New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 600 - Crisis Stabilization Centers › Section 600.4 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
(a) For purposes of
				this Part the following general definitions apply:
(1)
Approved medication
means any medication approved by state or federal authorities for the treatment
				of medical and psychiatric conditions, including those conditions caused by the
				use of substances.
(2)
Crisis Stabilization Center
shall mean a center certified
				pursuant to this Part, that offers voluntary crisis stabilization services to
				individuals experiencing mental health and substance use symptoms regardless of
				their ability to pay.
(3)
Supportive Crisis Stabilization Center
means a center that
				provides support and assistance to individuals with mental health or substance
				use crisis symptoms and who are experiencing challenges in daily life that
				create risk for an escalation of behavioral health symptoms that cannot
				reasonably be managed in the Recipient's home and/or community environment
				without onsite supports, and do not pose likelihood of serious harm. The center
				provides voluntary services for those who require support with an emphasis on
				peer and recovery services. Supportive Crisis Stabilization Centers provide or
				contract to provide behavioral health observation/stabilization services
				twenty-four hours per day, seven days per week.
(4)
Intensive Crisis Stabilization
				Center
means a center that provides urgent treatment to individuals
				experiencing an acute mental health or substance use crisis. This service
				provides diversion from higher levels of care by rapid treatment interventions
				and stabilization of acute symptoms. The center provides voluntary crisis
				treatment services in a safe and therapeutic environment with twenty-four hour
				observation. Intensive Crisis Stabilization Centers shall provide or contract
				to provide behavioral health stabilization and referral services twenty-four
				hours per day, seven days per week.
(5)
Catchment
area means the
				geographic area being served by the Center.
(6)
Commissioners
means the
				Commissioners of both the Office of Mental Health and the Office of Addiction
				Services and Supports.
(7)
Collateral
means a person who is a member of the Recipient's
				family or household, or other individual who interacts with the Recipient and
				is directly affected by, or has the capability of, affecting their condition
				and is identified in the treatment plan as having a role in treatment, and/or
				is necessary for participation in the evaluation and assessment of the
				Recipient.
(8)
Co-occurring
				disorder
means the diagnosis of at least one disorder in both of the
				following areas: substance use disorder (e.g. addiction to alcohol and/or legal
				or illegal drugs) and mental health disorder (e.g. personality disorder; a mood
				disorder including but not limited to, depression, or bipolar; a psychotic
				disorder such as schizophrenia; an anxiety disorder such as panic disorder or
				post-traumatic stress disorder).
(9)
Family
means those
				members of the Recipient's natural family, family of choice, or identified
				caregivers.
(10)
Individual
				service
plan means a written plan developed by the individual and
				clinical staff based on screening, assessment(s) and initial
				services.
(11)
Mental
				illness
means a health condition involving changes in behavior,
				emotion, thinking or judgment (or a combination of these) that are associated
				with distress and/or problems functioning in social, work or family
				activities.
(12)
Medication
				for addiction treatment (MAT
) means the treatment of substance use
				disorder (SUD) and concomitant conditions with medications requiring a
				prescription or order from an authorized prescribing professional with
				counseling and behavioral therapies, as clinically appropriate.
(13)
Medication management and
				training
means activities which provide information to ensure
				appropriate management of medication through understanding the role and effects
				of medication in treatment, identification of side effects of medication and
				discussion of potential dangers of consuming other substances while on
				medication. Training in self-medication skills is also an appropriate activity
				when developmentally and clinically indicated.
(14)
Medication therapy
means the process of determining the medication to be utilized during the
				course of treatment; reviewing the appropriateness of the Recipient's existing
				medication regimen through review of the Recipient's medication record and
				consultation with the Recipient and, as appropriate, their family or guardian;
				prescribing and/or administering medication; and monitoring the effects and
				side effects of the medication on the Recipient's mental and physical
				health.
(15)
Naloxone
				emergency overdose prevention kit
means a kit as prescribed pursuant
				to state law and used to reverse an opioid overdose.
(16)
Office
means jointly
				the Office of Mental Health and the Office of Addiction Services and
				Supports.
(17)
On-call
				,
for the purposes of this Part, shall mean the individual is not
				physically present at the center but can be contacted immediately for clinical
				consultation as needed and be on-site as necessary
(18)
On duty,
for purposes
				of this Part, shall include the individual being physically present or on-call
				and available which includes the ability to come on-site as needed.
(19)
Recipient
means a
				person who is receiving services at a Crisis Stabilization Center.
(20)
Sponsor
means the
				provider of service or an entity that substantially controls or has the ability
				to substantially control the Crisis Stabilization Center. For the purpose of
				this Part, factors used to determine whether there is substantial control shall
				include but not be limited to:
(i) the right
				to appoint and remove directors or officers;
(ii) the right to approve bylaws or articles
				of incorporation;
(iii) the right
				to approve strategic or financial plans for a provider of service; or
(iv) the right to approve operating or
				capital budgets for a provider of services.
(21)
Substance use disorder
means a group of cognitive, behavioral, and physiological symptoms indicating
				that an individual continues using substances despite significant
				substance-related physical, psychological and social problems as determined
				through assessment and diagnosis using the most recent version of the
				Diagnostic and Statistical Manual (DSM), as incorporated by reference in Part
				800 of this Title.
(22)
State licensing agency
means jointly the Office of Mental
				Health and the Office of Addiction Services and Supports.