Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-20 - Prevention services

Current through all regulations passed and filed through July 1, 2024
(A)
								As used in this
			 rule:
(1)
									"Adverse childhood experiences" or "ACES" mean potentially
			 traumatic events that occur during childhood (ages zero to seventeen years of
			 age). "Adverse childhood experiences" include physical and emotional abuse,
			 neglect, caregiver mental illness, and household violence.
(2)
									"Brief
			 intervention" means a time-limited, structured behavioral health intervention
			 using techniques such as motivational engagement that are personalized to
			 reduce risk and encourage behavior change.
(3)
									"Coalition" means
			 a group of diverse organizations and constituent groups working together, using
			 a comprehensive public health approach and data driven planning process, toward
			 a common goal of reducing the local incidence, prevalence, and consequences of
			 mental, emotional, and behavioral (MEB) disorders.
(4)
									"Culturally
			 relevant" means the service delivery system response to the cultural,
			 linguistic, beliefs, and practices of the community as demonstrated through
			 readiness, resource, and needs assessment activities; capacity development
			 efforts; engaging stakeholders in planning; sound implementation science; and
			 evaluation, quality improvement, and sustainability activities.
(5)
									"Direct services"
			 mean interactive prevention interventions that require personal contact with
			 individuals or groups to influence individual-level change. "Direct services"
			 include classroom-based programming, parent programs, training, and coalition
			 building.
(6)
									"Early intervention" means an integral part of the
			 continuum of prevention services that includes providing early services and
			 supports after serious risk factors have been identified. These interventions
			 are implemented to halt or slow the impact of those risks and indicators of MEB
			 disorders in the earliest stages.
(7)
									"Evidenced-based"
			 means a program, practice, policy, strategy, or intervention that has been
			 identified as effective by a nationally-recognized organization, a federal
			 agency, or agency of this state and has produced a consistent, positive pattern
			 of results on the majority of the intended recipients or target
			 population.
(8)
									"Evidence-informed" means practices, strategies,
			 policies, or interventions that were developed based on the best research
			 available in the field. These activities have a strong scientific basis for
			 their use and there is confidence from recognized institutions that these will
			 have a consistent positive pattern of results or fit within prevention
			 best-practice frameworks.
(9)
									"Indirect services" mean population-based prevention
			 interventions that require sharing resources and collaborating to contribute to
			 community-level change. "Indirect services" include compliance checks, media
			 campaigns, advocacy, and resource development.
(10)
									"Mental,
			 emotional, and behavioral health (MEB) development" or "MEB development" means
			 a product of complex neurobiological processes that interact with
			 characteristics of the physical and social environment, beginning before
			 conception and continuing through and beyond adolescence.
(11)
									"Mental,
			 emotional, and behavioral health disorders" or "MEB disorders" mean a number of
			 conditions that exist on a continuum, including mental and substance use
			 disorders, while including a broader range of concerns associated with problem
			 behaviors in youth.
(12)
									"Mental health promotion" means actions supporting the
			 development of protective factors and healthy behaviors that can help promote
			 healthy MEB development and prevent or reduce risk factors that could lead to
			 the development of a diagnosable MEB disorder.
(13)
									"Prevention
			 services" means a planned sequence of culturally relevant, evidence-based
			 strategies designed to reduce the likelihood of or delay the onset of MEB
			 disorders. "Prevention services" include direct services and indirect
			 services.
(14)
									"Protective factor" means a characteristic at the
			 biological, psychological, family, or community level that is associated with a
			 lower likelihood of problem outcomes or that reduce the negative impact of a
			 risk factor on problem outcomes.
(15)
									"Public health
			 approach" means a model that attempts to prevent or reduce a particular illness
			 or social problem in a population by identifying risk factors and implementing
			 strategies to improve conditions.
(16)
									"Resiliency"
			 means the ability to adapt and grow in response to adversity, stress, or
			 trauma. Building resiliency includes a focus on strategies that mitigate risk
			 and build protections in individuals and communities that prevent adverse
			 childhood experiences and other risks that contribute to MEB
			 disorders.
(17)
									"Risk factor" means a characteristic at the biological,
			 psychological, family, community, or cultural level that precedes and is
			 associated with a higher likelihood of problem outcomes.
(18)
									"Screening"
			 means a process that identifies risk factors or early behaviors that make MEB
			 disorders more likely and can be carried out at the individual, group, and
			 community level. Screening segments a portion of those screened who could
			 benefit from additional interventions, including a referral for a diagnostic
			 assessment.
(19)
									"Social determinants of health" mean conditions in
			 places where people live, learn, work, and play that affect a wide range of
			 health risks and outcomes. "Social determinants of health" include economic
			 stability, education, health and healthcare, neighborhood and built
			 environment, and social and community context.
(20)
									"Trauma-informed" means a program, organization, or system
			 that does all of the following:
(a)
										realizes the widespread impact of trauma and
			 understands potential paths for recovery;
(b)
										recognizes the
			 signs and symptoms of trauma in clients, families, staff, and others involved
			 with the system;
(c)
										responds by fully integrating knowledge about trauma
			 into policies, procedures, and practices; and
(d)
										seeks to actively
			 resist re-traumatization.
(21)
									"Workforce
			 development" means learning opportunities designed to increase knowledge,
			 skills, and abilities of the workforce and includes training, conferences,
			 virtual learning webinars, and communities of practice.