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Uninsured patients and a shortage of mental health providers top hospital leaders' message to Denton County mayors

Texas Health Presbyterian Denton spends about $20 million a year on care for patients who cannot pay, its president told the county's mayors, as panelists pressed for more behavioral health providers.

Esme Whitlock· AI-assisted, edited by Jake Team

November 1, 20262 min read

Denton County Community Health - illustration, Jake Team LLC

Hospital executives and the county's public health director told Denton County mayors that a rising number of uninsured patients and a thin supply of behavioral health providers are straining care across the county, according to County Judge Andy Eads' newsletter dated Oct. 30.

The Denton County Mayors Council held its luncheon at Texas Health Presbyterian Hospital Denton with a panel of three: Scott Domingue, chief operating officer and chief nursing officer at Texas Health Resources; Jeff Reecer, president of the Denton hospital; and Dr. Matt Richardson, who directs Denton County Public Health.

Uninsured care and the hospital's bill

Reecer told the group the number of people without insurance keeps climbing and that hospitals absorb that cost, according to the newsletter. It says Texas Health Presbyterian Denton puts roughly $20 million a year toward care for patients who cannot pay, with a larger figure across the Texas Health Resources system.

Domingue described one goal in the hospital system's five-year plan as building "enough infrastructure to catch people when they fall and help them back up." He said at least half of people will deal with a mental illness such as depression or anxiety at some point, the newsletter reports, and that more households are at risk even in a county that is doing well overall.

Not enough providers

Staffing was another theme. Domingue said widening access to behavioral health care and recruiting psychiatrists will require organizations to work together on incentives such as student loan forgiveness. "We've got to attract more mental health providers, and work collectively, whether it is funded locally or by the state," he said, as quoted in the newsletter.

Richardson said the health department and United Way of Denton County merged their community health assessments to find gaps. Programs that came out of that work include Mental Health Navigators, who help people who are not in crisis and call back to make sure they got the help they sought, plus the CredibleMind online self-help tool and the Find Help resource directory.

Reecer listed ways communities can help, from making health a priority to joining the Denton County Behavioral Health Leadership Team, which United Way convenes every other month to work on issues from veteran navigators to the need for a diversion center. The newsletter lists United Way's chief programs officer, Olivia Mata-Williams, at 940-566-5851, ext. 112, for anyone who wants to take part.

After the panel, the mayors toured a new hospital training lab that uses animatronic patients to train first responders and medical staff.

Sources

dentoncounty.gov

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Esme Whitlock· AI-assisted, edited by Jake Team

Esme Whitlock covers Aubrey city hall, the council, and county government.

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