Our Services
Services Available
West Texas Centers provides mental health, intellectual and developmental disabilities (IDD), and Early Childhood Intervention (ECI) services to individuals and families throughout our West Texas service area.
Our goal is to connect people with quality care, individualized support, and resources that promote well-being, independence, and an improved quality of life.
Explore our programs below to learn more about the services we offer. To find the clinic or service location nearest you, visit our Service Locations page.
Our goal is to connect people with quality care, individualized support, and resources that promote well-being, independence, and an improved quality of life.
Explore our programs below to learn more about the services we offer. To find the clinic or service location nearest you, visit our Service Locations page.
Adult Mental Health
West Texas Centers provides adult mental health services through clinics across our service area. Our team works with.
Children’s Mental Health
We provide mental health services to support children, adolescents, and their families. Our goal is to help young.
Intellectual and Developmental Disabilities (IDD) Services
West Texas Centers supports individuals with intellectual and developmental disabilities through services designed to encourage independence, develop skills,.
Little Lives Early Childhood Intervention (ECI)
Little Lives ECI, operated by West Texas Centers, provides early intervention services for eligible children from birth through.
STEP Program
Specialized Treatment for Early Psychosis
Your First STEP to Recovery
Experiencing early symptoms of psychosis can be confusing and overwhelming for individuals and their families. Early support can make a difference.
The STEP Program (Specialized Treatment for Early Psychosis) at West Texas Centers provides coordinated, recovery-focused support for eligible individuals experiencing early psychosis. The program helps participants understand and manage symptoms, work toward personal goals, and build skills for success in school, employment, relationships, and everyday life.
Our approach focuses on each participant's strengths, preferences, and recovery goals.
Experiencing early symptoms of psychosis can be confusing and overwhelming for individuals and their families. Early support can make a difference.
The STEP Program (Specialized Treatment for Early Psychosis) at West Texas Centers provides coordinated, recovery-focused support for eligible individuals experiencing early psychosis. The program helps participants understand and manage symptoms, work toward personal goals, and build skills for success in school, employment, relationships, and everyday life.
Our approach focuses on each participant's strengths, preferences, and recovery goals.
Who May Qualify?
The STEP Program is designed for individuals who meet the program’s eligibility requirements, which may include:
- Age: 15-30 years old
- Diagnosis: A qualifying diagnosis, as determined through an assessment.
- Duration of symptoms: Initial psychosis symptoms began within the past two years.
- Substance use: Symptoms are not solely attributable to substance use.
Eligibility is determined through an intake and clinical assessment. If you are unsure whether you or someone you care about qualifies, contact our STEP team to discuss the next steps.
A Team Approach to Recovery
Recovery looks different for everyone. The STEP Program brings together a coordinated team to support participants in managing symptoms, building skills, and working toward their individual goals.
Depending on the participant's needs, the team may include:
Depending on the participant's needs, the team may include:
- Case Manager: Helps coordinate services, identify resources, and support progress toward personal goals.
- Supported Employment and Education Specialist: Helps participants explore educational opportunities, employment goals, and the support needed to pursue them.
- Clinical Team Lead: Helps guide coordinated care and clinical support.
- Prescriber: Provides medication-related evaluation and treatment when appropriate.
- Participant: Plays an essential role in identifying goals, making informed choices, and guiding their recovery journey.
The STEP team maintains a small caseload to support individualized attention and coordinated care.
Recognizing Possible Signs of Early Psychosis
Symptoms can vary from person to person. Possible warning signs may include:
- Hearing or seeing things that other people do not appear to hear or see.
- Becoming increasingly withdrawn from family members or friends.
- Experiencing unusual thoughts or beliefs that are difficult to explain.
- Feeling unusually fearful, suspicious, or mistrustful of others.
- Having difficulty keeping up with school, work, relationships, or everyday activities.
These experiences do not automatically mean someone has psychosis. A qualified professional can help assess symptoms and determine what kind of support may be appropriate.
Seeking help early can connect individuals and families with information, assessment, and treatment options.
Take the First STEP
If you think you or someone you care about may be experiencing early signs of psychosis, support is available.
