| (a) Prior to providing services or accessing an individual's
confidential information, the comprehensive provider agency must ensure
that each staff member:
(1) can provide services within the scope of the staff
member's license, job description, or contract specification;
(2) has completed required training modules as identified
by HHSC; and
(3) has the following minimum competencies:
(A) an understanding of the nature of severe mental
illness and serious emotional disturbances;
(B) an understanding of the developmental needs of
an adult, child, or youth;
(C) the ability to interact appropriately with an individual
who has a physical disability;
(D) the ability to respond to an individual's linguistic
and cultural needs through knowledge of customs, beliefs, and values
of various, racial, ethnic, religious, and social groups;
(E) identification of an individual experiencing a
crisis and the process for accessing crisis services;
(F) knowledge of appropriate actions to take in managing
a crisis;
(G) knowledge of available resources within the local
community;
(H) an understanding of the dignity and rights of an
individual, as described in 25 TAC §404.154 (relating to Rights
of All Persons Receiving Mental Health Services) and 25 TAC §404.163
(relating to Communication of Rights to Individuals Receiving Mental
Health Services);
(I) the ability to identify, prevent, and report abuse,
neglect, and exploitation, in accordance with 40 TAC Chapter 705 (relating
to Adult Protective Services) and Chapter 711 (relating to Investigations
of Individuals Receiving Services from Certain Providers);
(J) knowledge of individual confidentiality and relevant
state and federal laws affecting confidentiality of medical records,
including Title 42 CFR Part 2;
(K) knowledge of professional ethics and standards
of conduct;
(L) knowledge of proper documentation of services provided;
(M) understanding exposure control of blood borne pathogens;
and
(N) the ability to respond to severe weather, disasters,
and bioterrorism.
(b) For a staff member whose primary duties include
assessment and service authorization, the comprehensive provider agency
must ensure that the staff member has the ability to:
(1) complete the uniform assessment; and
(2) understand and apply the utilization management
guidelines.
(c) For a staff member whose primary duties include
individual service contacts and interactions, the comprehensive provider
agency must ensure that the staff member has adequate knowledge of:
(1) cardiopulmonary resuscitation (CPR);
(2) first aid;
(3) safe management of verbally and physically aggressive
behavior;
(4) use of assistive technology, such as communication
devices, with individuals who are deaf or hard of hearing or have
a physical disability;
(5) seizure assessment and response;
(6) infection control;
(7) how to recognize, report, and record side effects,
contraindications, and drug interactions of psychoactive medication;
(8) assessment and intervention with children, youth,
and families; and
(9) clinical specialties directly related to the services
to be performed.
(d) A staff member who provides mental health targeted
case management must also have:
(1) knowledge of strategies for advocating effectively
on behalf of individuals;
(2) the ability to document the mental health targeted
case management services described in §354.2655 of this title
(relating to Case Management Services); and
(3) knowledge gained from the completion of training
modules as identified by HHSC.
(e) A staff member who provides intensive case management,
before providing services to children and youth, must complete training
approved by HHSC on wraparound process planning and demonstrate understanding
of wraparound process planning.
(f) A staff member who routinely provides or supervises
the provision of mental health targeted intensive case management
to a child or youth must receive training and demonstrate competency
in the aspects of a child's or youth's growth and development (including
physical, emotional cognitive, educational and social) and the treatment
needs of a child or youth.
(g) Additional competencies for providers of mental
health rehabilitative services.
(1) A comprehensive provider agency must ensure that
a staff member who provides mental health rehabilitative services
is trained in the rehabilitative practice techniques related to:
(A) medication training and support services;
(B) skills training and development; and
(C) psychosocial rehabilitation.
(2) A comprehensive provider agency must ensure that
staff members who provide or supervise the provision of mental health
rehabilitative services receive initial training in:
(A) the nature of serious mental illness and serious
emotional disturbance;
(B) the concepts of recovery and resilience;
(C) the rehabilitative practice techniques found in
curricula, program practices, and protocols;
(D) the prevalence of physical health risk factors;
and
(E) other training modules as identified by HHSC.
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