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Developmental Disabilities
Home > Services > IDD Transitional Support Team (TST)IDD Regional Support


The purpose of the IDD Transition Support Team is to provide support activities to the Local IDD Authorities (LIDDAs) and HCS and TXHmL Providers that serve individuals with intellectual and developmental disabilities (IDD) at risk of being admitted into an institution, and those who have moved from institutional settings, including state supported living centers (SSLCs) and nursing facilities (NFs). 

IDD Transition Support Team Services include:

  • Training.  Educational activities and materials, such as webinars, videos, and other correspondence, focused on increasing the expertise of LIDDAs and providers in serving this population, will be provided at least quarterly.
  • Technical Assistance.  Technical assistance will be available upon request from LIDDAs and program providers on specific conditions, with examples of best practices and evidence-based services for individuals with significant challenges that are at risk of being institutionalized.
  • Case and Peer Review.  Case and peer review support will be provided to service planning teams that need assistance providing effective care in the transition for an individual with significant challenges.
*Services can be requested by using the Transition Support Team Referral Form

IDD Regional Support IDD Transition Support Team Lead:  Mary Chavez Harrington, MD, MACP, LPC
QIDP:  Carolyn Rich, BSW
IDD Consultant:  Debbie Little Smith, LBSW

Hill Country IDD Local Authority/Hill Country TST
1251 Sadler Drive, San Marcos TX 78666
(512) 558-2006

IDD Regional SupportIDD Transition Support oversees services  in the following counties:
Atascosa, Bandera, Bexar, Blanco, Calhoun, Comal, De Witt, Dimmit, Edwards, Frio, Gillespie, Goliad, Hays, Jackson, Karnes, Kendall, Kerr, Kimble, Kinney, La Salle, Lavaca, Llano, Mason, Maverick, McMullen, Medina, Menard, Real, Refugio, Schleicher, Sutton, Uvalde, Val Verde, Victoria, Wilson, and  Zavala.
"These documents were developed under grant CFDA 93.791 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. However, these contents do not necessarily represent the policy of the U.S. Department of Health and Human Services, and you should not assume endorsement by the Federal Government.

Downloadable Forms:

Transition Support Team Referral Form
San Martin Scale


Autism and Law Enforcement   (brochure)
Child to Adult Health Transitions (brochure)
Coming Back after a client is aggressive
Down Syndrome and Dementia (brochure)
IDD and Mental Illness(brochure)
Mental Illness and Dementia in IDD in NFs (brochure)
Mindfulness Stress Reduction (brSpanish)
Seizure Disorders (brochure)
Ten Tips for Caregivers (brochure)
Trauma Informed Care IDD (brochure)
Trauma Informed Care in IDD

Service Coordination:
Person Centered Planning Manual
HCS Residential Homes
Residential Living - PASRR
IDD Tool Kit
Autism Lifeline Links
Quality Mall

Medical Resources:
Common Medical Conditions that Affect the IDD Population
Medical Specialties
Communicating with People with ID:  A Guide for General Psychiatrists
Physician Education in IDD (brochure)

Recorded Training
Challenging Behaviors
Five Preventable Causes of Death in IDD
IDD and Dementia
Ten Tips for Caregivers

DSP CertificateCelebrate your Direct Support Professionals

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Hill Country MHDD Centers
819 Water Street, Suite 300
Kerrville, Texas 78028
Phone: (830) 792-3300
Toll-Free: (833) HCMHDDC (426-4332)