Community Health Improvement Division

The 84th Texas Legislature made structural changes to the Health and Human Services system including transferring some DSHS functions to the Health and Human Services Commission (HHSC). The Community Health Improvement (CHI) programs below have remained at DSHS while some other programs transitioned to HHSC.

Find out more about the CHI programs that transitioned to HHSC.

Adolescent Health Protects and promotes the health of adolescents.

Audiology Services Includes Program for Amplification for Children of Texas (PACT) and Texas Early Hearing Detection and Intervention (TEHDI).

Breastfeeding Promotion Learn about breastfeeding promotion courses, available patient education and staff training materials, special projects and initiatives intended to increase the breastfeeding rates within Texas.

Case Management Reduce morbidity and mortality among infants, encourage consistent and proficient use of cost-effective medical care, and to assist eligible individuals/families to gain access to needed medical, social, educational, nutritional and vocational programs.

Child Abuse Reporting Plan for Implementing DSHS Rider 23 [previously Rider 11, 18, 14, 33, and 27] Child Abuse Reporting by DSHS Contractors/Providers. Implementation plan for providers.

Children with Special Health Care Needs Systems Development
Works to strengthen community-based services to improve systems of care for children and youth with special health care needs.
Genetics The Genetics Services Division strives to improve the health of children who have genetic disorders.

Maternal & Child Health Health Provides links to information for consumers of maternal and child health services, administrative documents for MCH contractors, and related materials for public health professionals.

Newborn Screening All infants born in Texas are mandated by state law to be screened for 28 disorders (including hearing). Early treatment can prevent serious complications such as growth problems, developmental delays, deafness or blindness, mental retardation, seizures or even early death.

Oral Health Services Program Improves the oral health of school-aged Texans and prevents dental disease through the provision of preventative dental services.

Osteoporosis Educates the public on the causes and risk factors for developing osteoporosis; publicize the value of early detection and prevention; and identify the most cost-effective options available for treatment.

School Vision & Hearing Screening Program Identifies Preschoolers and school children with hearing and vision problems early and link them to appropriate remedial services.

Spinal Screening Program School spinal screening was developed to identify adolescents with small spinal curves and refer them for treatment before these curves become too severe.

Texas Primary Care Office
To improve the health of Texans who live in underserved areas, through timely and accurate assessment, planning, and assistance, to increase access to primary care providers of medical, dental, and mental health services.
This program transferred to the DSHS Center for Health Statistics, effective September 1st, 2017

Last updated April 16, 2019