A child needing specialized services has severe problems in one or more areas of functioning. The children needing specialized services may include:
  (1) a child whose characteristics include one or more of the following:
    (A) unpredictable non-violent, anti-social acts;
    (B) frequent or unpredictable physical aggression;
    (C) being markedly withdrawn and isolated;
    (D) major self-injurious actions to include recent suicide attempts; and
    (E) difficulties that present a significant risk of harm to self or others.
  (2) a child who abuses alcohol, drugs, or other conscious-altering substances whose characteristics include one or more of the following:
    (A) severe impairment because of the substance abuse; and
    (B) a primary diagnosis of substance abuse or dependency.
  (3) a child with intellectual or developmental disabilities whose characteristics include one or more of the following:
    (A) severely impaired conceptual, social, and practical adaptive skills to include daily living and self-care;
    (B) severe impairment in communication, cognition, or expressions of affect;
    (C) lack of motivation or the inability to complete self-care activities or participate in social activities;
    (D) inability to respond appropriately to an emergency; and
    (E) multiple physical disabilities including sensory impairments.
  (4) a child with primary medical needs or who requires services to help the child keep, learn or improve skills and functioning for daily living whose characteristics include one or more of the following:
    (A) regular or frequent exacerbations or interventions in relation to the diagnosed medical condition;
    (B) severely limited daily living and self-care skills;
    (C) non-ambulatory or confined to a bed; and
    (D) constant access to on-site, medically skilled caregivers with demonstrated competencies in the interventions needed by children in their care.

Source Note: The provisions of this §700.2343 adopted to be effective March 1, 2004, 29 TexReg 1416; amended to be effective October 15, 2015, 40 TexReg 7105