| (a) Skills training and development is training provided
to an individual or the LAR or primary caregiver of an individual.
The training:
(1) addresses serious mental illness or serious emotional
disturbance and symptom-related problems that interfere with the individual's
functioning;
(2) provides opportunities for the individual to acquire
and improve skills needed to function in the community as appropriately
and independently as possible; and
(3) facilitates the individual's community integration.
(b) Skills training and development services consist
of:
(1) teaching an individual:
(A) skills for managing daily responsibilities, such
as paying bills, attending school, and performing chores;
(B) communication skills, such as effective communication
and recognizing or changing problematic communication styles;
(C) pro-social skills, such as 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, such as 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's social
support network, such as selection of appropriate friends and healthy
activities;
(G) stress reduction techniques, such as progressive
muscle relaxation, deep breathing exercises, guided imagery, and selected
visualization;
(H) anger management skills, such as identification
of antecedents to anger, calming down, stopping and thinking before
acting, handling criticism, and avoiding and disengaging from explosive
situations;
(I) skills to manage the symptoms of serious mental
illness or serious emotional disturbance and to recognize and modify
unreasonable beliefs, thoughts and expectations;
(J) skills to identify and use community resources
and informal supports;
(K) skills to identify and use acceptable leisure time
activities; and
(L) independent living skills, such as money management,
accessing and using transportation, grocery shopping, maintaining
housing, maintaining a job, and decision making; and
(2) increasing the LAR's or primary caregiver's understanding
of and ability to respond to the individual's needs identified in
the assessment or documented in the recovery/treatment plan.
(c) Skills training and development services provided
to an individual, LAR, or primary caregiver may be provided individually
or in a group.
(d) Skills training and development services must be
provided in accordance with the requirements of the TMPPM, including
all updates and revisions and all handbooks, standards, and guidelines
as determined by HHSC or an MCO with which they contract.
(e) Skills training and development services, as described
in this section, may be delivered as a telemedicine medical service
or a telehealth service, including via an audio-only platform, in
accordance with the requirements and limitations of Subchapter A,
Division 33 of this chapter (relating to Advanced Telecommunications
Services.
(f) Skills training and development services provided
to an adult or an adult's LAR or primary caregiver must be provided
by a:
(1) QMHP-CS;
(2) CSSP; or
(3) peer provider.
(g) Skills training and development services provided
to a child or youth or the child's or youth's LAR or primary caregiver
must be provided by a:
(1) QMHP-CS;
(2) CSSP; or
(3) CFP.
(h) Skills training and development services may not
be provided to an individual who is currently:
(1) admitted to a CSU; or
(2) receiving psychosocial rehabilitative services.
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