(a) RTC contractors must be licensed by HHSC Child
Care Regulation and have a contract with HHSC to provide RTC Project
services.
(b) The RTC contractor must provide comprehensive residential
treatment services as outlined in this subchapter, in the HHSC contract,
and as described in the HHSC child-care minimum standards for general
residential operations. The RTC must:
(1) provide psychotherapy services that include individual
and family therapy;
(2) psychopharmacological therapy for the treatment
of psychiatric illness with psychotropic medication on an ongoing
basis if indicated based on psychiatric evaluation;
(3) integrate a trauma-informed care approach into
the care, treatment, and supervision of each child. Trauma-informed
care is care that is child and family-centered and takes into consideration:
(A) the unique culture, experiences, and beliefs of
the child and family;
(B) the impact traumatic experiences have on the life
of the child;
(C) the symptoms of childhood trauma;
(D) an understanding of the child's personal trauma
history;
(E) the recognition of the child's trauma triggers;
(F) methods of responding that improve the child's
ability to trust, to feel safe, and to adapt to changes in the child's
environment; and
(G) the impact traumatic experiences have on the child's
family;
(4) include habilitation activities, such as vocational
services, as appropriate; and
(5) provide services in accordance with the HHSC provider
contract.
(c) The RTC contractor must assign an LPHA for each
child. The LPHA or treatment director must:
(1) ensure the delivery of therapeutic services to
the child;
(2) provide recommendations for the child's service
plan, in consultation with the service planning team; and
(3) provide recommendations for the child's discharge
plan in consultation with the service planning team.
(d) The RTC contractor must notify all members of the
service planning team in writing at least two weeks in advance of
the child's service plan meetings.
(e) If the child's service planning team determines
the child needs continued residential treatment beyond six months,
and the RTC contractor does not have an agreement for an extended
treatment curriculum with HHSC, the RTC must:
(1) submit a request to the RTC Project team for the
child's ongoing treatment before the sixth month of treatment in accordance
with the RTC Project policy manual posted on the HHSC website; and
(2) document in the child's service plan the need for
an anticipated length of stay beyond the six-month timeframe, and
why a less intensive level of care is not appropriate.
(f) The service plan must:
(1) be approved by the service planning team and must
meet the requirements outlined in Chapter 748, Subchapter I of this
title (relating to Admission, Service Planning, and Discharge); and
(2) be reviewed monthly, and updated at least every
90 calendar days, in accordance with Chapter 748, Subchapter I of
this title. If the child's needs change, the service plan must be
updated to address the changes.
(g) The child's LAR must be included by the RTC contractor
in developing the child's service plan, and in meetings to the greatest
extent possible, as provided in the Residential Treatment Center Project
Family Agreement. If the child's LAR, or other parties responsible
for the child's care are unable to participate, the RTC contractor
must review the service plan to ensure that the child's service plan
goals and level of care adequately address the child's treatment needs.
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