PermiaCare
Texas
Local Mental Health Authority for Midland, Ector, Brewster, Pecos, Culberson, Hudspeth, Jeff Davis & Presidio counties (Permian Basin & Big Bend). Free/low-cost care: 24/7 crisis hotline (1-844-420-3964), mental-health counseling & treatment, substance-use services, medication clinics, IDD services (personal assistance, day programming, respite, supported employment), Early Childhood Intervention, and veteran services.
The free 24/7 crisis line is anonymous — call without giving your name or immigration status. Ongoing care falls under health treatment, meaning your health information is confidential, and cost is based on what you can pay. It is not connected to immigration enforcement, especially for remote (not in person) care. In general, you aren't asked immigration status for crisis support or locally-funded services. If this is a concern, ask — or have someone else call and ask — beforehand.
- Written in:
- Spanish
- Serves:
- Family at home · Anyone · After release
- Immigration status:
- Immigrant
- Format:
- Hotline / helpline · In person
Ways to reach them
Verified Jul 13, 2026