New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 587 - OPERATION OF OUTPATIENT PROGRAMS › Section 587.4 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
Recipient-related definitions.
(1)
Adult
is an individual
				18 years old and over.
(2)
Child
is an individual up to 18 years of age and may include
				an 18-year-old individual while such individual is currently enrolled in an
				outpatient program serving children with a diagnosis of emotional
				disturbance.
(3)
Collateral
				persons
are members of the recipient's family or household, or
				significant others who regularly interact with the recipient and are directly
				affected by or have the capability of affecting his or her condition and are
				identified in the treatment or psychiatric rehabilitation service plan as
				having a role in treatment and/or identified in the preadmission notes as being
				necessary for participation in the evaluation and assessment of the recipient
				prior to admission. A group composed of collaterals of more than one recipient
				may be gathered together for purposes of goal-oriented problem solving,
				assessment of treatment strategies and provision of practical skills for
				assisting the recipient in the management of his or her illness.
(4)
Current impairment in functioning
				with severe symptoms
means a child must have experienced at least one
				of the following within the past 30 days:
(i)
				serious suicidal symptoms or other life-threatening self-destructive behaviors;
				or
(ii) significant psychotic
				symptoms (hallucinations, delusion, bizarre behaviors); or
(iii) behavior caused by emotional
				disturbances that placed the child at risk of causing personal injury or
				significant property damage; or
(iv) behavior caused by emotional
				disturbances that placed the child at substantial risk of removal from the
				household.
(5)
Designated mental illness diagnosis
is a DSM-III-R diagnosis
				(or ICD-9-CM equivalent) other than (i) alcohol or drug disorders, (ii)
				developmental disabilities, (iii) organic brain syndromes, or (iv) social
				conditions (V-Codes). V-Code 61-20 Parent-Child problem is included for
				eligibility for services in clinic treatment programs serving children with a
				diagnosis of emotional disturbance. ICD-9-CM categories and codes that do not
				have an equivalent in DSM-III-R are not included as designated mental illness
				diagnoses.
(6)
Dual
				diagnosis
refers to those individuals with a designated mental illness
				diagnosis, in accordance with this paragraph, and a diagnosis of alcohol or
				drug disorders, developmental disabilities, or organic brain syndrome. Such
				individuals are considered eligible for treatment in outpatient programs
				specifically for treatment of their designated mental illness with
				consideration of their associated clinical needs.
(7)
Dysfunction with regard to
				adults
means deficits in self-care, activities of daily living,
				interpersonal relations, adaptation to change or task performance in work or
				work-like settings. With regard to children, dysfunction also includes deficits
				in adaptation to school, family or other residential settings.
(8)
Serious emotional
				disturbance
means a child or adolescent has a designated mental
				illness diagnosis according to the most current Diagnostic and Statistical
				Manual of Mental Disorders (DSM) and has experienced functional limitations due
				to emotional disturbance over the past 12 months on a continuous or
				intermittent basis. The functional problems must be moderate in at least two of
				the following areas or severe in at least one of the following areas:
(i) ability to care for self
				(
e.g.
, personal hygiene; obtaining and eating food; dressing;
				avoiding injuries); or
(ii) family
				life (
e.g.
, capacity to live in a family or family like
				environment; relationships with parents or substitute parents, siblings and
				other relatives; behavior in family setting); or
(iii) social relationships
				(
e.g.
, establishing and maintaining friendships; interpersonal
				interactions with peers, neighbors and other adults; social skills; compliance
				with social norms; play and appropriate use of leisure time); or
(iv) self-direction/self-control
				(
e.g.
, ability to sustain focused attention for a long enough
				period of time to permit completion of age-appropriate tasks; behavioral
				self-control; appropriate judgment and value systems; decision-making ability);
				or
(v) ability to learn
				(
e.g.
, school achievement and attendance; receptive and
				expressive language; relationships with teachers; behavior in
				school).
(9)
Utilization review authority
means a person or persons
				designated by an outpatient program to perform the function of utilization
				review in accordance with section
				587.6(l) 
				of this Part and Part 588 of this Title.