Call 1-888-336-3362 to schedule an intake appointment or learn more about the STEP Program.
You do not have to have all the answers before reaching out. Our team can help you understand the assessment process and explore available options.
Your First STEP to Recovery.
For immediate mental health crisis support, call the West Texas Centers 24/7 Crisis Hotline at 1-800-375-4357. If there is an immediate, life-threatening emergency, call 911.
Substance Abuse Services
Recovery, Support, and a Path Forward
West Texas Centers provides community-based, evidence-based, and trauma-informed services for individuals experiencing substance use challenges and co-occurring mental health conditions.
Our goal is to create a supportive environment where individuals can work toward improved mental health, reduced substance-related harm, sustained recovery, and positive changes in their lives. We recognize that recovery is personal, and we work with each individual to identify needs, establish goals, and connect with appropriate services and community supports.
Our goal is to create a supportive environment where individuals can work toward improved mental health, reduced substance-related harm, sustained recovery, and positive changes in their lives. We recognize that recovery is personal, and we work with each individual to identify needs, establish goals, and connect with appropriate services and community supports.
Services We Provide
West Texas Centers begins with an evaluation to help identify an individual's needs and determine the most appropriate level of care.
Depending on eligibility and individual needs, services may include:
Depending on eligibility and individual needs, services may include:
- Screening and Assessment: Evaluating treatment needs and determining appropriate services and levels of care.
- Individual Counseling: Working one-on-one with a counselor to address substance use, mental health concerns, and recovery goals.
- Family Counseling: Supporting family communication and understanding when appropriate.
- Group Counseling: Providing opportunities to learn, share experiences, and develop recovery skills in a supportive setting.
- Substance Use Education: Building understanding of substance use, its effects, and available treatment options.
- Relapse Prevention: Developing strategies to recognize triggers, manage challenges, and maintain recovery.
- Life and Coping Skills: Strengthening skills for managing stress, daily responsibilities, and life changes.
- Case Management: Connecting individuals with treatment, community resources, and other needed supports.
- Treatment Referrals: Assisting individuals who need detoxification services or inpatient substance use treatment with referrals to appropriate providers.
Services are individualized and depend on eligibility, clinical needs, and program availability.
Who We Serve
West Texas Centers Substance Use Services provides care for eligible individuals ages 13 and older who are experiencing co-occurring mental health and substance use disorders. Our program addresses both conditions simultaneously through coordinated, individualized treatment.
The outpatient program is designed for individuals whose needs can be appropriately addressed in a community-based setting rather than a residential or inpatient treatment setting. When a higher level of care is needed, staff can assist with referrals to appropriate treatment providers.
The outpatient program is designed for individuals whose needs can be appropriately addressed in a community-based setting rather than a residential or inpatient treatment setting. When a higher level of care is needed, staff can assist with referrals to appropriate treatment providers.
Co-Occurring Psychiatric and Substance Use Disorders (COPSD)
West Texas Centers supports individuals experiencing both mental health conditions and substance use disorders. The program may prioritize individuals with additional needs or circumstances, consistent with current program requirements. These may include:
Priority criteria and eligibility are determined according to applicable program guidelines and available resources.
Priority criteria and eligibility are determined according to applicable program guidelines and available resources.
- Pregnant individuals who use substances.
- Individuals who inject drugs.
- Individuals referred by the Texas Department of Family and Protective Services (DFPS).
- Individuals experiencing homelessness or housing instability.
Services are individualized and depend on eligibility, clinical needs, and program availability.
Program Goals
The goal of the Substance Use Services program is to help individuals improve their mental health, address substance use challenges, develop effective coping and relapse-prevention skills, and work toward sustained recovery.
Treatment focuses on each individual's strengths, needs, and recovery goals. As individuals make progress, the treatment team works with them to develop a plan for transitioning from outpatient services to appropriate community supports and recovery resources that can help them maintain progress and continue working toward long-term stability and wellness.
Treatment focuses on each individual's strengths, needs, and recovery goals. As individuals make progress, the treatment team works with them to develop a plan for transitioning from outpatient services to appropriate community supports and recovery resources that can help them maintain progress and continue working toward long-term stability and wellness.
