Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 1 - General Provisions › Section 450:55-1-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words or terms, when used in this Chapter,
				  shall have the following meaning, unless the context clearly indicates
				  otherwise:
"Advance Practice Registered Nurse"
means a
				  registered nurse in good standing with the Oklahoma Board of Nursing, and has
				  acquired knowledge and clinical skills through the completion of a formal
				  program of study approved by the Oklahoma Board of Nursing Registration and has
				  obtained professional certification through the appropriate National Board
				  recognized by the Oklahoma Board of Nursing. Advance Practice Registered Nurse
				  services are limited to the scope of their practice as defined in 59 Okla.
				  Stat. § 567.3a and corresponding rules and regulations at OAC
				  485:10-5-1
				  through 10-16-9.
"Certified behavioral health case manager"
means
				  any person who is certified by the Department of Mental Health and Substance
				  Abuse Services to offer behavioral health case management services within the
				  confines of a mental health facility or drug or alcohol treatment facility that
				  is operated by the Department or contracts with the State to provide behavioral
				  health services.
"Certified Peer Recovery Support Specialists"
or
"C-PRSS"
means any person who is certified by the Department of
				  Mental Health and Substance Abuse Services to offer behavioral health services
				  as provided in this Chapter.
"Community-based Structured Crisis Center"
or
"CBSCC"
means a program of non-hospital emergency services for
				  mental health and substance abuse crisis stabilization including, but not
				  limited to, observation, evaluation, emergency treatment and referral, when
				  necessary, for inpatient psychiatric or substance abuse services. This service
				  is limited to CMHC's who are certified by the Department of Mental Health and
				  Substance Abuse Services or facilities operated by the Department of Mental
				  Health and Substance Abuse Services.
"Consumer"
means an individual who has applied
				  for, is receiving, or has received evaluation or treatment services from a
				  facility operated or certified by ODMHSAS or with which ODMHSAS contracts and
				  includes all persons referred to in OAC Title 450 as client(s) or patient(s) or
				  resident(s) or a combination thereof.
"Co-occurring disorder"
means any combination of
				  mental health and substance abuse symptoms or diagnoses in a client.
"Co-occurring disorder capability"
means the
				  organized capacity within any type of program to routinely screen, identify,
				  assess, and provide properly matched interventions to individuals with
				  co-occurring disorders.
"Credentialed Recovery Support Specialist"
is a
				  member of the PACT team who is working as a Recovery Support Specialist and is
				  certified by the Department of Mental Health and Substance Abuse Services to
				  offer behavioral health services in accordance with Chapter 53 of Title 450.
"Crisis intervention"
means an immediately
				  available service to meet the psychological, physiological and environmental
				  needs of individuals who are experiencing a mental health or substance abuse
				  crisis.
"Crisis stabilization"
means emergency
				  psychiatric and substance abuse services for the resolution of crisis
				  situations and may include placement of an individual in a protective
				  environment, basic supportive care, and medical assessment and, if needed,
				  referral to an ODMHSAS certified facility having nursing and medical support
				  available.
"Cultural competency"
means the ability to
				  recognize, respect, and address the unique needs, worth, thoughts,
				  communications, actions, customs, beliefs and values that reflect an
				  individual's racial, ethnic, religious, sexual orientation, and/or social
				  group.
"DSM"
means the current Diagnostic and
				  Statistical Manual of Mental Disorders published by the American Psychiatric
				  Association.
"FTE"
means an employee, or more than one, who
				  work(s) the time equivalent to the number of hours per week, month or year of
				  one (1) employee working full-time.
"Governing Agency"
means the facility or
				  specific community based behavioral health provider under which the PACT
				  program is operated.
"Historical time line"
means a method by which a
				  specialized form is used to gather, organize and evaluate historical
				  information about significant events in a consumer's life, experience with
				  mental illness, and treatment history.
"Individual Treatment Team"
or
"ITT"
means the primary case manager and a minimum of two other
				  clinical staff on the PACT team who are responsible to keep the consumer's
				  treatment coordinated, monitor their services, coordinate staff activities and
				  provide information and feedback to the whole team.
