Travis County commissioners have unanimously approved a budget exceeding $1 billion for Central Health, which includes $54 million allocated for new mental health and crisis-care initiatives. This funding aims to reduce the frequent cycles of emergency room visits, incarceration, and homelessness among individuals with mental health issues.
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The budget encompasses nearly $650 million in expenses, providing for 22 inpatient psychiatric beds, 10 psychiatric emergency department bays, and plans for a future mental health crisis center. A recent study highlighted approximately 950 individuals with severe mental illnesses and complex needs within Travis County, who frequently cycle through emergency rooms, jails, and homelessness, costing taxpayers millions annually.
Travis County Judge Andy Brown pointed out, "The Travis County Jail is the largest mental health facility in the county... which is a horrible system. It is very expensive for us." He emphasized that the costs associated with individuals with significant unmet mental health needs can reach up to $800 a day while incarcerated.
The budget also includes a $127 million initiative aimed at expanding mental health crisis care across the county. The investments will comprise $33 million for the inpatient psychiatric beds, $16 million to support a mental health crisis center, and a series of new emergency department bays.
Commissioner Ann Howard noted the intention to redirect public spending toward effective treatment, stating, "This community is spending a fortune now on this churn of suffering... the goal for me is to better spend that public dollar."
Mike McIntyre, a peer support specialist from Integral Care, emphasized the importance of providing access to good healthcare based on his own experiences with mental health and substance abuse.
Additionally, homeowners will see an increase in property taxes, with the nearly $650 million budget translating to about $36 more for the owner of a median-priced home valued at $372,000.