"What good are the resources if you can't get them to the people who need them?"
Texas ranks 49 out of 50 in per capital spending for mental health services. For the fiscal year of 2010, Texas spent 38.99 per person while Maine (who was first) spent 346.92 per person. (http://kff.org/other/state-indicator/smha-expenditures-per-capita/#note-2)
Despite this, mental healthcare in Texas is available.
For those with any publically financed insurance (e.g. Medicaid/CHIP) or a commercial insurance (Cigna, Aetna, UnitedHealthcare, BlueCross/BlueShield, etc), check with your insurance carrier for their preferred providers. Progressive Psychiatry does not take insurance (click here to see why) but will gladly provide you with a receipt that you can submit directly to your provider.
"How do we access the system?"
Psychiatric services are classified based on the severity of the concerning symptoms/illness and essentially go from mild to moderate:
Outpatient - For medication management, these appointments can range from once every week to once every 3-6 months depending on how well things are going in treatment. For therapy, outpatient appointments can range from once weekly to every 1-2 months. Children typically requiring this level of service are intermittently using their coping skills and are overally functioning.
Intensive Outpatient ("IOP") - These programs typically involve structured medication management and therapy for 10-12 hours a week to allow participants to continue their daily activities with minimal interruption. Children requiring this level of service have disrupted functioning and need more time with mental health professionals than in the outpatient setting.
Partial Hospitalization Programs ("PHP") - These program typically involve more structured medication management and therapy for 5 days a week, morning to afternoon and include a school/education component. Nights and weekends are used as trials for coping skills and interventions learned during session. These programs are scheduled from 2-4 weeks typically as children requiring this level of service have major disruptions in daily functioning that do not yet meet inpatient criteria.
Inpatient - These combine medication management and intensive therapy for a continuous duration of days (often 3-14 depending on symptoms.) These hospital settings are highly structured and controlled. Children requiring inpatient treatment have severe aggression, harm to themselves or others, or concerning hallucinations.
Residential Treatment Center - These are longer term placement options (1 - 4 months depending on symptoms) for children who often have failed multiple inpatient hospitalizations and who require consistent structure over an extended period.
Below are multiple helpful links to help you find providers for your family.
The lists are not complete as there are constant changes. Progressive Psychiatry does not endorse the resources and encourages you to contact them to make the most informed decisions you can.
*Progressive Psychiatry is grateful to the amazing Intake Team at Cook Children's Behavioral Health for gathering many of the above resources.
If you are a provider and have more updated information, please let us know.