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Southwest Texas Crisis Collaborative

The Southwest Texas Crisis Collaborative (STCC) is an effort focused on ending ineffective utilization of services for the safety net population at the intersection of mental illness, homelessness, and high utilization in Southwest Texas. STCC is committed to improvement by developing a comprehensive, integrated crisis system across all major public payors, hospital providers, philanthropy, public safety (Fire/EMS and Law Enforcement) and behavioral health providers.

STCC Programs

The online platform TAVConnect, a product of TAVHealth, is a cloud-based technology platform designed to address a patient’s social determinants of health (SDoH). STCC is deploying TAVConnect to members to better address patients at the highest utilization of crisis services. The collaborative platform aids clinicians across the system in understanding the person and their individual challenges in order to build a relationship based on care, concern, and compassion. It connects social, financial, and local community resources to identify and solve the SDoH. This leads to decreased risk factors, ensuring successful transitions from one phase of a person’s health journey to the next.

STCC is deploying TAVConnect to organizations within the behavioral health system of care (including hospitals, outpatient care, law enforcement, EMS, San Antonio Fire Department, and community-based organizations), and is prioritizing the Complex Crisis population. Through TAVConnect organizations are linked in a common coordination platform. This shared approach gives the Collaborative the ability to contribute to and use a dynamic and individualized community treatment plan that will more effectively manage the needs of the complex crisis patient.
Patients who are placed into emergency detention by law enforcement for their acute psychiatric needs and are medically stable are navigated to the appropriate psychiatric facility versus area emergency departments. This system change has decompressed local emergency departments, where psychiatric patients were often boarded for hours awaiting a more appropriate facility. All behavioral health facilities with inpatient beds are reporting their diversion status, and MEDCOM, a 24/7 dispatch center currently routing all trauma patients in the region, is now routing medically stable psychiatric patients to an appropriate facility. [more...]
San Antonio’s only Psychiatric Emergency Service (PES), operated by Nix Health, was in jeopardy of closure in 2018 due to changes with the federal Delivery System Reform Incentive Payment (DSRIP) program. The STCC Steering Committee allocated funding to ensure continuity of the 16-bed PES, along with funding to increase capacity by another 16-beds. As a result, the operator of the PES reports key metrics to the STCC Steering Committee, including but not limited to visits, readmissions within 30 days, unduplicated patient counts, length of stay, social determinants of health, and more. [more...]
Haven for Hope (H4H) is San Antonio’s largest homeless shelter and has an average of 1,400 people on campus daily. For the last several years, it has also been the top address for 9-1-1 calls. The STCC Steering Committee allocated funding to H4H and San Antonio Fire Department’s Mobile Integrated Health (MIH) Team to intervene in this cycle. MIH provides services to H4H clients from 8 pm to 7 am seven days a week in the Acute Care Station with the primary goal of providing medical support onsite, building patient profiles, and when applicable, cancel the transport to a local hospital, and refer to CentroMed, San Antonio’s Federally Qualified Health Center, for continuity of care. [more...]
Since 1963 Crosspoint has been providing outpatient and residential services to primarily veteran and justice involved Bexar County residents. In 2018 Crosspoint opened behavioral health diversion program that provides transitional housing, psychiatric care, employment services, group and individual counseling, and case management to residents. The STCC Steering Committee has allocated funding to support this program. [more...]

Committees and Workgroups

STCC Steering Committee
Chair: Eric Epley, EMT-P
Meets: Monthly
7:30AM - 9:30AM

Behavioral Health Workgroup
Chair: Sally Taylor, MD
Meets: Monthly
10:00AM - 12:00PM

TAVHealth Complex Crisis Workgroup
Chair: Sarah Hogan, MA, LPC
Meets: As Needed

Intellectual and Developmental Disability Tiger Team
Co-Chairs: Velma Muniz, MA, LPC
Jacob Ulczynski, M.S., LPC, NCC, CHP
Meets: As Needed

Child and Adolescent Mental Health Tiger Team
Chair: Frances Martinez, MA, LMSW
Meets: As Needed

Participating Organizations

The STCC division can be reached by contacting STRAC at (210) 233-5850, or Email Us . The Division Director and Program Specialists are available for community presentations, meetings, discussions, or for general questions.