.

Josephine Recovery Center


Chronic Crisis Stabilization Initiative (CCSI)

A partnership with SAPD Mental Health Unit that pairs clinicians with officers to respond to individuals with Mental Health needs that frequently use 911 and other emergency resources.

Josephine Recovery Center



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