1 Tex. Admin. Code § 354.3003 - Definitions
The following words and terms, when used in this subchapter, have the following meanings unless the context clearly indicates otherwise.
(1) Adult--A person who is
21 years or older.
(2)
Certification entity--An organization approved by HHSC to certify:
(A) peer specialists;
(B) peer specialist supervisors;
and
(C) peer specialist training
entities.
(3) Closed--A
certification entity record for a revoked or relinquished certification,
including the record for a person who is deceased or no longer certified for
another reason.
(4) Dual
relationship--A peer specialist's familial, financial, business, professional,
close personal, sexual, or any other non-therapeutic relationship with a
recipient, or any activity with another person that interferes or conflicts
with the peer specialist's professional obligation to a recipient.
(5) HHSC--The Texas Health and Human Services
Commission or its designee.
(6)
Lived experience--When a person has experienced a significant life disruption
due to the person's own mental health condition and/or substance use disorder
and is now in recovery.
(7)
LPHA--Licensed Practitioner of the Healing Arts. A person licensed as one of
following and acting within the authorized scope of the person's license:
(A) physician;
(B) licensed professional
counselor;
(C) licensed clinical
social worker;
(D)
psychologist;
(E) advanced practice
registered nurse;
(F) physician
assistant; or
(G) licensed marriage
and family therapist.
(8) Mental health--A state of well-being in
which an individual realizes one's own abilities, can cope with the normal
stresses of life, and is able to be productive.
(9) Mental health condition--A condition
(excluding a single diagnosis of an intellectual or developmental disability or
a substance use disorder) that substantially impairs:
(A) an individual's thought, perception of
reality, emotional process, or judgement;
(B) an individual's behavior; or
(C) an individual's ability to participate in
daily routines.
(10)
Mental health rehabilitative services--Services that are individualized,
age-appropriate, and provide training and instructional guidance that restore
an individual's functional deficits due to serious mental illness. The services
are designed to improve or maintain the individual's ability to remain in the
community as a fully integrated and functioning member of that
community.
(11) Peer specialist--A
person who uses lived experience, in addition to skills learned in formal
training, to deliver strengths-based, person-centered services to promote a
recipient's recovery and resiliency.
(12) Person-centered--The provision of
services:
(A) directed by the
recipient;
(B) aligned with the
hopes, goals, and preferences of the recipient; and
(C) designed to build on the recipient's
interests and strengths.
(13) Person-centered recovery plan--A written
plan that serves as a plan of care and:
(A)
is developed with the person, others whose inclusion is requested by the person
and who agree to participate, and the persons planning or providing
services;
(B) amended at any time
based on the person's needs;
(C)
guides the recovery process and fosters resiliency;
(D) identifies the person's changing
strengths, capacities, goals, preferences, needs, and desired outcomes;
and
(E) identifies services and
supports to meet the person's goals, preferences, needs and desired
outcomes.
(14) Prevalent
language--A non-English language determined to be spoken by at least 10 percent
of persons in a community where a peer specialist will be providing services or
in a community in which a training is offered. Persons are only counted toward
the minimum 10 percent if they do not speak English as their primary language
and if they have a limited ability to read, speak, write, or understand
English.
(15) QCC--Qualified
Credentialed Counselor. A person licensed as one of the following and acting
within the authorized scope of the person's license:
(A) licensed professional
counselor;
(B) licensed clinical
social worker;
(C) licensed
marriage and family therapist;
(D)
psychologist;
(E)
physician;
(F) physician's
assistant;
(G) licensed chemical
dependency counselor;
(H) certified
addictions registered nurse; or
(I)
advanced practice registered nurse licensed by the Texas Board of Nursing as a
psychiatric-mental health clinical nurse specialist or nurse
practitioner.
(16)
QMHP-CS--Qualified Mental Health Professional-Community Services. A QMHP-CS
must demonstrate competency in the work to be performed and:
(A) be a Registered Nurse; or
(B) have a bachelor's degree from an
accredited college or university with a minimum number of hours that is
equivalent to a major in psychology, social work, medicine, nursing,
rehabilitation, counseling, sociology, human growth and development,
physician's assistant, gerontology, special education, educational psychology,
early childhood education, or early childhood intervention.
(17) QPS--Qualified Peer
Supervisor. A QPS must:
(A) be a certified
peer specialist under this subchapter; and
(B) have one of the following combinations:
(i) a high school diploma or General
Equivalency Diploma (GED) and at least four years of work experience as a peer
specialist, up to two years of which may be substituted by work experience
supervising others; or
(ii) an
associate's degree or higher from an accredited college or university and at
least two years of work experience as a peer specialist.
(18) Recipient--Refers to a person
receiving Medicaid services under this subchapter.
(19) Recovery--A process of change through
which a person:
(A) improves one's health and
wellness;
(B) lives a self-directed
life;
(C) strives to reach one's
self-defined full potential; and
(D) participates in one's personal
community.
(20)
Relationship-focused--Requires a peer specialist to deliver services through a
relationship with the recipient that is respectful, trusting, empathetic,
collaborative, and mutual.
(21)
Self-directed recovery--The point at which an individual takes proactive steps
to plan and implement the individual's own recovery.
(22) Substance use disorder--A recurrent use
of alcohol or drugs that causes clinically and functionally significant
impairment, such as health problems, disability, and failure to meet major
responsibilities at work, school, or home.
(23) Trauma-informed--A program,
organization, or system that is trauma-informed realizes the widespread impact
of trauma and understands potential paths for recovery; recognizes the signs
and symptoms of trauma in clients, families, staff, and others involved with
the system; and responds by fully integrating knowledge about trauma into
policies, procedures, and practices, and seeks to actively resist
re-traumatization.
Notes
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