MHMR outlines heavy demand and a tight budget as county funding supports local programs

Greg, the local MHMR representative, told the court that the authority serves the Concho Valley and described service volumes and funding sources. "Adult mental health outpatient services, we served over 1,600 folks. That was over 22,000 services provided," he said, noting children's mental‑health and IDD caseloads as well. Greg described MHMR as a locally appointed authority that relies heavily on state funding and Medicaid and said the agency runs about 180 employees and 50 volunteers.

Greg presented MHMR's fiscal picture: audited 2025 revenues of $15,056,000 and expenses of $15,271,000, leaving the agency slightly over budget; the FY2026 revenue projection cited in the presentation was approximately $16,000,679 with anticipated expenses near $16,000,593. He said the agency receives local in‑kind support from Tom Green County (listed in the presentation at $303,314) and contracts for a range of services. On jail services, he said MHMR currently provides psychiatric services at the Tom Green County Jail at a budgeted level of $30,000 and operates continuity‑of‑care programs and jail navigators to connect people to services. He described the Crossroads Diversion Center and other crisis supports (respite, rapid rehousing) as programs still ramping up after recent expansion. The presentation included a request that commissioners consider continuing or increasing local support in light of growing demand and rising personnel and insurance costs.