Year Position Title Employer / Contracting Firm Type & Schedule Pay / Contract Terms Prescribing Authority Source / Notes
2025 (Oct) Psychiatrist Physician – Ref # BD-649-01 Adelphi Medical Staffing LLC (for Williamson Co Jail, Georgetown TX) Contract (4 yrs); Minimum 16 hrs / week $250 – $285 per hour (on-site)
✅ Explicit (“Prescribe psychotropic medications per Sheriff’s formulary; develop standing orders”) DocCafe listing · ZipRecruiter
2025 (Sep 19) Part-Time Psychiatrist for Correctional Facility GreenLife Healthcare Staffing (Contractor for Williamson Co Jail) Part-time / as needed $110 – $135 per hour
✅ (General psychiatric care and medication management) Get.it posting · ZipRecruiter variant
2024 (Contract FY 22–25) Psychiatric Medical Services Provider – Dr. Ghulam M. Khan Williamson County Commissioners Court (Contract Professional Services Agreement) Contract Renewal FY 22 → FY 25 Not publicly listed ($ hourly basis likely per prior agreement)
✅ (Licensed psychiatrist under Professional Services Agreement) County record PDF
2022 (Aug) Nurse Practitioner – Jail Medical Unit Williamson County Sheriff’s Office Full-time 7-day coverage (ARPA-funded) County salary scale (approx. $95k – $110k annual) ⚠️ Limited (Mid-level prescriber under MD supervision) Williamson Co Recovery Plan (2025) – Section “Medical Services Expansion”
2019 (Mar 13) Corrections Medical Officer – Jail Williamson County Sheriff’s Office Full-time – Entry Medical Staff $23.74 / hour + benefits ❌ (None – assists physician, dispenses meds as ordered) GovJobs listing
2018 (Sep 17) Medic – Jail Williamson County Sheriff’s Office Full-time $18.83 / hour
❌ (None – assists MD and psychiatrist; schedules appointments) GovJobs archive
2008 (Mar 25) Psychiatric Services Contract (Dr. Michael Musgrove) Williamson County – Professional Services Agreement Contract (“as needed”, up to 20 hrs / week) $85 / hour ✅ (Licensed psychiatrist responsible for prescriptions and standing orders) Public contract PDF
📊 Patterns & Key Findings
1. Coverage model:
Williamson County Jail consistently uses contract or part-time psychiatrists (8–20 hrs/week historically, 16 hrs/week currently) supported by mid-level providers (NPs, PAs) and correctional medical officers.
2. Prescribing authority:
Psychotropic medication prescribing appears reserved to contracted psychiatrists or supervising MDs. However, the part-time nature of those contracts raises questions about continuity of oversight, particularly for inmates starting or changing medication regimens.
3. Pay evolution:
2008 → $85/hr (Dr. Musgrove)
2025 → $250-$285/hr (Adelphi contract)
The tripling of hourly compensation reflects inflation, market rates, and difficulty recruiting psychiatrists to correctional facilities.
4. Inspection context:
2019 Texas Commission on Jail Standards report cited failure to complete physician-ordered specialist referrals.
Indicates prior compliance concerns in following through on medical directives.
5. Transparency:
While the county publishes contracts for professional services, no current public roster confirms full-time onsite licensed physician/psychiatrist presence, suggesting the jail relies heavily on contractors.
🧭 Concluding Analysis
Between 2018 and 2025, Williamson County consistently advertised, contracted, or renewed psychiatric and medical positions to maintain statutory compliance with jail-health standards.
However, all identified physician/psychiatrist roles are contract-based and part-time, with prescribing authority confirmed but limited onsite hours.
This staffing pattern supports the concern that psychotropic medication prescribing occurs with intermittent physician oversight, relying on mid-level staff for day-to-day care.
Here’s the enhanced timeline showing how Williamson County Jail’s medical and psychiatric staffing evolved — now annotated with inspection and compliance events.
- 2008: Psychiatric services begin (Dr. Musgrove, 20 hrs/week).
- 2019: Texas Commission on Jail Standards inspection finds lapses in following physician orders for specialist referrals.
- 2022: ARPA funds expand NP coverage to 7 days/week.
- 2024–2025: Psychiatric contracts (Dr. Khan → Adelphi) continue part-time (~16 hrs/week).
The graph shows that while general medical coverage increased, psychiatric oversight hours have not, suggesting intermittent physician presence despite rising mental-health needs.
Key markers:
2019: Texas Commission on Jail Standards flagged failure to follow physician orders.
2023: Reports of multiple inmate deaths prompted ARPA-funded nurse practitioner expansion.
2024: Johnny Tijerina lawsuit settled for $1.15 million, citing medical neglect.
2025: Multiple psychiatrist vacancy postings (Adelphi & GreenLife) indicate continuing staffing gaps.
The visualization makes it clear that periods of limited psychiatric coverage coincide with rising inmate health incidents and legal exposure—a strong indicator of systemic strain and potential oversight deficiencies.
LeRoy Nellis 
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