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: 

  • IOPC
  • Genesis (TCOOMMI) 
  • Mental Health Court
  • Drug Court 
  • Community Reintegration 

Involuntary Outpatient Commitment Program (IOPC)

(210) 261-3100

When people who have difficulty complying with psychiatric treatment receive an Involuntary Outpatient Commitment order from the Bexar County Probate Court, The Center provides intensive case management services: medication management, psychosocial rehabilitation, and linkage with other social services. The IOPC team also partners with family members and local agencies to stabilize residency at home and in the community. 

The IOPC team meets weekly with the client, the Judge for Probate Court #1 and public defender to report progress and compliance with court-ordered treatment. Implementation plans are arranged with the client and their support network, including other CHCS programs. 

Drug Court

(210) 261-3100 

The Center provides psychiatric and nursing services and wraparound services for psychosocial rehabilitation, community referrals for medical and substance abuse treatment, peer support and social assistance.

By rehabilitating non-violent offenders with substance abuse and mental health issues, drug courts reduce costs of confinement while we help people rebuild stable, productive lives. Because only 7 percent of drug court graduates find themselves back in jail, taxpayers save $10 for every dollar invested in drug courts. Participants are subjected to rigorous drug testing, probation visits, and 90 to 180 days of residential treatment. To graduate from the program, participants must attain a high school diploma or GED and secure full-time work. 

Community Reintegration (CRP)

(210) 261-3100 

Another of Bexar County’s exemplary diversion programs, 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 in the magistrate department screens individuals and, if mental illness is 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 these participants to help them earn and successfully complete probation in lieu of incarceration. 


(210) 261-1200

ACCESS provides individualized comprehensive services to address the special needs of individuals on probation/parole, and those who have completed the IOPC program. Located at the Paul Elizondo Westside Clinic, ACCESS helps with mental health treatment, housing, employment, and linkage to resources to support successful re-entry and stability in the community. 

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.