| (a) Entities must ensure that services to individuals
are age and culturally appropriate and are provided by staff within
their scope of practice who have the following minimum knowledge,
technical, and interpersonal competencies prior to providing services.
(1) Knowledge competencies:
(A) knowledge of the fact that psychiatric and substance
use disorders are potentially recurrent relapsing disorders, and that
although abstinence is the goal, relapses can be opportunities for
learning and growth;
(B) knowledge of the impact of substance use disorders
on developmental, social, and physical growth and development of children
and adolescents;
(C) knowledge of interpersonal and family dynamics
and their impact on individuals;
(D) knowledge of the current Diagnostic
and Statistical Manual of Mental Disorders diagnostic criteria
for psychiatric disorders and substance use disorders and the relationship
between psychiatric disorders and substance use disorders;
(E) knowledge regarding the increased risks of self-harm,
suicide, and violence in individuals;
(F) knowledge of the elements of an integrated treatment
plan and community support plan for individuals;
(G) basic knowledge of pharmacology as it relates to
individuals;
(H) basic understanding of the neurophysiology of addiction;
(I) basic knowledge of withdrawal symptoms and their
potential risk factors to clients;
(J) knowledge of the phases of recovery for individuals;
(K) knowledge of the relationship between COPSD and
Axis III disorders; and
(L) basic knowledge of self-help in recovery.
(2) Technical competencies:
(A) ability to perform age-appropriate assessments
of individuals; and
(B) ability to formulate an individualized treatment
plan and community support plan for individuals.
(3) Interpersonal competencies:
(A) ability to tailor interventions to the process
of recovery for individuals;
(B) ability to tailor interventions with readiness
to change; and
(C) ability to support individuals who choose to participate
in 12-step recovery programs.
(b) Within 90 days of the effective date of this subchapter,
entities must ensure that staff who provide services to individuals
with COPSD, and who have not previously done so, have demonstrated
the competencies described in subsection (a) of this section. These
competencies may be evidenced by compliance with current licensure
requirements of the governing or supervisory boards for the respective
disciplines involved in serving individuals with COPSD or by documentation
regarding the attainment of the competencies described in subsection
(a) of this section. For unlicensed staff delivering these services,
these competencies are evidenced by documentation regarding their
attainment as required in subsection (a) of this section.
|
| Source Note: The provisions of this §306.15 adopted to be effective September 7, 2003, 28 TexReg 7396; amended to be effective November 17, 2011, 36 TexReg 7669; transferred effective February 15, 2020, as published in the Texas Register January 17, 2020, 45 TexReg 467 |
