Section 700.526 - What is Tier II: Complex Mental Health 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 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 present with or are pending multiple, co-occurring DSM diagnoses for emotional, behavioral, neurological, and/or developmental disorder(s).(b) In addition to the co-occurring DSM diagnoses, the child, youth, or young adult may demonstrate two or more of the following: (1) Major self-injurious actions, including a suicide attempt within the last 12 months; or(2) Difficulties that present a significant risk of harm to others, including frequent or unpredictable physical aggression; or(3) An additional DSM diagnosis of substance-related and/or addictive disorder with severe impairment; and(4) If one of the co-occurring DSM diagnoses is for Intellectual or Developmental Disability or Autism Spectrum Disorder, the child's behavior is characterized by prominent, severe deficits and pervasive impairment in one or more of the following areas (of development if diagnosis is Autism Spectrum Disorder): (A) Conceptual, social, and practical adaptive skills to include daily living and self-care;(B) Communication, cognition, or expressions of affect;(C) Self-care activities or participation in social activities;(D) Responding appropriately to an emergency; or(E) Multiple physical disabilities, including sensory impairments.(c) 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.(d) The Operation and Direct Care Staff must be Credentialed to provide Tier II: Complex Mental Health Services in accordance with the guidelines and requirements as defined by the Department of Family and Protective Services pursuant to Chapter 40 of the Texas Human Resources Code.40 Tex. Admin. Code § 700.526
Adopted by Texas Register, Volume 49, Number 51, December 20, 2024, TexReg 10391, eff. 12/22/2024