Section 700.525 - What is Tier II: Aggression/Defiance Disorder Services to Support Stabilization Package?(a) A highly structured, trauma-informed facility that, in addition to providing a child's basic living needs, has an intensive treatment program that specializes in providing and coordinating time-limited services to support the emotional stability, well-being, and therapeutic needs of children, youth, and young adults, for whom other forms of specialized treatment have been tried and rendered unsuccessful, and/or treatment in a less-restrictive setting such as in a Foster Family Home or General Residential Operation- Tier I facility is not safe and appropriate based on individualized needs and absent the Tier II intervention, the child, youth, or young adult's well-being, or that of others they interact with, may be at risk, and who are experiencing challenges with a lack of impulse control, and may present with or are pending a DSM diagnosis of Oppositional Defiant Disorder or other Conduct Disorder, and may present with two or more of the following: (1) Severe and chronic challenges in school, with peers, and/or in other social settings; or(2) Severe and chronic challenges with authority and following rules (beyond what would be considered age-appropriate behavior); or(3) Recurring delinquent behaviors which may have resulted in juvenile justice or law enforcement involvement; or(4) Major self-injurious actions, including a suicide attempt within the last 12 months; or(5) Difficulties that present a significant risk of harm to others, including frequent or unpredictable violence or physical aggression; or(6) An additional DSM diagnosis of substance-related and/or addictive disorder with severe impairment.(b) This Service Package is designed to offer temporary, facility-based care, for children, youth, and young adults based on their individual strengths and needs, with the overall goal of achieving emotional and behavioral stability to the level that successful transition to a less restrictive placement offering treatment and recovery services can be achieved.(c) The Operation and Direct Care Staff must be Credentialed to provide Tier II: Aggression/Defiance Disorder Services in accordance with the guidelines and requirements as defined by the Texas Department of Family and Protective Services pursuant to Chapter 40 of the Texas Human Resources Code.40 Tex. Admin. Code § 700.525
Adopted by Texas Register, Volume 49, Number 51, December 20, 2024, TexReg 10391, eff. 12/22/2024