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Public-Private Partnerships Are Key To Improving The Youth Mental Health Crisis
July 15, 2024

Public-Private Partnerships Are Key To Improving The Youth Mental Health Crisis

This article was originally published in Forbes on July 15, 2024. Reports like those from the Meadows Mental Health Policy Institute and Grey Matter Capital highlight significant opportunities for mental health technology companies to develop and…

Digital Mental Health Technology
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When Is Therapy Necessary for a Grieving Child?
July 12, 2024

When Is Therapy Necessary for a Grieving Child?

This column was authored by the executive director of the Meadows Institute’s Trauma and Grief Center, Julie Kaplow, PhD and published in was published in Psychology Today on July 12, 2024.  Bereavement is the most common…

Trauma and Grief
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Op/ed: To reduce suicide, primary care and mental health clinicians need to work together — Congress can help them do it
June 24, 2024

Op/ed: To reduce suicide, primary care and mental health clinicians need to work together — Congress can help them do it

This first appeared in STAT News, by: Roshni Koli and Christine Yu Moutier. Suicide rates in the United States increased by approximately 36% between 2000 and 2022, according to updated data from the National Center for Health…

Collaborative Care Model Legislative Mental Health Clinicians Suicide
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Media Coverage from the Statewide Expansion of the Texas Blue Program
June 20, 2024

Media Coverage from the Statewide Expansion of the Texas Blue Program

On June 17, 2024, the Meadows Institute, in partnership with the Communities Foundation of Texas, local police leadership and The Texas Commission on Law Enforcement, announced the statewide expansion of the Texas Blue Chip Program…

Law Enforcement Texas Blue Chip Program Texas Law Enforcement Peer Network
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With too few mental health providers, more patients turn to primary care
June 17, 2024

With too few mental health providers, more patients turn to primary care

This article was originally published in The Texas Tribune on June 17, 2024.  In Austin, Dr. Roshni Koli, is one voice primary care physicians turn to when they need help with a mental health diagnosis…

Children and Youth Collaborative Care Collaborative Care Model CPAN
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Amarillo Area Foundation grants over $1M to mental, behavioral health care organizations
June 7, 2024

Amarillo Area Foundation grants over $1M to mental, behavioral health care organizations

This article was originally published in Amarillo’s KAMR NBC4 (Myhighplains.com) on June 7, 2024.  “We’re data driven, nonpartisan organization that supports the implementation of policies and programs that help Texans obtain effective, efficient mental health care,…

Panhandle
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Texas is investing in better mental health
June 3, 2024

Texas is investing in better mental health

This article was originally published in The Dallas Morning News on June 17, 2024.  Texas, among all states, is grappling with a rise in the percentage of youth who experienced a major depressive episode in…

Legislative TCHATT texas
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Grant helps cover transportation gaps for Dallas County drug court program
May 16, 2024

Grant helps cover transportation gaps for Dallas County drug court program

This article was published by the KERA News on May 16, 2024. Read the full article on KERA’s website.  The Dallas County District Attorney’s Office has received a $12,500 grant to help provide transportation to…

Dallas
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New $305 million Austin State Hospital unveiled as Texas revamps psychiatric system
May 15, 2024

New $305 million Austin State Hospital unveiled as Texas revamps psychiatric system

This article was published by the Texas Tribune on May 15, 2024. Read the full article on the Texas Tribune’s website. State leaders on Wednesday unveiled a new $305 million hospital, part of an $2.5…

Legislative State Hospitals
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This article was published by the Texas Tribune on May 15, 2024. Read the full article on the Texas Tribune’s website.

State leaders on Wednesday unveiled a new $305 million hospital, part of an $2.5 billion overhaul of the state’s aging psychiatric hospital system.

Austin State Hospital is a new 240-bed facility that has been built on the existing 80-acre campus located about three miles north of downtown Austin. The Old Main Building, which opened 1861 has been designated a historic landmark. It will continue to be used for offices, when the hospital opens its doors later this summer.

The sleek new building resembles a luxurious apartment complex, with 11 secure courtyards and screened porches, single-person patient rooms, each with its own bathroom, and plenty of recreational options, including a gym, salon, barber shop, chapel, general store, and more.

“This is going to simulate real-life situations so people can work their way through their recovery journey in a place that is here for their healing,” said Austin State Hospital Superintendent Stacey Thompson.

The building features tall windows and intricate modern designs that starkly contrast with the old brick buildings that have stood on the grounds for over a century.

“This is a good thing not only for our patients but our staff as well,” Scott Schalchlin, Texas Health and Human Services deputy executive commissioner.

Schalchlin, who oversees the operations of 10 state hospitals and 13 state-supported living centers, the residential facilities for individuals with intellectual disabilities, said the more modern facility will help with employee recruiting efforts.

“I think it’s also going to attract other professionals and other staff to want to come and work here,” he said.

Austin State Hospital, which has operated since 1861, is the oldest psychiatric hospital in Texas.

“It was constructed before railroads had even reached the city,” said Schalchlin.

State hospitals’ history

Wednesday’s ribbon-cutting is the latest renovation to the state psychiatric hospital system, which has 12 facilities or campuses in 11 cities across the state. When first designed in the late 19th century, the system’s facilities, then called asylums, treated the most mentally ill Texans. But with the introduction of psychotropic drugs in the 1960s, a national movement took hold to do away with the institutionalization of the mentally ill.

Like many state hospitals across Texas, the one in Austin fell into disrepair by the early 2000s. A 2015 state study identified the Austin campus as one of five facilities that should be replaced.

Today, state hospitals treat mostly forensic patients, that is, those individuals transferred from county jails or the state prison system because they were determined to be incompetent to stand trial or because a jury found them not guilty by reason of insanity.

In 2023, a little over 60% of adults treated inside state hospitals came from the criminal justice system, either from county jails or the prison system.

At the urging of county jail officials, state lawmakers undertook a massive funding operation to repair or build new state psychiatric facilities.

The Rusk State Hospital added a new maximum security unit with 100 beds; the Kerrville State Hospital renovation added 70 maximum security beds; the San Antonio State Hospital will renovate an existing 40-bed forensic unit to a 40-bed maximum security unit, and a new 50-bed maximum security hospital is being planned in Lubbock.

State hospitals’ role

Austin State Hospital’s three-floor, 381,687-square-foot building is expected to serve over 600 people per year on average, including criminal competency and civil commitment cases when space allows.

The new Austin facility does not increase the number of beds available to patients and the number of counties this hospital will serve has decreased from 38 to 26 due to new hospitals being built or renovated in Central Texas, including the grand opening of a new 300-bed replacement hospital in San Antonio that occurred in April.

Schalchlin acknowledged this might not be the answer to stemming the demand for mental health services in the community but pointed out that the state hospital system is currently considered the last stop, not the first option. He said partnerships with private hospitals and local mental health organizations are the key to addressing the demand.

“There is always going to be a need for mental health services, and you’re going to see in the upcoming session, as always, the need for more funds,” Schalchlin said.

Andy Keller, president and CEO of the Meadows Mental Health Policy Institute, said the opening of the Austin State Hospital marks an important milestone in the creation of a modernized hospital system for Central Texas.

“This is more than the opening of a brick-and-mortar building; it’s the latest and most exciting chapter of a new system that represents state-of-the-art in care, beginning with intake, continuing throughout treatment, and extending into aftercare,” he said.

OUR BOLD VISION
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