A child needing intense services has severe problems in one or more areas of functioning that present an imminent and critical danger of harm to self or others. The children needing intense services may include:
  (1) a child whose characteristics include one or more of the following:
    (A) extreme physical aggression that causes harm;
    (B) recurring major self-injurious actions to include serious suicide attempts;
    (C) other difficulties that present a critical risk of harm to self or others; and
    (D) severely impaired reality testing, communication skills, cognitive, affect, or personal hygiene.
  (2) a child who abuses alcohol, drugs, or other conscious-altering substances whose characteristics include a primary diagnosis of substance dependency in addition to being extremely aggressive or self-destructive to the point of causing harm.
  (3) a child with intellectual or developmental disabilities whose characteristics include one or more of the following:
    (A) impairments so severe in conceptual, social, and practical adaptive skills that the child's ability to actively participate in the program is limited and requires constant one-to-one supervision for the safety of self or others; and
    (B) a consistent inability to cooperate in self-care while requiring, constant one-to-one supervision for the safety of self or others.
  (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 that present an imminent and critical medical risk whose characteristics include one or more of the following:
    (A) frequent acute exacerbations and chronic, intensive interventions in relation to the diagnosed medical condition;
    (B) inability to perform daily living or self-care skills; and
    (C) medical supervision, 24-hour on-site, to sustain life support.

Source Note: The provisions of this §700.2363 adopted to be effective March 1, 2004, 29 TexReg 1416; amended to be effective October 15, 2015, 40 TexReg 7105