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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 448STANDARD OF CARE
SUBCHAPTER HSCREENING AND ASSESSMENT
RULE §448.801Screening

(a) To be eligible for admission to a treatment program, an individual shall meet the current Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria for substance use disorders (or substance withdrawal or intoxication in the case of a detoxification program). The facility shall use a screening process appropriate for the target population, individual's age, developmental level, culture and gender which includes the Texas Department of Insurance (TDI) criteria to determine eligibility for admission or referral including an assessment of the client's financial resources and insurance benefits.

(b) The screening process shall collect other information as necessary to determine the type of services that are required to meet the individual's needs. This may necessitate the administration of all or part of validated assessment instruments.

(c) TDI criteria shall guide referral and treatment recommendations as well as placement decisions.

(d) Sufficient documentation shall be maintained in the client record to support the diagnosis and justify the referral/placement decision. Documentation shall include the date of the screening and the signature and credentials of the Qualified Credentialed Counselor (QCC) supervising the screening process.

(e) For admission to a detoxification program, the screening will be conducted by a physician, physician assistant, nurse practitioner, registered nurse, or licensed vocational nurse (LVN). An LVN may conduct a screening under the following conditions:

  (1) the LVN has completed detoxification training and demonstrated competency in the detoxification process;

  (2) the training and competency verification is documented in the LVN's personnel file;

  (3) the LVN shall convey the medical data obtained during the screening process to a physician in person or via telephone. The physician shall determine the appropriateness of the admission and authorize the admission or give instructions for an alternative course of action; and

  (4) the physician shall examine the client in person and sign the admission order within 24 hours of authorizing admission.

(f) For admission to all other treatment programs, the screening will be conducted by a counselor or counselor intern.

(g) A detoxification program shall not offer screenings through electronic means.

(h) A treatment program other than a detoxification program may offer screenings in-person and face-to-face, or through electronic means. A facility that offers screenings through electronic means shall comply with the following requirements:

  (1) A screening conducted through electronic means shall comply with the requirements under §448.911 of this chapter (relating to Treatment Services Provided by Electronic Means).

  (2) The facility shall conduct an in-person and face-to-face screening with an individual at the individual's request.


Source Note: The provisions of this §448.801 adopted to be effective September 1, 2004, 29 TexReg 2020; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8842; amended to be effective March 3, 2022, 47 TexReg 655

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