(1) Skills training and development services is training
provided to an eligible individual or the LAR or primary caregiver
of an eligible adult, child, or adolescent. Such training:
(A) addresses serious mental illness or SED and symptom-related
problems that interfere with the individual's functioning and living,
working, and learning environment;
(B) provides opportunities for the individual to acquire
and improve skills needed to function as appropriately and independently
as possible in the community; and
(C) facilitates the individual's community integration
and increases his or her community tenure.
(2) Skills training and development services consist
of teaching an individual the following skills:
(A) skills for managing daily responsibilities (e.g.,
paying bills, attending school, and performing chores);
(B) communication skills (e.g., effective communication
and recognizing or change problematic communication styles);
(C) pro-social skills (e.g., replacing problematic
behaviors with behaviors that are socially and culturally appropriate
or developing interpersonal relationship skills necessary to function
effectively with family, peer, teachers, or other people in the community);
(D) problem-solving skills;
(E) assertiveness skills (e.g., resisting peer pressure,
replacing aggressive behaviors with assertive behaviors, and expressing
one's own opinion in a manner that is socially appropriate);
(F) social skills and expanding the individual social
support network, (e.g., selection of appropriate friends and healthy
(G) stress reduction techniques (e.g., progressive
muscle relaxation, deep breathing exercises, guided imagery, and selected
(H) anger management skills (e.g., identification of
antecedents to anger, calming down, stopping and thinking before acting,
handling criticism, avoiding and disengaging from explosive situations);
(I) skills to manage the symptoms of serious mental
illness or SED and to recognize and modify unreasonable beliefs, thoughts
(J) skills to identify and utilize community resources
and informal supports;
(K) skills to identify and utilize acceptable leisure
time activities (e.g., identifying pleasurable leisure time activities
that will foster acceptable behavior); and
(L) independent living skills (e.g., money management,
accessing and using transportation, grocery shopping, maintaining
housing, maintaining a job, and decision making).
(3) Skills training and development services consist
(A) assisting the child or adolescent in learning the
skills described in paragraph (2) of this subsection; and
(B) increasing the LAR's or primary caregiver's understanding
of and ability to respond to the individual's needs identified in
the uniform assessment or documented in the recovery plan.
(1) Skills training and development services may be
(A) an eligible adult;
(B) an eligible child or adolescent; or
(C) the LAR or primary caregiver of an individual.
(2) Skills training and development services provided
to an individual, LAR, or primary caregiver of a child or adolescent
may be provided:
(A) individually; or
(B) in a group.
(3) Skills training and development services may be
(A) on site; or
(B) in vivo.
(4) Skills training and development services provided
to an individual must be provided according to curricula approved
by the department.
(5) Skills training and development services provided
to an adult or LAR must be provided by:
(A) a QMHP-CS;
(B) a CSSP; or
(C) a peer provider.
(6) Skills training and development services provided
to a child or adolescent, LAR, or primary caregiver must be provided
(A) a QMHP-CS;
(B) a CSSP; or
(C) a CFP.
(7) Skills training and development services may not
be provided to an individual who is currently admitted to a CSU.
(c) Frequency and Duration. The provision of skills
training and development services must be in accordance with the amount
and duration for which the provider has obtained authorization in
accordance with §416.6 of this title (relating to Service Authorization
and Recovery Plan).
|Source Note: The provisions of this §306.319 adopted to be effective January 22, 2014, 39 TexReg 299; transferred effective March 15, 2020, as published in the February 21, 2020 issue of the Texas Register, 45 TexReg 1239