Building Behavioral Health Capacity in Texas Cancer Care
GrantID: 78979
Grant Funding Amount Low: $200,000
Deadline: November 6, 2026
Grant Amount High: $1,500,000
Summary
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Grant Overview
Texas maintains uneven distribution of behavioral health specialists relative to its cancer treatment infrastructure. Major academic centers in Houston and Dallas hold concentrated oncology resources, yet 177 of the state's 254 counties lack dedicated psycho-oncology staff, creating measurable gaps in integrated care delivery.
Texas Capacity Gaps in Behavioral Health Integration
West Texas and the Rio Grande Valley show the largest shortfalls. Facilities in these regions report average wait times of 11 weeks for mental health referrals among chemotherapy patients, compared with 2.8 weeks in the Houston metropolitan statistical area. Texas employs 9.2 licensed mental health professionals per 100,000 residents in non-metropolitan counties, below the national non-metro average of 14.7. Workforce data from the Texas Department of State Health Services further indicate that only 23 percent of oncology practices outside the I-35 corridor employ embedded behavioral health providers.
Border dynamics add constraints. Cross-border patient flow from northern Mexico increases caseloads at El Paso and McAllen facilities without corresponding increases in bilingual counseling capacity. Transportation infrastructure limitations compound the issue: 41 percent of rural Texas cancer patients live more than 60 miles from the nearest Commission on Cancer-accredited hospital that also lists behavioral health services.
Who Should Apply in Texas
Qualified applicants must demonstrate existing partnerships with at least two Texas-based cancer centers and documented capacity to place licensed clinicians in counties with fewer than 10 practicing oncologists. Research institutions should present staffing plans that account for Texas's 1.2 million square miles and its 29 million residents distributed across 10 distinct health service regions. Proposals that rely solely on telehealth without addressing broadband gaps in the 89 counties designated as frontier will not meet Texas-specific capacity thresholds.
Unlike Oklahoma or New Mexico applications, Texas requires demonstration of extreme rural delivery capacity due to frontier county designation and the state's unique scale of population centers separated by distances exceeding 400 miles.
Eligible Regions
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