What the SMART team makes possible through coordinated care

September 30, 2026
Members of the SMART team pose together outside, representing partner organizations involved in coordinated street outreach and care.

To truly serve our neighbors, we needed a unified approach. One that addresses the whole person: physical, mental, and emotional health. That insight led to the creation of the Street Multi-Access Response & Treatment (SMART) team, a pilot program combining resources and expertise from Coalition for the Homeless (CFTH), The Harris Center for Mental Health and IDD, Healthcare for the Homeless - Houston (HHH), and the Houston Recovery Center (HRC). 


The SMART team delivers mobile, multidisciplinary care directly on the streets, providing behavioral health treatment, crisis stabilization, and follow-up services for those who are least connected to care. Specialists in mental health, physical health, substance use, and homeless services work together to target individuals who appear to be in distress—often the most vulnerable and visible members of our community. Their goals are simple but powerful: establish trust, determine each person’s baseline, and intervene quickly when a crisis arises.


A SMART team member speaks with two people seated on a park bench during street outreach.

One story shows what this collaboration makes possible:


A 93-year-old widow lost her housing after a dispute over her care needs. She ended up in a cold-weather shelter, and soon after, on the streets. From the moment she arrived, the SMART team stepped in. Her age and unique needs made finding housing challenging, but the team didn’t give up.


With the help of our partner organizations, we stayed connected through missed appointments and setbacks. Just as housing became available, she was hospitalized after being mugged, leaving her fearful and mistrustful. She stopped communicating with CFTH, worried she’d be placed in a nursing home.


Thanks to our collaborative network, HHH rebuilt trust and encouraged her to visit an apartment, and she fell in love with it. Today, she’s safely housed, supported by CFTH and The Harris Center, and continues to attend appointments with HHH.


This is what happens when we work together: one of our most vulnerable neighbors is now safe and thriving, not because of one organization, but because of a coordinated response through our Continuum of Care.

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