Code of Massachusetts Regulations › 104 CMR - DEPARTMENT OF MENTAL HEALTH › Title 104 CMR 27.00 - LICENSING AND OPERATIONAL STANDARDS FOR MENTAL HEALTH FACILITIES › Subpart A - SCOPE AND DEFINITIONS › Section 27.02 - Definitions

Current through Register 1525, July 5, 2024
For purposes of
				  104 CMR 27.00, the following
				  terms shall have the following meanings:
Clinician
. A physician or qualified
				  advanced practice registered nurse, authorized, as applicable, by the
				  Department pursuant to
				  104 CMR 33.00:
Designation and Appointment of Qualified Mental Health
				  Professionals
, or by the facility, to perform the functions described
				  in
				  104 CMR 27.00.
Deficiency Notice
. Written notice
				  and order of correction relating to a finding by the Department that a Facility
				  is not in compliance with the requirements of M.G.L. c. 19, § 19 or
				  104 CMR 27.00. A deficiency
				  notice may include an order of correction contained within a decision of the
				  director of licensing issued pursuant to
				  104 CMR 32.00:
Investigation and Reporting Responsibilities
.
Facility
. A Department-operated
				  hospital, community mental health center with inpatient unit, or psychiatric
				  unit within a public health hospital; a Department-licensed psychiatric
				  hospital; a Department-licensed psychiatric unit within a general hospital; or
				  an intensive residential treatment program for adolescents that is either
				  designated as a facility under the control of the Department or licensed by the
				  Department.
Facility Director
. The
				  superintendent, chief executive officer, program director, or other
				  administrator designated by the facility to have administrative oversight of a
				  facility, or his or her designee.
Facility Medical Director
. The
				  senior physician with responsibility for clinical oversight of a facility or
				  his or her physician designee.
Informed Consent
. The knowing
				  consent, voluntarily given by the patient, or his or her legally authorized
				  representative, who can understand and weigh the risks and benefits of the
				  particular treatment, including medication, being proposed.
Original License
. A license,
				  including a provisional license, issued to a facility not previously licensed,
				  or a license issued to an existing facility in which there has been a change in
				  ownership or location or a change in class of license or specialized
				  service.
Patient
. A person who has been
				  admitted to a facility pursuant to M.G.L. c. 123, and
				  104 CMR 27.00.
Psychiatric Advanced Practice Registered Nurse
				  (Psychiatric APRN)
. A registered nurse licensed under M.G.L. c.
				  112, § 80B and authorized by the Board of Registration in Nursing to
				  practice as a Psychiatric Advanced Practice Registered Nurse, including
				  authorization to practice as a Psychiatric Mental Health Nurse Clinical
				  Specialist.
Qualified Advanced Practice Registered Nurse
				  (Qualified APRN)
. A registered nurse licensed under M.G.L. c. 112,
				  § 80B and authorized by the Board of Registration in Nursing to practice
				  as an Advanced Practice Registered Nurse.
Specialty Population
. An identified
				  group of individuals with clinical needs in addition to their mental health
				  needs that may require the provision of specialized services, staff
				  competencies, or treatment structure in order to receive suitable treatment
				  within a facility. These groups may include, but are not necessarily limited
				  to, individuals with co-occurring mental health and intellectual or
				  developmental disabilities, complex medical needs, or substance use disorder,
				  older adults or children. Having a history of, or coexisting identification
				  with, a specialty population does not necessarily require the provision of
				  specialized services for every admission to a facility.