Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 24 - Accreditation of Providers of Services to Persons With Mental Illness, Intellectual Disabilities, or Developmental Disabilities › Rule 441-24.20 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Action plan" means a written plan developed for discharge in
				  collaboration with the individual receiving crisis response services to
				  identify the problem, prevention strategies, and management tools for future
				  crises.
"Crisis assessment" means a face-to-face clinical interview
				  to ascertain an individual's current and previous level of functioning,
				  potential for dangerousness, physical health, and psychiatric and medical
				  condition. The crisis assessment becomes part of the individual's action
				  plan.
"Crisis incident" means an occurrence leading to physical
				  injury or death, or an occurrence resulting from a prescription medication
				  error, or an occurrence triggering a report of child or dependent adult
				  abuse.
"Crisis response services " means short-term individualized
				  crisis stabilization services which follow a crisis screening or assessment and
				  which are designed to restore the individual to a prior functional
				  level.
"Crisis response staff" means a person trained to provide
				  crisis response services in accordance with rule 441- 24.24(225C).
"Crisis screening" means a process to determine what crisis
				  response service is appropriate to effectively resolve the presenting
				  crisis.
"Crisis stabilization community-based services" or "CSCBS"
				  means short-term services designed to de-escalate a crisis situation and
				  stabilize an individual following a mental health crisis and provided where the
				  individual lives, works or recreates.
"Crisis stabilization residential services" or "CSRS" means a
				  short-term alternative living arrangement designed to de-escalate a crisis
				  situation and stabilize an individual following a mental health crisis and is
				  provided in organization-arranged settings of no more than 16 beds.
"Department" means the department of human services.
"Dispatch " means the function within crisis line operations
				  to coordinate access to crisis care.
"Face-to-face " means services provided in person or
				  utilizing telehealth in conformance with the federal Health Insurance
				  Portability and Accountability Act (HIPAA) privacy rules.
"Family support peer specialist" means the same as defined in
				  rule
				  441-25.1
				  (331).
"Informed consent" means the same as defined in rule
				  441-24.1
				  (225C).
"Mental health crisis " means a behavioral, emotional, or
				  psychiatric situation which results in a high level of stress or anxiety for
				  the individual or persons providing care for the individual and which cannot be
				  resolved without intervention.
"Mental health professional" means the same as defined in
				  Iowa Code section
				  228.1.
"Mobile response" means a mental health service which
				  provides on-site, face-to-face mental health crisis services for an individual
				  experiencing a mental health crisis. Crisis response staff providing mobile
				  response have the capacity to intervene wherever the crisis is occurring,
				  including but not limited to the individual's place of residence, an emergency
				  room, police station, outpatient mental health setting, school, recovery center
				  or any other location where the individual lives, works, attends school, or
				  socializes.
"Peer support services " means a service provided by a peer
				  support specialist, including but not limited to education and information,
				  individual advocacy, family support groups, crisis response, and respite to
				  assist individuals in achieving stability in the community.
"Peer support specialist" means the same as defined in rule
				  441-25.1
				  (331).
"Physical health " means any chronic or acute health factors
				  that need to be addressed during crisis delivery services.
" Qualified prescriber " means a practitioner or other staff
				  following the instruction of a practitioner as defined in Iowa Code section
				  155A.3 and a
				  physician assistant or advanced registered nurse practitioner operating under
				  the prescribing authority granted in Iowa Code section
				  147.107.
"Restraint" means the application of physical force or the
				  use of a chemical agent or mechanical device for the purpose of restraining the
				  free movement of an individual's body to protect the individual, or others,
				  from immediate harm.
"Rights restriction" means limitations not imposed on the
				  general public in the areas of communications, mobility, finances, medical or
				  mental health treatment, intimacy, privacy, type of work, religion, and place
				  of residence.
"Self-administered medication" means the process where a
				  trained staff member observes an individual inject, inhale, ingest or, by any
				  other means, take medication following the instructions of a qualified
				  prescriber.
"Stabilization plan " means a written short-term strategy
				  used to stabilize a crisis and developed by a mental health professional, in
				  collaboration with the crisis response staff and with the involvement and
				  consent of the individual or the individual's representative.
"Staff-administered medication " means the direct application
				  of a prescription drug, whether by injection, inhalation, ingestion, or any
				  other means, to the body of an individual by a qualified prescriber or
				  authorized staff following instructions of a qualified prescriber.
"Telehealth " is the use of electronic information and
				  telecommunications technologies to support long-distance clinical health care,
				  patient and professional health-related education, public health and health
				  administration. Technologies include videoconferencing, the Internet,
				  store-and-forward imaging, streaming media, and terrestrial and wireless
				  communications.
"Treatment summary " means a written summarization of the
				  treatment and action plan at the point of an individual's discharge or
				  transition to another service.
"Twenty-four-hour crisis line " means a crisis line providing
				  information and referral, counseling, crisis service coordination, and linkages
				  to crisis screening and mental health services 24 hours a day.
"Twenty-four-hour crisis response" means services are
				  available 24 hours a day, 365 days a year, providing access to crisis screening
				  and assessment and linkage to mental health services.
"Twenty-three-hour observation and holding " means a level of
				  care provided for up to 23 hours in a secure and protected, medically staffed,
				  psychiatrically supervised treatment environment.
"Warm line" means a telephone line staffed by individuals
				  with lived experience who provide nonjudgmental, nondirective support to an
				  individual who is experiencing a personal crisis.