If someone is in immediate danger, call 911. For a mental health or substance use crisis anywhere in Texas, call or text 988. Every Texas county is also served by a local mental health authority with a 24-hour crisis line, listed below.
The 988 Suicide & Crisis Lifeline (call or text 988, or chat at 988lifeline.org) is a free, confidential, 24/7 nationwide network of local crisis centers; in Texas, calls are answered by trained counselors from community-based organizations, including Texas-based partners that can connect callers with local mental health centers, Mobile Crisis Outreach Teams and local emergency services.
Local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs) are the organizations the Texas Health and Human Services Commission contracts with to provide crisis services, mobile crisis outreach and community mental health care. Find your county below.
| County | Local mental health authority | 24-hour crisis line |
|---|
| Armstrong | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Bailey | Central Plains Center | 800-687-1300 |
| Briscoe | Central Plains Center | 800-687-1300 |
| Carson | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Castro | Central Plains Center | 800-687-1300 |
| Childress | Helen Farabee Centers | 800-621-8504 |
| Cochran | StarCare Specialty Health System | 806-740-1414 or 800-687-7581 |
| Collingsworth | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Crosby | StarCare Specialty Health System | 806-740-1414 or 800-687-7581 |
| Dallam | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Deaf Smith | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Dickens | Helen Farabee Centers | 800-621-8504 |
| Donley | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Floyd | Central Plains Center | 800-687-1300 |
| Garza | West Texas Centers | 800-375-4357 |
| Gray | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Hale | Central Plains Center | 800-687-1300 |
| Hall | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Hansford | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Hartley | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Hemphill | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Hockley | StarCare Specialty Health System | 806-740-1414 or 800-687-7581 |
| Hutchinson | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| King | Helen Farabee Centers | 800-621-8504 |
| Lamb | Central Plains Center | 800-687-1300 |
| Lipscomb | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Lubbock | StarCare Specialty Health System | 806-740-1414 or 800-687-7581 |
| Lynn | StarCare Specialty Health System | 806-740-1414 or 800-687-7581 |
| Moore | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Motley | Central Plains Center | 800-687-1300 |
| Ochiltree | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Oldham | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Parmer | Central Plains Center | 800-687-1300 |
| Potter | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Randall | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Roberts | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Sherman | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Swisher | Central Plains Center | 800-687-1300 |
| Terry | West Texas Centers | 800-375-4357 |
| Wheeler | Texas Panhandle Centers | 800-692-4039 or 806-359-6699 |
| Yoakum | West Texas Centers | 800-375-4357 |
| County | Local mental health authority | 24-hour crisis line |
|---|
| Collin | LifePath Systems | 877-422-5939 |
| Cooke | Texoma Community Center | 877-277-2226 |
| Dallas | North Texas Behavioral Health Authority | 866-260-8000 |
| Denton | Denton County MHMR Center | 800-762-0157 |
| Ellis | North Texas Behavioral Health Authority | 866-260-8000 |
| Erath | Pecan Valley Centers for Behavioral & Developmental HealthCare | 800-772-5987 |
| Fannin | Texoma Community Center | 877-277-2226 |
| Grayson | Texoma Community Center | 877-277-2226 |
| Hood | Pecan Valley Centers for Behavioral & Developmental HealthCare | 800-772-5987 |
| Hunt | North Texas Behavioral Health Authority | 866-260-8000 |
| Johnson | Pecan Valley Centers for Behavioral & Developmental HealthCare | 800-772-5987 |
| Kaufman | North Texas Behavioral Health Authority | 866-260-8000 |
| Navarro | North Texas Behavioral Health Authority | 866-260-8000 |
