Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers › Subchapter 1 - General Provisions › Section 450:23-1-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words or terms, when used in this Chapter,
				  shall have the defined 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 resident by a staff
				  responsible for the resident'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 resident.
"Clinical privileging"
means an organized method
				  for treatment facilities to authorize an individual permission to provide
				  specific care and treatment services to consumers within well-defined limits,
				  based on the evaluation of the individual's license, education, training,
				  experience, competence, judgment, and other credentials.
"Community-based Structured Crisis Center"
or
"CBSCC"
means a program of non-hospital emergency services for
				  mental health and substance use disorder crisis stabilization as authorized by
				  O.S. 43A 3-317, including, but not limited to, observation, evaluation,
				  emergency treatment and referral, when necessary, for inpatient psychiatric or
				  substance use disorder treatment services. This service is limited to CMHC's
				  and Comprehensive Community Addiction Recovery Centers (CCARCs) who are
				  certified by the Department of Mental Health and Substance Abuse Services or
				  facilities operated by the Department of Mental Health and Substance Abuse
				  Services.
"Consumer"
means an individual, who has applied
				  for, is receiving or has received evaluation or treatment services from a
				  facility operated or certified by ODMHSAS or with which ODMHSAS contracts and
				  includes all persons.
"Co-occurring disorder"
means any combination of
				  mental health and substance use disorder symptoms or diagnoses in a client.
"Co-occurring disorder capability"
means the
				  organized capacity within any type of program to routinely screen, identify,
				  assess, and provide properly matched interventions to individuals with
				  co-occurring disorders.
"Crisis intervention"
means an immediately
				  available service to meet the psychological, physiological and environmental
				  needs of individuals who are experiencing a mental health and/or substance
				  abuse crisis.
"Crisis stabilization"
means emergency
				  psychiatric and substance abuse services for the resolution of crisis
				  situations and may include placement of an individual in a protective
				  environment, basic supportive care, and medical assessment and referral.
"Critical incident"
means an occurrence or set
				  of events inconsistent with the routine operation of the facility, or the
				  routine care of a consumer. Critical incidents specifically include but are not
				  necessarily limited to the following: adverse drug events; self-destructive
				  behavior; deaths and injuries to consumers, staff and visitors; medication
				  errors; consumers that are absent without leave (AWOL); neglect or abuse of a
				  consumer; fire; unauthorized disclosure of information; damage to or theft of
				  property belonging to a consumers or the facility; other unexpected
				  occurrences; or events potentially subject to litigation. A critical incident
				  may involve multiple individuals or results.
"Emergency detention"
as defined by 43A §
				  5-206 means the detention of a person who appears to be a person requirement
				  treatment in a facility approved by the Commissioner of Mental Health and
				  Substance Abuse Services as appropriate for such detention after the completion
				  of an emergency examination, either in person or via telemedicine, and a
				  determination that emergency detention is warranted for a period not to exceed
				  one hundred twenty (120) hours or five (5) days, excluding weekends and
				  holidays, except upon a court order authorizing detention beyond a one hundred
				  twenty (120) hour period or pending the hearing on a petition requesting
				  involuntary commitment or treatments provided by 43A of the Oklahoma
				  Statutes.
"Emergency examination"
For adults: means the
				  examination of a person who appears to be a mentally ill person, an
				  alcohol-dependent person, or drug-dependent person and a person requiring
				  treatment, and whose condition is such that it appears that emergency detention
				  may be warranted, by a licensed mental health professional to determine if
				  emergency detention of the person is warranted. The examination must occur
				  within twelve (12) hours of being taken into protective custody.
"Facility-based crisis stabilization"
means
				  emergency psychiatric and substance abuse services for the resolution of crisis
				  situations that takes place in a crisis unit where the individual is admitted
				  for treatment.
"Homeless"
means a state in which a person a)
				  lacks a fixed, regular and adequate night time residence AND b) has a primary
				  nighttime residence that is a supervised publicly or privately operated shelter
				  designated to provide temporary living accommodations including welfare hotels,
				  congregate shelters, half way houses, and transitional housing for the mentally
				  ill; or an institution that provides a temporary residence for individuals
				  intended to be institutionalized; or a public or private place not designed
				  for, or ordinarily used as, a regular sleeping accommodation for human beings,
				  not limited to people living on the streets. Individuals are considered
				  homeless if they have lost their permanent residence, and are temporarily
				  living in a shelter to avoid being on the street.