"Licensed Behavioral Health Professional"
or
"LBHP"
means:
(A) An Allopathic or Osteopathic Physician with a current
				  license and board certification in psychiatry or board eligible in the state in
				  which services are provided, or a current resident in psychiatry;
(B) An Advanced Practice Registered Nurse licensed as a
				  registered nurse with a current certification of recognition from the board of
				  nursing in the state in which services are provided and certified in a
				  psychiatric mental health specialty;
(C) A Clinical Psychologist who is duly licensed to practice
				  by the State Board of Examiners of Psychologists;
(D) A Physician Assistant who is licensed in good standing in
				  Oklahoma and has received specific training for and is experienced in
				  performing mental health therapeutic, diagnostic, or counseling functions;
(E) A practitioner with a license to practice in the state in
				  which services are provided by one of the following licensing boards:
(i) Social Work (clinical specialty only);
(ii) Professional Counselor;
(iii) Marriage and Family Therapist;
(iv) Behavioral Practitioner; or
(v) Alcohol and Drug Counselor.
"Licensed mental health professional"
or
"LMHP"
as defined in Title 43A § 1-103(11).
"Licensure candidate"
means practitioners
				  actively and regularly receiving board approved supervision, and extended
				  supervision by a fully licensed clinician if board's supervision requirement is
				  met but the individual is not yet licensed, to become licensed by one of the
				  following licensing boards:
(A) Psychology;
(B) Social Work (clinical specialty only);
(C) Professional Counselor;
(D) Marriage and Family Therapist;
(E) Behavioral Practitioner; or
(F) Alcohol and Drug Counselor.
"Linkage services"
means the communication and
				  coordination with other service providers pursuant to a valid release that
				  assure timely appropriate referrals between the PACT program and other
				  providers.
"Licensed Practical Nurse"
or
"LPN"
means an individual who is currently licensed by the Oklahoma Board of Nursing
				  to provide a directed scope of nursing practice.
"Medically necessary"
means health care services
				  or supplies needed to prevent, diagnose or treat an illness, injury, condition,
				  disease or its symptoms and that meet accepted standards of medicine.
"Nurse Care manager"
means a Licensed Practical
				  Nurse (LPN) or a Registered Nurse (RN).
"ODMHSAS"
means the Oklahoma Department of
				  Mental Health and Substance Abuse Services.
"Oklahoma Administrative Code"
or
"OAC"
means the publication authorized by 75 O.S. § 256 known
				  as The Oklahoma Administrative Code, or, prior to its publication, the
				  compilation of codified rules authorized by 75 O.S. § 256(A) (1) (a) and
				  maintained in the Office of Administrative Rules.
"Performance Improvement"
or
"PI"
means an approach to the continuous study and improvement of the processes of
				  providing health care services to meet the needs of consumers and others.
				  Synonyms, and near synonyms include continuous performance improvement,
				  continuous improvement, organization-wide performance improvement and total
				  quality management.
"Persons with special needs"
means any person
				  with a condition which is considered a disability or impairment under the
				  "American with Disabilities Act of 1990" including, but not limited to the deaf
				  and hearing impaired, visually impaired, physically disabled, developmentally
				  disabled, persons with disabling illness, persons with mental illness. See
				  "Americans with Disabilities Handbook," published by U.S. Equal Employment
				  Opportunity Commission and U.S. Department of Justice.
"PICIS"
is a comprehensive management
				  information system based on national standards for mental health and substance
				  abuse databases. It is a repository of diverse data elements that provide
				  information about organizational concepts, staffing patterns, consumer
				  profiles, program or treatment focus, and many other topics of interest to
				  clinicians, administrators and consumers. It includes unique identifiers for
				  agencies, staff and consumers that provide the ability to monitor the course of
				  consumer services throughout the statewide DMHSAS network. PICIS collects data
				  from hospitals, community mental health centers, substance abuse agencies,
				  domestic violence service providers, residential care facilities, prevention
				  programs, and centers for the homeless which are operated or funded in part by
				  DMHSAS.
