New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 1 - GENERAL PROVISIONS › Section 10:37G-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 context clearly indicates
				  otherwise:
"Acute care" means community and in-patient psychiatric
				  services designed to provide stabilization during the acute phase of
				  psychiatric illness.
"Acute care system" means those services either contracted
				  for or designated by the Division in consultation with the appropriate county
				  mental health board or licensed by the Department as part of a geographic
				  area's acute care services. They include, but are not limited to: screening
				  center, affiliated emergency services, short-term care facility, inpatient
				  psychiatric service, acute partial care, crisis housing, integrated case
				  management services (ICMS), acute family support services, and programs of
				  assertive community treatment (PACT).
"Assessment" means evaluation of the individual in crisis in
				  order to ascertain his or her current and previous level of functioning,
				  psychosocial and medical history, potential for dangerousness, current
				  psychiatric and medical condition, factors contributing to the crisis, and
				  support systems that are available for the purpose of developing an appropriate
				  individualized treatment plan that concludes with treatment recommendations.
				  Assessments may include, but shall not be limited to, nursing assessments,
				  psychiatric assessments, psychosocial assessments, rehabilitation/creative arts
				  assessments, and co-occurring disorder assessments, as further delineated at
10:37G-2.2
.
"Assistant Commissioner for Mental Health and Addiction
				  Services" means the Assistant Commissioner of the Department of Human Services
				  responsible for the Division of Mental Health and Addiction Services.
"Certified screener" means an individual who has fulfilled
				  the requirements set forth in
				  10:31-3.3
				  and has been certified by the Department as qualified to assess a patient to
				  determine if he or she meets the standard for commitment.
"Comparable STCFs" means:
1. Facilities in the same region;
2. Facilities which are similar in size; and/or
3. Facilities which serve similar populations (for example,
				  urban, suburban, etc.).
"Consensual" means the type of admission applicable to a
				  person who has received face-to-face assessments from a certified screener and
				  screening psychiatrist at a designated screening center, which have determined
				  and documented that he or she is dangerous to self, others, or property by
				  reason of mental illness, and who understands and agrees to be admitted to an
				  STCF for stabilization and treatment.
"Dangerous to others or property" means that by reason of
				  mental illness there is a substantial likelihood that the person will inflict
				  serious bodily harm upon another person or cause serious property damage within
				  the reasonably foreseeable future. This determination takes into account a
				  person's history, recent behavior and any recent act or threat.
"Dangerous to self" means that by reason of mental illness
				  the person has threatened or attempted suicide or serious bodily harm, or has
				  behaved in such a manner as to indicate that the person is unable to satisfy
				  his need for nourishment, essential medical care or shelter, so that it is
				  probable that substantial bodily injury, serious physical debilitation or death
				  will result within the reasonably foreseeable future; however, no person shall
				  be deemed to be unable to satisfy his need for nourishment, essential medical
				  care, or shelter if he is able to satisfy such needs with the supervision and
				  assistance of others who are willing and available.
"Department" or "DHS" means the New Jersey Department of
				  Human Services.
"Designated screening service" means a public ambulatory
				  care service designated by the Commissioner of the Department of Human Services
				  and located in or adjacent to an emergency department in a general hospital,
				  which provides mental health services, including assessment, screening,
				  emergency, and referral services for mentally ill persons in a specified
				  geographic area. A designated screening service is the facility in the public
				  mental health care system wherein a person who may be in need of treatment at a
				  short-term care facility (STCF) or a State or county psychiatric hospital or a
				  unit in a special psychiatric hospital undergoes an assessment to determine
				  what mental health services are appropriate for the person and where those
				  services may be appropriately provided.
"Designation as a short-term care facility" means that a
				  facility has received approval for a certificate of need (CON) application by
				  the Department of Health in consultation with the Department of Human Services
				  and that the Department of Human Services has determined that the STCF
				  applicant meets all of the rules of this chapter and is authorized to begin
				  operating as an STCF, provided that the unit also meets applicable Department
				  of Health licensure requirements. The application for designation shall be
				  submitted at least 60 days prior to planned implementation.
"Division" means the Division of Mental Health and Addiction
				  Services.
"DOH" means the New Jersey Department of Health.
"Integrated Case Management Services (ICMS)" means
				  personalized, collaborative, and flexible outreach services, offered primarily
				  off-site, designed to engage, support, and integrate individuals with serious
				  mental illness into the community of their choice, and facilitate their use of
				  available resources and supports in order to maximize their
				  independence.
"Licensed independent practitioner" means an individual
				  permitted by law to provide mental health care services, including, but not
				  limited to, medication prescription privileges, without direct supervision,
				  within the scope of the individual's license to practice in the State of New
				  Jersey pursuant to
45:1-1
et seq., and may include physicians and advance practice nurses with
				  mental health certification.
