North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-01 - Administration and Center Management › Section 75-05-01-01 - Definitions

Current through Supplement No. 393, July, 2024
As used in this article:
1. "Acute treatment services" means a group
				of core services designed to address the needs of vulnerable children,
				adolescents, adults, elderly, and families who have problems.
2. "Addiction evaluation" means an assessment
				to determine the nature or extent of substance use or addictive
				disorders.
3. "Admission process"
				means an initial face-to-face contact with the consumer intended to define and
				evaluate the presenting problem and make disposition for appropriate
				services.
4. "Adult diagnosed with
				a serious mental illness" means an adult that meets the definition of
				"chronically mentally ill" as defined in North Dakota Century Code section
				57-38-01.
5. "Aftercare services"
				means activities provided for an individual who is in an inpatient facility or
				an intensive outpatient program and ready for discharge. These services assist
				an individual in gaining access to needed social, psychiatric, psychological,
				medical, vocational, housing, and other services in the community.
6. "Case management" means services which
				will provide or assist an individual in gaining access to needed social,
				psychiatric, psychological, medical, vocational, housing, and other services in
				the community.
7. "Client" or
				"consumer" means an individual who receives services from the human service
				center and for whom a client or consumer record is maintained.
8. "Client record" or "consumer record" means
				a compilation of those events and processes that describe and document the
				evaluation, care, treatment, and service of the client or consumer.
9. "Clinical services" means a variety of
				services, including acute treatment services, emergency services, extended care
				services, medications, community consultation and education, psychological
				services, and regional intervention services to meet the care and treatment
				needs of consumers.
10. "Community
				home counselor" means an individual who provides care, supervision, and
				training for an individual with serious mental illness or serious emotional
				disturbance in a community residential care facility and assists a resident in
				reorientation to the community.
11.
				"Community living supervisor" means a professional who is responsible for the
				planning and implementation of training and treatment in a community
				residential care facility for an individual with serious mental
				illness.
12. "Community residential
				service" means a variety of residential options which may include transitional
				living, supported living, crisis residential, in-home residential services, and
				other residential services necessary to assist an individual in becoming
				successful and satisfied in the individual's living environment.
13. "Core services" means a minimum set of
				services that all human service centers provide.
14. "Crisis residential services" means
				temporary housing to provide crisis intervention, treatment, and other
				supportive services necessary for an individual to remain in the
				community.
15. "Department" means
				the department of human services.
16. "Diagnosis" means the process of
				identifying specific mental or physical disorders based on standard diagnostic
				criteria.
17. "Emergency services"
				means a service that is available at all times to handle crisis
				situations.
18. "Evidence-based
				practice" is defined as an intervention that has been demonstrated, by
				scientific methods and peer review, to be an effective treatment strategy for
				the individual, family, or group being served.
19. "Extended care services" means services
				provided to an individual with serious mental illness to maintain or promote
				social, emotional, and physical well-being through opportunities for
				socialization, work participation, education, and other self-enhancement
				activities. Extended care services include community residential services, work
				skills development, community supportive care services, case management and
				aftercare services, and recovery centers.
20. "Family therapy" means a form of
				treatment in which the family is treated as a whole.
21. "Group counseling" or "group therapy"
				means a form of treatment in which a group of consumers, with similar problems,
				meet with a counselor or therapist to discuss difficulties, provide support for
				each other, gain insight into problems, and develop better methods of problem
				solving.
22. "Human service center"
				means a facility established in accordance with North Dakota Century Code
				section 50-06-05.3.
23. "Human
				service council" means a group appointed in accordance with North Dakota
				Century Code section 50-06-05.3.
24. "Individual counseling" or "individual
				therapy" means a form of treatment in which a counselor or therapist works with
				a consumer on a one-to-one basis.
25. "Individual plan" means a document which
				describes an individual plan of treatment or service for each consumer,
				including a description of the consumer's problems and goals for treatment and
				the individuals responsible for initiating and implementing the plan.
26. "Mental status" means an evaluation of an
				individual's appearance, posture, mood, affect, attitude toward assessment,
				orientation, speech, recent and remote memory, abstract reasoning, insight,
				judgments, preoccupations, hallucinations, delusions, and suicidal or homicidal
				ideation.
27. "Multidisciplinary
				team" means at least three staff members representing two different
				disciplines. At least one of the three must be a psychiatrist or psychologist.
				As determined appropriate by the human service center, a clinical nurse
				specialist may substitute for a psychiatrist if neither a psychiatrist nor a
				psychologist can be in attendance. The exception must be noted on the
				multidisciplinary case conference note prepared at the time of
				staffing.
28. "Outreach" means the
				provision of services, including direct services, and information and referral,
				to areas outside of the main office of a regional human service
				center.
29. "Program" means an
				organized system of services designed to meet the service needs of
				consumers.
30. "Progress notes"
				means the documentation in the consumer's record which describes the consumer's
				progress or lack of progress as it relates to the approved treatment
				plan.
31. "Psychiatric evaluation"
				means a psychiatric diagnostic interview examination, including a history,
				mental status, and a disposition, and may include communication with family
				members or other sources.
32.
				"Psychiatrist" means a physician, with three years of approved residency
				training in psychiatry, who is American board of psychiatry and neurology
				eligible, and who is licensed to practice medicine in the state of North
				Dakota.
33. "Psychological
				evaluation" means the assessment or evaluation of a consumer by or under the
				supervision of a licensed psychologist.
34. "Psychologist" means a professional who
				holds a doctor's degree in psychology and who is licensed by the state of North
				Dakota or who qualifies as a psychologist under North Dakota Century Code
				section 43-32-30.
35. "Qualitative
				and quantitative indicator" means an expected standard of care or outcome that
				can be measured.
36. "Recovery
				center" means a facility whose staff provides socialization, social skill
				building, information and referral, and community awareness for the purpose of
				enhancing the ability of an individual diagnosed with serious mental illness to
				live in the community.
37.
				"Regional director" means the human service professional who is appointed by
				the executive director of the department to be responsible for the overall
				management and administration of the human service center.
38. "Regional intervention service" means a
				service unit within a human service center which provides crisis intervention
				and support services in a community as an alternative to state hospital
				admission.
39. "Semi-independent
				living arrangement" means an arrangement that, through the use of intensive,
				in-home support services, gives a consumer the ability to reside in the
				consumer's own home.
40. "Seriously
				mentally ill (SMI) group care" means the provision of meals and lodging-related
				services to an individual in a twenty-four-hour per day community-based living
				environment established for an individual who does not need the protection
				offered in an institutional setting, but is not yet ready for independent
				living.
41. "Utilization review"
				means a program designed to ensure optimal use of center resources to determine
				if professionally recognized standards are being practiced for service
				utilization.
General Authority:
NDCC 50-06-05.2
Law Implemented:
NDCC
					 50-06-05.2