Bexar County Commissioners Advance Crisis Nursery, Military Medical Project and Jail Mental Health Services
From creating a safer option for children during family emergencies to strengthening San Antonio’s role in military medicine, Bexar County commissioners moved several major community initiatives forward during their July 7 meeting.
The wide-ranging Bexar County Commissioners Court agenda also addressed mental health screenings at the county jail, out-of-county inmate housing costs, civil court staffing and an agreement allowing the San Antonio Spurs to play a limited number of home games away from the Frost Bank Center.
Together, the decisions offered residents a closer look at how county government is responding to some of Bexar County’s most persistent challenges: protecting vulnerable children, managing a crowded jail system, connecting people with behavioral health care and supporting projects tied to the region’s economy.
Bexar County explores crisis nursery for families in emergencies
One of the meeting’s most consequential discussions centered on the possible development of a Bexar County crisis nursery — a voluntary, licensed program where parents could temporarily place young children when a medical emergency, mental health crisis, domestic violence situation or other sudden hardship leaves them without a safe caregiver.
Commissioners unanimously directed county staff to explore the program, identify possible providers and determine an appropriate procurement process. A report is expected to return to Commissioners Court at its next convened meeting.
Barbara Schaefer, Bexar County’s director of strategic planning, described the proposed crisis nursery as a prevention tool rather than a foster care placement.
“The key word here is temporary. Families are not giving up custody, and children aren’t entering foster care,” Schaefer said. “Instead, parents voluntarily seek help before their situation becomes severe enough to require government intervention.”
The proposed program would primarily serve children from birth through age 10, providing short-term, around-the-clock care while parents address emergencies such as hospitalization, domestic violence, housing instability, caregiver exhaustion, substance use or a behavioral health crisis.
County officials said participating families could also be connected with housing assistance, counseling, child care, substance use treatment and other community resources intended to reduce the likelihood of another emergency.
For Bexar County families who may not have relatives nearby or the money for emergency child care, the proposal could create an option between struggling alone and entering the child welfare system.
“The goal goes beyond temporary supervision, and it expands to stabilizing the family so they can remain together safely,” Schaefer told commissioners.
County staff pointed to potential funding through the Texas Department of Family and Protective Services and said more information about costs, locations and qualified operators will be presented when the item returns.
South Beach Pavilion project could strengthen military medicine in San Antonio
Commissioners also approved Bexar County’s participation in a proposed $25 million renovation of the South Beach Pavilion at Fort Sam Houston.
The project is intended to prepare the building as a future home for the Defense Health Agency, reinforcing Joint Base San Antonio’s position as a major center for military health care, medical training and defense-related employment.
Under the proposal, Bexar County and the City of San Antonio would each contribute $10 million. Another $5 million would come from State of Texas grants. Officials said additional state support could potentially raise the project’s total investment to $30 million.
The county will serve as the lead entity and project director, with the Bexar County Facilities Management Department preparing delivery plans for future consideration by Commissioners Court.
Commissioner Grant Moody said the investment could support approximately 600 jobs at the facility while opening the door to additional military medical employment in the region.
“This is a huge value add for our community,” Moody said. “But this is also a key that could potentially unlock hundreds more jobs as we continue to expand our military medicine presence here.”
The approval allows County Judge Peter Sakai to sign a proffer letter outlining the local investment. The proposal must still move through city, military and federal review processes before construction can begin.
For residents, the South Beach Pavilion redevelopment represents more than a building renovation. County leaders see it as part of a broader effort to protect San Antonio’s military missions, attract skilled jobs and maintain the area’s standing as Military City USA.
County funds jail mental health screening and diversion work
Commissioners approved a $1.26 million professional services agreement with University Health for mental health screening, assessment and diversion services connected to the Bexar County Adult Detention Center.
University Health has been performing the work since Oct. 1. The agreement formally funds services designed to identify people entering the jail who may have mental health conditions, substance use needs or intellectual and developmental disabilities.
The screening process can help determine whether a person qualifies for a diversion program, treatment or continuity-of-care services after release.
County officials said the approach follows recommendations calling for medical care and behavioral health assessments to be better coordinated under one provider.
“The recommendation was that medical care and mental health screening and assessment be brought under one provider specifically to address gaps in communication [and] siloed services,” Bexar County Public Health Director Dr. Andrea Guerrero said.
The goal, she explained, is to create a more efficient process that gives eligible detainees greater access to mental health assessments, diversion opportunities and appropriate care after leaving the jail.
The agreement comes amid continued public concern about health care, safety and conditions inside the Bexar County jail. Commissioners said future conversations will need to examine how physical health care, mental health treatment and community-based services work together rather than operating as separate systems.
Out-of-county jail contracts and unpaid invoices approved
The court approved amendments addressing expired agreements with Kerr and Burnet counties, where Bexar County has housed inmates because of population and capacity pressures at the local detention center.
