Tri-County Services

Adult Mental Health

Mental health symptoms can have a significant impact on all aspects of a person’s life including relationships, family functioning, work, leisure time, and overall quality of life. Tri-County Behavioral Healthcare offers an array of mental health services, resources, and referrals to help you make positive changes.

Tri-County has transitioned to a 'walk-in' intake process. The walk-in clinic provides quicker access to a mental health clinician to determine if you are eligible for services than the previous method of scheduling appointments.  You will see a mental health clinician at walk-in, but you will not see a prescriber that day and you will not receive same day medication.  If eligible, your appointment with a prescriber will be scheduled on another day, generally within two weeks. 

As is the case with all walk-in processes, you will likely have to wait to be seen the day you walk-in.  You are encouraged to arrive 30 minutes before the intake time listed below. 

Outpatient Walk-In Hours:






9:30am – 11:00am


Monday, Wednesday

8:00am - 10:00am


Tuesday, Thursday

8:00am - 10:00am


Tuesday, Thursday

8:00am - 10:00am











Access and Intake

To access mental health services, follow these steps:

Step 1:Come to one of our outpatient clinics during walk-in hours. During walk-in, you will:

  • Meet with a Financial Specialist to complete a Financial Assessment.
  • Meet with a mental health professional to complete a brief mental health screening.

During the screening, you will be asked some basic questions about your current symptoms and history in order to determine if you may be eligible for services. From there, you may be scheduled for an Intake Evaluation. You may be offered a same day evaluation if available; however, we can also offer appointments for a later date, as needed.

Please note: We are unable to provide medications through the walk-in clinic or during the Intake Evaluation. You will not be prescribed medication until your first visit with a prescriber.

If you are scheduled for an evaluation:

Step 2: Attend your scheduled Intake Evaluation. This evaluation may last approximately 1 to 1.5 hours. During the evaluation you will meet with a mental health professional to discuss your symptoms and history in further detail. At the end of your evaluation you may:

  • Be scheduled for an appointment to meet with a prescriber and case manager;
  • Be placed on our mental health waiting list until further services are available; or
  • Be referred to a more appropriate provider for further services.

If you are scheduled with a prescriber:

Step 3: Attend your initial psychiatric appointment. This appointment may last 1.5 to 2 hours. During this appointment you will meet with a psychiatrist or nurse practitioner, a nurse, and a case manager. You will need to be present for all steps in this process.


NOTE:  Eligibility for ongoing outpatient services is determined after completing a Health and Human Services Commission assessment tool called the Adult Needs and Strengths Assessment (ANSA).  The ANSA will be administered to determine eligibility and service offerings.

In order to be eligible for adult mental health services, you must meet the following criteria:

  • Currently reside in Montgomery, Liberty, or Walker counties
  • Meet diagnostic criteria for Major Depression, Bipolar Disorder, Schizophrenia, or Schizoaffective Disorder or other qualifying diagnosis as determined during the Intake Evaluation
  • Age 18 or older

If you are unsure if you are eligible for services, please come into one of our outpatient clinics during walk-in hours to be assessed for services.

Documents Requested

We ask that you bring the following documents when you come in for walk-in hours:

  • Picture ID (if available)
  • Social Security Card (if you have one)
  • Proof of Income
  • Proof of Insurance (if you have it)
  • Proof of Residence in Montgomery, Liberty or Walker County
  • Proof of Guardianship (for adults with a legal guardian)

Core Services Available 

Tri-County offers an array of mental health services for eligible individuals. Your eligibility for specific services is based upon an assessment and current availability. Services offered include:

Medication Management

Medication services are provided to all eligible individuals who have a need for medication to address symptoms related to mental health.  Prescriptions may be filled through your pharmacy or through the East Texas Behavioral Healthcare Network. You can expect to meet with a prescriber periodically to discuss symptoms, side effects, and current medication regimen. After the initial appointment, follow-ups will generally last approximately 15 minutes.

Case Management

Case management services are provided to all individuals served. Case managers will work collaboratively with you to identify needs and strengths, monitor how you are responding to treatment, collaborate with you to identify goals and develop a plan for your treatment and recovery plan, link you to other community agencies, and help to plan for discharge from Tri-County at the end of treatment.

Adult Rehabilitation Services

Adult Rehabilitation services are offered to individuals served based upon eligibility and availability of the service. Services involve a combination of case management and skills training to assist individuals in improving daily functioning. Services are provided in homes, community settings, and Tri-County facilities. You will collaborate with staff to develop a recovery plan. Skills training services may include:

  • Skills for managing daily responsibilities (paying bills, attending school, and performing chores)
  • Communication Skills
  • Pro-Social Skills
  • Problem-Solving Skills
  • Assertiveness Skills
  • Social skills and expanding support network
  • Stress Reduction
  • Anger management
  • Skills to manage symptoms
  • Skills to identify and utilize community resources
  • Skills to identify and utilize acceptable leisure time activities
  • Independent Living Skills
  • Coordination Services
  • Employment related Services
  • Housing Related Services
  • Medication related services
  • Crisis related services

Supported Housing

Supported Housing services are provided to individuals who need assistance in locating and maintaining a place to live. This may involve locating a safe, affordable living arrangement and providing skills training and assistance to meet the requirements of living in a residence independently.

Supported Employment

Supported Employment services are provided to individuals who need assistance in obtaining and maintaining employment. This may involve training in finding and keeping a job and support in responding to various employment challenges that arise.

Many other specialty services may be available to a person seeking assistance which are determined by criteria which vary by program.  Further evaluations may be required for these services.  



Have questions about our Adult MH Services?

View our Adult MH Services Frequently Asked Questions »


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