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TAC Title 37, Part 9

This website lists public safety requirements for a Texas Jail Facility.

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The Texas Commission on Jail Standards website offers all information including rules and regulations for corrections facilities.

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Home - Texas Commission on Jail Standards

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The current minimum standards are available on the Texas Secretary of State’s website.

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If a person suffers from substance abuse there are facility protocols and treatment options that must be addressed.

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Texas Health and Safety Code Chapter 462

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All persons booked into a correctional facility will undergo a mental illness and mental retardation assessment.

THSC 483.102

Title 42 —Public Health Chapter IV —Centers for Medicare & Medicaid Services, Department of Health and Human Services Subchapter G —Standards and Certification Part 483 —Requirements for States and Long Term Care Facilities Subpart C —Preadmission Screening and Annual Review of Mentally Ill and Mentally Retarded Individuals.

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42 CFR 483.102 Screening for mental illness and mental retardation HHS

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Laurissa Garza

M.A. Professional Counseling

Personal Goal: I want to be more organized with outlines for schoolwork and score an "A." I am focusing on networking and collaborating with my peers.

Professional Goal: I aim to become a Licensed Mental Health Professional for our local jail facility.

This course will help me develop trauma-informed counseling skills like how recognizing trauma responses, gaining the tools to create a safe and effective environment for counseling sessions, and using mindful techniques to manage PTSD and other trauma-related symptoms. By helping inmates process their trauma, it can reduce anger, impulsivity, and destructive coping mechanisms, which, in turn, can enhance rehabilitation and reduce recidivism.

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Section 1 - Unit 1 Assignment 1 Reflection and artifact for Introduction and Assessing Prior Knowledge

Reflection

The key takeaways from this assignment were the ratios of mental health professionals to individuals and the rapid decline in the mental health of our children in the United States today.

According to Statista, there was one mental health professional per 340 individuals in 2024. Some states have as few as 1 in 800 people, which signifies the vast amount of mental health concerns that may go undocumented and untreated.

The mental health of our children is declining at rates suggesting that 15.08% of youth (age 12-17) report suffering from at least one major depressive episode (MDE), with females being three times more likely to be depressed than males, according to Mental Health America, MHA, a non-profit organization in 2022.

I have learned that America's shortage of mental health professionals is significantly impacting society's ability to live a productive, healthy life.

Reference

Mental health provider ratio by US state 2024 | statista. Statista. (2024). https://www.statista.com/statistics/607087/us-mental-health-providers-rate-state/

Youth Data 2022. Mental Health America. (2022). https://www.mhanational.org/issues/2022/mental-health-america-youth-data

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Introduction and Assessing Prior Knowledge ARTIFACT

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Section 2 - Unit 1 Assignment 4 Reflection and artifact for Reference Guide for Mental Health Disorders.

In doing this assignment I learned a great deal about each disorder. I realized I knew basic knowledge but was surprised at how common these disorders are today.

This reference sheet will significantly benefit me as it allows me to quickly reference the most common disorders as I have identified the signs and symptoms and the importance of early intervention.

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Copy of Reference Guide for Mental Health Disorders Unit ARTIFACT

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Section 3 - Unit 2 Assignment 2 Reflection and artifact for Developmental Discussion on Trauma.

I enjoyed this assignment as it enlightened me on how we see and interpret trauma. It is beneficial to have multiple viewpoints and opinions on how to deal with trauma and what trauma looks like to others. Each person's experience will give way to unique counseling and therapeutic experiences.

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Developmental Blog on Trauma 1 through 4

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A code of ethics binds addiction professionals and requires certification standards.

NAADAC: The Association for Addiction Professionals

NCC AP: The National Certification Commission for Addiction Professionals

NAADAC Code of Ethics

P1 Non-discrimination

P4 Confidentiality

P8 Client welfare

P10 Cultural Competence

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This website is The American Counseling Association Code of Ethics for counseling professionals.

ACA Code of Ethics

A.1.a: Primary Responsibility

B.1.c: Respect for Confidentiality

C.2.a: Boundaries of Competence

A.6.a: Crisis Response

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Linked are the Texas Licensed Professional Counselors' rules to practice counseling methods and practices.

