Handbook Revision, April 1, 2021

This revision of the Statewide Intake Policy and Procedures Handbook was published on April 1, 2021. Summaries of new or revised items are provided below.

CRSR Protective Service Alert (PATS 13287)

This handbook revision adds two steps to SWI procedures for closing a Protective Service Alert at intake.

See:

4824 CRSR – Protective Service Alert (C-SA)

Declining an Interpreter (PATS 13082)

This handbook revision adds one new section and edits two others to address what the intake specialist does in the following situations:

A reporter declines to use an interpreter.
An internet, mail, or fax report is received and the narrative is in Spanish.

See:

2127 Reporters Who Decline an Interpreter

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2350 Narratives for Internet Reports

2360 Narratives for Mail or Fax Reports

UTC Procedures (PATS 13262)

This handbook revision provides additional guidance to intake staff when an intake specialist finds a red sunburst during a history search of the family and the reporter can provide a current address for the family.

See:

4611.1 UTC Procedures

New 6000 and 7000 Sections (PATS 12947)

The 7000 section of the SWI Handbook was the Provider Investigations (PI) section. In this revision, SWI has rewritten it and divided it into two sections – the 6000 and 7000 sections. The new 6000 section covers facilities that PI investigates, and the new 7000 section covers community providers that PI investigates. See the table below documenting the new policy locations.

Additionally, two other sections have been renumbered to accommodate this revision:

6000 Adult Protective Services In-Home (APS) has become 5000, and the digit 6 has been replaced with 5 in all its subitems. However, there are no policy changes.
5000 Child Care Investigations (CCI) and Child Care Regulation (CCR) has become 8000, and the digit 5 has been replaced with 8 in all its subitems. However, there are no policy changes.

