(a) Description.
  (1) Skills training and development services is training provided to an eligible individual or the LAR or primary caregiver of an eligible adult, child, or adolescent. Such training:
    (A) addresses serious mental illness or SED and symptom-related problems that interfere with the individual's functioning and living, working, and learning environment;
    (B) provides opportunities for the individual to acquire and improve skills needed to function as appropriately and independently as possible in the community; and
    (C) facilitates the individual's community integration and increases his or her community tenure.
  (2) Skills training and development services consist of teaching an individual the following skills:
    (A) skills for managing daily responsibilities (e.g., paying bills, attending school, and performing chores);
    (B) communication skills (e.g., effective communication and recognizing or change problematic communication styles);
    (C) pro-social skills (e.g., replacing problematic behaviors with behaviors that are socially and culturally appropriate or developing interpersonal relationship skills necessary to function effectively with family, peer, teachers, or other people in the community);
    (D) problem-solving skills;
    (E) assertiveness skills (e.g., resisting peer pressure, replacing aggressive behaviors with assertive behaviors, and expressing one's own opinion in a manner that is socially appropriate);
    (F) social skills and expanding the individual social support network, (e.g., selection of appropriate friends and healthy activities);
    (G) stress reduction techniques (e.g., progressive muscle relaxation, deep breathing exercises, guided imagery, and selected visualization);
    (H) anger management skills (e.g., identification of antecedents to anger, calming down, stopping and thinking before acting, handling criticism, avoiding and disengaging from explosive situations);
    (I) skills to manage the symptoms of serious mental illness or SED and to recognize and modify unreasonable beliefs, thoughts and expectations;
    (J) skills to identify and utilize community resources and informal supports;
    (K) skills to identify and utilize acceptable leisure time activities (e.g., identifying pleasurable leisure time activities that will foster acceptable behavior); and
    (L) independent living skills (e.g., money management, accessing and using transportation, grocery shopping, maintaining housing, maintaining a job, and decision making).
  (3) Skills training and development services consist of:
    (A) assisting the child or adolescent in learning the skills described in paragraph (2) of this subsection; and
    (B) increasing the LAR's or primary caregiver's understanding of and ability to respond to the individual's needs identified in the uniform assessment or documented in the recovery plan.
(b) Conditions.
  (1) Skills training and development services may be provided to:
    (A) an eligible adult;
    (B) an eligible child or adolescent; or
    (C) the LAR or primary caregiver of an individual.
  (2) Skills training and development services provided to an individual, LAR, or primary caregiver of a child or adolescent may be provided:
    (A) individually; or
    (B) in a group.
  (3) Skills training and development services may be provided:
    (A) on site; or
    (B) in vivo.
  (4) Skills training and development services provided to an individual must be provided according to curricula approved by the department.
  (5) Skills training and development services provided to an adult or LAR must be provided by:
    (A) a QMHP-CS;
    (B) a CSSP; or
    (C) a peer provider.
  (6) Skills training and development services provided to a child or adolescent, LAR, or primary caregiver must be provided by:
    (A) a QMHP-CS;
    (B) a CSSP; or
    (C) a CFP.
  (7) Skills training and development services may not be provided to an individual who is currently admitted to a CSU.
(c) Frequency and Duration. The provision of skills training and development services must be in accordance with the amount and duration for which the provider has obtained authorization in accordance with §416.6 of this title (relating to Service Authorization and Recovery Plan).

Source Note: The provisions of this §306.319 adopted to be effective January 22, 2014, 39 TexReg 299; transferred effective March 15, 2020, as published in the February 21, 2020 issue of the Texas Register, 45 TexReg 1239