The following words and terms, when used in this subchapter,
have the meaning indicated below unless the context clearly indicates
otherwise:
(1) Acute day treatment--Program-based services focused
on the short-term, acute treatment of individuals who require multi-disciplinary
treatment to obtain maximum control of psychiatric symptoms. Services
are provided in a highly structured and safe environment with constant
supervision. Contacts with staff are frequent, activities and services
constantly available, and developmental and social supports encouraged
and facilitated. Staff receive specialized training in crisis management.
Activities are goal oriented, focusing on improving peer interaction,
appropriate social behavior, and stress tolerance.
(2) Assessment--The clinical process of obtaining and
evaluating historical, social, functional, psychiatric, developmental,
or other information from the individual and family seeking services
to determine level of need (including urgency) and specific treatment
needs (including the preferences of the individual seeking services).
(3) Case management--Case management activities are
provided to assist individuals in gaining access to medical, social,
educational, and other appropriate services that will help them achieve
a quality of life and community participation acceptable to each individual.
The role of individuals who provide case management activities is
to support and assist the person in achieving goals.
(4) Crisis hotline--A continuously available, staffed
telephone service providing information, support, and referrals to
callers 24 hours per day, seven days per week.
(5) Crisis respite--Services provided for temporary,
short term, periodic relief to individuals or their primary caregivers
during a crisis. Program-based respite services involve temporary
residential placement outside the usual living situation. Community-based
respite services involve introducing respite staff into the usual
living situation or providing a place for the individual to go during
the day or other services considered to provide respite.
(6) Crisis services-Services, including crisis hotline,
crisis intervention, and crisis respite.
(7) Intensive outpatient service--An organized nonresidential
service providing structured group and individual therapy, educational
services, and life-skills training for less than 24 hours per day.
(8) Medication administration--A service provided to
an individual by a licensed nurse or other appropriately trained and
certified person under the supervision of a physician or registered
nurse as provided by state law to ensure the direct application of
a medication to the body of the individual by any means including
handing the individual a single dose of medication to be taken orally.
(9) Medication monitoring--A service provided to an
individual, family member, or other collateral by a licensed nurse
or other appropriately trained and certified person under the supervision
of a physician or registered nurse as provided by state law for the
purpose of assessment of medication actions, target symptoms, side
effects and adverse effects, potential toxicity, and the impact of
medication for the individual and family in compliance with the plan
of care.
(10) Medication training--A service to an individual,
family member, or other collateral by a licensed nurse or other appropriately
trained professional or paraprofessional as provided by state law
for the purpose of teaching the knowledge and skills needed by the
individual, family member, or other collateral in the proper administration
and monitoring of prescribed medication in compliance with the individual's
plan of care.
(11) Medication-related services--Services, including
medication administration, medication monitoring, medication training,
and pharmacological management.
(12) Partial hospitalization--The provision of treatment
for mental health care or chemical dependency for individuals who
require care or support or both in a hospital or chemical dependency
treatment center but who do not require 24-hour supervision.
(13) Pharmacological management--Service provided to
an individual, family member, or collateral by a physician or other
appropriately trained and certified professional as provided by state
law for the purpose of determining symptom remission and the medication
regimen needed to initiate or maintain an individual's plan of care.
(14) Screening--Gathering triage information necessary
to determine a need for in-depth assessment. This information is collected
through interview, in person or by phone, with the individual, family
member, or collateral as part of the admission or intake process or
as necessary.
(15) Treatment planning--Activities for the purpose
of medically necessary, prioritized, comprehensive, collaborative,
and measurable treatment that reflects the needs and wishes of the
individual and builds on the strengths of the individual.
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