The words and terms below have the assigned meanings when used in this subchapter, unless the context indicates otherwise.

1. (1) ACE--Adverse childhood experiences. Childhood events that may be traumatic.
2. (2) Alternatives--A primary prevention strategy that is defined in 45 CFR §96.125(b)(3).
3. (3) Behavioral health--Refers to the topics of mental health and substance use disorders, life stressors and crises, and stress-related physical symptoms.
4. (4) Behavioral health promotion--The advancement of mental health, resilience, and well-being.
5. (5) CFR--Code of Federal Regulations.
6. (6) CLAS--Culturally and linguistically appropriate services. National standards for a set of 15 action steps. These standards aim to improve behavioral health quality and outcomes.
7. (7) Community-based process--A primary prevention strategy that is defined in 45 CFR §96.125(b)(5).
8. (8) CSAP--Center for Substance Abuse Prevention. A center under the Substance Abuse Mental Health Services Administration (SAMHSA).
9. (9) CSAP strategies--The evidence-based primary prevention strategies that are used by SAMHSA and defined in 45 CFR §96.125(b).
10. (10) Education--A primary prevention strategy that is defined in 45 CFR §96.125(b)(2).
11. (11) Environmental--A primary prevention strategy that is defined in 45 CFR §96.125(b)(6).
12. (12) Evidence-based--Models, curricula, and other interventions proven to be effective through research.
13. (13) HHSC--Texas Health and Human Services Commission or its designee.
14. (14) Individual--A person who receives services under this subchapter.
15. (15) Information dissemination--A primary prevention strategy that is defined in 45 CFR §96.125(b)(1).
16. (16) NMDOH--Non-medical drivers of health. The conditions where people live, learn, work, and play that affect a wide range of health outcomes.
17. (17) Prevention strategies--Proactive approaches that help individuals and communities promote healthy behaviors and lifestyles, including strategies defined in 45 CFR §96.125(b).
18. (18) Primary prevention--Activities that target individuals who do not need treatment for substance use disorder, which is defined in 45 CFR §96.121. These activities may include education, mentoring, and other activities that reduce the risk of substance use.
19. (19) Problem identification and referral--A primary prevention strategy that is defined in 45 CFR §96.125(b)(4).
20. (20) Protective factors--Elements that reduce the impact of risk factors. These elements build resilience and decrease the likelihood of developing behaviors that could lead to substance use and misuse.
21. (21) Provider--A person or entity that contracts with HHSC to provide substance use prevention services.
22. (22) Risk factors--Biological, psychological, family, community, or environmental influences that precede and are associated with a higher likelihood of negative outcomes.
23. (23) SAMHSA--Substance Abuse and Mental Health Services Administration. An agency within the U.S. Department of Health and Human Services.
24. (24) Socio-ecological model--A framework that explains the different factors that affect health behavior and how to organize health intervention strategies.
25. (25) Strategic prevention framework--A framework created by SAMHSA used in prevention planning to address substance use and mental health issues.

Source Note:The provisions of this §321.5 adopted to be effective April 16, 2026, 51 TexReg 2399.