The following words and terms, when used in this subchapter,
have the following meanings unless the context clearly indicates otherwise.
(1) Absence--When an individual, previously admitted
to an SMHF and not discharged from the SMHF, is physically away from
the SMHF for any reason, including hospitalization, home visit, special
activity, unauthorized departure, or absence for trial placement.
(2) Admission--
(A) An individual's acceptance to an SMHF's custody
or a facility with a CPB for inpatient services, based on:
(i) a physician's order issued in accordance with §306.175(h)(2)(C)
of this subchapter (relating to Voluntary Admission Criteria for a
Facility with a Contracted Psychiatric Bed Authorized by an LMHA or
LBHA or for a State Mental Health Facility);
(ii) a physician's order issued in accordance with §306.176(c)(3)
of this subchapter (relating to Admission Criteria for a Facility
with a Contracted Psychiatric Bed Authorized by an LMHA or LBHA or
for a State Mental Health Facility for Emergency Detention);
(iii) a court's order of protective custody issued
in accordance with Texas Health and Safety Code §574.022;
(iv) a court's order for temporary inpatient mental
health services issued in accordance with Texas Health and Safety
Code §574.034, or Texas Family Code Chapter 55;
(v) a court's order for extended inpatient mental health
services issued in accordance with Texas Health and Safety Code §574.035,
or Texas Family Code Chapter 55; or
(vi) a court's order for commitment issued in accordance
with the Texas Code of Criminal Procedure, Chapter 46B or Chapter
46C.
(B) The acceptance of an individual in the mental health
priority population into LMHA or LBHA services.
(3) Adolescent--An individual at least 13 years of
age, but younger than 18 years of age.
(4) Adult--An individual at least 18 years of age or
older.
(5) Advance directive--As used in this subchapter,
includes:
(A) an instruction made under Texas Health and Safety
Code §§166.032, 166.034 or 166.035 to administer, withhold,
or withdraw life-sustaining treatment in the event of a terminal or
irreversible condition;
(B) an out-of-hospital DNR order, as defined by Texas
Health and Safety Code §166.081;
(C) a medical power of attorney under Texas Health
and Safety Code, Chapter 166, Subchapter D; or
(D) a declaration for mental health treatment for preferences
or instructions regarding mental health treatment in accordance with
Civil Practice and Remedies Code Chapter 137.
(6) Alternate provider--An entity that provides mental
health services or substance use disorder treatment services in the
community but not pursuant to a contract or memorandum of understanding
with an LMHA or LBHA.
(7) APRN--Advanced practice registered nurse. A registered
nurse licensed by the Texas Board of Nursing to practice as an advanced
practice registered nurse as provided by Texas Occupations Code §301.152.
(8) Assessment--The administrative process an SMHF
or a facility with a CPB uses to gather information from a prospective
patient, including a medical history and the problem for which the
prospective patient is seeking treatment, to determine whether a prospective
patient should be examined by a physician to determine if admission
is clinically justified, as defined by Texas Health and Safety Code §572.0025(h)(2).
(9) Assessment professional--In accordance with Texas
Health and Safety Code §572.0025(c)-(d), a staff member of an
SMHF or facility with a CPB whose responsibilities include conducting
the intake assessment described in §306.175(g) and §306.176(e)
of this subchapter, and who is:
(A) a physician licensed to practice medicine under
Texas Occupations Code, Chapter 155;
(B) a physician assistant licensed under Texas Occupations
Code, Chapter 204;
(C) an APRN licensed under Texas Occupations Code,
Chapter 301;
(D) a registered nurse licensed under Texas Occupations
Code, Chapter 301;
(E) a psychologist licensed under Texas Occupations
Code, Chapter 501;
(F) a psychological associate licensed under Texas
Occupations Code, Chapter 501;
(G) a licensed professional counselor licensed under
Texas Occupations Code, Chapter 503;
(H) a licensed social worker licensed under Texas Occupations
Code, Chapter 505; or
(I) a licensed marriage and family therapist licensed
under Texas Occupations Code, Chapter 502.
(10) ATP--Absence for trial placement. When an individual,
currently admitted to an SMHF, is physically away from the SMHF for
the SMHF to evaluate the individual's adjustment to a particular living
arrangement before the individual's discharge and as a potential residence
following discharge. An ATP is a type of furlough, as referenced in
Texas Health and Safety Code, Chapter 574, Subchapter F.
(11) Business day--Any day except a Saturday, Sunday,
or legal holiday listed in Texas Government Code §662.021.
(12) Capacity--An individual's ability to understand
and appreciate the nature and consequences of a decision regarding
the individual's medical treatment, and the ability of the individual
to reach an informed decision in the matter.
(13) Child--An individual at least three years of age,
but younger than 13 years of age.
(14) Continuity of care--Activities designed to ensure
an individual is provided uninterrupted services during a transition
between inpatient and outpatient services and that assist the individual
and the individual's LAR in identifying, accessing, and coordinating
LMHA or LBHA services and other appropriate services and supports
in the community needed by the individual, including:
(A) assisting with admissions and discharges;
(B) facilitating access to appropriate services and
supports in the community, including identifying and connecting the
individual with community resources, and coordinating the provision
of services;
(C) participating in developing and reviewing the individual's
recovery or treatment plan;
(D) promoting implementation of the individual's recovery
or treatment plan; and
(E) coordinating notification of continuity of care
services between the individual and the individual's family and any
other person providing support as authorized by the individual, and
LAR, if any.
(15) Continuity of care worker--An LMHA, LBHA, or LIDDA
staff member responsible for providing continuity of care services.
The staff member may collaborate with a peer specialist, recovery
specialist, or family partner to provide continuity of services.
(16) COPSD--Co-occurring psychiatric and substance
use disorder.
(17) COPSD model--An application of evidence-based
practices for an individual diagnosed with co-occurring conditions
of mental illness and substance use disorder.
(18) CPB--Contracted psychiatric bed. A state-funded
contracted psychiatric bed that:
(A) is authorized by an LMHA or LBHA; and
(B) is used for inpatient care in the community, and
this does not include a crisis respite unit, crisis residential unit,
an extended observation unit, or a crisis stabilization unit.
(19) CRCG--Community Resource Coordination Group. A
local interagency group comprised of public and private providers
who collaborate to develop individualized service plans for individuals
whose needs may be met through interagency coordination and cooperation.
CRCGs are established and operate in accordance with a Memorandum
of Understanding on Services for Persons Needing Multiagency Services,
required by Texas Government Code §531.055.
(20) Crisis--A situation in which:
(A) an individual presents an immediate danger to self
or others;
(B) an individual's mental or physical health is at
risk of serious deterioration; or
(C) an individual believes he presents an immediate
danger to self or others, or the individual's mental or physical health
is at risk of serious deterioration.
(21) Crisis treatment alternatives--Community-based
facilities or units providing short-term, residential crisis treatment
to ameliorate a behavioral health crisis in the least restrictive
environment, including crisis stabilization units, extended observation
units, crisis residential units, and crisis respite units. The intensity
and scope of services varies by facility type and is available in
a local service area based upon the local needs and characteristics
of the community.
(22) Day--Calendar day.
Cont'd... |
