Texas Register, Volume 5, Number 5, Pages 163-206, January 18, 1980 Page: 178
163-206 p. ; 28 cm.View a full description of this periodical.
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(A) Detoxification (with or without counseling).
Detoxification is the period of planned withdrawal from drug
dependency supported by use of a prescribed medication. If
methadone detoxification exceeds 21 days, the treatment
modality becomes maintenance; however, there are other
types of detoxification which may last six weeks or longer.
(B) Maintenance. The modality assigned to the
client during which only methadone, LAAM (1-alpha
acetymethadol), or Darvon/N (Propoxyphene-N) is
prescribed to achieve stabilization. Detoxification from
maintenance, slow methadone withdrawal, and the absti-
nence phase of maintenance are included in this category.
(C) Drug free. The treatment regimen that does
not include any chemical agent or medication as the primary
part of drug treatment. The treatment modality withdrawal
without medication is drug free. Temporary medication may
be prescribed in a drug-free modality, e.g., short-term use of
tranquilizers, but the primary treatment method is tradi-
tional counseling (individual, group, family, etc.).
(D) Other. The primary treatment modality
assigned the client is other than those specified above.
(i) With medication. The primary treatment
modality assigned the client includes chemotherapy using a
primary medication (other than methadone, LAAM, or Dar-
von-N), such as the antagonists. This includes the sustained
use of medications for conditions such as anxiety, depression,
manic depression, and schizophrenia.
(ii) Without medication. This includes
modalities using other primary treatment methods, e.g., acu-
puncture, transcendental meditation, yoga, etc.
.130. Alcoholism. A disease of unknown cause, without
recognizable anatomical signs, manifested by addiction to or
dependence on alcohol. Universal alcoholism treatment and
rehabilitation services include:
(1) Extended services--a specialized unit or facility
that provides through an organized medical or professional
team, permanent facilities that include inpatient beds, medi-
cal services, and continuous nu..,ing services, emergency
care diagnosis, and treatment of patients.
(2( Medical care detoxification services-a
specialized unit or facility which provides 24-hour supervised
care under the direction of a physician in a hospital or other
suitably equipped medical setting.
(3) Nonmedical care detoxification services-a
specialized unit or facility that. provides treatment by utiliza-
tion of rest, fluids, medications, counseling, and nursing care
to restore physiological functions.
(4) Intermediate care services-a specialized unit or
facility designed to rehabilitate the alcoholic person by plac-
ing the client in an organized therapeutic environment in
which he may receive diagnostic services, counseling, voca-
tional rehabilitation, and/or work therapy.
(5) Outpatient care services-a specialized unit or
facility designed to provide a variety of diagnostic and prim-
ary alcoholism treatment services on both a scheduled basis
and nonscheduled basis in a nonresidential setting to
alcoholic persons and their families.
(6) Outreach care services-a specialized unit or
facility that provides care and facilitates identification (with-
'in a target population) of persons and their families who have
problems related to the use of alcohol.
(7) After care services-a specialized unit or facility
that provides care to patients who have progressed suffi-
ciently through emergency, inpatient, intermediate, and/oroutpatient services to a point in their recovery where they
will benefit from a level of continued contact which will sup-
port and increase the gains made to date in the treatment
process.
. 140. Psychiatric. A service provided by hospitals or other
health care facilities which deals with the study, treatment,
and prevention of mental illness.
(1) Adult psychiatric service-a specialized unit or
facility offering as its primary function the diagnosis, treat-
ment, and rehabilitation of the psychiatrically ill, and in
which there are psychiatrists or other physicians who assume
clinical responsibility for all patients with a primary diag-
nosis of psychiatric disorder.
(2) Psychiatric outpatient service-a specialized unit
or facility which enables individuals to obtain psychiatric
treatment for emotional, mental, or behavioral problems
without disrupting the patern of their daily lives. The usual
procedure involves periodic visits of a relatively short dura-
tion.
(3) Child and adolescent psychiatric services---a
specialized unit or facility having as its primary function the
assessment, treatment, and rehabilitation of children and
adolescents with emotional and/or behavioral disorders
and/or deviations or disturbances in their development, and
in which there are psychiatrists or other physicians who
assume medical responsibilities for all children and adoles-
cents under the care of a facility.
. 150. Long-Term Care. Health care services provided by
hospitals, nursing homes, or other health care facilities to in-
dividuals who require health care services above the level of
room and board on a long-term basis due to chronic illness,
age, or disability (mental or physical).
(1) Skilled nursing care-a service necessitating
skilled nursing techniques and/or medical therapy of a com-
plex and/or intensive degree on a long-term basis. The care
would meet the current health needs and promote the max-
imum physical and psychosocial well-being of patients receiv-
ing such care on a 24-hour basis. Licensed nursing care and
supervision is required.
(2) Intermediate care-a service providing medically
and socially oriented nursing care necessitating licensed
nursing supervision and/or services and/or medical therapy
of a moderately complex yet specific nature on a long-term
basis. This care would meet the current health needs and
promote the maximum physical and psychosocial well-being
of patients receiving such care.
(3) Custodial care--socially oriented institutional
care necessitating personal and social supervision and/or ser-
vices of a simple but nonmedical nature on a long-term basis.
(4) Extended care-a health care service provided by
a skilled nursing facility or other health care facility to in-
dividuals recovering from an acute illness or operation for an
extended period of time and do not require hospitalization or
long-term care.
.160. Home Health Care. A health care service provided
by an agency in a patient's residence for pay or other con-
sideration according to a written and signed plan of treat-
ment prescribed by a physician. The health care services pro-
vided in a patient's residence include nursing care, physical
therapy, occupational therapy, speech therapy, medical
social service, home health aide, furnishing medical supplies,
and nutritional counseling.Volume 5, Number 5, January 18, 1980
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Texas. Secretary of State. Texas Register, Volume 5, Number 5, Pages 163-206, January 18, 1980, periodical, January 18, 1980; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth244557/m1/16/: accessed April 26, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.