The Collin County Budget Workshop held on August 5, 2025, focused on pressing issues related to mental health services and the growing demands on the county's resources. The meeting highlighted significant increases in the number of individuals requiring mental health assessments and the challenges faced in providing timely care.

The discussion began with a report on the exponential rise in requests for mental health assessments since 2019. The current case coordinator noted that requests had surged from 92 in 2019 to 303 by July 2025. This increase underscores the growing mental health crisis within the community.

A critical point raised was the lengthy wait times for state hospital transport, which currently extend from over a year to as long as three years for certain facilities. The number of incompetent clients awaiting state hospital placement has also risen, from 18 in 2021 to 38 in 2025. This backlog poses significant challenges for the judicial system and the individuals involved.

The meeting also addressed the need for court-ordered medication for inmates seeking to reestablish competency while in jail. The number of requests for such medications has increased dramatically, from 6 in 2021 to over 45 currently. This trend reflects the urgent need for mental health support within the correctional system.

Financial implications were a key concern, as the cost of housing mentally ill clients in jail is substantial. With 38 inmates currently in custody for criminal trespass alone, the estimated cost to the county exceeds $2.1 million for a six-month period. If current trends continue, this figure could double in the coming year.

In light of these challenges, the case coordinator advocated for the addition of a case coordinator position specifically for the jail. This role would facilitate collaboration with law enforcement and other agencies to address the mental health needs of accused citizens more effectively. The coordinator aims to reduce the number of individuals in custody, which could ultimately save the county significant funds.

The meeting concluded with a clear call for additional resources to support mental health initiatives in Collin County, emphasizing the need for proactive measures to address the rising demands on the system. The discussions set the stage for future budget considerations and potential policy changes aimed at improving mental health services in the community.