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Regional mental-health planning updates; commissioners approve county opioid-grant application and a higher pay step for a Mental Health Court caseworker

3409768 · May 20, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Charlie Campisi of Hill Country Mental Health gave a regional update on diversion center planning and provider capacity; the court authorized staff to submit an opioid recovery grant application and approved a salary exemption to hire a licensed-caseworker for the county mental-health court.

Charlie Campisi, a long-time Hays County resident and member of the Hill Country Mental Health Developmental Disability board, briefed the court on regional mental-health developments and diversion-center planning at the May 20 meeting.

Campisi’s presentation: Campisi described regional planning work after the Uvalde shootings, noting a large increase in local service demand in Uvalde (hundreds of new weekly clients at regional clinics) and the ongoing construction of a 32-bed long-term mental-health facility near Uvalde. He reported that the behavioral advisory team (BAT) supports Hays County’s needs assessment and noted Hill Country MHDD’s interest in operating a future Hays County facility. He also described mobile-service units and short-term stabilization options in neighboring counties, and he credited local planning efforts — including a county contract to HOK for site definition and programming — as the next steps for a Hays County diversion center.

County actions tied to mental-health services: The Commissioners Court authorized submission of an application to the Texas Comptroller’s opioid-abatement fund (community-based opioid recovery efforts program) for $250,000 to fund two positions and local recovery services (G21). Roll call was recorded and the application was authorized. Separately, the court approved a salary exemption for the Mental Health Court to hire a caseworker at Grade 116, Step 5, after HR confirmed the candidate’s education and experience justified the higher step (K19). That motion passed on the recorded roll call.

Why it matters: Campisi said the region’s needs assessment, stakeholder coordination and design work aim to produce a diversion center that reduces reliance on jails and emergency rooms and strengthens county-level behavioral-health infrastructure. Meanwhile, county actions — an opioid recovery grant application and a strengthened mental-health court caseworker hire — target service capacity and case management in the short term.

Next steps: Regional stakeholders (the BAT, Hill Country MHDD, the county and HOK) will continue facility-definition work; the county will seek opioid-recovery funding and proceed with the approved caseworker hire. The court asked staff to continue coordination and report back on grant outcomes and design progress.