Current through Reg. 49, No. 38; September 20, 2024
(a) Reporting.
Incidents of abuse, neglect, exploitation, or illegal, unethical or
unprofessional conduct as those terms are defined in subsections (b) and (c) of
this section shall be reported to the department.
(b) Abuse or neglect of a child, and abuse,
neglect or exploitation of an elderly or disabled person. The following
definitions apply only to this subsection:
(1) abuse or neglect of a child, as defined
in §
1.204(a)
and (b) of this title (relating to
Investigations of Abuse, Neglect, or Exploitation of Children or Elderly or
Disabled Persons); and
(2) abuse,
neglect or exploitation of an elderly or disabled person, as defined in §
1.204(a)
and (b) of this title.
(c) Abuse and neglect of individuals with
mental illness, and illegal, unethical, and unprofessional conduct. The
requirements of this subsection are in addition to the requirements of
subsection (b) of this section.
(1)
Definitions. The following definitions are in accordance with Health and Safety
Code (HSC), §161.131 and apply only to this subsection:
(A) Abuse--
(i) Abuse (as the term is defined in 42
United States Code (USC), §10801 et seq.) is any act or failure to act by
an employee of a facility rendering care or treatment which was performed, or
which was failed to be performed, knowingly, recklessly, or intentionally, and
which caused, or may have caused, injury or death to a individual with mental
illness, and includes acts such as:
(I) the
rape or sexual assault of a individual with mental illness;
(II) the striking of a individual with mental
illness;
(III) the use of excessive
force when placing a individual with mental illness in bodily restraints;
and/or
(IV) the use of bodily or
chemical restraints on a individual with mental illness which is not in
compliance with federal and state laws and regulations.
(ii) In accordance with HSC,
§161.132(j), abuse also includes coercive or restrictive actions that are
illegal or not justified by the patient's condition and that are in response to
the patient's request for discharge or refusal of medication, therapy or
treatment.
(B) Illegal
conduct--Illegal conduct (as the term is defined in HSC, §161.131(4)) is
conduct prohibited by law.
(C)
Neglect--Neglect (as the term is defined in
42 USC,
§10801 et seq.) is a negligent act or
omission by any individual responsible for providing services in a facility
rendering care or treatment which caused or may have caused injury or death to
a individual with mental illness or which placed a individual with mental
illness at risk of injury or death, and includes an act or omission such as the
failure to establish or carry out an appropriate individual program plan or
treatment plan for a individual with mental illness, the failure to provide
adequate nutrition, clothing, or health care to a individual with mental
illness, or the failure to provide a safe environment for a individual with
mental illness, including the failure to maintain adequate numbers of
appropriately trained staff.
(D)
Unethical conduct--Unethical conduct (as the term is defined in HSC,
§161.131(11)) is conduct prohibited by the ethical standards adopted by
state or national professional organizations for their respective professions
or by rules established by the state licensing agency for the respective
profession.
(E) Unprofessional
conduct--Unprofessional conduct (as the term is defined in HSC,
§161.131(12)) is conduct prohibited under rules adopted by the state
licensing agency for the respective profession.
(2) Posting requirements. A facility shall
prominently and conspicuously post for display in a public area that is readily
visible to patients, residents, volunteers, employees, and visitors a statement
of the duty to report abuse and neglect, or illegal, unethical or
unprofessional conduct in accordance with HSC, §161.132(e). The statement
shall be in English and in a second language appropriate to the demographic
makeup of the community served and contain the number of the department's
patient information and complaint line at (888) 973-0022.
(3) Reporting responsibility.
(A) Reporting abuse and neglect. A person,
including an employee, volunteer, or other person associated with the facility
who reasonably believes or who knows of information that would reasonably cause
a person to believe that the physical or mental health or welfare of a patient
of the facility who is receiving mental health or chemical dependency services
has been, is, or will be adversely affected by abuse or neglect (as those terms
are defined in this subsection) by any person shall as soon as possible report
the information supporting the belief to the department or to the appropriate
state health care regulatory agency in accordance with HSC,
§161.132(a).
