IDD Community Supports


At Metrocare, we believe every individual can reach their fullest potential and are committed to ensuring individuals with an intellectual or developmental disability (IDD) have the support needed throughout every age and stage of life. As well as being the Local Intellectual and Developmental Disability Authority for Dallas County, Metrocare is also a provider of direct IDD services, ranging from day habilitation and crisis services to supported employment. Metrocare is also uniquely qualified to serve individuals with a co-occurring developmental disability and mental illness.

Does your loved one need support?

Metrocare is here to wraparound your entire family and your loved one throughout every stage. Call 214-333-7000 now if your loved one’s in crisis.


Metrocare’s Crisis Intervention Team meets individuals at home and in the community to provide immediate stabilization and connections to longer-term supports needed to help individuals remain living in the community as much as possible.


Crisis Respite serves individuals ages 10 and up that need short term emergency placement due to individual behavior, involvement with Adult Protective Services, or a family crisis.

Behavior Treatment Services

Individualized Behavior Treatment Plans to Meet the Whole Family’s Needs

Behavior Treatment Services (BTS) provides outpatient care to individuals three years of age and older dually diagnosed with an Intellectual or Developmental Disability, Autism Spectrum Disorder, or other related condition, and a mental health challenge. Services include counseling and specialized interventions focused on improving social, emotional, and behavioral skills at home, at school, and in the community. Licensed clinicians, well-trained in both mental health diagnoses and developmental disabilities, develop individualized treatment plans based on the services needed and the family’s goals. BTS specializes in offering accurate evaluation and on-going support to improve behaviors, minimize community placement failures and reduce the need for acute care.

Staff Includes:

  • Board Certified Behavior Analysts
  • Licensed Clinical Psychologists
  • Licensed Professional Counselors
  • Licensed Clinical Social Workers
  • Licensed Psychological Associates
  • Behavior Intervention Specialists
  • Crisis Intervention Specialists

Program Provides:

  • Assessment of Behavior

  • Development of individualized behavior and treatment plans
  • Intensive parent & caregiver training

  • Licensed staff who teach and model effective intervention strategies
  • Hands-on training and ongoing feedback
  • Monitoring of progress through data collection

Our Services:

An in-depth functional behavioral assessment will be completed to determine type of service warranted.

Professionals provide in-home behavior modification training as determined by the Clinical Behavior Assessment with children and adults.

Office-based behavioral modification will be available to families who prefer a more neutral therapy environment.

Gives knowledge on basic behavioral principles, problematic behavior, and effective teaching strategies. Caregiver involvement is vital for therapy to be most effective. 

For those consumers who present with a higher level of cognitive functioning and can engage in “talk” therapy.

Licensed professionals provide counseling services for families/couples to nurture change and development.

How to Receive BTS Services?


Services available for Dallas County residents and private or self pay consumers outside of Dallas County. For individuals without insurance, individuals must qualify through Metrocare’s Eligibility and Determination Unit (EDU) at 214-333-7000.

Referral for Services

Referrals can be sent to Once a referral is received for services, a licensed clinician will be in contact to schedule the comprehensive behavioral assessment.

Location of Services

Location is determined based upon the clinical judgement and individual treatment needs. Locations could be at home, in the community, or at a Metrocare site.

1353 N. Westmoreland, Cottage 5. Dallas, Texas 75211

Metrocare’s Behavior Treatment Center (BTC) is designed for individuals dually diagnosed with an Intellectual and Developmental Disability and mental health challenge with the most acute needs. Individuals at the BTC may be in or have been in crisis and need intensive, hands-on, and one-on-one interventions. Typically, Behavior Treatment Services are offered 5 hours per day, 5 days per week, by licensed staff.

Career Design & Development Services

Career Design & Development Services (CDDS) provides day habilitation, pre-vocational, and vocational services that provide community integration opportunities for adults with IDD to choose careers and community lifestyles.

Individuals working on following simple instructions or have other high-needs, including the ability to care for themselves, are best suited for day habilitation classes. Through a variety of daily activities, day habilitation participants have the opportunity to explore new areas of interest, become involved in the community, and grow their interpersonal skills.
Individuals ready to work in the community in variety of capacities. Services may include training consumers in their community (malls, transportation, libraries, grocery stores, etc.), vocational training at a Service Center (work adjustment, etc.), and providing employment opportunities (job matching, job developing, and job coaching, etc.). The goal is to match our clients with opportunities that best suit their interests. Metrocare CDDS staff is available for early morning or after-hours consultations.

Home & Community Based Services (HCS) & Texas Home Living (TxHmL)

Home & Community Based Services (HCS) and Texas Home Living (TxHmL) are Medicaid waiver programs that provide services and supports to individuals with intellectual disabilities so they can continue to live with family or independently. As the LIDDA, Metrocare’s Service Coordinators assist individuals in enrollment onto the interest list and service coordination once a person’s name is selected from the list. Service coordinators help families navigate what provider of HCS and TxHmL services best meet their needs.

Metrocare is also a provider of these services.

Community support allows for staff to work with the consumer in their home to support activities that facilitate an individual’s ability to perform functional living skills and other activities of daily living.
Day habilitation provides participants assistance with acquiring, retaining or improving self-help, socialization and adaptive skills necessary to live successfully in the community and participate in home and community life.
Employment assistance helps a participant to locate paid employment in the community by assisting the participant to identify employment preferences, job skills, requirements for the work setting and work conditions, and prospective employers offering employment compatible with the participant’s identified preferences, skills and requirements.
Supported employment is provided in an integrated work setting (that is, a job site where generally no more than one employee or three percent of the employees have disabilities) by staff that focus on training and building natural supports so the consumer may be successful in their position.
Residential Services allows for staff to work with the consumer in their home to support activities that facilitate an individual’s ability to perform functional living skills and other activities of daily living. Foster/Companion Care may be provided to a consumer in the natural home after the age of 18 or else outside the natural family home at any age. Supervised living/Residential Support Services is provided in a 3 or 4 bed group home setting. Metrocare Services currently has 5 3-bed groups.
Respite provides for the planned or emergency short-term relief of the unpaid caregiver of a participant.
  • Skilled nursing
  • Behavioral support
  • Physical and occupational therapy
  • Dietary
  • Speech and language pathology
  • Audiology
  • Minor home modifications
  • Adaptive aids
  • Dental treatment

CLASS Waiver – Case Management

Metrocare provides case management services for individuals enrolled in the Community Living Assistance and Support Services (CLASS) program.

CLASS provides home and community-based services to individuals with related conditions as a cost-effective alternative to an intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID).

Learn more about how to enroll in the CLASS Waiver Program via the Texas Health & Human Services Commission.

CLASS services are available to Texas residents not living in an institutional setting who:

  • Have been diagnosed with a related condition prior to age 22 as described in the Texas Approved Diagnostic Codes for Persons with Related Conditions.
  • Have a qualifying adaptive behavior level.
  • Meet the level-of-care criteria for placement in an ICF/IID.
  • Do not exceed specified income and resource limits.
  • Are not enrolled in any other Medicaid waiver program.
  • Demonstrate need for one or more services monthly. The diagnosis may be due to a condition such as cerebral palsy, muscular dystrophy, spina bifida, epilepsy, head injuries or any of the approved diagnoses for related conditions.

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