Commissioners authorized the payment of past-due fiscal year 2026 invoices after the amended interlocal agreements receive approval from the participating counties.
During the meeting, officials corrected the invoice amounts to up to $383,165 for Kerr County and $1,183,224.17 for Burnet County.
Commissioners acknowledged that transferring inmates outside Bexar County remains costly for taxpayers, even as the county works to reduce reliance on outside beds.
A broader discussion involving the jail population, treatment capacity, the Toudouze Building, behavioral health studies and possible reuse of facilities at the San Antonio State Hospital was postponed until Aug. 4.
The delayed discussion is expected to examine several connected issues, including the capacity of Laurel Ridge Treatment Center, recommendations for improving detainee processing and treatment, expanded mental health beds and facilities that could be repurposed for the Bexar County Sheriff’s Office.
New RFP planned for inmate phone and video visitation services
Commissioners authorized the Bexar County Purchasing Agent to advertise a request for proposals combining inmate video visitation support with public coin and inmate telephone services.
The Bexar County Sheriff’s Office requested the combined procurement as the county prepares for future service needs at the detention center.
The competitive process is expected to examine technology, support, service delivery and costs associated with communication between people in custody and their families.
For many households, jail phone calls and video visits are the primary way to maintain contact with an incarcerated relative. The forthcoming RFP could therefore have a direct effect on affordability, reliability and family access.
One coordinator approved for two civil district courts
Commissioners approved funding for one court coordinator to be shared by the 225th and 285th civil district courts.
The position’s total salary and benefits may not exceed $81,986. Commissioners directed that the arrangement be reviewed during a future budget cycle to evaluate workload, effectiveness and operational efficiency.
The decision represented a compromise after the two courts requested additional staffing. The Bexar County Budget Department had recommended no additional court coordinators based on existing caseload data but acknowledged that new state reporting and compliance requirements may create a need for data-tracking support across the county’s civil courts.
County staff will continue assessing whether the remaining civil district judges require additional resources and whether data specialists, rather than traditional court coordinators, would better address the new administrative demands.
Spurs may play select home games outside Frost Bank Center
Commissioners approved an amendment to the county’s non-relocation agreement with the San Antonio Spurs, allowing the team to play as many as four regular-season home games outside the Frost Bank Center during each of the 2026-27 and 2027-28 NBA seasons.
Playoff games are excluded from the amendment.
The measure passed with one abstention from Commissioner Tommy Calvert, who called for a deeper review of the financial return Bexar County taxpayers receive from the county’s relationship with the team.
Discussion focused on the potential loss of local economic activity when games are moved, including spending at hotels, restaurants and other businesses. Spurs representatives pointed to the team’s community programs, youth sports initiatives, international visibility and contracting opportunities for small, women- and minority-owned businesses as broader benefits of the partnership.
The amendment does not relocate the Spurs from San Antonio. It creates limited flexibility for the team to participate in games or events outside its regular county-owned arena during the two designated seasons.
Public service and community recognition open the meeting
The meeting also included recognition of longtime Bexar County employees and county staff who helped organize the America 250 celebration at Mission County Park.
Officials said the Independence Day weekend event drew more than 5,000 people and included a drone show, fireworks, amusement rides, children’s activities and live entertainment.
Commissioners also recognized Calvin Henry and Austin Craig Harris of Bexar County Military and Veteran Services after they received statewide honors from the Texas Veterans Commission. Henry was named Supervisor of the Year, while Harris received the state’s top Veteran Service Officer award.
The court honored Risk Management employees Pearl Hardy and Sylvia Diaz for more than 25 years of county service.
What happens next for Bexar County residents
The crisis nursery proposal is expected to return with possible providers, funding information and procurement recommendations. County staff will also continue developing plans for the South Beach Pavilion renovation and the proposed Defense Health Agency facility.
Major jail population and behavioral health topics postponed during the July 7 meeting are scheduled to return Aug. 4, giving residents another opportunity to follow discussions about detention conditions, treatment capacity and long-term facility planning.
Bexar County Commissioners Court is the county’s primary governing body, overseeing the budget, tax and revenue decisions, personnel matters and the administration of county departments. It consists of the county judge and four commissioners, each representing approximately one-quarter of the county’s population.
Regular meetings are held in the Commissioners Courtroom on the second floor of the Bexar County Courthouse, 100 Dolorosa in downtown San Antonio. Residents may view meeting dates through the Bexar County calendar and subscribe to receive notices when new Commissioners Court agendas are posted.
Stay tuned to My Neighborhood News for updates on the Bexar County updates and other decisions affecting San Antonio-area families.
Tiffany Krenek has been on the My Neighborhood News team since August 2021. She is passionate about curating and sharing content that enriches the lives of our readers in a personal, meaningful way. A loving mother and wife, Tiffany and her family live in the West Houston/Cypress region.