LPC Code of Ethics

LPC Rules 681.31 - 681.51

Duty to warn and protect

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The use of specific methods, techniques, or modalities within the practice of professional counseling is limited to professional counselors appropriately trained and competent in the use of such methods, techniques, or modalities. Authorized counseling methods, techniques and modalities may include, but are not restricted to, the following:
(1) individual counseling, which uses interpersonal, cognitive, cognitive-behavioral, behavioral, psychodynamic, and affective methods and strategies to achieve mental, emotional, physical, social, moral, educational, career, and spiritual development and adjustment through the life span; (2) group counseling, which uses interpersonal, cognitive, cognitive-behavioral, behavioral, psychodynamic, and affective methods and strategies to achieve mental, emotional, physical, social, moral, educational, spiritual, and career development and adjustment through the life span; (3) marriage/couples counseling, which uses interpersonal, cognitive, cognitive-behavioral, behavioral, psychodynamic, affective and family systems methods and strategies to achieve resolution of problems associated with cohabitation and interdependence of adults living as couples; (4) family counseling, which uses interpersonal, cognitive, cognitive-behavioral, behavioral, psychodynamic, affective and family systems methods and strategies with families to achieve mental, emotional, physical, moral, social, educational, spiritual, and career development and adjustment through the life span; (5) addictions counseling, which uses interpersonal, cognitive, cognitive-behavioral, behavioral, psychodynamic, affective methods and strategies, and 12-step methods to achieve abstinence from the addictive substances and behaviors by the client; (6) rehabilitation counseling, which uses interpersonal, cognitive, cognitive-behavioral, behavioral, psychodynamic, and affective methods and strategies to achieve adjustment to a disabling condition and to reintegrate the individual into the mainstream of society; (7) education counseling, which uses formal and informal counseling methods and assessments and appraisal instruments for the purpose of determining strength, weakness, mental condition, emotional stability, intellectual ability, interest, skill, aptitude, achievement, and other personal characteristics of individuals for the selection of and placement in educational settings, preschool through postdoctoral study; (8) career development counseling, which uses formal and informal counseling methods and appraisal instruments for the purpose of determining intellectual ability, interest, skill, aptitude, achievement, mental condition, emotional fitness, and other personal characteristics for occupational, vocational, and career selection and placement throughout the life span; (9) sexual issues counseling, which uses interpersonal, cognitive, cognitive-behavioral, behavioral, psychodynamic, and affective methods and strategies in the resolution of sexual disorders; (10) referral counseling, which uses the processes of evaluating and identifying needs of clients to determine the advisability of referral to other specialists, informing the client of such judgment and communicating as requested or deemed appropriate to such referral sources; (11) psychotherapy, which uses interpersonal, cognitive, cognitive-behavioral, behavioral, psychodynamic, and affective methods and/or strategies to assist clients in their efforts to recover from mental or emotional issues; (12) play therapy, which uses play and play media as the child's natural medium of self-expression, and verbal tracking of the child's play behaviors and feelings as a part of the therapist's role in helping children overcome their social, emotional, and behavioral issues; (13) hypnotherapy, which uses the principles of hypnosis and post-hypnotic suggestion in the treatment of mental and emotional issues and addictions; (14) expressive modalities used in the treatment of interpersonal, emotional or mental health issues, chemical dependency, or human developmental issues. Modalities include but are not limited to, music, art, dance movement, or the use of techniques employing animals in providing treatment; (15) biofeedback, which uses electronic equipment to monitor and provide feedback regarding an individual's physiological responses. The counselor who uses biofeedback must be able to prove academic preparation and supervision in the use of the equipment as a part of the counselor's academic program or the substantial equivalent provided through approved continuing education; (16) assessing and appraising, in compliance with §681.43 of this title (relating to Testing), which uses formal and informal instruments and procedures, for which the counselor has received appropriate training and supervision, in individual and group settings for the purposes of determining the client's strengths and weaknesses, mental status, emotional stability, intellectual ability, interests, aptitudes, achievement level and other characteristics for diagnosing mental health disorders; but does not permit the diagnosis of a physical condition or physical disorder; (17) consulting, which uses the application of specific principles and procedures in counseling to provide assistance in understanding and solving current or potential problems that the consultee may have in relation to a third party, whether individuals, groups, or organizations but not considered direct client contact for LPC Associates; and (18) crisis counseling, which focuses on short term counseling interventions to address immediate situations including factors such as safety and immediate needs.

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The use of specific methods, techniques, or modalities within the practice of professional counseling is limited to professional counselors appropriately trained and competent in the use of such methods, techniques, or modalities.

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Texas State Board of Examiners of Professional Counselors requires certification for counseling professionals.

