Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 417.000 - Psychiatric Day Treatment Program Manual › Section 417.402 - Definitions

Current through Register 1525, July 5, 2024
The following terms used in
				130 CMR 417.000 have the
				meanings given in 130 CMR 417.402, unless the context clearly requires a
				different meaning.
Freestanding Clinic
. Any institution
				licensed as a clinic by the Department of Public Health pursuant to M.G.L. c.
				111, § 51 that is not part of a hospital and that has its own legal
				identity, maintains its own patient records, and administers its own budget and
				personnel. Such institutions include mental health centers and community health
				centers.
Functional Maintenance Program
. A
				planned combination of social, vocational, and recreational services designed
				for individuals disabled by a chronic mental illness who need continuing
				services to maintain skills that allow them to function within the community,
				but who do not require the more intensive care of inpatient or day treatment
				programs.
Identifiable Unit
. A separate
				organizational unit within the same building as, but separately established
				from, the facility of which it is part that employs staff explicitly assigned
				to it, and has separately defined and established purposes, policies,
				procedures, and treatment services.
Mental Illness
. Mental and emotional
				disorders as defined in the current International Classification of Diseases,
				Clinical Modification, or the American Psychiatric Association's Diagnostic and
				Statistical Manual, and manifested by impaired functioning in behavior,
				feeling, thinking, or judgment to the extent that the affected person, or
				someone else, can observe that the person affected is unable to fulfill
				reasonable personal and social expectations.
Prevocational Activities
. Services
				that prepare a member for paid or unpaid employment and that are not job-task
				oriented but are aimed at a generalized result. These services may include, but
				are not limited to, teaching concepts such as attendance, task completion,
				problem solving, safety, time management and career planning. These services
				may be considered part of the hourly rate when incorporated as part of the
				member's individualized treatment plan.
Psychiatric Day Treatment Program (the
				Program)
. A planned combination of diagnostic, treatment, and
				rehabilitative and recovery-oriented services provided to individuals with
				mental or emotional disabilities who need more active or inclusive treatment
				than is typically available through a weekly visit to a mental health center or
				hospital outpatient department, but who do not need full time hospitalization
				or institutionalization. Such a program utilizes multiple, intensive, and
				focused activities in a supportive environment to enable such persons to
				acquire skills to live an independent life in the community. Such programs may
				be operated by a freestanding clinic, a satellite clinic facility, or an
				identifiable unit of a clinic.
Satellite Clinic Facility
. A facility
				not physically attached to a clinic that operates under the clinic's license
				and that falls under its fiscal, administrative, personnel, and clinical
				management.
Treatment Response
. The degree to
				which an individual demonstrates progress toward goal achievement as evaluated
				by using the PDT program's assessment instrument.
Vocational Rehabilitative Services
.
				services that provide vocational assessments, job training, and career
				counseling.