The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise.
- (1) Acute Day Treatment--Program-based services focused on the short-term, acute treatment of individuals who require multi-disciplinary treatment in order to obtain maximum control of psychiatric symptoms. Services are provided in a highly structured and safe environment with constant supervision. Contacts with staff are frequent, activities and services constantly available, and developmental and social supports encouraged and facilitated. Staff receive specialized training in crisis management. Activities are goal oriented, focusing on improving peer interaction, appropriate social behavior, and stress tolerance.
- (2) Assessment--The clinical process of obtaining and evaluating historical, social, functional, psychiatric, developmental, or other information from the individual and family seeking services to determine, level of need (including urgency) and specific treatment needs (including the preferences of the individual seeking services).
- (3) Case Management--Case management activities are provided to assist individuals in gaining access to medical, social, educational, and other appropriate services that will help them achieve a quality of life and community participation acceptable to each individual. The role of persons who provide case management activities is to support and assist the person in achieving goals.
- (4) Crisis Hotline--A continuously available staffed telephone service providing information, support, and referrals to callers 24 hours per day, seven days per week.
- (5) Crisis Respite--Those services provided for temporary, short term, periodic relief to individuals or their primary caregivers during a crisis. Program-based respite services involve temporary residential placement outside the usual living situation. Community-based respite services involve introducing respite staff into the usual living situation or providing a place for the individual to go during the day or other services considered to provide respite.
- (6) Crisis Services--Services including crisis hotline, crisis intervention, and crisis respite.
- (7) Intensive outpatient--An organized non-residential service providing structured group and individual therapy, educational services, and life skills training which is less than 24 hours per day.
- (8) Medication administration--A service provided to an individual by a licensed nurse (or other appropriately trained and certified person under the supervision of a physician or registered nurse as provided by state law) to ensure the direct application of a medication to the body of the individual by any means including handing the individual a single dose of medication to be taken orally.
- (9) Medication monitoring--A service provided to an individual and/or family member or other collateral by a licensed nurse (or other appropriately trained and certified person under the supervision of a physician or registered nurse as provided by state law) for the purpose of assessment of medication actions, target symptoms, side effects and adverse effects, potential toxicity, and the impact of medication for the individual and family in accordance with the plan of care.
- (10) Medication training--A service to an individual and/or family member or other collateral by a licensed nurse (or other appropriately trained professional or paraprofessional as provided by state law) for the purpose of teaching the knowledge and skills needed by the individual/family/collateral in the proper administration and monitoring of prescribed medication in accordance with the individual's plan of care.
- (11) Medication-related services--Services including medication administration, medication monitoring, medication training, and pharmacological management.
- (12) Partial hospitalization--The provision of treatment for mental health care or chemical dependency for individuals who require care or support or both in a hospital or chemical dependency treatment center but who do not require 24-hour supervision.
- (13) Pharmacological management--Service provided to an individual or collateral by a physician or other appropriately trained and certified professional as provided by state law for the purpose of determining symptom remission and the medication regimen needed to initiate and/or maintain an individual's plan of care.
- (14) Screening--Gathering triage information necessary to determine a need for in-depth assessment. This information is collected through interview or by phone with the individual or collateral as part of the admission/intake process or as necessary.
- (15) Treatment planning--Activities for the purpose of medically necessary, prioritized, comprehensive, collaborative, and measurable treatment that reflects the needs and wishes of the individual and builds upon the strengths of the individual.
Source Note:The provisions of this §11.2401 adopted to be effective February 14, 1999, 24 TexReg 726.