Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter M - MENTAL HEALTH TARGETED CASE MANAGEMENT AND MENTAL HEALTH REHABILITATION
Division 3 - MENTAL HEALTH REHABILITATION
Section 354.2713 - Skills Training and Development Services

Universal Citation: 1 TX Admin Code ยง 354.2713

Current through Reg. 49, No. 38; September 20, 2024

(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.

Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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