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Medical Management

Medical Services: Medical Management

Medical Management services are for children, teenagers and adults, and are provided by psychiatrists, nurse practitioners and registered nurses.

All services are provided in an outpatient setting. Patients come in for an appointment at Andrews Center, are seen and evaluated, and are then able to go home.

Services begin with an evaluation by a social worker. During the evaluation, basic medical history will be discussed and the need or eligibility for services will be determined. If the patient meets the criteria for services, they will be scheduled to see a psychiatrist or nurse practitioner.

Once services begin and a patient is being seen, the psychiatrist or nurse practitioner will be able to determine which medications work best based on history and symptoms. Patients will be asked about the medications they have taken in the past, about hospitalizations, and about other types of treatment received. It is wise to gather records and medication bottles for this appointment.

The physician or practitioner will also investigate to be sure there are no other medical problems. 

Following the initial physician visit, patients are scheduled for follow-up appointments based on medications and the overall treatment plan. Some medications work right away and others may take several weeks before there is an improvement in symptoms.

Lab Work

Lab work such as a blood or urine test is required prior to the first physician’s appointment. Once eligibility is determined, the social worker will make the arrangements. Depending on medications prescribed during treatment, regular lab work may be required.

Many people find lab work intimidating, but the testing is necessary as there could be hidden health issues that can impact the effectiveness of treatment for mental illness. Here are some of the reasons lab work is needful:

  • To make sure the patient is not receiving too much or too little medication.
  • To make sure all prescribed medications are working well together.
  • To make sure medications are not causing stress to certain organs such as the liver, thyroid and kidneys.
  • To get a baseline for comparison to alert medical staff to any other heath issues.

Overall, lab work allows medical staff to better monitor treatment progress.

If a patient notices a problem with medications or there is a change in symptoms they may call an RN (903.597.1351) or visit the Tyler Andrews Center.


Andrews Center will see walk-ins between 8:00 a.m. and 4:00 p.m., Monday-Friday, except when closed for holidays.

Those seeking services for the first time or that have been discharged in the past, should ask to see a Screener or Intake Staff. Current patients may ask to see a nurse.

Prescription Refills

If medication is needed before a scheduled appointment, patients may call and leave a message for a nurse.


Uninsured, underinsured, and patients needing financial assistance may qualify for such assistance from a local, state or federal funding source. Please alert Andrews Center staff if lack of money or insurance is an issue.

Andrews Center Medical Management is a core service offered for managing all or most aspects of treatment of a mental illness. The assigned medical professional (a doctor, nurse practitioner or RN) will:

Referral for ServiceEvaluate symptoms
Prescribe medications
Review and evaluate medications
See the patient at regular appointments
Review and evaluate medical history
Help patients in crisis