Contact Us
To learn more about Substance Use Services, discuss eligibility, or ask about treatment options, contact West Texas Centers.
For general West Texas Centers information or mental health crisis support, call 1-800-375-4357, available 24 hours a day, 7 days a week.
- 3205 S Hwy 87 Allan D. Harris Bldg Big Spring, TX 79720
- (432)264-2786
Little Lives Early Childhood Intervention (ECI)
Helping Little Ones Grow, Learn, and Thrive
Little Lives Early Childhood Intervention (ECI), operated by West Texas Centers, supports families with children from birth to age three who have developmental delays, disabilities, or certain medical diagnoses that may affect development.
Every child develops at their own pace. If you have concerns about your child's communication, movement, learning, or other developmental skills, Little Lives ECI can help you explore available services and support.
You know your child best. If you have questions about your child's development, we're here to help you explore the next steps.
Every child develops at their own pace. If you have concerns about your child's communication, movement, learning, or other developmental skills, Little Lives ECI can help you explore available services and support.
You know your child best. If you have questions about your child's development, we're here to help you explore the next steps.
Support Where Your Child Learns and Grows
Little Lives ECI is a home-visiting program that helps families support their child's development during everyday activities and routines. Services may take place in your child's natural environment, including your home, daycare, or other familiar community settings.
Our team partners with families to identify developmental goals and find practical ways to help children learn, grow, and participate in daily life.
Services We Provide:
Based on your child's needs and eligibility, services may include:
Our team partners with families to identify developmental goals and find practical ways to help children learn, grow, and participate in daily life.
Services We Provide:
Based on your child's needs and eligibility, services may include:
Support Where Your Child Learns and Grows
Little Lives ECI is a home-visiting program that helps families support their child's development during everyday activities and routines. Services may take place in your child's natural environment, including your home, daycare, or other familiar community settings.
Our team partners with families to identify developmental goals and find practical ways to help children learn, grow, and participate in daily life.
Services We Provide:
Based on your child's needs and eligibility, services may include:
Our team partners with families to identify developmental goals and find practical ways to help children learn, grow, and participate in daily life.
Services We Provide:
Based on your child's needs and eligibility, services may include:
- Speech and Language Therapy: Supporting communication and language development.
- Physical Therapy: Supporting movement, strength, balance, and motor skills.
- Occupational Therapy: Helping children develop skills for everyday activities.
- Specialized Skills Training: Supporting developmental skills for infants and toddlers.
- Pathways Early Autism Intervention: Specialized support through the Pathways program for eligible children.
- Feeding and Swallowing Therapy: Addressing feeding skills and swallowing-related needs.
- Case Management and Service Coordination: Helping families connect with services, resources, and supports.
- Family Education: Providing information and strategies to help families support their child's development.
- Infant Massage: Support related to infant massage, when appropriate and available.
- Deaf and Hard of Hearing Services: Supporting children with hearing-related needs and their families.
- Visual Impairment Services: Supporting children with visual impairments and their families.
Services are individualized according to the child's needs, eligibility, and available program options.
How to Get Started
You do not have to wait until you are certain your child has a developmental delay to ask questions. If you have concerns about your child's development, contact Little Lives ECI to discuss a referral and learn about the evaluation process.
Our team can explain eligibility requirements, answer your questions, and help you understand the next steps.
Our team can explain eligibility requirements, answer your questions, and help you understand the next steps.
Visit www.littleliveseci.com to learn more about our program.
Questions or Referrals?
Call the Little Lives ECI Referral Line
Office Located At
Proudly Serving West Texas
Andrews, Borden, Cottle, Crane, Fisher, Glasscock, Haskell, Howard, King, Knox, Loving, Martin, Mitchell, Nolan, Reagan, Reeves, Scurry, Stonewall, Terrell, Throckmorton, Upton, Ward, and Winkler.
Youth Empowerment Services (YES) Waiver
The Youth Empowerment Services (YES) Waiver is a Texas Medicaid 1915(c) Home and Community-Based Services waiver that provides intensive, community-based mental health services and supports for eligible children and youth with serious mental, emotional, and behavioral difficulties.
