The following words and phrases when used in this subchapter shall have the following meanings unless the context clearly indicates otherwise.

(1) Behavioral health services--Services that consist of mental health services and services for the prevention, intervention, and treatment of substance abuse.

(2) Brief interventions--Practices designed to initiate resolution of a problem and motivate a person receiving services from a program provider to begin to do something about his or her substance abuse. Brief interventions are described in "Brief Interventions and Brief Therapies for Substance Abuse" (Treatment Improvement Protocol 34), published by the United States Department of Health and Human Services Center for Substance Abuse Treatment.

(3) Case management--Services that assist and support persons receiving services from a program provider in developing skills to gain access to and obtain services from needed medical, social, educational and other service providers essential to meeting basic human needs. This function consists of assessment of needs, appropriate referrals, follow-up on referrals, and a plan of action with clear goals.

(4) Colonias--A residential area along the Texas-Mexico border that lacks basic living needs, such as potable water and sewer systems, electricity, paved roads, and safe and sanitary housing. Colonias, while frequently found in unincorporated areas of the counties, are also found within city limits.

(5) Contract--A written agreement between the department and a program provider providing intervention services.

(6) Department--The Department of State Health Services.

(7) Indicated target population--Indicated services include youth who are showing early warning signs of substance use, such as experimenting, or abuse and/or exhibiting other problem behaviors. This service targets youth in difficult situations resulting in problem behaviors that, if not addressed, may lead to substance use or abuse.

(8) Outreach--The provision of health- and substance abuse-related information, activities, and services to a specified group that has traditionally been underserved. Outreach is a strategy for taking services and activities where the group resides and works.

(9) Program provider--A person or entity that contracts with the department to provide substance abuse intervention services.

(10) Referral--The process of identifying appropriate services and providing the information and assistance needed to obtain access to them.

(11) Rural border--The area that extends 62 miles north of the Texas-Mexico border and encompasses 32 counties as described in the United States-Mexico La Paz agreement of 1983.

(12) Screening--The process through which the program provider, person receiving services from the program provider, and available family determine the most appropriate initial course of action given the needs and characteristics of the person receiving services from the program provider and the available resources within the community. Screening includes determining whether a person receiving services from a program provider is appropriate and eligible for admission to a particular treatment service type.

(13) Selective target population--The target population for selective prevention services is those individuals whose risk of developing a substance use or abuse disorder is significantly higher than average. These services target individuals or subgroups of the general population who are determined to be at risk for substance abuse, such as children of substance abusers.

(14) Service coordination--Administrative, clinical, and evaluative activities that bring the person receiving services from the program provider, treatment services, community agencies, and other resources together to focus on issues and needs identified in the plan for treatment of the person receiving services. Service coordination, which includes case management and advocacy for the person receiving services, establishes a framework of action for the person receiving services to achieve specified goals. It involves collaboration with the person receiving services, and family and/or significant others; coordination of treatment and referral services, liaison activities with community resources and managed care systems, advocacy for the person receiving services, and ongoing evaluation of treatment progress and needs of the person receiving services.

(15) State of Texas required training program--The State of Texas required training program on human immunodeficiency virus (HIV) antibody testing and counseling which is used as a tool to guide the discussion with a person receiving services from a program provider about his/her risk(s) as it relates to HIV, sexually transmitted disease (STD), hepatitis C virus (HCV), his/her most recent risk, and the development of incremental steps to reduce the person's risk for acquiring or transmitting HIV/STD/HCV. This State of Texas training program is required for all program providers performing HIV testing/counseling.

Source Note: The provisions of this §321.55 adopted to be effective September 2, 2012, 37 TexReg 6600; transferred effective March 15, 2020, as published in the February 21, 2020 issue of the Texas Register, 45 TexReg 1240