Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-9-44 - PROGRAM OPERATIONS › Section 580-9-44-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Abstinence -
			 Non-use of any addictive psychoactive substance.
(2) Abuse - The willful infliction of
			 physical pain, injury, or mental anguish or the willful deprivation of services
			 necessary to maintain mental and physical health.
(3) Activity - The execution of a task or
			 action (a group or individual session) by an individual.
(4) Activity Therapy - Structured,
			 object-oriented music, dance, art, social, or play therapeutic activities
			 conducted, not for recreational purposes, by a qualified substance abuse
			 professional to assist a client in developing or enhancing psychosocial
			 competencies, to alleviate emotional disturbances, to change maladaptive
			 patterns of behavior, and/or to assist in restoring the individual to a level
			 of functioning capable of supporting and sustaining recovery.
(5) Addiction - A primary, chronic
			 neurobiological disease, with genetic, psychosocial and environmental factors
			 influencing its development and manifestations. It is characterized by
			 behaviors that include one or more of the following: impaired control over drug
			 use, compulsive use, continued use despite harm, and craving.
(6) Administer - The direct application of a
			 prescription drug by ingestion or any other means to the body of a client by a
			 licensed practitioner, or by the client at the direction of, or in the presence
			 of, a practitioner.
(7) Admission -
			 That point in an individual's relationship with an organized treatment service
			 when the placement assessment process has been completed and the individual
			 placed in a level of care of the treatment program.
(8) Adolescent - An individual aged 13-18.
			 The term also frequently applies to young adults aged 18-21, whose needs
			 dictate admissions to adolescent programs.
(9) Advocacy - To advocate for, protect and
			 advance the legal, human and service rights of people.
(10) Aftercare - The component of a treatment
			 program which assures the provision of continued contact with the client
			 following the termination of services from a primary care modality, designed to
			 support and to increase the gains made to date in the treatment process.
			 Aftercare plan development should start prior to discharge, but is not
			 implemented until discharge.
(11)
			 Aftercare Plan - A written plan that specifies goals to be achieved by a client
			 and/or family involved in the aftercare of the client.
(12) Alcoholism - A general but diagnostic
			 term, usually used to describe alcohol dependence, but sometimes used more
			 broadly to describe a variety of problems related to the use of beverage
			 alcohol.
(13) Ambulatory
			 Detoxification - Detoxification that is medically monitored but that does not
			 require admission to an inpatient medically or clinically monitored or managed
			 setting.
(14) Ancillary Services -
			 Non-substance use related services such as legal, vocational, employment,
			 public assistance, childcare and transportation that may either be essential or
			 incidental to a client's recovery.
(15) ASAM Placement Criteria - ASAM Placement
			 criteria means the most current edition/set of placement criteria for substance
			 abuse patient/clients published by the American Society of Addiction
			 Medicine.
(16) Assertive Community
			 Treatment (ACT) - Active outreach to persons, usually with serious and
			 persistent mental illness, who need a support system that facilitates living
			 and functioning adequately in the community. ACT involves comprehensive
			 services designed to engage and retain patients in treatment and assist them in
			 managing daily living, obtaining work, building and strengthening family and
			 friendship networks, managing symptoms and crises and preventing
			 relapse.
(17) Basic Living Skills -
			 Scheduled interventions conducted under the supervision of a qualified
			 substance abuse professional to train and assist a client in reestablishing the
			 ability to perform and manage fundamental tasks required for daily
			 living.
(18) Behavioral Health
			 Field - A broad array of mental health, substance use, habilitation and
			 rehabilitation services that are utilized to individuals with substance use
			 disorders. The field includes the areas of psychology, social work, counseling
			 and psychiatric nursing.
(19)
			 Behavioral Health Screening - A structured interview process conducted by a
			 qualified substance abuse professional, utilizing the DMH/SASD uniform
			 assessment tool, for the purpose of identifying an individual's presenting
			 needs and establishing a corresponding recommendation for placement in an
			 appropriate level of care.
(20)
			 Case Management - The activities guided by a client's service plan which brings
			 agencies, resources and people together within a planned framework of action
			 toward the achievement of established treatment goals.
(21) Central Registry - A system which is
			 used by two (2) or more providers to share information about clients who are
			 applying for or presently involved in detoxification or maintenance treatment
			 using methadone or other opiate replacements, for the purpose of preventing the
			 concurrent enrollment of clients with more than one OMT provider.