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Texas State Board of Examiners of Professional Counselors – Texas Behavioral Health Executive Council

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Welcome to the home page of the Texas State Board of Examiners of Professional Counselors, the state board that licenses and regulates Licensed Professional Counselors in Texas. This website contains information about Licensed Professional Counselors including licensing requirements and FAQS about the practice of counseling in the state of Texas.

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Health Insurance Portability and Accountability Act of 1996

This website offers information for individuals and professionals regarding the privacy of electronic healthcare records.

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To improve the efficiency and effectiveness of the health care system, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, included Administrative Simplification provisions that required HHS to adopt national standards for electronic health care transactions and code sets, unique health identifiers, and security. At the same time, Congress recognized that advances in electronic technology could erode the privacy of health information. Consequently, Congress incorporated into HIPAA provisions that mandated the adoption of Federal privacy protections for individually identifiable health information.

HHS published a final Privacy Rule in December 2000, which was later modified in August 2002. This Rule set national standards for the protection of individually identifiable health information by three types of covered entities: health plans, health care clearinghouses, and health care providers who conduct the standard health care transactions electronically. Compliance with the Privacy Rule was required as of April 14, 2003 (April 14, 2004, for small health plans).

HHS published a final Security Rule in February 2003. This Rule sets national standards for protecting the confidentiality, integrity, and availability of electronic protected health information. Compliance with the Security Rule was required as of April 20, 2005 (April 20, 2006 for small health plans).

The Enforcement Rule provides standards for the enforcement of all the Administrative Simplification Rules.

HHS enacted a final Omnibus rule that implements a number of provisions of the HITECH Act to strengthen the privacy and security protections for health information established under HIPAA, finalizing the Breach Notification Rule.

View the Combined Regulation Text (as of March 2013). This is an unofficial version that presents all the HIPAA regulatory standards in one document. The official version of all federal regulations is published in the Code of Federal Regulations (CFR). View the official versions at 45 C.F.R. Part 160, Part 162, and Part 164.

Other HIPAA Administrative Simplification Rules are administered and enforced by the Centers for Medicare & Medicaid Services, and include:

OCR has established two listservs to inform the public about health information privacy and security FAQs, guidance, and technical assistance materials. We encourage you to sign up and stay informed!

Content created by Office for Civil Rights (OCR)

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To improve the efficiency and effectiveness of the health care system, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, included Administrative Simplification provisions that required HHS to adopt national standards for electronic health care transactions and code sets, unique health identifiers, and security.

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Local Emergency and non-emergency support services.

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Local Emergency and non-emergency support services.

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Emergency Mental Health Crisis Services

Call 911: Tell the dispatcher it’s a mental health emergency. Request assistance from a Crisis Intervention Team (CIT) if available. While Crockett County may not have a dedicated CIT, law enforcement can connect you to regional crisis services.

988 Suicide and Crisis Lifeline: Call or text 9-8-8 (24/7). TTY users can dial 711 then 9-8-8.

Crisis Text Line: Text 741741 (24/7). A trained crisis counselor will respond quickly to provide confidential support.

Local/Regional Crisis Support

Ozona falls under the service area of the West Texas Centers, the Local Mental Health Authority (LMHA) for Crockett County:

West Texas Centers Crisis Hotline: Call 1-800-375-4357 (24/7). This hotline offers immediate assistance, including phone counseling and, if needed, dispatch of a Mobile Crisis Outreach Team (MCOT). The MCOT provides face-to-face assessments and intervention within 1-2 hours, depending on urgency and location.

In-Person Crisis Services: West Texas Centers operates out of multiple locations, with the nearest likely being in San Angelo (Tom Green County, about 70 miles from Ozona). Call the hotline first to confirm availability or transport options:

San Angelo Office: 409 W 1st St, San Angelo, TX 76903. Phone: (325) 653-5933.

Services include crisis assessment, stabilization, and referrals.

Non-Emergency Mental Health Support

For ongoing support or non-urgent concerns:

West Texas Centers Behavioral Health Services: Contact their main line at 1-800-852-5632 or the San Angelo office at (325) 653-5933 to schedule an appointment. They offer outpatient counseling, case management, and psychiatric care for Crockett County residents. You may need to travel to San Angelo or another nearby hub for in-person visits.

2-1-1 Texas: Call or text 2-1-1 (24/7) or visit 211texas.org. This free service connects you to local health and human services, including mental health resources, support groups, and financial assistance for care.

