Strategic Plan


COVID-19 Hotline
Call 311, option 8
Mon. - Fri., 8:00 AM - 5:00 PM
Sat. & Sun., 8:00 AM - 12:00 PM

See a complete listing of our Clinics & Locations.

Administrative Office (No services offered at this location)
111 Soledad, Suite 1000
San Antonio, TX 78205


Email Metro Health Visit Metro Health on facebook Follow Metro Health on Twitter Follow Metro Health on Instagram

ACEs/Trauma Informed Care

multi-colored stylized human chain in 6 pointed star shape

ACEs are traumatic events that disrupt a child’s healthy development and alter the way the brain and body respond to stress. Traumatic experiences may include abuse, neglect, exposure to mental illness and substance abuse, and witnessing violence at home or in the community. Many of the challenges faced by San Antonio families – poverty, violence, mental illness, incarceration, domestic violence, drug/alcohol addiction, and physical or emotional abuse – manifest as trauma in a child’s life. These experiences can negatively affect a child’s cognitive development, academic success, and physical, emotional, and behavioral health. For children who endure multiple ACEs without counteracting experiences to bolster their resilience, their risk of substance use disorder, heart disease, suicide, and other chronic health issues as adults goes up.

Two approaches that address ACEs are Trauma Informed Care and Social Emotional Learning. Both complementary approaches are incorporated into the focus areas of Metro Health’s ACEs Strategy.

  • Focus Area #1: Increase Community Awareness about ACEs
  • Focus Area #2: Ensure Healthy Teen Relationships
  • Focus Area #3: Ensure Parent Support Systems

*Reports Coming Soon*

Violence Prevention

Paper dolls in chain heart surrounding purple ribbon

Everyone has the right to live healthfully and without fear. However, the violence that exists in our community threatens that way of life. Exposure to violence can lead to violence-related injuries and deaths, and is an ACE that can raise the risk of smoking, substance abuse, mental illness, suicide, heart disease, diabetes, cancer, and HIV. Violence perpetuates social problems such as crime and further violence. To prevent violence in our community, Metro Health has identified three focus areas.

  • Focus Area #1: Prevent Child Abuse
  • Focus Area #2: Prevent Domestic Violence
  • Focus Area #3: Reduce Gun Violence

*Reports Coming Soon*

Access to Care

hands surrounding a stethoscope

We thrive as a community when everyone can access health care, especially prenatal and pediatric care. Yet medical care is just one building block of a healthy community. Economic stability is another; poverty makes it hard to buy healthy foods or live in a safe neighborhood. Community-wide knowledge about health resources is important, and marginalized groups may be less informed—for example, an unpublished 2019 Metro Health survey showed that immigrants aren’t sure what resources they may legally use, or where to seek them. Finally, preventing illness is better than treating it. Because low-cost mental health care is scarce, science-based programs to prevent depression and anxiety are an exciting development.

  • Focus Area #1: Advance Economic Stability
  • Focus Area #2: Increase Access to Immigrant Friendly Care
  • Focus Area #3: Prevent Depression in Mothers and Adolescents

*Reports Coming Soon*


fruits and vegetables in heart shaped bowl, with stethoscope and glucometer, lancing device and glucose tracking sheet in background

Our community is healthier when everyone, regardless of social circumstances, has access to healthy food and beverages and nutrition education. Creating a community that promotes and supports healthy food and beverage choices can lead to better eating habits and outcomes for chronic diseases such as diabetes, cancer, and heart disease. However, the lack of access to healthy foods where we live, work, worship and play threaten our community’s ability to live a healthier life. By increasing access to and cultural relevance of nutritious foods and nutrition resources, it is more likely that individuals will be empowered to make positive decisions about their health. Metro Health will address the lack of access to healthy foods through the following focus areas:

  • Focus Area #1: Expand Use of Community Nutrition Standards Across Different Sectors
  • Focus Area #2: Increase Access to Affordable Healthy Food and Drinks
  • Focus Area #3: Improve Childhood Nutrition

*Reports Coming Soon*


Health staff engaged with the public during Fiesta

This is our first strategic plan with built-in, ongoing engagement with community organizations and community members as we progress. Over the next four years, Metro Health will facilitate discussions on our priorities, action steps, progress and barriers with the help of organizations including:

*Lists of Organizations Coming Soon*
*Reports Coming Soon*