| Palo Pinto | Pecan Valley Centers for Behavioral & Developmental HealthCare | 800-772-5987 |
| Parker | Pecan Valley Centers for Behavioral & Developmental HealthCare | 800-772-5987 |
| Rockwall | North Texas Behavioral Health Authority | 866-260-8000 |
| Somervell | Pecan Valley Centers for Behavioral & Developmental HealthCare | 800-772-5987 |
| Tarrant | MHMR of Tarrant County | 800-866-2465 |
| Wise | Helen Farabee Centers | 800-621-8504 |
| County | Local mental health authority | 24-hour crisis line |
|---|
| Anderson | ACCESS | 800-621-1693 |
| Bowie | Community Healthcore | 800-832-1009 |
| Camp | Lakes Regional MHMR Center | 877-466-0660 |
| Cass | Community Healthcore | 800-832-1009 |
| Cherokee | ACCESS | 800-621-1693 |
| Delta | Lakes Regional MHMR Center | 877-466-0660 |
| Franklin | Lakes Regional MHMR Center | 877-466-0660 |
| Gregg | Community Healthcore | 800-832-1009 |
| Harrison | Community Healthcore | 800-832-1009 |
| Henderson | Andrews Center Behavioral Healthcare System | 877-934-2131 |
| Hopkins | Lakes Regional MHMR Center | 877-466-0660 |
| Lamar | Lakes Regional MHMR Center | 877-466-0660 |
| Marion | Community Healthcore | 800-832-1009 |
| Morris | Lakes Regional MHMR Center | 877-466-0660 |
| Panola | Community Healthcore | 800-832-1009 |
| Rains | Andrews Center Behavioral Healthcare System | 877-934-2131 |
| Red River | Community Healthcore | 800-832-1009 |
| Rusk | Community Healthcore | 800-832-1009 |
| Smith | Andrews Center Behavioral Healthcare System | 877-934-2131 |
| Titus | Lakes Regional MHMR Center | 877-466-0660 |
| Upshur | Community Healthcore | 800-832-1009 |
| Van Zandt | Andrews Center Behavioral Healthcare System | 877-934-2131 |
| Wood | Andrews Center Behavioral Healthcare System | 877-934-2131 |
| County | Local mental health authority | 24-hour crisis line |
|---|
| Bastrop | Bluebonnet Trails Community Services | 800-841-1255 |
| Bell | Central Counties Services | 800-888-4036 |
| Blanco | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Bosque | Heart of Texas Region MHMR Center | 866-752-3451 or 254-776-1101 |
| Brazos | MHMR Authority of Brazos Valley | 888-522-8262 |
| Burleson | MHMR Authority of Brazos Valley | 888-522-8262 |
| Burnet | Bluebonnet Trails Community Services | 800-841-1255 |
| Caldwell | Bluebonnet Trails Community Services | 800-841-1255 |
| Coryell | Central Counties Services | 800-888-4036 |
| Falls | Heart of Texas Region MHMR Center | 866-752-3451 or 254-776-1101 |
| Fayette | Bluebonnet Trails Community Services | 800-841-1255 |
| Freestone | Heart of Texas Region MHMR Center | 866-752-3451 or 254-776-1101 |
| Grimes | MHMR Authority of Brazos Valley | 888-522-8262 |
| Hamilton | Central Counties Services | 800-888-4036 |
| Hays | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Hill | Heart of Texas Region MHMR Center | 866-752-3451 or 254-776-1101 |
| Lampasas | Central Counties Services | 800-888-4036 |
| Lee | Bluebonnet Trails Community Services | 800-841-1255 |
| Leon | MHMR Authority of Brazos Valley | 888-522-8262 |
| Limestone | Heart of Texas Region MHMR Center | 866-752-3451 or 254-776-1101 |
| Llano | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Madison | MHMR Authority of Brazos Valley | 888-522-8262 |
| McLennan | Heart of Texas Region MHMR Center | 866-752-3451 or 254-776-1101 |
| Milam | Central Counties Services | 800-888-4036 |
| Mills | Center for Life Resources | 800-458-7788 |
| Robertson | MHMR Authority of Brazos Valley | 888-522-8262 |
| San Saba | Center for Life Resources | 800-458-7788 |
| Travis | Austin Travis County Integral Care | 512-472-4357 |
| Washington | MHMR Authority of Brazos Valley | 888-522-8262 |
| Williamson | Bluebonnet Trails Community Services | 800-841-1255 |
| County | Local mental health authority | 24-hour crisis line |
|---|
| Atascosa | Camino Real Community Services | 800-543-5750 |
| Bandera | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Bexar | The Center for Health Care Services | 800-316-9241 or 210-223-7233 |
| Calhoun | Gulf Bend Center | 877-723-3422 |
| Comal | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| DeWitt | Gulf Bend Center | 877-723-3422 |
| Dimmit | Camino Real Community Services | 800-543-5750 |
| Edwards | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Frio | Camino Real Community Services | 800-543-5750 |
