Community Reintegration and Therapeutic

Justice Services


Incarceration Services

Specialized outpatient services from The Center for Health Care Services provide effective supports and solutions to manage psychosocial difficulties that may otherwise lead to jail time and/or frequent hospitalizations. Programs include:



(210) 261-1200

ACCESS provides individualized comprehensive services to address the special needs of individuals with mental health stipulations who are on probation/parole. Located at The Center for Health Care Services,  2711 Palo Alto Rd., ACCESS helps with mental health treatment, housing, employment, and linkage to resources to support successful re-entry and stability in the community.

Assisted Outpatient Treatment (AOT)

Civil court-ordered outpatient mental health program for individuals who have severe and persistent mental illness, and have been non-compliant with past psychiatric treatment. Program includes psychiatric medication management, psychosocial rehabilitation services, nursing services, case management and community support services. Referrals made through Bexar County Mental Health Courts and Bexar County psychiatric facilities.

Community Alternatives to Incarceration (CAIP)

Assists individuals in Felony and misdemeanor drug courts to improve their quality of life and further reduce recidivism by incorporating community based case management services, psychiatric medication management, counseling, and skills training. Judicial referrals only.

Community Reintegration (CRP)

(210) 261-3100

The Community Reintegration Program offers mentally ill offenders treatment as an alternative to incarceration. CRP is designed to identify and divert offenders with mental health issues from incarceration to treatment. A psychologist from the Magistrate’s office screens individuals for mental illness; if detected, the accused person is released on bond by the judge, on condition that the person participates in mental health treatment. The Center’s CRP case managers partner with participants to help them earn and successfully complete probation in lieu of incarceration.

County Court 12

Program is comprised of phases in which community, mental health, as well as substance treatment needs are addressed for individuals currently on probation lasting up to one year to further reduce recidivism. Referrals made by Bexar County Mental Health Court, County Court 12.

Court Ordered Treatment

Comprehensive mental health outpatient services court ordered for individuals found not guilty by reason of insanity. Judicial referrals only.

Dual Diagnosis Residential Facility (DDRF)

Residential treatment jail diversion program serving adult male and female individuals dually diagnosed with mental health and substance use disorders. Judicial referrals only.

Genesis Program (TCOOMMI)

(210) 261-3200

Recognized as a state leader by the Texas Correctional Office on Offenders with Medical or Mental Impairments (TCOOMMI), the Center’s Genesis Program offers outpatient and residential services to chronic offenders with identified mental illness or substance addiction. Those enrolled in the program are mandated by county, state and district courts to receive treatment, which includes:

  • intensive case management
  • psychosocial rehabilitation (individual and group)
  • psychiatric medication management
  • co-occurring psychiatric and substance abuse disorder (COPSD) intervention benefit management assistance

The Genesis residential program provides 90 days of monitoring and treatment at the Mentally Impaired Offender Facility (MIOF). As a participant prepares for discharge, Genesis provides detailed planning for successful completion of probation and re-entry into the community.

Mental Health Court

The Mental Health Court program diverts individuals from jail to comprehensive behavioral health treatment. Judicial referrals only.

Justice Intake and Assessment Annex (JIAA)

CHCS Clinicians work within the Bexar County’s Justice Intake & Assessment Annex 24/7 to assess arrested individuals with mental health and/or substance use needs. Eligible individuals are given the opportunity to participate in outpatient treatment via a Personal Recognizance (PR) bond release.

Outpatient Competency Restoration (OCR)

Outpatient services for individuals who have been court ordered to receive competency education because they have been found Incompetent to Stand Trial and have a mental health diagnosis. Judicial referrals only.