Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 306 - BEHAVIORAL HEALTH DELIVERY SYSTEM › Subchapter B - STANDARDS OF CARE IN CRISIS STABILIZATION UNITS › Division 1 - GENERAL REQUIREMENTS › Section 306.45 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
						subchapter, have the following meanings, unless the context clearly indicates
						otherwise.
(1) Administrator--A person
					 or entity that has authority to represent a facility and is responsible for
					 implementing and supervising its administrative policies and procedures and for
					 administratively supervising the provision of services to individuals on a
					 day-to-day basis.
(2)
					 Administrator's designee--A staff member designated in a facility's written
					 policies and procedures to act for a specified purpose on behalf of the
					 administrator.
(3) Admission--The
					 acceptance of an individual for crisis stabilization services based on a
					 physician's order issued in accordance with §306.55 (relating to Voluntary
					 Admission Criteria and Intake Process) and § 306.57(relating to
					 Involuntary Admission Criteria and Intake Process) of this
					 subchapter.
(4) Admission
					 examination--A psychiatric examination and physical assessment conducted by a
					 physician, to determine if an individual requesting voluntary admission to an
					 inpatient mental health facility meets clinical criteria for admission, in
					 accordance with Texas Health and Safety Code §
											572.0025(f).
(5) Adolescent--An individual at least 13
					 years of age, but younger than 18 years of age.
(6) Adult--An individual 18 years of age or
					 older.
(7) Adult caregiver--An
					 adult person whom a parent has authorized to provide temporary care for a
					 child, as defined in Texas Family Code §
											34.0015(1).
(8) APRN--Advanced practice registered nurse.
					 A registered nurse licensed by the Texas Board of Nursing and as provided in
					 Texas Occupations Code §
											301.152.
(9) Assessment--The administrative process an
					 inpatient mental health facility uses to gather information from an individual
					 to determine if the admission is clinically justified, in accordance with Texas
					 Health and Safety Code §
											572.0025(h)(2),
					 including a medical history and the problem for which the individual is seeking
					 treatment.
(10) Business day--Any
					 day except a Saturday, Sunday, or legal holiday listed in Texas Government Code
					 §
											662.021.
(11) Child--An individual at least three
					 years of age, but younger than 13 years of age.
(12) Confidential information--Any
					 communication or record (whether oral, written, electronically stored or
					 transmitted, or in any other form) that consists of or includes any or all of
					 the information that must be protected from unauthorized use or disclosure as
					 required by applicable state or federal laws, and as defined in 1 TAC §
											390.1(5)
					 (relating to Definitions).
(13)
					 Crisis stabilization services--Short-term residential treatment designed to
					 reduce acute symptoms of a mental illness or serious emotional disturbance of
					 an individual and prevent admission of the individual to an inpatient mental
					 health facility.
(14) CSU--Crisis
					 stabilization unit. A short-term residential treatment unit designed to reduce
					 an individual's acute symptoms of mental illness or serious emotional
					 disturbance instead of admission to an inpatient mental health facility,
					 licensed in accordance with Chapter 510 of this title (relating to Private
					 Psychiatric Hospitals and Crisis Stabilization Units) and Texas Health and
					 Safety Code Chapter 577.
(15)
					 Day--Calendar day, unless otherwise specified.
(16) DD--Developmental disability. As listed
					 in Texas Health and Safety Code §
											531.002(15),
					 a severe, chronic disability attributable to mental or physical impairment or a
					 combination of mental and physical impairments that:
(A) manifest before the individual reaches 22
					 years of age;
(B) are likely to
					 continue indefinitely;
(C) reflect
					 the individual's need for a combination and sequence of special,
					 interdisciplinary, or generic services, individualized supports, or other forms
					 of assistance that are of a lifelong or extended duration and are individually
					 planned and coordinated; and
(D)
					 result in substantial functional limitations in three or more of the following
					 categories of major life activity:
(i)
					 self-care;
(ii) receptive and
					 expressive language;
(iii)
					 learning;
(iv) mobility;
(v) self-direction;
(vi) capacity for independent living;
					 and
(vii) economic
					 self-sufficiency.