| Gillespie | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Goliad | Gulf Bend Center | 877-723-3422 |
| Gonzales | Bluebonnet Trails Community Services | 800-841-1255 |
| Guadalupe | Bluebonnet Trails Community Services | 800-841-1255 |
| Jackson | Gulf Bend Center | 877-723-3422 |
| Karnes | Camino Real Community Services | 800-543-5750 |
| Kendall | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Kerr | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Kinney | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| La Salle | Camino Real Community Services | 800-543-5750 |
| Lavaca | Gulf Bend Center | 877-723-3422 |
| Maverick | Camino Real Community Services | 800-543-5750 |
| Medina | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Real | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Uvalde | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Val Verde | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Victoria | Gulf Bend Center | 877-723-3422 |
| Wilson | Camino Real Community Services | 800-543-5750 |
| Zavala | Camino Real Community Services | 800-543-5750 |
| County | Local mental health authority | 24-hour crisis line |
|---|
| Andrews | West Texas Centers | 800-375-4357 |
| Borden | West Texas Centers | 800-375-4357 |
| Coke | MHMR Services for the Concho Valley | 800-375-8965 |
| Concho | MHMR Services for the Concho Valley | 800-375-8965 |
| Crane | West Texas Centers | 800-375-4357 |
| Crockett | MHMR Services for the Concho Valley | 800-375-8965 |
| Dawson | West Texas Centers | 800-375-4357 |
| Ector | PermiaCare | 844-420-3964 |
| Gaines | West Texas Centers | 800-375-4357 |
| Glasscock | West Texas Centers | 800-375-4357 |
| Howard | West Texas Centers | 800-375-4357 |
| Irion | MHMR Services for the Concho Valley | 800-375-8965 |
| Kimble | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Loving | West Texas Centers | 800-375-4357 |
| Martin | West Texas Centers | 800-375-4357 |
| Mason | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| McCulloch | Center for Life Resources | 800-458-7788 |
| Menard | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Midland | PermiaCare | 844-420-3964 |
| Pecos | PermiaCare | 844-420-3964 |
| Reagan | MHMR Services for the Concho Valley | 800-375-8965 |
| Reeves | West Texas Centers | 800-375-4357 |
| Schleicher | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Sterling | MHMR Services for the Concho Valley | 800-375-8965 |
| Sutton | Hill Country Mental Health and Developmental Disabilities Centers | 877-466-0660 |
| Terrell | West Texas Centers | 800-375-4357 |
| Tom Green | MHMR Services for the Concho Valley | 800-375-8965 |
| Upton | West Texas Centers | 800-375-4357 |
| Ward | West Texas Centers | 800-375-4357 |
| Winkler | West Texas Centers | 800-375-4357 |
| County | Local mental health authority | 24-hour crisis line |
|---|
| Aransas | Coastal Plains Community Center | 800-841-6467 |
| Bee | Coastal Plains Community Center | 800-841-6467 |
| Brooks | Coastal Plains Community Center | 800-841-6467 |
| Cameron | Tropical Texas Behavioral Health | 877-289-7199 |
| Duval | Coastal Plains Community Center | 800-841-6467 |
| Hidalgo | Tropical Texas Behavioral Health | 877-289-7199 |
| Jim Hogg | Border Region Behavioral Health Center | 800-643-1102 |
| Jim Wells | Coastal Plains Community Center | 800-841-6467 |
| Kenedy | Coastal Plains Community Center | 800-841-6467 |
| Kleberg | Coastal Plains Community Center | 800-841-6467 |
| Live Oak | Coastal Plains Community Center | 800-841-6467 |
| McMullen | Camino Real Community Services | 800-543-5750 |
| Nueces | Nueces Center for Mental Health & Intellectual Disabilities | 888-767-4493 |
| Refugio | Gulf Bend Center | 877-723-3422 |
| San Patricio | Coastal Plains Community Center | 800-841-6467 |
| Starr | Border Region Behavioral Health Center | 800-643-1102 |
| Webb | Border Region Behavioral Health Center | 800-643-1102 |
| Willacy | Tropical Texas Behavioral Health | 877-289-7199 |
| Zapata | Border Region Behavioral Health Center | 800-643-1102 |
Call 911. Texas law gives a defense to prosecution for possessing a small amount of drugs to the first person who calls 911 for an overdose, stays and cooperates, and to the person who overdosed, with some limits. Naloxone nasal spray is sold over the counter.