New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 1 - GENERAL PROVISIONS › Section 10:37B-1.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this chapter,
				  shall have the following meanings, unless the context clearly indicates
				  otherwise.
"Advance directive for mental health care" or "psychiatric
				  advance directive" means a writing executed in accordance with the requirements
				  of the New Jersey Advance Directives for Mental Health Care Act, N.J.S.A.
				  26:2H-107 et seq.
"Community support services" means mental health
				  rehabilitation services and supports necessary to assist the consumer in
				  achieving mental health rehabilitative and recovery goals as identified in an
				  individualized rehabilitation plan; including achieving and maintaining valued
				  life roles in the social, employment, educational, and housing domains; and
				  assisting the consumer in restoring or developing his or her level of
				  functioning to that which allows the consumer to achieve community integration,
				  and to remain in an independent living setting of his or her choosing.
"Consumer" means a person diagnosed with a mental illness
				  who is receiving mental health services.
"Consumer service agreement" means a written agreement
				  between the PA and consumer that includes responsibilities of both the PA and
				  the consumer and that meets the requirements of N.J.A.C.
				  10:37B-3.1.
"Crisis intervention" means face-to-face, short-term
				  interventions with a consumer who is experiencing increased distress and/or an
				  active state of crisis. Crisis intervention also includes developing and
				  implementing the consumer's crisis contingency plan or implementing an advance
				  directive for mental health care.
"Department" means the New Jersey Department of Human
				  Services.
"Division" or "DMHAS" means the Division of Mental Health
				  and Addiction Services in the Department, or a PA or other entity designated by
				  the Division to perform administrative tasks. For example, an entity could be
				  authorized to evaluate individuals for eligibility for rental subsidies,
				  determine eligibility to receive rehabilitation services, or approve or review
				  service plans to determine medical necessity.
"DOH" means the New Jersey Department of Health.
"Eligible consumer" means a person who meets the medical
				  necessity standard for community support services by having severe mental
				  health needs.
"Individualized rehabilitation plan" means a document that
				  is developed in partnership with the consumer that sets forth goals and
				  objectives that will lead to recovery and independence; identifies internal and
				  external resources to support recovery and independence; and identifies
				  concrete skills the consumer will develop and actions the consumer will take,
				  with the assistance of and participation in programs, interventions, and
				  supports offered by the PA, to meet those goals.
"Primary service provider" refers to a program that has
				  assumed responsibility for providing a consumer's care when that consumer is
				  discharged from an inpatient facility or when the consumer elects to
				  participate in clinical or rehabilitation services in the community. A
				  community support services program that is a primary service provider for a
				  consumer must identify a primary service coordinator for each consumer it
				  serves.
"Provider agency" or "PA" is an entity licensed by the DOH to
				  provide mental health services that has a contract or affiliation agreement (if
				  the requirement for a contract has been waived by the Division) with the
				  Division to provide those services.
"Serious mental illness" shall include, but not be limited
				  to, a diagnosis of, and a documented history of treatment of or evaluation for
				  the following:
1.
				Schizophrenia;
2. Schizophreniform
				Disorder;
3. Schizoaffective
				Disorder;
4. Delusional
				Disorder;
5. Psychotic Disorder
				NOS;
6. Major Depressive Disorder
				Recurrent;
7. Bipolar I
				disorder;
8. Bipolar II
				Disorder;
9. Bipolar Disorder
				NOS;
10. Schizotypal Personality
				Disorder; or
11. Borderline
				Personality Disorder.
"Severe mental health needs" means an individual:
1. Has a current diagnosis of a serious
				mental illness;
2. Requires active
				rehabilitation and support services to achieve the restoration of functioning
				to promote the achievement of community integration and valued life roles in
				the social, employment, educational, or housing domains; and
3. Either:
i. Is currently functioning at a level, as
				assessed using an instrument approved by the Division, that puts the consumer
				at risk for hospitalization or other intensive treatment settings, such as
				24-hour supervised congregate group or nursing home;
ii. Exhibits deterioration in functioning
				that will require that they be hospitalized or treated in another intensive
				treatment setting in the absence of community-based services and supports;
				or
iii. Does not have adequate
				resources and supports to live safely in the community.