26 Tex. Admin. Code § 554.904 - Behavioral Health Services
Each resident must receive and the facility must provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and care plan.
(1) The facility must have sufficient staff
who provide direct services to a resident with the appropriate competencies and
skills sets to provide nursing and related services to assure resident safety
and attain or maintain the highest practicable physical, mental, and
psychosocial well-being of each resident. This is determined by resident
assessments and individual comprehensive care plans and considering the number,
acuity and diagnoses of the facility's resident population in accordance with
§
554.1931 of this chapter (relating
to Facility Assessment). These competencies and skills sets include knowledge
of and appropriate training and supervision for:
(A) caring for a resident with mental and
psychosocial disorders, as well as a resident with a history of trauma or
post-traumatic stress disorder, that have been identified in the facility
assessment conducted pursuant to §
554.1931 of this chapter;
and
(B) implementing
non-pharmacological interventions.
(2) Based on the comprehensive assessment of
a resident, the facility must ensure that:
(A) a resident who displays or is diagnosed
with mental disorder or psychosocial adjustment difficulty, or who has a
history of trauma or post-traumatic stress disorder, receives appropriate
treatment and services to correct the assessed problem or to attain the highest
practicable mental and psychosocial well-being;
(B) a resident whose assessment did not
reveal or who does not have a diagnosis of a mental or psychosocial adjustment
difficulty or a documented history of trauma or post-traumatic stress disorder
does not display a pattern of decreased social interaction or increased
withdrawn, angry, or depressive behaviors, unless the resident's clinical
condition demonstrates that development of such a pattern was unavoidable;
and
(C) a resident who displays or
is diagnosed with dementia, receives the appropriate treatment and services to
attain or maintain the resident's highest practicable physical, mental, and
psychosocial well-being.
(3) If rehabilitative services such as
physical therapy, speech-language pathology, occupational therapy, and
rehabilitative services for mental disorders and intellectual disability, are
required in the resident's comprehensive care plan, the facility must:
(A) provide the required services, including
specialized rehabilitation services as required in §
554.802 of this chapter (relating
to Comprehensive Person-Centered Care Planning).
(B) obtain the required services from an
outside resource in accordance with §
554.1906 of this chapter (relating
to Use of Outside Resources), from a Medicare or Medicaid provider of
specialized rehabilitative services.
(4) The facility must provide
medically-related social services to attain or maintain the highest practicable
physical, mental and psychosocial well-being of each resident.
Notes
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No prior version found.