The YES Waiver uses a family-centered approach called Wraparound, which brings together the youth, family, professionals, and other supportive people to develop a plan based on the youth’s strengths, needs, and goals.
The program is designed to help eligible youth remain safely in their homes and communities while receiving the support they need to work toward recovery, stability, and greater independence.
Who Is Eligible for YES Waiver Services?
To qualify for the YES Waiver, a child or youth generally must meet the following requirements:
- Be between 3 and 18 years old.
- Have serious mental, emotional, and behavioral difficulties.
- Have a qualifying mental health diagnosis.
- Be at risk of being placed outside the home because of mental health needs.
- Meet the clinical criteria for psychiatric hospitalization.
- Meet Medicaid eligibility requirements.
- Meet applicable living arrangement and other program requirements.
Eligibility is determined through the required assessment and review process. Meeting some of these criteria does not automatically guarantee enrollment.
Financial Eligibility
A child or youth must qualify for Medicaid to participate in the YES Waiver.
A parent's income is not counted when determining Medicaid financial eligibility for the YES Waiver. A child who does not currently receive Medicaid may still qualify through the waiver's special financial eligibility rules.
Our team can help families understand the process and determine what information may be needed.
A parent's income is not counted when determining Medicaid financial eligibility for the YES Waiver. A child who does not currently receive Medicaid may still qualify through the waiver's special financial eligibility rules.
Our team can help families understand the process and determine what information may be needed.
What Services Are Available Through the YES Waiver?
YES Waiver services are individualized to the needs of the youth and family. Depending on eligibility and the approved service plan, services may include:
- Respite: Temporary support that gives caregivers a break from caregiving responsibilities.
- Community Living Supports: Assistance developing skills and participating in everyday community life.
- Family Supports: Services and resources that strengthen the family's ability to support the youth.
- Transitional Services: Assistance with eligible transition needs.
- Adaptive Aids and Supports: Eligible items and supports that help meet identified needs.
- Minor Home Modifications: Approved changes to the home when necessary and appropriate.
- Non-Medical Transportation: Transportation support for eligible needs.
- Paraprofessional Services: Support provided by qualified paraprofessionals as part of the service plan.
- Professional Services: Eligible services provided by qualified professionals.
- Supportive Family-Based Alternatives: Family-based support options for eligible youth when appropriate.
The specific services available to each participant depend on assessed needs, program requirements, and the approved service plan.
How Do I Access YES Waiver Services?
Families or a child's legally authorized representative (LAR) can contact West Texas Centers to ask questions and request that the child be considered for the YES Waiver.
To learn more or request information about a referral:
Email: yes@wtcmhmr.org
Phone: 1-888-336-3362
Our team can explain the inquiry and assessment process, discuss eligibility requirements, and help families understand the next steps.
To learn more or request information about a referral:
Email: yes@wtcmhmr.org
Phone: 1-888-336-3362
Our team can explain the inquiry and assessment process, discuss eligibility requirements, and help families understand the next steps.
You Don't Have to Navigate This Alone
Finding the right support for a child experiencing serious emotional or behavioral challenges can be difficult. The YES Waiver is designed to help eligible youth and families access coordinated, individualized services that support progress at home and in the community.
Reach out to West Texas Centers to learn more about the YES Waiver and available options for your family.
Reach out to West Texas Centers to learn more about the YES Waiver and available options for your family.
The Youth Empowerment Services (YES) Waiver is a 1915 (c) Medicaid Home and Community Based Services waiver that allows for more flexibility in the funding of intensive community based services for children and adolescents with severe emotional disturbance and their families.
