Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 17 - Standards and Criteria for Community Mental Health Centers › Subchapter 1 - General Provisions › Section 450:17-1-2 - 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:
"Abuse"
means the causing or permitting of harm
				  or threatened harm to the health, safety, or welfare of a consumer by a staff
				  responsible for the consumer's health, safety, or welfare, including but not
				  limited to: non-accidental physical injury or mental anguish; sexual abuse;
				  sexual exploitation; use of mechanical restraints without proper authority; the
				  intentional use of excessive or unauthorized force aimed at hurting or injuring
				  the resident; or deprivation of food, clothing, shelter, or healthcare by a
				  staff responsible for providing these services to a consumer.
"Adults who have a Serious Mental Illness"
means
				  persons eighteen (18) years of age or older who show evidence of points of (A),
				  (B) and (C) below:
(A) The disability
				must have persisted for six months and be expected to persist for a year or
				longer.
(B) A condition or Serious
				Mental Illness as defined by the most recently published version of the DSM or
				the International Classification of Disease (ICD) equivalent with the exception
				of DSM "V" codes, substance abuse, and developmental disorders which are
				excluded, unless they co-occur with another diagnosable Serious Mental
				Illness.
(C) The adult must exhibit
				either (i) or (ii) below:
(i) Psychotic
				symptoms of a Serious Mental Illness (e.g. Schizophrenia characterized by
				defective or lost contact with reality, often hallucinations or delusions);
				or
(ii) Experience difficulties
				that substantially interfere with or limit an adult from achieving or
				maintaining one or more developmentally appropriate social, behavioral,
				cognitive, communicative, or adaptive skills. There is functional impairment in
				at least two of the following capacities (compared with expected developmental
				level):
(I) Impairment in self-care
				manifested by a person's consistent inability to take care of personal
				grooming, hygiene, clothes and meeting of nutritional needs.
(II) Impairment in community function
				manifested by a consistent lack of appropriate behavioral controls,
				decision-making, judgment and value systems which result in potential
				involvement or involvement with the criminal justice system.
(III) Impairment of social relationships
				manifested by the consistent inability to develop and maintain satisfactory
				relationships with peers.
(IV)
				Impairment in family function manifested by a pattern of disruptive behavior
				exemplified by repeated and/or unprovoked violence, disregard for safety and
				welfare of self or others (e.g., fire setting, serious and chronic
				destructiveness, inability to conform to reasonable limitations and
				expectations.
(V) Impairment in
				functioning at school or work manifested by the inability to pursue educational
				or career goals.