New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37J - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT › Subchapter 1 - GENERAL PROVISIONS › Section 10:37J-1.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, as used in this chapter, shall
				  have the following meanings, unless the content clearly indicates
				  otherwise.
"Assessment" means the ongoing process of identifying and
				  reviewing a consumer's strengths, needs, and consumer-defined goals, based upon
				  input from the consumer, significant others, family members and health
				  professionals. The assessment process continues throughout the entire length of
				  service.
"Boarding home" means a building containing two or more units
				  of dwelling space arranged or intended for single room occupancy, exclusive of
				  any such unit occupied by an owner or operator, offering no financial or
				  personal services other than a room, food service, and laundry to two or more
				  residents unrelated to the operator. Such facilities shall be licensed by the
				  Department of Community Affairs, pursuant to
				  P.L.
				  1979, c.496 (Rooming House/Boarding House Act of
				  1979).
"Co-occurring disorder" means the presence of both one or
				  more substance-related disorders, as well as one or more mental illness.
"Crisis assessment and intervention" means in-home or
				  in-community emergency care provided by a PACT team member(s) who has direct
				  access to other PACT team members, including the psychiatrist and PACT
				  director/coach, for consultation and assistance.
"Department" means the Department of Human Services.
"Development and support of recreational and social
				  activities and relationships" means provision of skill training, including
				  supervised teaching activities and experiences, provided individually or in
				  small groups to improve communication and facilitate appropriate interpersonal
				  behavior.
"Direct assistance to ensure that each consumer obtains the
				  basic necessities of life, such as food, clothing, physical health and dental
				  care, shelter and safety," means that the PACT team will maximally assist
				  consumers in meeting their concrete needs. To the extent possible, the team
				  will assist enrollees in securing and maintaining safe, affordable housing in
				  settings that are clean, attractive and promote stability and
				  well-being.
"Direct assistance with structuring and performing basic
				  daily living activities" means the provision of hands-on assistance with a wide
				  range of independent living tasks.
"Division" or "DMHAS" means the Division of Mental Health and
				  Addiction Services within the Department of Human Services.
"Dual disorder services" means specialized, integrated
				  assessment and stage-based treatment of individuals who have co-occurring
				  mental illness and substance abuse disorders.
"In vivo" means assistance is provided in the consumer's home
				  and other normative community settings. Direct assistance, individualized
				  support, supervision, problem solving and the teaching of independent living
				  skills are provided in the consumer's natural settings.
"Level I standards" means those standards with which mental
				  health programs must be in full compliance in order to be granted or to
				  continue to receive a full Department of Health license. Level I standards
				  include those standards that relate most directly to consumer rights, safety,
				  and staffing. With specific reference to the PACT program, Level I standards
				  are: all standards at
				  N.J.A.C.
				  10:37J-2.4, Program intensity, except
				  subsection (c);
				  N.J.A.C.
				  10:37J-2.5(c), (d)1, (e), (h), and
				  (l), services to be provided and service
				  coordination; and
				  N.J.A.C.
				  10:37J-2.8(a), (b), (c)
				  (except for paragraphs (c)1 through 8), (d), and (i), staff
				  requirements.
"Medication prescription, administration, monitoring, and
				  documentation" means psychiatric assessment and the prescription of appropriate
				  medication. PACT staff, under the direction of the team psychiatrist, shall
				  participate in the medication-related education, delivery, administration
				  including observed self-administration, monitoring and documentation of
				  medication. Staff shall assess and document the consumer's mental illness
				  symptoms and behavior in response to medication and monitor for psychotropic
				  medication side effects. Staff shall report observations to the team
				  psychiatrist.
"Minimizing consumer involvement with the criminal justice
				  system" means that the PACT team collaborates with police, court personnel, and
				  jail and prison officials to ensure appropriate use of legal and mental health
				  services. The team informs and educates the court, corrections and police
				  officials in regard to the consumer's needs.
