The following words and terms, when used in this subchapter,
have the following meanings unless the context clearly indicates otherwise.
(1) Adult--An individual who is age 21 or older.
(2) Appeal--A mechanism for an independent review of
an adverse determination or a request for a review of an action or
failure to act that may result in a fair hearing.
(3) Audio-only--Has the meaning assigned by §354.1430(1)
of this chapter (relating to Definitions).
(4) Behavioral health emergency--A situation involving
an individual who is behaving in a violent or self-destructive manner
and in which preventive, de-escalation, or verbal techniques have
been determined to be ineffective and it is immediately necessary
to restrain or seclude the individual to prevent:
(A) imminent probable death or substantial bodily harm
to the individual because the individual is attempting to commit suicide
or inflict serious bodily harm; or
(B) imminent physical harm to others because of acts
the individual commits.
(5) Case manager--A staff member of the comprehensive
provider agency who provides mental health targeted case management
services.
(6) CFP--Certified Family Partner. A person who meets
the credentialing requirements in §353.1415(d) of this title
(relating to Staff Member Credentialing).
(7) CFR--Code of Federal Regulations.
(8) Child or youth--An individual who is under age
21.
(9) Community-based--Mental health targeted case management
services that are provided at a location other than the comprehensive
provider agency's office.
(10) Community data--Additional information gathered
during the uniform assessment.
(11) CSSP--Community services specialist. A staff member
of a local mental health authority who has documented full-time experience
in the provision of mental health targeted case management and mental
health rehabilitative services prior to August 31, 2004. See definition
in Title 26 Texas Administrative Code (TAC) §301.303 (relating
to Definitions).
(12) Comprehensive provider agency--An entity that
provides or subcontracts for the delivery of the full array of mental
health targeted case management and mental health rehabilitative services
set forth in this subchapter, with the exception of §354.2715
of this subchapter (relating to Day Programs for Acute Needs).
(13) Crisis plan--A plan developed in advance of a
crisis and in collaboration with the individual, legally authorized
representative (LAR), caregiver, or family of the individual receiving
services that identifies circumstances that determine a crisis that
would jeopardize the individual's ability to remain in the community
and the actions preferred and necessary to avert removal from the
community.
(14) CSU--Crisis stabilization unit. A crisis stabilization
unit licensed under Chapter 577 of the Texas Health and Safety Code
and 26 TAC Chapter 510 (relating to Private Psychiatric Hospitals
and Crisis Stabilization Units).
(15) Family Psychotherapy--Therapy that focuses on
the dynamics of the family unit where the goal is to strengthen the
family's problem solving and communication skills.
(16) Group Psychotherapy--Therapy that involves one
or more therapists working with several clients at the same time.
(17) HHSC--The Texas Health and Human Services Commission,
or its designee.
(18) IMD--Institution for mental diseases. Based on
42 CFR §435.1009, a hospital, nursing facility, or other institution
of more than 16 beds that is primarily engaged in providing psychiatric
diagnosis, treatment, or care of individuals with mental illness,
including medical attention, nursing care, and related services.
(19) Independent Living--A service within psychosocial
rehabilitative services that assists an individual in acquiring the
most immediate, fundamental functional skills needed to enable the
individual to reside in the community and avoid more restrictive levels
of treatment or reducing behaviors or symptoms that prevent successful
functioning in the individual's environment of choice. Such services
include training in symptom management, personal hygiene, nutrition,
food preparation, exercise, money management, and community integration
activities.
(20) Individual--A person seeking or receiving mental
health targeted case management, mental health rehabilitative services,
or both under this subchapter.
(21) Individual Psychotherapy--Therapy that focuses
on a single client.
(22) Intensive case management--A level of mental health
targeted case management that includes a focused effort to coordinate
community resources, uses evidence-based wraparound process planning
to address a child's or youth's unmet needs across life domains, and
assists a child or youth in gaining access to necessary care and services
appropriate to the child's or youth's needs.
(23) Intensive case management plan--A written document
that is part of the medical record for a child or youth receiving
intensive case management and is developed by a case manager, in collaboration
with the child or youth and the child's or youth's LAR or primary
caregiver, that identifies services needed by the child or youth and
sets forth a plan for how the child or youth may gain access to the
identified services.
(24) LAR--Legally authorized representative. A person
authorized by law to act on behalf of an individual with regard to
a matter described in this subchapter, including a parent, guardian,
or managing conservator of a minor, or the guardian of an adult.
(25) Licensed medical personnel--A staff member who
is:
(A) a physician;
(B) a physician assistant;
(C) an advanced practice registered nurse;
(D) a registered nurse;
(E) a licensed vocational nurse; or
(F) a pharmacist.
(26) Life domains--Areas of life, including safety,
health, emotional, psychological, social, educational, cultural, and
legal.
(27) LPHA--Licensed Practitioner of the Healing Arts.
A staff member who is:
(A) a physician;
(B) a licensed professional counselor;
(C) a licensed clinical social worker;
(D) a licensed psychologist;
(E) an advanced practice registered nurse;
(F) a physician assistant; or
(G) a licensed marriage and family therapist.
(28) Medication training and support services--Medication
training and support services consist of education and guidance about
medications and their possible side effects.
(29) Mental health rehabilitative services--Services
that are individualized, age-appropriate, and provide training and
instructional guidance that restore an individual's functional deficits
due to serious mental illness or serious emotional disturbance. The
services are designed to improve or maintain the individual's ability
to remain in the community as a fully integrated and functioning member
of that community.
(30) Mental health targeted case management--Services
furnished to assist individuals with severe mental illness and functional
impairments or serious emotional disorders and functional impairments
to gain access to needed medical, social, educational, and other services.
(31) On-site--Services that are provided at a location
operated by a comprehensive provider agency.
(32) Peer provider--Staff with lived experience with
a mental health condition who meet the credentialing requirements
in §353.1415(c) of this title.
(33) Pharmacological management--In-depth management
of psychopharmacological agents to treat an individual's mental health
symptoms.
(34) Platform--Has the meaning assigned by Texas Government
Code §531.001(4-d).
(35) Primary caregiver--A person 18 years of age or
older who has:
(A) actual care, control, and possession of a child
or youth; or
(B) assumed responsibility for providing shelter and
care for an adult.
(36) Psychiatric diagnostic evaluation--An integrated
biopsychosocial assessment, including history, mental status, and
recommendations.
(37) Psychosocial rehabilitative services--Social,
behavioral, and cognitive interventions provided by members of an
adult's therapeutic team that build on strengths and focus on restoring
the adult's ability to develop and maintain social relationships,
occupational or educational achievements, and other independent living
skills that are affected by a serious mental illness in adults. Psychosocial
rehabilitative services may also address the impact of co-occurring
disorders upon the adult's ability to reduce symptomology and increase
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