(22) Certification - The process by which DMH
			 or SASD determines that a provider is qualified to provide treatment or
			 prevention services under applicable State and Federal standards.
(23) Chemical Dependency - A generic term
			 relating to psychological or physical dependency, or both, on one or more
			 psychoactive substances.
(24)
			 Chemical Restraint - Is the use of any drug to manage a client's behavior in a
			 way that reduces the safety risk to the client or others or to temporarily
			 restrict the client's freedom of movement and is not a standard treatment
			 dosage for the client's medical or psychiatric condition.
(25) Child/Adolescent - The period of life of
			 an individual up to the age at which one is legally recognized as an adult
			 according to state or provincial law. (CARF)
(26) Child Sitting Services - Care provided
			 for children of clients in treatment during the same time period as the
			 specific occurrence of the parent's treatment.
(27) Client - An individual who receives
			 treatment for alcohol or other drug problems. The terms "client" and "patient"
			 sometimes are used interchangeably, although staff in medical settings more
			 commonly use "patient" while staff of non-medical residential or outpatient
			 settings refer to "clients".
(28)
			 Clinically Managed Services - Services directed by non-physician addiction
			 specialists rather than medical personnel. They are appropriate for individuals
			 whose primary problems involve emotional, behavioral or cognitive concerns,
			 readiness to change, relapse, or recovery environment and whose problems with
			 intoxication/withdrawal or biomedical are minimal or can be managed through
			 separate arrangements for medical services.
(29) Clinical Supervision - Intermittent
			 face-to-face contact, provided on or off the site of a service, between a
			 clinical supervisor and treatment staff to ensure that each client has an
			 individualized counseling plan and is receiving quality care.
(30) Consultation - A discussion of the
			 aspects of a particular client's circumstance with other professionals to
			 ensure comprehensive and quality care for the client that is consistent with
			 the objectives of the client's treatment plan, or is used to make adjustments
			 to the client's treatment plan.
(31) Continuous Assessment - The term
			 includes but is not limited to review of the individual service plan, client
			 progress reports, etc. The information gained from continuous assessment is
			 used to match an individuals' need with the appropriate setting, care level and
			 intensity. It is also used to determine an individuals' need for continued
			 stay, discharge, or transfer to another level of care.
(32) Continuing Care - A course of treatment
			 identified in a service plan designed to support the process of recovery that
			 is provided at a frequency sufficient to maintain recovery. The treatment
			 provided is flexible and tailored to the shifting needs of the client and his
			 and her level of readiness to change.
(33) Co-Occurring Disorders - Concurrent
			 substance use and mental health disorder found in a single individual. Both
			 conditions are such that they may also exist alone but there is no implication
			 as to one disorder being primary. Other terms used to describe COD include:
			 dual diagnosis, dual disorders, mentally ill chemically addicted (MICA),
			 chemically addicted mentally ill (CAMI), mentally ill substance abusers (MISA),
			 mentally ill chemically dependent (MICD), coexisting disorders, co-morbid
			 disorders, and individuals with co-occurring psychiatric and substance
			 symptomatology (ICOPSS).
(34)
			 Continued Stay, Transfer, and Discharge Criteria -Criteria used after the
			 initial assessment to monitor progress during a treatment episode and decide on
			 Level of Care.
(35) Counselor - A
			 member of the clinical staff working in a program who is licensed or certified
			 and whose primary duties consist of conducting and documenting services such as
			 counseling, psycho-educational groups, psychosocial assessment, treatment
			 planning and case management.
(36)
			 Crisis Intervention - Services that respond to a client's needs during acute
			 episodes that may involve physical distress, imminent relapse and danger to
			 self and others.
(37) Crisis
			 Planning - A process of developing necessary resources to appropriately address
			 and respond to acute needs of a client to include assessing for suicide and
			 homicide ideations or plans.
(38)
			 Criteria - Written rules, measures, or factors that help assessors determine
			 where to place a client in care.
(39) Dependence - Used in three different
			 ways:
(a) physical dependence is a state of
			 adaptation that is manifested by a drug class specific withdrawal syndrome that
			 can be produced by abrupt cessation, rapid dose reduction, decreasing blood
			 level of the drug, and/or administration of an antagonist;
(b) psychological dependence is a subjective
			 sense of need for a specific psychoactive substance, either for its positive
			 effects or to avoid negative effects associated with its abstinence; and
(c) one category of psychoactive
			 substance use disorder.