ETBHN

Welcome To East Texas Behavioral Healthcare Network


The East Texas Behavioral Healthcare Network (ETBHN)is a horizontal network comprised of eleven community mental health and developmentally disability centers that cover 70 Counties in Texas. The member centers are: ACCESS, Andrews Center, Bluebonnet Trails, Burke, Gulf Bend Center, The Gulf Coast Center, Lakes Regional Community Center, Community Healthcore, Pecan Valley, Spindletop Center, and Tri-County Behavioral Healthcare.


The network was established in 1998 as a response to the unique challenges that these organizations face in delivering care effectively and efficiently to consumers living in the region. In the constantly changing environment in which the community centers exist, it is necessary for ETBHN to be flexible and able to adapt to the changing needs of the centers’ that it serves.

The governing body of the network is the Regional Oversight Committee. The members of this committee are the CEO’s of each Member Center and one at large member that is a consumer of services or a family member of a consumer of services.


ETBHN has been very effective in developing economies of scale, adding new consolidated programs, assisting with quality of services, and delivering training initiatives for the Member Centers and Centers outside the network since the inception of the program. Some of these include: A closed door pharmacy, A Regional Planning and Network Advisory Committee, A regional Utilization Review Committee, some joint purchasing contracts, various audit functionality, telemedicine, medical director consulting, authorizations, peer support programs, and a menu of items Member Centers can choose from for consolidation.

For a list of current projects and initiatives, please contact:
Gary Bramlett, LMSW, ETBHN Executive Director at 936-633-5632 or Laura Steelman, Marketing Coordinator at 936-633-5634

About ETBHN

The East Texas Behavioral Healthcare Network is a horizontal network comprised of eleven community mental health and developmentally disability centers that cover 70 Counties in Texas. The member centers are: ACCESS, Andrews Center, Bluebonnet Trails, Burke, Gulf Bend Center, The Gulf Coast Center, Lakes Regional Community Center, Community Healthcore, Pecan Valley, Spindletop Center, and Tri-County Behavioral Healthcare.

The network was established in 1998 as a response to the unique challenges that these organizations face in delivering care effectively and efficiently to consumers living in the region. In the constantly changing environment in which the community centers exist, it is necessary for ETBHN to be flexible and able to adapt to the changing needs of the centers’ that it serves.

The governing body of the network is the Regional Oversight Committee. The members of this committee are the CEO’s of each Member Center and one at large member that is a consumer of services or a family member of a consumer of services.

ETBHN has been very effective in developing economies of scale, adding new consolidated programs, assisting with quality of services, and delivering training initiatives for the Member Centers and Centers outside the network since the inception of the program. Some of these include: A closed door pharmacy, A Regional Planning and Network Advisory Committee, A regional Utilization Review Committee, some joint purchasing contracts, various audit functionality, telemedicine, medical director consulting, authorizations, peer support programs, and a menu of items Member Centers can choose from for consolidation.

For a list of current projects and initiatives, please contact: Gary Bramlett, LMSW, ETBHN Executive Director at 936-633-5632 or Laura Steelman, Marketing Coordinator at 936-633-5634


ETBHN Services


Pharmaceutical Services

ETBHN Pharmacy first opened in 2004 serving 8 member centers and since have grown to 14 Community Centers, a county jail, and a local hospice. The pharmacy currently handles about 1000 prescriptions a day and mails them out directly to the clinics across Texas. They send medications to 76 clinics directly to the staff, giving the staff the opportunity to monitor compliance with their clients.

What do we offer?

Our goal is to save the centers money! To accomplish this we keep our medications down to a minimum.

Free access to website, provided by Morris & Dickson, www.mdcares.net which includes:


        Patient Assistance Program (PAP) application wizard to expedite the PAP process.

        Track medications at the pharmacy and at the clinic.

        Your staff has the ability to monitor all medications, including your samples.

        Report builder for annual reports needed for documentation.

        Free shipping to clinics.

        The pharmacy will maintain and rotate your PAP stock to prevent expiration problems for you.

        $1.00 filling fees for full price prescriptions and $5.00 PAP dispensing fees.

