Hill Country Community MHMR Center Serving the Greater TEXAS Hill Country
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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


10 Tips for Caregivers (booklet)
Autism and Law Enforcement   (brochure)
Care Transition Tookit
Caregiving People With Intellectual Disabilities
Challenging behaviors vs medical or dental disorders
Child to Adult Health Transitions (brochure)
Circles Curriculum
Coming Back after a client is aggressive
Down Syndrome and Dementia (brochure)
Dysphagia Booklet
Emergency Care Toolkit
Emotion Faces (Printable)
Emotion Faces (Printable) (Spanish)
GERD Booklet
Guardianship Services
Health Care Kit - About Me
Health Literacy full-size
Healthy Aging Fac Sheet
Healthy Bodies - Boys
HHS Acronyms
IDD and Mental Illness(brochure)
Making Informed Choices (Spanish)
Making My Own Choices
Making My Own Choices (Spanish)
Making My Own Choices - Picture Sticker Book
Management of Pain
Medical or Mental Illness
Medications Prescribed for Major Depressive Disorde1
Mental Illness and Dementia in IDD in NFs (brochure)
Mindfulness Stress Reduction (brSpanish)
Narrativa Progamas Medicaid
Narrative Overview of Texas Medicaid Waivers
PASSR Emergency Interventions and Procedure
Picture Communication Aid
Picture Communication Aid - Pain
Primary Care Toolkit final ym2
Programas Medicaid SPANISH
Psychotropic medication info
Seizure Disorders (brochure)
Sexual Health
Specialized Services for Persons with Intellectual and Developmental Disabilities
Syndrome and Frequency
Talking About Dementia
Talking End of Life with Individuals with IDD
Ten Tips for Caregivers (brochure)
Texas Rio Grande Legal Aid, Inc
Trauma- and Stressor-Related Disorders AUCD
Trauma Informed Care (graphic)
Trauma Informed Care IDD (brochure)
Trauma Informed Care in IDD
Waiver Programs SPANISH
Waiver Programs

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)