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County approves $1.26M University Health contract for jail mental‑health screening and diversion
Summary
The court approved a $1,257,651 professional services agreement with University Health to provide mental‑health screening and assessments at jail intake to identify individuals eligible for diversion and support continuity of care upon release.
Bexar County approved a professional services agreement with Bexar County Hospital District (DBA University Health) for $1,257,651 to provide mental‑health screening and assessments at jail intake and facilitate linkage to diversion programs and community care. Dr. Guerrero described the contract as intended to centralize screening and assessment to close gaps from siloed services and enhance diversion.
Commissioners pressed for clarity about scope, reimbursement and how medical and behavioral health responsibilities intersect. County staff said University Health began the work October 1 and this action codifies and funds those services. Commissioners and members of the public raised broader questions about jail conditions, staffing, and the difference between medical care and behavioral‑health services; staff said further operational items will be discussed in executive or future briefings.
The motion to approve payment under the agreement passed on the record. County staff said the contract aims to identify detainees eligible for diversion early in intake and to help reduce unnecessary entry into foster care or costly downstream court involvement.
