The following words and terms, when used in this subchapter,
have the following meanings unless the context clearly indicates otherwise.
(1) Adult--A person who is 21 years or older.
(2) Certification entity--An organization approved
by HHSC to certify:
(A) peer specialists;
(B) peer specialist supervisors; and
(C) peer specialist training entities.
(3) Closed--A certification entity record for a revoked
or relinquished certification, including the record for a person who
is deceased or no longer certified for another reason.
(4) Dual relationship--A peer specialist's familial,
financial, business, professional, close personal, sexual, or any
other non-therapeutic relationship with a recipient, or any activity
with another person that interferes or conflicts with the peer specialist's
professional obligation to a recipient.
(5) HHSC--The Texas Health and Human Services Commission
or its designee.
(6) Lived experience--When a person has experienced
a significant life disruption due to the person's own mental health
condition and/or substance use disorder and is now in recovery.
(7) LPHA--Licensed Practitioner of the Healing Arts.
A person licensed as one of following and acting within the authorized
scope of the person's license:
(A) physician;
(B) licensed professional counselor;
(C) licensed clinical social worker;
(D) psychologist;
(E) advanced practice registered nurse;
(F) physician assistant; or
(G) licensed marriage and family therapist.
(8) Mental health--A state of well-being in which an
individual realizes one's own abilities, can cope with the normal
stresses of life, and is able to be productive.
(9) Mental health condition--A condition (excluding
a single diagnosis of an intellectual or developmental disability
or a substance use disorder) that substantially impairs:
(A) an individual's thought, perception of reality,
emotional process, or judgement;
(B) an individual's behavior; or
(C) an individual's ability to participate in daily
routines.
(10) 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. 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.
(11) Peer specialist--A person who uses lived experience,
in addition to skills learned in formal training, to deliver strengths-based,
person-centered services to promote a recipient's recovery and resiliency.
(12) Person-centered--The provision of services:
(A) directed by the recipient;
(B) aligned with the hopes, goals, and preferences
of the recipient; and
(C) designed to build on the recipient's interests
and strengths.
(13) Person-centered recovery plan--A written plan
that serves as a plan of care and:
(A) is developed with the person, others whose inclusion
is requested by the person and who agree to participate, and the persons
planning or providing services;
(B) amended at any time based on the person's needs;
(C) guides the recovery process and fosters resiliency;
(D) identifies the person's changing strengths, capacities,
goals, preferences, needs, and desired outcomes; and
(E) identifies services and supports to meet the person's
goals, preferences, needs and desired outcomes.
(14) Prevalent language--A non-English language determined
to be spoken by at least 10 percent of persons in a community where
a peer specialist will be providing services or in a community in
which a training is offered. Persons are only counted toward the minimum
10 percent if they do not speak English as their primary language
and if they have a limited ability to read, speak, write, or understand
English.
(15) QCC--Qualified Credentialed Counselor. A person
licensed as one of the following and acting within the authorized
scope of the person's license:
(A) licensed professional counselor;
(B) licensed clinical social worker;
(C) licensed marriage and family therapist;
(D) psychologist;
(E) physician;
(F) physician's assistant;
(G) licensed chemical dependency counselor;
(H) certified addictions registered nurse; or
(I) advanced practice registered nurse licensed by
the Texas Board of Nursing as a psychiatric-mental health clinical
nurse specialist or nurse practitioner.
(16) QMHP-CS--Qualified Mental Health Professional-Community
Services. A QMHP-CS must demonstrate competency in the work to be
performed and:
(A) be a Registered Nurse; or
(B) have a bachelor's degree from an accredited college
or university with a minimum number of hours that is equivalent to
a major in psychology, social work, medicine, nursing, rehabilitation,
counseling, sociology, human growth and development, physician's assistant,
gerontology, special education, educational psychology, early childhood
education, or early childhood intervention.
(17) QPS--Qualified Peer Supervisor. A QPS must:
(A) be a certified peer specialist under this subchapter;
and
(B) have one of the following combinations:
(i) a high school diploma or General Equivalency Diploma
(GED) and at least four years of work experience as a peer specialist,
up to two years of which may be substituted by work experience supervising
others; or
(ii) an associate's degree or higher from an accredited
college or university and at least two years of work experience as
a peer specialist.
(18) Recipient--Refers to a person receiving Medicaid
services under this subchapter.
(19) Recovery--A process of change through which a
person:
(A) improves one's health and wellness;
(B) lives a self-directed life;
(C) strives to reach one's self-defined full potential;
and
(D) participates in one's personal community.
(20) Relationship-focused--Requires a peer specialist
to deliver services through a relationship with the recipient that
is respectful, trusting, empathetic, collaborative, and mutual.
(21) Self-directed recovery--The point at which an
individual takes proactive steps to plan and implement the individual's
own recovery.
(22) Substance use disorder--A recurrent use of alcohol
or drugs that causes clinically and functionally significant impairment,
such as health problems, disability, and failure to meet major responsibilities
at work, school, or home.
(23) Trauma-informed--A program, organization, or system
that is trauma-informed realizes the widespread impact of trauma and
understands potential paths for recovery; recognizes the signs and
symptoms of trauma in clients, families, staff, and others involved
with the system; and responds by fully integrating knowledge about
trauma into policies, procedures, and practices, and seeks to actively
resist re-traumatization.
|