Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 306 - BEHAVIORAL HEALTH DELIVERY SYSTEM
Subchapter F - MENTAL HEALTH AND REHABILITATIVE SERVICES
Section 306.319 - Skills Training and Development Services
Universal Citation: 26 TX Admin Code ยง 306.319
Current through Reg. 49, No. 38; September 20, 2024
(a) Description.
(1) Skills training and development services
is training provided to an eligible individual or the LAR or primary caregiver
of an eligible adult, child, or adolescent. Such training:
(A) addresses serious mental illness or SED
and symptom-related problems that interfere with the individual's functioning
and living, working, and learning environment;
(B) provides opportunities for the individual
to acquire and improve skills needed to function as appropriately and
independently as possible in the community; and
(C) facilitates the individual's community
integration and increases his or her community tenure.
(2) Skills training and development services
consist of teaching an individual the following skills:
(A) skills for managing daily
responsibilities (e.g., paying bills, attending school, and performing
chores);
(B) communication skills
(e.g., effective communication and recognizing or change problematic
communication styles);
(C)
pro-social skills (e.g., 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 (e.g., 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 social support network, (e.g., selection of
appropriate friends and healthy activities);
(G) stress reduction techniques (e.g.,
progressive muscle relaxation, deep breathing exercises, guided imagery, and
selected visualization);
(H) anger
management skills (e.g., identification of antecedents to anger, calming down,
stopping and thinking before acting, handling criticism, avoiding and
disengaging from explosive situations);
(I) skills to manage the symptoms of serious
mental illness or SED and to recognize and modify unreasonable beliefs,
thoughts and expectations;
(J)
skills to identify and utilize community resources and informal
supports;
(K) skills to identify
and utilize acceptable leisure time activities (e.g., identifying pleasurable
leisure time activities that will foster acceptable behavior); and
(L) independent living skills (e.g., money
management, accessing and using transportation, grocery shopping, maintaining
housing, maintaining a job, and decision making).
(3) Skills training and development services
consist of:
(A) assisting the child or
adolescent in learning the skills described in paragraph (2) of this
subsection; and
(B) increasing the
LAR's or primary caregiver's understanding of and ability to respond to the
individual's needs identified in the uniform assessment or documented in the
recovery plan.
(b) Conditions.
(1) Skills training and development services
may be provided to:
(A) an eligible
adult;
(B) an eligible child or
adolescent; or
(C) the LAR or
primary caregiver of an individual.
(2) Skills training and development services
provided to an individual, LAR, or primary caregiver of a child or adolescent
may be provided:
(A) individually;
or
(B) in a group.
(3) Skills training and
development services may be provided:
(A) on
site; or
(B) in vivo.
(4) Skills training and
development services provided to an individual must be provided according to
curricula approved by the department.
(5) Skills training and development services
provided to an adult or LAR must be provided by:
(A) a QMHP-CS;
(B) a CSSP; or
(C) a peer provider.
(6) Skills training and development services
provided to a child or adolescent, LAR, or primary caregiver must be provided
by:
(A) a QMHP-CS;
(B) a CSSP; or
(C) a CFP.
(7) Skills training and development services
may not be provided to an individual who is currently admitted to a
CSU.
(c) Frequency and Duration. The provision of skills training and development services must be in accordance with the amount and duration for which the provider has obtained authorization in accordance with §416.6 of this title (relating to Service Authorization and Recovery Plan).
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