(B) Reporting
illegal, unprofessional, or unethical conduct. An employee of or other person
associated with a facility including a health care professional, who reasonably
believes or who knows of information that would reasonably cause a person to
believe that the facility or an employee or health care professional associated
with the facility, has, is, or will be engaged in conduct that is or might be
illegal, unprofessional, or unethical and that relates to the operation of the
facility or mental health or chemical dependency services provided in the
facility shall as soon as possible report the information supporting the belief
to the department or to the appropriate state health care regulatory agency in
accordance with HSC, §161.132(b).
(4) Training requirements. A hospital that
provides comprehensive medical rehabilitation, mental health or substance abuse
services shall annually provide as a condition of continued licensure a minimum
of eight hours of in-service training designed to assist employees and health
care professionals associated with the facility in identifying patient abuse or
neglect and illegal, unprofessional, or unethical conduct by or in the facility
and establish a means for monitoring compliance with the requirement.
(d) Investigations. A complaint
under this subsection will be investigated or referred by the department as
follows:
(1) Allegations under subsection (b)
of this section will be investigated in accordance with §
1.205
of this title (relating to Reports and Investigations) and §
1.206
of this title (relating to Completion of Investigation);
(2) Allegations under subsection (c) of this
section will be investigated in accordance with §
133.101
of this title (relating to Inspection and Investigation Procedures).
Allegations concerning a health care professional's failure to report abuse and
neglect or illegal, unprofessional, or unethical conduct will not be
investigated by the department but will be referred to the individual's
licensing board for appropriate disciplinary action.
(3) Allegations under both subsections (b)
and (c) will be investigated in accordance with §
1.205
and §
1.206
of this title except as noted in paragraph (2) of this subsection concerning a
health care professional's failure to report.
(e) Submission of complaints. A complaint
made under this section may be submitted in writing or verbally to the Patient
Quality Care Unit, Department of State Health Services, 1100 West 49th Street,
Austin, Texas 78756-3199, telephone, (888) 973-0022.
(f) Notification.
(1) For complaints under subsection (b) of
this section, the department shall provide notification according to the
following.
(A) The department shall notify
the reporter, if known, in writing of the outcome of the complete
investigation.
(B) The department
shall notify the alleged victim, and his or her parent or guardian if a minor,
in writing of the outcome of the completed investigation.
(2) For complaints under subsection (c) of
this section, the department shall inform, in writing, the complainant who
identifies themselves by name and address of the following:
(A) the receipt of the complaint;
(B) if the complainant's allegations are
potential violations of this chapter warranting an investigation;
(C) whether the complaint will be
investigated by the department;
(D)
whether and to whom the complaint will be referred; and
(E) the findings of the complaint
investigation.
(g) Department reporting and referral.
(1) Reporting health care professional to
licensing board.
(A) In cases of abuse,
neglect, or exploitation, as those terms are defined in subsection (b) of this
section, by a licensed, certified, or registered health care professional, the
department may forward a copy of the completed investigative report to the
state agency which licenses, certifies or registers the health care
professional. Any information which might reveal the identity of the reporter
or any other patients or clients of the facility must be blacked out or
deidentified.
(B) A health care
professional who fails to report abuse and neglect or illegal, unprofessional,
or unethical conduct as required by subsection (c)(3) of this section may be
referred by the department to the individual's licensing board for appropriate
disciplinary action.
(2)
Sexual exploitation reporting requirements. In addition to the reporting
requirements described in subsection (c)(3) of this section, a mental health
services provider must report suspected sexual exploitation in accordance with
Texas Civil Practice and Remedies Code, §
81.006.
(3) Referral follow-up. The department shall
request a report from each referral agency of the action taken by the agency
six months after the referral.
(4)
Referral of complaints. A complaint containing allegations which are not a
violation of HSC, Chapter 241, or this chapter will not be investigated by the
department but shall be referred to law enforcement agencies or other agencies,
as appropriate.