JSA Health Telepsychiatry has always been community minded .. and a central part of community psychiatry is being attentive to criminal offenders with mental illness. Here in Texas, the state government in Austin developed an excellent program known as TCOOMMI -Texas Correctional Office on Offenders with Medical or Mental Impairments. It’s a very progressive program designed to help such offenders re-integrate into the community and avoid future incarceration and hospitalization.

JSA is now serving TCOOMMI clients at Heart of Texas MHMR in Waco … the Burke Center in Lufkin …  and Community HealthCore in east Texas. These programs presents a unique opportunity for JSA psychiatrists to impact an important population to increase community tenure and functioning. Our thanks to Heart of Texas MHMR, Burke Center and Community HealthcCore for choosing JSA for these projects.






From the TCOOMMI Website:

TCOOMMI Activities

TCOOMMI identifies and responds to statutory procedural or regulatory practices that impacts offenders with special needs. Examples of activities include:

  • Coordinating with the Texas Commission on Jail Standards on strategies to improve the screening, identification and treatment of inmates with mental illnesses in county jails.
  • Establishing a process for ensuring continuity of care for defendants being returned to jail after a determination of competency. This includes post-release medication reimbursement and support services after sentencing.
  • Developing a process to evaluate competency evaluations’ compliance to statutory provisions set forth in 46.B, Code of Criminal Procedure.
  • Implementing and monitoring the memoranda of understanding required between local and state criminal justice and health and human service agencies to ensure a continuum of care for offenders with special needs.
  • Developing, implementing and monitoring the cross-referencing of local and state offender data to health and human service client information to enhance the identification of special needs offenders throughout the criminal justice continuum.
  • Monitoring the compliance of local and state entities to statutory provisions for exchanging confidential information without a release as set forth in Chapter 614.017, Health and Safety Code.
  • Enhancing collaborative efforts for juvenile offenders through the development of interlocal agreements defining roles and responsibilities of local and state governmental entities.


Community Based Interventions

Case Management for Adults

  • Adult service programs are designed to demonstrate a multi-service approach, along with appropriate and cost effective alternatives to incarceration for offenders with special needs.
  • Through contracts with TCOOMMI, 37 statewide community centers and the Department of State Health Services provide a local mental health authority:
    • Case management
    • Psycho-social rehabilitation
    • Psychiatric services
    • Medication and monitoring
    • Individual/Group therapy and skills training
    • Benefit eligibility services including Federal Entitlement Application Processing
    • Screening and linkage to appropriate medical services, including hospice
    • Jail screening
    • Court intervention
    • Pre-release referral process for jails and families

Continuity of Care (COC)

  • Adult COC programs are designed to conduct pre-release screenings and referrals for post release medial or psychiatric services for adult offenders with special needs referred from TDCJ CID and other sources.
  • Local mental health authority community center COC services include but are not limited to the following:
    • Service coordination for post release services
    • Joint treatment planning with criminal justice agencies, social services, health & human service agencies and other appropriate disciplines
    • Benefits eligibility services and applications

Jail Diversion

  • The jail diversion programs are designed specifically to demonstrate a multi-service approach for more appropriate alternatives to incarceration for offenders with medical impairments.
  • The jail diversion programs include the following services:
    • Designated mental health staff assigned to screen offenders for mental health issues
    • Resource information services for attorneys or court personnel
    • Advocacy for the offender with attorneys, court personnel and/or bond release programs
    • Referrals for further medical evaluation or commitment

Services for Juvenile Probationers

  • Juvenile services programs are designed as a family-based, multi-service approach to meet the mental health needs of juvenile offenders
  • Services are targeted for youth in the Texas juvenile justice system, ages 10-18, who have been assessed with severe emotional disturbances
  • 16 local mental health authority community center programs provide core team oriented case management and flexible programming
  • Service components include:
    • Assessments for service referral
    • Service coordination and planning
    • Medication and monitoring
    • Individual and/or group therapy and skills training
    • Family focused support services
    • Benefit eligibility services
    • Transitional services

Wrap Around Services for TJJD Youth on Parole

  • Juvenile services are provided to TJJD juveniles through a COC system
  • Services are targeted for youth released on parole who have a serious mental illness which require post release treatment
  • Local mental health authority community center services provide:
    • Individualized assessments
    • Services coordination
    • Medication monitoring
    • Advocacy services
    • Transitional services to other treatment programs
    • Benefit eligibility





JSA Health Telepsychiatry is a behavioral health telemedicine practice that provides 24/7 access to high quality telepsychiatry care for a wide variety of settings including emergency departments, community health clinics, educational institutions, correctional facilities and a wide variety of distant locations including cruise ships throughout the world’s oceans. We use high-definition HIPAA compliant telemedicine technologies to connect patients and healthcare organizations to experienced mental health professionals. For more information please call 1-888-792-7122 or email at info@jsahealthmd.com.