To participate in the YES Waiver, the child or adolescent must meet the following eligibility criteria:
- Be between the ages of 3-18 years;
- Reside in the West Texas Center service area;
- Reside in a non-institutional setting with the child or adolescent’s Legally Authorized Representative (LAR); or in the child or adolescent’s own home or apartment, if legally emancipated;
- Be eligible for Medicaid, under a Medicaid Eligibility Group included in the approved waiver; Parental income is not counted in financial eligibility;
- Choose, or have the LAR choose, the Waiver program services as an alternative to care in an inpatient psychiatric facility;
- Meets Department State Health Services (DSHS) clinical criteria (including, but not limited to risk of self-harm, risk of severe disruptive or aggressive behavior, family resources, and risk of school behavior); and
- There must be a reasonable expectation that, without Waiver services, the child or adolescent would qualify for inpatient care under the Texas Medicaid inpatient psychiatric admission guidelines
A child or adolescent must be eligible for Medicaid. If you are a current Medicaid recipient, you may already meet financial requirements for the YES Waiver and/or additional information may be required. If you are not a current Medicaid recipient, you may quality to receive Medicaid through the YES Waiver (Special Waiver Income Group)
The following services are provided under the YES Waiver:
- Respite
- Community Living Supports
- Family Supports
- Transitional Services
- Adaptive Aids and Supports
- Minor Home Modifications
- Non-Medical Transportation
- Paraprofessional Services
- Professional Services
- Supportive Family Based Alternatives
Families or the Legal Authorized Representative of an eligible child or youth who are interested in referring their child to the YES Waiver Services Program or to obtain more information please contact yes@wtcmhmr.org or call 1-888-336-3362
Learn How to Recognize, Understand, and Respond to Mental Health Challenges
Mental Health First Aid Training
West Texas Centers offers Mental Health First Aid training to help community members recognize signs of mental health and substance use challenges, respond appropriately, and connect individuals with helpful resources.
Just as physical first aid prepares people to respond to a medical emergency, Mental Health First Aid teaches participants how to recognize potential mental health concerns, offer initial support, and help someone access appropriate care.
Whether you are a parent, educator, healthcare professional, employer, or community member, this training can help you feel more prepared to support someone experiencing a mental health or substance use challenge.
Just as physical first aid prepares people to respond to a medical emergency, Mental Health First Aid teaches participants how to recognize potential mental health concerns, offer initial support, and help someone access appropriate care.
Whether you are a parent, educator, healthcare professional, employer, or community member, this training can help you feel more prepared to support someone experiencing a mental health or substance use challenge.
What Does Mental Health First Aid Teach?
Mental Health First Aid training helps participants learn how to:
- Recognize warning signs: of mental health and substance use challenges.
- Use a five-step action plan: to assess a situation and offer appropriate initial support.
- Understand the impact: of mental health and substance use disorders on individuals, families, and communities.
- Respond with confidence and compassion: when someone may be experiencing a mental health crisis.
- Connect people with help: by identifying local resources and appropriate professional support.
Why Become a Mental Health First Aider?
- Be prepared: Learn how to respond when someone may be experiencing a mental health or substance use challenge.
- Make a difference: Your support may help someone feel heard, understood, and encouraged to seek help.
- Build awareness: Mental health challenges affect individuals, families, workplaces, and communities.
- Support someone you care about: Learn practical ways to help a friend, family member, coworker, student, or neighbor.
Adult and Youth Mental Health First Aid
West Texas Centers offers opportunities to inquire about both Adult Mental Health First Aid and Youth Mental Health First Aid training.
These courses are designed for different age groups and situations. Contact our training representatives to learn which course is appropriate for your needs, organization, or community.
These courses are designed for different age groups and situations. Contact our training representatives to learn which course is appropriate for your needs, organization, or community.
Training Information and Registration
Interested in bringing Mental Health First Aid training to your organization or participating in an upcoming course? Contact us for enrollment information, available dates, and location options.
Contact Information:
Contact Information:
We have the following courses for Youth Mental Health First Aid open for enrollment at 3205 S. Highway 87, Room 100, Big Spring, TX or your individual location.