Old Section	New Section in 6000 HHSC Provider Investigations Facility	New Section in 7000 HHSC Provider Investigations Community
7000 Provider Investigations	6000 Provider Investigations - Facility	7000 Provider Investigations - Community
7100 APS Provider Investigations (APS PI) Jurisdiction	6100 HHSC Provider Investigations (PI) Facility	7100 Provider Investigations – Community
7110 Definitions of Facility and Provider	6000 HHSC Provider Investigations (PI) Facility 6100 Provider Investigations – Facility	7000 HHSC Provider Investigations (PI) Community 7100 Provider Investigations – Community
7200 Entities Investigated by APS Provider Investigations	Everything except information under the subheading was deleted. Information under the subheading is in: 6630 Resource Section 6110 Facilities for Individuals with an Intellectual Disability (IID) or Related Condition 6111 State Supported Living Centers (SSLCs) 6113 Rio Grande State Center (ICF-IID Component) 6112 Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition (ICFs-IID)	Everything except information under the subheading was deleted. Information under the subheading is in 7530 Resource Section
7210 Assessing Jurisdiction Based on Facility	6123 Private Psychiatric Facility Contracting with a Health and Human Services Agency 6130 Community Centers 6630 Resource Section	None
7211 Facilities for Individuals with an Intellectual Disability or Related Condition	6110 Facilities for Individuals with an Intellectual Disability (IID) or Related Condition	None
7211.1 State Supported Living Centers	6111 State Supported Living Centers (SSLCs)	None
7211.2 Rio Grande State Center (ICF/IID Component)	6113 Rio Grande State Center (ICF-IID Component)	None
7211.3 Intermediate Care Facilities	6112 Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition (ICFs-IID)	None
7211.4 Home and Community-based Services (HCS) (Facility)	6114 Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Waiver Programs	None
7212 Mental Health Services Providers	6120 Mental Health Services Providers	None
7212.1 State Hospitals	6121 State Hospitals	None
7212.2 Rio Grande State Center	6122 Rio Grande State Center (Mental Health Component)	None
7212.3 Private Psychiatric Facilities Contracted with DSHS	6123 Private Psychiatric Facility Contracting with a Health and Human Services Agency	None
7213 Community Centers (Facility)	6130 Community Centers	None
7213.1 Local Authorities (Facility)	6130 Community Centers	None
7220 Assessing Jurisdiction Based on Provider	6221 Alleged Victim (VC) 6222 Alleged Perpetrator (AP) 6630 Resource Section 6750 Contracted Services Outside the Facility (Such as Dayhabs) 6843 Host Home/Companion Home (Formerly Called HCS Foster Care) 6820 Group Homes, Boarding Homes, IMPACT, and the LTCR Search 6841 HCS Group Homes 6842 HCS Services in the Client’s Own Home 6844 Child or Youth in DFPS Conservatorship in an HCS Setting 6844.1 Child or Youth Lives in an HCS Group Home 6844.2 Child or Youth Lives in an HCS Host Home/Companion Home 6850 Incidents Off the Grounds of the Facility	None
7221 Managed Care Organization	None	7100 Provider Investigations – Community
7221.1 Programs Provided by Managed Care Organizations	None	7100 Provider Investigations – Community
7222 Home and community-based Services (HCBS) (Provider)	6114 Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Waiver Programs.	7100 Provider Investigations – Community
7223 Home and Community Support Services Agency	None	7222.2 Alleged Perpetrator and Child Client 7530 Resource Section 7643 Past Allegations Related to a Client Who Was a Child at the Time of Incident
7224 Behavioral Health Services	None	7100 Provider Investigations – Community
7225 Consumer-Directed Services	6130 Community Centers	None
7226 Community Centers (Provider)	6130 Community Centers	None
7226.1 Local Authorities (Provider)	6130 Community Centers	None
7227 Home and Community-based Services (HCS) and Texas Home Living (TxHmL) (Provider)	6114 Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Waiver Programs 6130 Community Centers 6840 Home and Community-based Services (HCS) Settings	None
7230 Independent School Districts	Deleted	Deleted
7240 Assessing Jurisdiction for Provider Based on Payment Source	None	7100 Provider Investigations – Community
7241 Always Investigated by APS PI Regardless of Payment Source	6750 Contracted Services Outside the Facility (Such as Dayhabs)	7100 Provider Investigations – Community 7222.1 Alleged Perpetrator and Adult
7250 Not Investigated by APS Provider Investigations	6810 Facilities Not Investigated by PI Facility	7710 Facilities Not Investigated by PI Community
7300 APS Provider Investigations Intake Assessment Guidelines	6300 PI Facility Allegations 6310 Abuse Allegations 6311 Emotional Abuse 6312 Physical Abuse 6313 Sexual Abuse 6320 Neglect 6330 Exploitation	7300 PI Community Allegations 7310 Abuse Allegations 7311 Emotional Abuse 7312 Physical Abuse 7313 Sexual Abuse 7320 Neglect 7330 Exploitation 7331 When a Loan is Exploitation
7310 Determining Physical Abuse	6312 Physical Abuse	7312 Physical Abuse
7311 Issues Related to Restraint, Seclusion, or Clinical Time-Out at a Facility	6312 Physical Abuse	None
7320 Determining Neglect	6320 Neglect	7320 Neglect
7321 Client-to-Client Sexual Contact at a Facility	6731 Client-to-Client Sexual Contact	None
7322 Client-to-Client Aggression at a Facility	6732 Client-to-Client Aggression	None
7323 Failure by a Provider to Work a Scheduled Shift	6320 Neglect	None
7324 Injuries of Unknown Origin at a Facility	6733 Injuries of Unknown Origin	None
7330 Determining Sexual Abuse	6313 Sexual Abuse	7313 Sexual Abuse
7331 Sexual Activity Between a Provider and a Client	6735 Sexual Activity between a Facility Employee and Former Client	7632 Sexual Activity Between a Community Provider and a Client
7332 Pregnancy and Sexually Transmitted Disease at a Facility	6734 Pregnancy and Sexually Transmitted Infection	None
7333 Sexual Activity Between a Facility Employee and Former Client	6735 Sexual Activity Between a Facility Employee and Former Client	None
7340 Determining Emotional Abuse	6311 Emotional Abuse	7311 Emotional Abuse
