Circles of San Antonio Coalition


In December 2012, the Texas Health and Human Services Commission (HHSC) received federal approval of a waiver to provide incentive payments for health care improvements and to direct more funding to hospitals that serve large numbers of uninsured patients. The waiver, issued by the state’s Delivery System Reform Incentive Payment Pool (DSRIP) has been made available to hospitals and other providers for investments in delivery system reforms and programs that increase access to healthcare, improve the quality of care, and enhance the health of patients and families.  This community needs assessment has been developed by the University of Texas Health Science Center, San Antonio, Neurobiological Research Laboratory and Clinic (NRLC) to support the funding waiver and meet the milestone put forth by the Center for Medicare & Medicaid Services (CMS).

The goal of the needs assessment is to provide support for NRLC and the University of Texas Health Science Center at San Antonio to design and implement an evidence-based treatment program for indigent DWI offenders in Bexar County. The document will show the high rate of DWI offenses that occur in this region, particularly, Bexar County and in San Antonio.  It will also show that there are limited treatment resources for DWI offenders and limited treatment programs for the uninsured or underinsured. It will also show that of the treatment resources available for those with alcohol use disorders many are 12-step based or faith-based programs.

The need for improved healthcare infrastructure will continue to increase as the population is expected to grow and more Texans gain coverage under the Affordable Care Act.   The opportunity to implement transformative projects through the waiver funding will help RHP 6 address the needs of this community. The aforementioned treatment program is in response to the deficits in treatment for alcohol related programs for DWI offenders who are uninsured, underinsured, or insured through Medicaid services within RHP 6.  This needs assessment will show there is a high rate of DWI offenses in the region and that there is an overwhelming need for additional evidence-based treatment options for offenders that is proximal, and that the NRLC can provide.