- 1/8/2026 West Texas CentersAdultIn-PersonBig Spring Texasmariah.rivera@wtcmhmr.org
- 1/16/2026 TSTC Adult Blended VirtualVirtualmariah.rivera@wtcmhmr.org
- 1/21/2026 TSTC Adult Blended VirtualVirtualmariah.rivera@wtcmhmr.org
- 1/23/2026 TSTC AdultBlended VirtualVirtualmariah.rivera@wtcmhmr.org
- 3/5/2026West Texas CentersAdultIn-PersonBig Spring, Texasmariah.rivera@wtcmhmr.org
- 4/30/2026West Texas CentersAdultIn-PersonBig Spring, Texasmariah.rivera@wtcmhmr.org
- 6/25/2026 West Texas CentersAdultIn-PersonBig Spring, Texasmariah.rivera@wtcmhmr.org
- 8/20/2026 West Texas CentersAdultIn-PersonBig Spring, Texasmariah.rivera@wtcmhmr.org
- 10/15/2026 West Texas CentersAdultIn-PersonBig Spring, Texasmariah.rivera@wtcmhmr.org
- 12/10/2026 West Texas CentersAdultIn-PersonBig Spring, Texasmariah.rivera@wtcmhmr.org
Youth Mental Health First Aid Courses
West Texas Centers
3205 S. Highway 87, Room 100
Big Spring, TX
Big Spring, TX
Youth Mental Health First Aid courses may be offered at the address shown. Training may also be available at your organization's location, subject to scheduling and availability.
Contact us to ask about current enrollment opportunities, upcoming course dates, and registration requirements.
Upcoming Training Opportunities
West Texas Centers offers Mental Health First Aid training to help participants recognize signs of mental health and substance use challenges, respond with confidence, and connect people with appropriate support and resources.
Training opportunities may include Adult Mental Health First Aid, Youth Mental Health First Aid, and specialized training for public safety professionals. Courses may be offered in person, virtually, or through a blended format.
October 2026
3 courses| Date | Course and host | Location | Format |
|---|---|---|---|
| October 22, 2026 | Public SafetyAndrews County Sheriff's Department | Andrews, Texas | In person |
| October 28, 2026 | Reeves County EMSFEMS | Pecos, Texas | In person |
| October 30, 2026 | Youth Mental Health First AidGrandfalls ISD | Grandfalls, Texas | Blended and in person |
November 2026
6 courses| Date | Course and host | Location | Format |
|---|---|---|---|
| November 2, 2026 | YouthRegion 18 | Midland, Texas | In person |
| November 3, 2026 | Public SafetyAndrews County Sheriff's Department | Andrews, Texas | In person |
| November 5, 2026 | AdultWest Texas Centers | Virtual | Blended |
| November 9, 2026 | YouthMidland ISD | Midland, Texas | In person |
| November 20, 2026 | YouthRegion 15 | Virtual | Blended |
| November 30, 2026 | YouthEctor County ISD | Odessa, Texas | In person |
December 2026
2 courses| Date | Course and host | Location | Format |
|---|---|---|---|
| December 7, 2026 | YouthRegion 18 | Midland, Texas | In person |
| December 10, 2026 | AdultWest Texas Centers | Big Spring, Texas | In person |
January 2027
2 courses| Date | Course and host | Location | Format |
|---|---|---|---|
| January 11, 2027 | YouthRegion 18 | Midland, Texas | In person |
| January 20, 2027 | AdultHoward College | Big Spring, Texas | In person |
February 2027
3 courses| Date | Course and host | Location | Format |
|---|---|---|---|
| February 1, 2027 | YouthLoraine ISD | To be confirmed | To be confirmed |
| February 8, 2027 | YouthRegion 18 | Midland, Texas | In person |
| February 12, 2027 | Youth Mental Health First Aid | Virtual | Blended |
March 2027
2 courses| Date | Course and host | Location | Format |
|---|---|---|---|
| March 1, 2027 | YouthRegion 18 | Midland, Texas | In person |
| March 11, 2027 | YouthRegion 15 | Virtual | Blended |
April 2027
1 course| Date | Course and host | Location | Format |
|---|---|---|---|
| April 5, 2027 | YouthRegion 18 | Midland, Texas | In person |
May 2027
1 course| Date | Course and host | Location | Format |
|---|---|---|---|
| May 10, 2027 | YouthRegion 18 | Midland, Texas | In person |
Interested in Mental Health First Aid Training?
For course information, availability, and registration details, contact:
- Training coordinator
- Mariah Rivera Email Mariah Rivera
Please contact the training coordinator to confirm course availability, eligibility, registration requirements, and whether a course is open to the public.