"Initial Assessment"
means examination of
				  current and recent behaviors and symptoms of a person or minor who appears to
				  be mentally ill or substance dependent.
"Intervention plan"
means a description of
				  services to be provided in response to the presenting crisis situation that
				  incorporates the identified problem(s), strengths, abilities, needs and
				  preferences of the individual served.
"Licensed mental health professional"
or
"LMHP"
means a practitioner who meets qualifications as defined in
				  Title 43A §
									1-103(11).
"Linkage services"
means the communication and
				  coordination with other service providers that assure timely appropriate
				  referrals between the CBSCC and other providers.
"Minor"
means any person under eighteen (18)
				  years of age.
"Oklahoma Administrative Code"
or
"OAC"
means the publication authorized by 75 O.S. § 256 known
				  as The Oklahoma Administrative Code, or, prior to its publication, the
				  compilation of codified rules authorized by 75 O.S. § 256(A)(1)(a) and
				  maintained in the Office of Administrative Rules.
"ODMHSAS"
means the Oklahoma Department of
				  Mental Health and Substance Abuse Services.
"Performance Improvement"
or
"PI"
means an approach to the continuous study and improvement of the processes of
				  providing health care services to meet the needs of consumers and others.
				  Synonyms, and near synonyms include continuous performance improvement,
				  continuous improvement, organization-wide performance improvement and total
				  quality management.
"Persons with special needs"
means any persons
				  with a condition which is considered a disability or impairment under the
				  "American with Disabilities Act of 1990" including, but not limited to the
				  deaf/hearing impaired, visually impaired, physically disabled, developmentally
				  disabled, persons with disabling illness, persons with mental illness and/or
				  substance abuse disorders. See "Americans with Disabilities Handbook,"
				  published by U.S. Equal Employment Opportunity Commission and U.S. Department
				  of Justice.
"PICIS"
means a comprehensive management
				  information system based on national standards for mental health and substance
				  abuse databases. It is a repository of diverse data elements that provide
				  information about organizational concepts, staffing patterns, consumer
				  profiles, program or treatment focus, and many other topics of interest to
				  clinicians, administrators and consumers. It includes unique identifiers for
				  agencies, staff and consumers that provide the ability to monitor the course of
				  consumer services throughout the statewide DMHSAS network. PICIS collects data
				  from hospitals, community mental health centers, substance abuse agencies,
				  domestic violence service providers, residential care facilities, prevention
				  programs, and centers for the homeless which are operated or funded in part by
				  DMHSAS.
"Progress notes"
mean a chronological
				  description of services provided to a consumer, the consumer's progress, or
				  lack of, and documentation of the consumer's response related to the
				  intervention plan.
"Psychosocial evaluations"
means in-person
				  interviews conducted by professionally trained personnel designed to elicit
				  historical and current information regarding the behavior and experiences of an
				  individual, and are designed to provide sufficient information for problem
				  formulation and intervention.
"Restraint"
means manual, mechanical, and
				  chemical methods that are intended to restrict the movement or normal
				  functioning of a portion of the individual's body. For minors: mechanical
				  restraints shall not be used.
"Triage"
means a dynamic process of evaluating
				  and prioritizing the urgency of crisis intervention needed based on the nature
				  and severity of consumers' presenting situations.
"Trauma Informed"
means the recognition and
				  responsiveness to the presence of the effects of past and current traumatic
				  experiences in the lives of all consumers.
"Urgent recovery clinic"
means a program of
				  non-hospital emergency services provided in a clinic setting for mental health
				  and substance use crisis response including, but not limited to, observation,
				  evaluation, emergency treatment, and referral, when necessary, to a higher
				  level of care.
Added at 18 Ok Reg 531,
				  eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok
				  Reg 1443, eff 7-1-02; Amended at 20 Ok Reg 1324, eff 7-1-03; Amended at 21 Ok
				  Reg 1082, eff 7-1-04; Amended at 23 Ok Reg 1436, eff 7-1-06; Amended at 25 Ok
				  Reg 1404, eff 7-1-08