"Mental illness" means a current, substantial disturbance of
				  thought, mood, perception or orientation which significantly impairs judgment,
				  capacity to control behavior or capacity to recognize reality, but does not
				  include simple alcohol intoxication, transitory reaction to drug ingestion,
				  organic brain syndrome or developmental disability unless it results in the
				  severity of impairment as defined herein. The term mental illness is not
				  limited to "psychosis" or "active psychosis," but shall include all conditions
				  that result in the severity of impairment described herein.
"Patient protected health information" or "patient PHI"
				  means all information, certificates, applications, records, and reports that
				  directly or indirectly identify a patient currently or formerly receiving
				  services, or for whom services were sought.
"Personal safety plan" means a plan in which a patient
				  identifies those interventions or coping strategies that are most effective, as
				  well as those which have been harmful.
"Progress notes" means recordings in the medical record that
				  are legible, complete, dated, timed, and authenticated in written or electronic
				  format by persons directly responsible for the care and active treatment of the
				  patient. Progress notes should be goal-oriented and give a chronological
				  account of how the patient is progressing toward the accomplishment of
				  individual goals in the treatment plan.
"Psychiatric facility" means a State psychiatric hospital
				  listed in
				  30:1-7,
				  a county psychiatric hospital, a psychiatric unit of a county hospital, or a
				  special psychiatric hospital.
"Psychiatrist" means a physician who has completed the
				  training requirements of the American Board of Psychiatry and Neurology and the
				  American Osteopathic Board of Neurology and Psychiatry.
"Recovery from a mental illness" means the deeply personal,
				  unique process of changing one's attitudes, values, feelings, and goals, skill
				  or roles to live a satisfying, hopeful, and contributing life even with the
				  limitations caused by a mental illness. A recovery-oriented mental health
				  system enables persons suffering from mental illness to live, work, learn and
				  participate fully in their communities; and the recovery process enables a
				  person to re-establish a sense of integrity and purpose and to live a
				  satisfying, hopeful and contributory life, within the limitations of the
				  illness.
"Rehabilitation/creative arts therapist" means a person who
				  has a degree from an accredited institution of higher learning in a discipline
				  with a defined course of study addressing assessment and treatment for persons
				  with mental illness. The rehabilitation/creative arts therapist will be
				  licensed or credentialed by the appropriate association or licensure or
				  credentialing board, as applicable and except as approved by Department waiver
				  pursuant to
10:37G-2.9
. Rehabilitation/creative arts therapists shall include rehabilitation
				  specialists, and/or art, music, dance/movement, drama, occupational, and
				  recreation therapists.
"Short-term care facility (STCF)" means a closed acute-care
				  adult psychiatric unit in a general hospital for short-term admission of
				  individuals who meet the legal standards for commitment and require intensive
				  treatment. The STCF shall be designated by the Department to serve a specific
				  geographic area within the State. All admissions to short-term care facilities
				  must be referred through a designated emergency/screening mental health
				  service.
"Special psychiatric hospital" means a public or private
				  hospital licensed by the Department of Health to provide voluntary and
				  involuntary mental health services, including assessment, care, supervision,
				  treatment, and rehabilitation services to persons with mental illness.
"STCF professional staff" means an individual with a
				  master's degree from an accredited institution in a recognized mental health
				  discipline or a staff member appropriately licensed or certified or regarded as
				  qualified, in accordance with the highest professional standards, to provide
				  such services.
"Systems review committee (SRC)" means a group of
				  representatives of State and county hospitals, acute care provider agencies,
				  family members and consumers, including STCFs, who, under the auspices of the
				  county mental health board and the Division, participate in the monitoring of
				  the acute psychiatric services system in a geographic area. These committees
				  also recommend revisions to the acute care service delivery system for the
				  purpose of improving the service delivery for the patients they share in
				  common.
"Wellness" means a conscious, deliberate, active, and ongoing
				  process of becoming aware of , and making choices toward , a more successful
				  existence. It includes physical, emotional, intellectual, social,
				  environmental, occupational-leisure , and spiritual dimensions, and
				  incorporates disease prevention and health promotion approaches. A wellness
				  lifestyle leads to positive outcomes that can be measured in terms of improved
				  health status, greater productivity, enhanced social relationships, and
				  participation in purposeful activity -- all of which provide meaningful
				  opportunities for healing, personal growth, and an improved quality of life.
"Wellness and Recovery Action Plan" or "WRAP" means a plan
				  designed by an individual to serve as a guide to maintaining or regaining
				  wellness. A WRAP may delineate a description of the individual in a state of
				  good mental and physical health, those wellness tools that must be used daily
				  to maintain wellness, early warning signs predicting a decline, a crisis plan
				  or Advance Directive to address illness, and a post-crisis plan.