TX HHS Form 3257. Licensed Chemical Dependency Counselor Peer Assistance Program Application

The TX HHS Form 3257, Licensed Chemical Dependency Counselor Peer Assistance Program Application, is a crucial tool for professionals seeking support and guidance in maintaining safe practice. This form helps solve the problem of impaired professionals in the field of chemical dependency counseling, ensuring that they receive the necessary assistance to return to their duties.

The application requires program information, including professional association name (DBA if applicable) and type, as well as a written description of the peer assistance program. The description must include key elements such as program goals and objectives, criteria for successful completion, target population, and plans for ensuring services are available throughout Texas.

This form is typically used by licensed chemical dependency counselors whose ability to perform their professional service is impaired or likely to be impaired by substance use or misuse. Key features of the application include identification of and intervention with impaired professionals, assistance with accessing quality treatment, monitoring, support, and evaluation of participants, as well as program staffing plans and minimum staff qualifications.

• The form requires a written description of the peer assistance program, including program goals and objectives, criteria for successful completion, target population, and plans for ensuring services are available throughout Texas.