We regulate the following types of services:
(1) Child-Care Services--Services that meet a child's
basic need for shelter, nutrition, clothing, nurture, socialization
and interpersonal skills, care for personal health and hygiene, supervision,
education, and service planning;
(2) Treatment Services--In addition to child-care services,
a specialized type of child-care services designed to treat and/or
support children:
(A) With Emotional Disorders who have a current DSM-5
diagnosis, such as mood disorders, psychotic disorders, or dissociative
disorders, and demonstrate two or more of the following:
(i) Major self-injurious actions, including a suicide
attempt within the last 12 months;
(ii) Difficulties that present a significant risk of
harm to others, including frequent or unpredictable physical aggression;
or
(iii) An additional DSM-5 diagnosis of substance-related
and/or addictive disorder with severe impairment;
(B) With a DSM-5 diagnosis of Intellectual Disability
that is characterized by prominent, severe deficits and pervasive
impairment in one or more of the following areas:
(i) Conceptual, social, and practical adaptive skills
to include daily living and self-care;
(ii) Communication, cognition, or expressions of affect;
(iii) Self-care activities or participation in social
activities;
(iv) Responding appropriately to an emergency; or
(v) Multiple physical disabilities, including sensory
impairments;
(C) With a DSM-5 diagnosis of Autism Spectrum Disorder
that is characterized by prominent, severe deficits and pervasive
impairment in one or more of the following areas of development:
(i) Conceptual, social, and practical adaptive skills
to include daily living and self-care;
(ii) Communication, cognition, or expressions of affect;
(iii) Self-care activities or participation in social
activities;
(iv) Responding appropriately to an emergency; or
(v) Multiple physical disabilities including sensory
impairments;
(D) With Primary Medical Needs, who cannot live without
mechanical supports or the services of others because of life-threatening
conditions, including:
(i) The inability to maintain an open airway without
assistance. This does not include the use of inhalers for asthma;
(ii) The inability to be fed except through a feeding
tube, gastric tube, or a parenteral route;
(iii) The use of sterile techniques or specialized
procedures to promote healing, prevent infection, prevent cross-infection
or contamination, or prevent tissue breakdown; or
(iv) Multiple physical disabilities including sensory
impairments; and
(E) Determined to be a trafficking victim, including
a child:
(i) Determined to be a trafficking victim as the result
of a criminal prosecution or who is currently alleged to be a trafficking
victim in a pending criminal investigation or prosecution;
(ii) Identified by the parent or agency that placed
the child in the operation as a trafficking victim; or
(iii) Determined by the operation to be a trafficking
victim based on reasonably reliable criteria, including one or more
of the following:
(I) The child's own disclosure as a trafficking victim;
(II) The assessment of a counselor or other professional;
or
(III) Evidence that the child was recruited, harbored,
transported, provided to another person, or obtained for the purpose
of forced labor or commercial sexual activity; and
(3) Additional Programmatic Services, which include:
(A) Emergency Care Services--A specialized type of
child-care services designed and offered to provide short-term child
care to children who, upon admission, are in an emergency constituting
an immediate danger to the physical health or safety of the child
or the child's offspring;
(B) Transitional Living Program--A residential services
program designed to serve children 14 years old or older for whom
the service or treatment goal is basic life skills development toward
independent living. A transitional living program includes basic life
skills training and the opportunity for children to practice those
skills. A transitional living program is not an independent living
program;
(C) Assessment Services Program--Services to provide
an initial evaluation of the appropriate placement for a child to
ensure that appropriate information is obtained in order to facilitate
service planning;
(D) Therapeutic Camp Services--A camping program to
augment an operation's treatment services with an experiential curriculum
exclusively for a child with an emotional disorder who has difficulty
functioning in his home, school, or community. Therapeutic camp services
are only available to children 13 years old and older; and
(E) Respite Child-Care Services--See §748.73 of
this title (relating to What are respite child-care services?).
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| Source Note: The provisions of this §748.61 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective September 1, 2010, 35 TexReg 7497; amended to be effective December 1, 2014, 39 TexReg 9052; amended to be effective January 1, 2017, 41 TexReg 10393; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909 |