7350 Determining Exploitation	6330 Exploitation	7330 Exploitation 7331 When a loan is Exploitation
7351 Exploitation by a Provider	None	7330 Exploitation 7331 When a Loan is Exploitation
7352 Exploitation in a Facility	6330 Exploitation	None
7400 APS Provider Assessment of Priority	6400 PI Facility Priorities	7400 PI Community Priorities
7410 Assessment of Priority 1	6410 Priority 1	7410 Priority 1
7420 Assessment of Priority 2	6420 Priority 2	7420 Priority 2
7430 Assessment of Priority 3	6430 Priority 3	7430 Priority 3
7431 Exceptions to Assessment of Priority 3	6430 Priority 3	None
7440 Assessment of an I&R FAC Client Rights Fac/Admn Issues	6500 Report Does Not Meet the Definition of Abuse, Neglect, or Exploitation	None
7500 Special Situations Regarding APS Provider	6700 PI Facility Special Topics 7700 Special Program or Agency Jurisdictional Topics	7600 PI Community Special Topics 7700 Special Program or Agency Jurisdictional Topics
7510 Reports Involving Children in CPS Conservatorship	6720 Reports Involving Children in DFPS Conservatorship	7620 Reports Involving Children in DFPS Conservatorship
7520 Intakes With Multiple Incidents and Victims Under the Jurisdiction of APS Provider	Deleted	Deleted
7521 An Intake With Multiple Incidents at a Facility or in a Provider Setting	6710 Multiple Incidents 6711 Multiple Incidents of Abuse or Neglect 6712 Multiple Incidents of Exploitation 6613 Incidents of Abuse, Neglect, and Exploitation	7610 Multiple Incidents 7611 Multiple Incidents of Abuse or Neglect 7612 Multiple Incidents of Exploitation 7613 Incidents of Abuse, Neglect, and Exploitation
7522 An Intake With Multiple Victims at a Facility	6200 PI Facility Person List 6230 Relationship or Interest (Rel/Int) 6610 Case Name 6621 Alleged Victim	7200 PI Community Person List 7221 Alleged Victim (VC) 7230 Relationship or Interest (Rel/Int) 7510 Case Name 7221
7523 Incidents Involving Multiple Clients and the Same Provider	Deleted	Deleted
7530 Emergency Services for Children and Adults Requested by APS Provider	Deleted. "Emergencies" are handled the same as other occurrences. If it is a medical emergency, the client is taken to a hospital. If there is new A/N/E or a need for caseworker services (no A/N/E) then a call is made to SWI and an appropriate report is completed.	Deleted. "Emergencies" are handled the same as other occurrences. If it is a medical emergency, the client is taken to a hospital. If there is new A/N/E or a need for caseworker services (no A/N/E) then a call is made to SWI and an appropriate report is completed.
7531 Dual Intakes for APS Provider and APS In-Home Determined by SWI	Deleted	Deleted
7540 Past Allegations of Abuse, Neglect, or Exploitation	6740 Incidents that Occurred in the Past 6741 Past Allegations Related to a Former Client of the Facility 6742 Past Allegations Related to a Client Who Is Deceased 6743 Past Allegations Related to a Client Who Was a Child at the Time of Incident	7640 Incidents that Occurred in the Past 7641 Past Allegations Related to a Client Who No Longer Receives Services from the Community Provider 7642 Past Allegations Related to a Client Who Is Deceased 7643 Past Allegations Related to a Client Who Was a Child at the Time of Incident
7541 Past Allegations Related to a Client Who No Longer Lives in a Facility or Receives Services from a Provider	6741 Past Allegations Related to a Former Client of the Facility	7641 Past Allegations Related to a Client Who No Longer Receives Services from the Community Provider
7542 Past Allegations Regarding a Client Who is Deceased	6742 Past Allegations Related to a Client Who Is Deceased	7642 Past Allegations Related to a Client Who Is Deceased
7550 Suicidal Callers Residing in Certain Facilities	6770 Suicidal Callers in Certain Facilities	None
7560 When the Office of Inspector General (OIG) Reports an Incident at a State Supported Living Center (SSLC)	Deleted – now found in 3110 AFC Client Right/Fac Admin Issue	None
7570 Incidents Occurring Away from a Facility	6850 Incidents Off the Grounds of the Facility	None
7571 Contracted Services	6850 Incidents Off the Grounds of the Facility	None
7572 Home Visits	6850 Incidents Off the Grounds of the Facility	None
7580 Incidents Occurring in the Facility that Involve Family or Friends	6860 Incidents at the Facility Involving Visitors	None
7590 Reports Regarding a Client's Death	6760 Death of a Client	7650 Death of a Client
7600 Confidentiality for Reporters of Incidents at APS Facilities	Deleted. Now found in: 1130 Confidentiality 2330 Reporter’s Confidentiality in the Narrative	None
7700 IMPACT Procedures Specific to APS Provider Investigations	Deleted	Deleted
7710 Completing the In Regards To and Case Name Fields for Cases Related to APS Provider Investigations	6610 Case Name 2620 Case Name and In Regards To 3330 In Regards To	7510 Case Name 2620 Case Name and In Regards To 3330 In Regards To
7720 Listing Principals for Reports Related to APS Provider Investigations	6221 Alleged Victim 6222 Alleged Perpetrator 6222.1 Limited or No Specific Identifying Information Regarding the AP 6222.2 The Identity of the Alleged Perpetrator is Unknown	7221 Alleged Victim (VC) 7222 Alleged Perpetrator (AP) 7222.1 Alleged Perpetrator and Adult Client 7222.2 Alleged Perpetrator and Child Client 7222.3 Alleged Perpetrator is On or Off the Clock 722.4 Limited or No Specific Identifying Information about the AP
7730 Using the Resource Section in IMPACT for Reports Related to APS Provider Investigations	6630 Resource Section	7530 Resource Section
7731 IMPACT Procedures Specific to Rio Grande State Center	6630 Resource Section	None
7732 Day Habilitation Centers (Dayhabs)	6750 Contracted Services Outside of the Facility (e.g., Dayhabs)	None
7732.1 Incidents Involving Multiple Clients and Dayhabs	6751 Choosing the Resource When There are Multiple Clients	None
7740 Assigning and Calling Out Intakes Related to APS Provider Investigations	6640 PI Facility Call-Out and Assignment	7540 PI Community Assignment
7741 APS PI (Provider)	None	7540 PI Community Assignment
7742 APS PI (Facility)	6640 PI Facility Call-Out and Assignment	None

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Handbook Revision, April 1, 2021