NAMI West Texas: The National Alliance on Mental Illness provides education, support groups, and referrals. While based in San Angelo, they serve the region:

Phone: (325) 212-6060

Website: namiwesttexas.org

Check for virtual or in-person support group schedules.

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Section 4 - Unit 3 Assignment 1 Reflection and artifact  for Psychological First Aid Online Certificate.

Psychological First Aid is designed to reduce the initial distress of a traumatic event to foster short-term and long-term adaptive functioning and coping to help people in the immediate aftermath of a disaster or terrorism. (Peterson, 2018).

The eight PFA Core Actions include

Contact and Engagement

Safety and Comfort

Stabilization (if needed)

Information Gathering on Current Needs and Concerns

Practical Assistance: To offer practical help to survivors in addressing immediate needs and concerns.

Connection with Social Supports

Information on Coping

Linkage with Collaborative Services

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Psychological First Aid (PFA) Online_Certificate

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Information explaining confidentiality of substance use disorder patient records.

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Code of Federal Regulations Title 42 CFR Part 2 (up to date as of 3-06-2025) SubAbuse records

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The ADA prohibits discrimination on the basis of disability just as other civil rights laws prohibit discrimination on the basis of race, color, sex, national origin, age, and religion.

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Introduction to the Americans with Disabilities Act

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The Americans with Disabilities Act (ADA) is a federal civil rights law that prohibits discrimination against people with disabilities in everyday activities.

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Civil Rights Of Institutionalized Persons

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Civil Rights Of Institutionalized Persons

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Table of Contents
§ 1997. Definitions
§ 1997a. Initiation of civil actions
§ 1997b. Certification requirements; Attorney General to personally sign certification
§ 1997c. Intervention in actions
§ 1997d. Prohibition of retaliation
§ 1997e. Suits by prisoners
§ 1997f. Report to Congress
§ 1997g. Priorities for use of funds
§ 1997h. Notice to Federal departments
§ 1997i. Disclaimer respecting standards of care
§ 1997j. Disclaimer respecting private litigation

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Prisoner Rape Elimination Act

PREA Demonstration Projects establish “Zero Tolerance” Cultures for Sexual Assault Program. The PREA Program provides funding to state and local governments and federally recognized tribes for demonstration projects within confinement settings including, adult prisons and jails, juvenile facilities; community corrections facilities; law enforcement lockups and other temporary holding facilities, and tribal detention facilities.

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Prison Rape Elimination Act (PREA) | Overview

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Section 5 - Unit 3 Assignment 2 Reflection and artifact for Crisis Prevention and Threat Assessment.

Group projects offer collective decision-making because it allows for diverse expertise, enhanced information sharing by pooling information from multiple sources in real-time, risk mitigation through debate like healthy disagreements and critical questioning, faster response coordination where teams can divide tasks up so as not to overwhelm an individual, and psychological resilience as threats and crises can be stressful. Working in a group provides emotional support and shared responsibility, preventing burnout and maintaining focus under pressure.

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Section 6 - Unit 3 Assignment 3 Reflection and Artifact: ABC Crisis Model

Crisis intervention aims to reduce the intensity of an individual’s reactions to a crisis, restore their prior level of functioning, enhance coping skills, and eliminate ineffective coping mechanisms. It also prepares individuals to handle future challenges more effectively.

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Health and Human Services identifies the local authorities, their responsibilities, and Texas mental health community services standards.

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Cultural competence is vital to delivering responsive services in a Texas jail facility because it ensures that staff can effectively understand, communicate with, and support a diverse inmate population, which directly impacts safety, mental health outcomes, and rehabilitation efforts. Cultural competence bridges gaps between staff and inmates in the following ways:

Building Trust and Reducing Tension

Effective Communication

Tailored Mental Health and Crisis Support

Addressing Disparities in Behavior

Supporting Rehabilitation and Reentry

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Mental health provider ratio by US state 2024 | statista. Statista. (2024). https://www.statista.com/statistics/607087/us-mental-health-providers-rate-state/

Peterson, S. (2018a, March 29). About PFA. The National Child Traumatic Stress Network. https://www.nctsn.org/treatments-and-practices/psychological-first-aid-and-skills-for-psychological-recovery/about-pfa

Youth Data 2022. Mental Health America. (2022). https://www.mhanational.org/issues/2022/mental-health-america-youth-data