        Free training for your staff with continued support training the entire time you are with us.


If you would like any information about our pharmacy, please contact Laura Steelman, Marketing Coordinator 936-633-5634 Office.

Authorization Services


The Regional Authorization Program was born out of an ETBHN planning session in Galveston in early 2007 with all ETBHN senior staff members. The program started out with 4 Centers and has grown to 12 centers today. The idea behind this program is to take some of the burden of payroll off the centers by regionalizing the prior authorization process. The authorization process is a state requirement. Before ETBHN regionalized this process many centers had one and sometimes two full time LPHA’s that were dedicated just to this role at their center. Once regionalized, we not only were able to create cost efficiencies but also standardize the process.

Centers now served by our Authorization Program include the following: Access, Bluebonnet Trails, Burke, Community Healthcore, Gulf Coast, Pecan Valley and Tri-County Behavioral Healthcare.

ETBHN initially thought that managed care Medicaid would render this process ineffective but we soon realized the centers still had a need for the clients that remained in the general revenue process.

Regional Authorization Staff consists of one full time Regional Director and several LPHA’s on contract that cover 12 Centers that are responsible for 102 counties.

Interested in information about Authorization Services? Please contact Laura Steelman at 936-633-5634.


Tele-Health Services


What is Tele-Health?

LPHAs for counseling & intake (or other duties requiring an LPHA sign-off, i.e. recovery plans, discharge summaries).

Flexible scheduling not limited to 40 hour work week.

Right care for the right person, you have the ability to intentionally schedule based on increased access to LPHAs with specialties.

We learn your systems and adapt to you, EMR, clinic flow, referral to other service line/community resources.

Specific equipment used has been researched and tested to prove it is the best picture & sound quality.

Counseling via video might not sound as personal, but, of the counseling services that have been provided, most say they didn’t notice it anymore before the end of the first session.

Research has found the quality of the service greatly exceeds initial expectations.

What we’ll need:


        An office for video equipment, equipment is provided by ETBHN.

        An on-site staff member to assist in rooming, scheduling and assistance, if needed, in the event of a crisis during session.


Benefits of Tele-Health:

Research consistently shows services via video are just as effective, if not more, in some situations those interested in technology that are historically opposed to counseling might find Tele-Health intriguing.

Novelty factor that leads to positive expectancies of the therapeutic relationship.

People with a “been there, done that” perspective on counseling might be willing to try a new way.

Increased comfort about confidentiality particularly in small communities where everybody knows everybody.

Greater access to expertise and specialty training available to individuals and populations that have historically lacked adequate access.

Personnel issues eliminated with exception of EMR training, no onboarding/training costs.

If you would like any information about our pharmacy, please contact Laura Steelman, Marketing Coordinator 936-633-5634 Office

Telemedicine Service

It has been the goal of ETBHN over the years to save money for Community Mental Health Centers, support quality improvement, and provide improved services through collaborative efforts.


Telemedicine is a not-so-new technology that is slowly transforming the way psychiatric healthcare is delivered. According to the American Telemedicine Association, telemedicine is defined to include a growing variety of applications and services using two-way video, email, wireless phones and other forms of telecommunications technology. In October of 2011, ETBHN added telemedicine to its broad array of services designed to save money and improve quality of care to Community Mental Health Consumers. It is the goal of ETBHN to provide a quality service to Centers at the lowest possible cost. Telemedicine Services may be provided to adults in rural or underserved areas and to child/adolescents who are under the age of 21 in any location.


It is the goal of ETBHN to provide a quality service to Centers at the lowest possible cost. Telemedicine Services may be provided to adults in rural or underserved areas and to child/adolescents who are under the age of 21 in any location.


If you would like any information about our Telemedicine Services, please contact Angie Hardy, Telemedicine Director angie@etbhn.org or Laura Steelman, Marketing Coordinator lauras@etbhn.org


ETBHN Sites, Partners and Social Media Links:
        Tele-Medicine
        LPHA Tele-Health
        ETBHN Applications
        ETBHN Workgroups
        ETBHN Purchasing
        ETBHN YouTube Channel
        Spindletop Center
        Spindletop Center and ETBHN Employee Login