| (B) grossly impairs behavior as demonstrated by recent
disturbed behavior.
(46) MH priority population--Mental health priority
population. As identified in state performance contracts with LMHAs
or LBHAs, those groups of children, adolescents, and adults with mental
illness or serious emotional disturbance assessed as most in need
of mental health services.
(47) Minor--An individual younger than 18 years of
age.
(48) Nursing facility--A long-term care facility licensed
by HHSC as a nursing home, nursing facility, or skilled nursing facility
as defined in Texas Health and Safety Code, Chapter 242.
(49) Offender with special needs--An individual who
has a terminal or serious medical condition, a mental illness, an
ID, a DD, or a physical disability, and is served by the Texas Correctional
Office on Offenders with Medical or Mental Impairments as provided
in Texas Health and Safety Code, Chapter 614.
(50) Ombudsman--The Ombudsman for Behavioral Health
Access to Care established by Texas Government Code §531.02251,
which serves as a neutral party to help individuals, including individuals
who are uninsured or have public or private health benefit coverage.
The behavioral health care providers navigate and resolve issues related
to the individual's access to behavioral health care, including care
for mental health conditions and substance use disorders.
(51) PASRR--Preadmission screening and resident review
in accordance with 40 TAC Chapter 19, Subchapter BB (relating to Nursing
Facility Responsibilities Related to Preadmission Screening and Resident
Review (PASRR)).
(52) PASRR Level I screening--The process of screening
an individual to identify whether the individual is suspected of having
a mental illness, ID, or DD.
(53) PASRR Level II evaluation--A face-to-face evaluation
of an individual suspected of having a mental illness, ID, or DD performed
by a LIDDA, LMHA, or LBHA to determine if the individual has a mental
illness, ID, or DD, and if so, to:
(A) assess the individual's need for care in a nursing
facility;
(B) assess the individual's need for nursing facility
specialized services, LIDDA specialized services, and LMHA or LBHA
specialized services; and
(C) identify alternate placement options.
(54) 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 an individual's recovery and resiliency
in accordance with 1 TAC Chapter 354, Subchapter N.
(55) Permanent residence--The physical location where
an individual lives, or if a minor, where the minor's parents or legal
guardian lives. A post office box is not a permanent residence.
(56) Preliminary examination--An assessment for medical
stability and a psychiatric examination in accordance with Texas Health
and Safety Code §573.022(a)(2).
(57) QMHP-CS--Qualified mental health professional-community
services. A staff member who meets the requirements and performs the
functions described in Chapter 301, Subchapter G of this title (relating
to Mental Health Community Services Standards).
(58) Recovery--A process of change through which individuals
improve their health and wellness, live a self-directed life, and
strive to reach their full potential.
(59) Recovery or treatment plan--A written plan:
(A) developed in collaboration with an individual or
the individual's LAR if required, and a QMHP-CS or Licensed Practitioner
of the Healing Arts (LPHA) as defined in §301.303 of this title
(relating to Definitions);
(B) amended at any time based on an individual's needs
or requests;
(C) that guides the recovery treatment process and
fosters resiliency;
(D) completed in conjunction with the uniform assessment;
(E) that identifies the individual's changing strengths,
capacities, goals, preferences, needs, and desired outcomes; and
(F) that includes recommended services and supports
or reasons for the exclusion of services and supports.
(60) Screening--Activities performed by a QMHP-CS to:
(A) collect triage information through face-to-face
or telephone interviews with an individual or collateral contact;
(B) determine if the individual's need is emergent,
urgent, or routine, conducted before the face-to-face assessment to
determine the need for emergency services; and
(C) determine the need for in-depth assessment.
(61) SMHF--State mental health facility. A state hospital
or a state center with an inpatient psychiatric component.
(62) SSLC--State supported living center. Consistent
with Texas Health and Safety Code §531.002, a residential facility
operated by the State to provide individuals with an ID a variety
of services, including medical treatment, specialized therapy, and
training in the acquisition of personal, social, and vocational skills.
(63) Substance use disorder--The use of one or more
drugs, including alcohol, which significantly and negatively impacts
one or more major areas of life functioning and which meets the criteria
for substance use as described in the current edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM) published by the American Psychiatric Association.
(64) TAC--Texas Administrative Code.
(65) TCOOMMI--Texas Correctional Office on Offenders
with Medical or Mental Impairments or its designee.
(66) Transfer--To move from one facility to another
facility.
(67) Treating physician--A physician who coordinates
and oversees an individual's treatment.
(68) Treatment team--A group of treatment providers,
an individual, the individual's LAR, if any, and the LMHA, LBHA, or
LIDDA who work together in a coordinated manner to provide comprehensive
mental health services to the individual.
(69) Uniform assessment--An assessment tool adopted
by HHSC under §301.353 of this title (relating to Provider Responsibilities
for Treatment Planning and Service Authorization) used for recommending
an individual's level of care.
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