"Observed self-administration of medication" means a
				  procedure in which any medication is taken orally, injected, or topically or
				  otherwise administered by a PACT enrollee to himself or herself under the
				  observation of a PACT team member. The complete procedure of
				  self-administration includes removing an individual dose from a previously
				  dispensed (in accordance with the New Jersey State Board of Pharmacy rules,
				  N.J.A.C. 13:39), labeled container (including a unit dose container), verifying
				  it with the directions on the label, and taking orally, injecting, or topically
				  or otherwise administering the medication.
"PACT" means Programs of Assertive Community
				  Treatment.
"PACT director" means a designated manager within the
				  administrative structure of the PA whom, although not a PACT team member, is
				  dedicated to the success of the team(s). The director provides clinical
				  supervision (or ensures that it takes place), leadership, support, guidance,
				  networking, and advocacy efforts on behalf of the team(s) and the consumers
				  that it serves.
"Primary consumer" means, for the purposes of this rule, a
				  person who is most challenged by the need to cope with a serious and persistent
				  mental illness and who meets the eligibility requirements set forth in this
				  subchapter.
"Provider agency" (PA) means a public or private
				  organization, which has a contract or an affiliation agreement with the
				  Division to provide PACT services.
"Provision of support to consumer's family and other members
				  of the consumer's social network" means that the PACT team directly provides
				  support, consultation and education to the consumer's family, for example,
				  spouses, siblings, parents and significant others.
"Recovery" means the process by which an individual, who has
				  a mental illness, develops the skills, attitudes and knowledge base that will
				  permit the individual to live, work, learn and participate fully in the
				  community. Recovery may also include, but is not limited to, the following: the
				  reduction or remission of symptoms; the development of resiliency; recognizing
				  and accepting strengths, limitations, and losses; distinguishing between having
				  and being the illness; re-establishing a sense of integrity and purpose within
				  and beyond the limits of a mental illness.
"Recovery planning" means the process of organizing the
				  outcomes of the assessment in collaboration with the consumer, and, with
				  consent of the consumer, family members, significant others, and other service
				  providers, to formulate a written service plan. The plan addresses the
				  consumer's goals, services/interventions that will be employed to achieve these
				  goals, and strategies/supports that will be utilized to engage and motivate the
				  consumer. The recovery planning process shall continue throughout the
				  consumer's receipt of PACT services.
"Rehabilitation and support to assist consumers to find and
				  maintain employment" means assistance to consumers in choosing, obtaining, and
				  keeping employment.
"Residential health care facility" or "RHCF" means a facility
				  that provides food, shelter, supervised health care and related services to
				  four or more persons 18 years of age or older who are unrelated to the owner or
				  administrator.
"Symptom assessment, management and supportive counseling"
				  means ongoing assessment of the consumer's mental illness symptoms, including
				  the consumer's response to treatment. The concept extends to symptom education
				  to enable the consumer to identify his or her mental illness symptoms, teaching
				  of behavioral symptom management techniques to alleviate and manage symptoms
				  not reduced with medication and assistance to the consumer to adapt and cope
				  with internal and external stresses.
"Training and Technical Assistance (TTA) Initiative" means a
				  Statewide program funded by the Division and operated by an existing PACT PA to
				  provide training and technical assistance for new and existing PACT team
				  members, the PACT team director/coach, and appropriate PA administrators in the
				  various components of the PACT treatment model.
"Treatment, rehabilitation, and support interventions" means
				  the holistic array of highly individualized activities, for example, clinical,
				  direct assistance, educational, rehabilitation, vocational, skill development,
				  mentoring, advocacy, and coordination provided by the team in order to engage,
				  assist, and empower consumers in attaining mutually agreed upon recovery
				  goals.
"USTF" means Uniform Services Transaction Form.
"Wellness" means a conscious, deliberate, active, ongoing
				  process of becoming aware of and making choices toward a more successful
				  existence. Wellness may include, but is not limited to, the following: a
				  balance of self-defined health habits, such as adequate sleep, rest and
				  exercise; participation in meaningful activity; improved nutrition; improved
				  health status; greater productivity; enhanced social relationships;
				  participation in purposeful activity; improved quality of
				  life.