"Primary Care Practitioner (PCP)"
means a
				  licensed physician, Advanced Practice Registered Nurse (APRN), or Physician
				  Assistant (PA) licensed in the State of Oklahoma.
"Primary Case Manager"
is a certified behavioral
				  health case manager assigned by the team leader to coordinate and monitor
				  activities of the ITT, has primary responsibility to write the treatment plan
				  and make revisions to the treatment plan and weekly schedules.
"Program Assistant"
is a member of the PACT team
				  providing duties supportive of the Team and may include organizing,
				  coordinating, and monitoring non-clinical operations of the PACT, providing
				  receptionist activities and coordinating communication between the team and
				  consumers.
"Program of Assertive Community Treatment"
or
"PACT"
means a clinical program that provides continuous
				  treatment, rehabilitation and support services to persons with mental illness
				  in settings that are natural to the consumer.
"Progress notes"
mean a chronological
				  description of services provided to a consumer, the consumer's progress, or
				  lack of, and documentation of the consumer's response related to the
				  intervention plan.
"Recovery Support Specialist"
is a member of the
				  PACT team who is or has been a recipient of mental health services for a
				  serious mental illness and is willing to use and share his or her personal,
				  practical experience, knowledge, and first-hand insight to benefit the team and
				  consumers.
"Service Intensity"
means the frequency and
				  quantity of services needed, the extent to which multiple providers or agencies
				  are involved, and the level of care coordination required.
"Team Leader"
is the clinical and administrative
				  supervisor of the PACT team who also functions as a practicing clinician. The
				  team leader is responsible for monitoring each consumer's clinical status and
				  response to treatment as well as supervising all staff and their duties as
				  specified by their job descriptions.
"Trauma informed"
means the capacity for a
				  facility and all its programs to recognize and respond accordingly to the
				  presence of the effects of past and current traumatic experiences in the lives
				  of its consumers.
"Urgent Recovery Clinic"
means a facility
				  certified by ODMHSAS pursuant to OAC 450:23 that offers services aimed at the
				  assessment and immediate stabilization of acute symptoms of mental illness,
				  alcohol and drug abuse, and emotional distress. URCs offer triage crisis
				  response, crisis intervention, crisis assessment, crisis intervention plan
				  development, and linkage and referral to other services.
"Wellness Coach"
means an individual who is
				  actively working on personal wellness and who is designated to collaborate with
				  others to identify their personal strengths and goals within the eight
				  dimensions of wellness (spiritual, occupational, intellectual, social,
				  physical, environmental, financial, and emotional).
(A) In order to qualify to be a Wellness Coach, individuals
				  shall:
(i) Have a behavioral health related associates degree or two
				  years of experience in the field and/or have an active certification and/or
				  license within the behavioral health field (e.g. PRSS, Case Management, LBHP,
				  LPN, etc.); and
(ii) Complete the ODMHSAS Wellness Coach Training Program and
				  pass the examination with a score of 80% or better.
(B) Wellness Coach roles and responsibilities include:
(i) Role model wellness behaviors and actively work on
				  personal wellness goals;
(ii) Apply principles and processes of coaching when
				  collaborating with others;
(iii) Facilitate wellness groups;
(iv) Conduct motivational interventions;
(v) Practice motivational interviewing techniques;
(vi) Provide referrals to community resources for nutrition
				  education, weight management, Oklahoma Tobacco Helpline, and other
				  wellness-related services and resources;
(vii) Create partnerships within local community to enhance
				  consumer access to resources that support wellness goals;
(viii) Raise awareness of wellness initiatives through
				  educational in-service and community training;
(ix) Elevate the importance of wellness initiatives within
				  the organization;
(x) Promote a culture of wellness within the organization for
				  both consumers and staff;
(xi) Respect the scope of practice and do not practice
				  outside of it, referring people to appropriate professionals and
				  paraprofessionals as needed.
Added at 20 Ok Reg 683,
				  eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 23 Ok
				  Reg 1445, eff 7-1-06; Amended at 24 Ok Reg 1422, eff 7-1-07; Amended at 25 Ok
				  Reg 2546, eff 7-11-08; Amended at 27 Ok Reg 1015, eff
				  7-1-10