Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 27 - Standards and Criteria for Mental Illness Service Programs › Subchapter 1 - General Provisions › Section 450:27-1-2 - 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.
"Advanced Practice Registered Nurse or (APRN)"
means a registered nurse in good standing with the Oklahoma Board of Nursing,
				  and has acquired knowledge and clinical skills through the completion of a
				  formal program of study approved by the Oklahoma Board of Nursing Registration
				  and has obtained professional certification through the appropriate National
				  Board recognized by the Oklahoma Board of Nursing. Advanced Practice Registered
				  Nurse services are limited to the scope of their practice as defined in 59
				  Okla. Stat. § 567.3a and corresponding rules and regulations at OAC
				  485:10-5-1
				  through 10-16-9.
"Case management services"
means planned
				  referral, linkage, monitoring and support, and advocacy provided in partnership
				  with a consumer to assist that consumer with self sufficiency and community
				  tenure and take place in the individual's home, in the community, or in the
				  facility, in accordance with a service plan developed with and approved by the
				  consumer and qualified staff.
"Community-based Structured Crisis Center"
or
"CBSCC"
means a program of non-hospital emergency services for
				  mental health and substance abuse crisis stabilization as authorized by 43A
				  O.S. §3-317, including, but not limited to, observation, evaluation,
				  emergency treatment and referral, when necessary, for inpatient psychiatric or
				  substance abuse 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.
"Community mental health center"
or
"CMHC"
means a facility offering a comprehensive array of
				  community-based mental health services, including but not limited to, inpatient
				  treatment, outpatient treatment, partial hospitalization, emergency care,
				  consultation and education; and, certain services at the option of the center,
				  including, but not limited to, prescreening, rehabilitation services, pre-care
				  and aftercare, training programs, and research and evaluation.
"Consumer"
means an individual, adult,
				  adolescent, or child, 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 referred to in
				  OAC Title 450 as client(s) or patient(s) or resident(s) or a combination
				  thereof.
"Consumer advocacy"
includes all activities on
				  behalf of the consumer to assist with or facilitate resolution of problems in
				  the acquisition of resources or services needed by the consumer.
"Contract"
means a document adopted by the
				  governing authority of a treatment facility and any other organization,
				  facility, or individual, which specifies services, personnel, or space to be
				  provided by the program, as well as the monies to be expended in exchange.
"Co-occurring disorder" (COD)
means any
				  combination of mental health symptoms and substance abuse symptoms or diagnoses
				  that affect a consumer and are typically determined by the current Diagnostic
				  and Statistical Manual of Mental Disorders.
"Co-occurring disorder capability"
means the
				  organized capacity within any type of program to routinely screen, identify,
				  assess, and provide properly matched interventions to consumers with
				  co-occurring disorders.
"Crisis Intervention"
means actions taken, and
				  services provided to address emergency psychological, physiological, and safety
				  aspects of alcohol, drug-related, and mental health crises.
"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, if needed,
				  referral to an ODMHSAS certified facility having nursing and medical support
				  available.
"Cultural competency"
means the ability to
				  recognize, respect, and address the unique needs, worth, thoughts,
				  communications, actions, customs, beliefs and values that reflect an
				  individual's racial, ethnic, religious, sexual orientation, and/or social
				  group.
"Discharge criteria"
means individualized
				  measures by which a program and the consumer determine readiness for discharge
				  or transition from services being provided by that facility. These may
				  reference general guidelines as specified in facility policies or procedures
				  and/or in published guidelines including, but not limited to, the current ASAM
				  criteria for individuals with substance use disorders, but should be
				  individualized for each consumer and articulated in terms of consumer
				  behaviors, resolutions of specific problems, and attainment of goals developed
				  in partnership with the participant and the provider.
"DSM"
means the most current edition of the
				  Diagnostic and Statistical Manual of Mental Disorders published by the American
				  Psychiatric Association.
"Emergency detention"
means the detention of a
				  person who appears to be a person requiring 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 as defined in Title 43A O.S. Section 5-206.
"Emergency examination"
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.
"Emergency services"
means a twenty-four (24)
				  hour capability for assessment, intervention, and resolution of a consumer's
				  crisis or emergency provided in response to unanticipated, unscheduled
				  emergencies requiring prompt intervention to resolve immediate, overwhelming
				  problems that severely impair the individual's ability to function or remain in
				  the community and may include placement of the individual in a protective
				  environment, withdrawal management, individual and group consultation, and
				  medical assessment.
"Evidence based practice"
means programs or
				  practices that are supported by research methodology and have produced
				  consistently positive patterns of results when replicated within the intent of
				  the published guidance.
"Face-To-Face"
for the purposes of the delivery
				  of behavioral health care, means a face-to-face physical contact and in-person
				  encounter between the health care provider and the consumer, including the
				  initial visit. The use of telemedicine shall be considered a face-to-face
				  encounter.
"Facilities or Facility"
means entities as
				  described in Title 43A O.S. §
									1-103(7),
				  community mental health centers, residential mental health facilities,
				  community based structured crisis centers, certified services for the alcohol
				  and drug dependent, programs of assertive community treatment, eating disorder
				  treatment, gambling addiction treatment, and narcotic treatment
				  programs.
"Family"
means the parents, brothers, sisters,
				  other relatives, foster parents, guardians, and others who perform the roles
				  and functions of family members in the lives of consumers.
"Licensed Behavioral Health Professional"
or
"LBHP"
means:
(A) An Allopathic or Osteopathic Physician with a current
				  license and board certification in psychiatry or board eligible in the state in
				  which services are provided, or a current resident in psychiatry;
(B) An Advanced Practice Registered Nurse licensed as a
				  registered nurse with a current certification of recognition from the board of
				  nursing in the state in which services are provided and certified in a
				  psychiatric mental health specialty;
(C) A Clinical Psychologist who is duly licensed to practice
				  by the State Board of Examiners of Psychologists;
(D) A Physician Assistant who is licensed in good standing in
				  Oklahoma and has received specific training for and is experienced in
				  performing mental health therapeutic, diagnostic, or counseling functions;
(E) A practitioner with a license to practice in the state in
				  which services are provided by one of the following licensing boards:
(i) Social Work (clinical specialty only);
(ii) Professional Counselor;
(iii) Marriage and Family Therapist;
(iv) Behavioral Practitioner; or
(v) Alcohol and Drug Counselor.
"Licensed mental health professional"
or
"LMHP"
as defined in Title 43A §
									1-103(11).
"Licensure candidate"
means practitioners
				  actively and regularly receiving board approved supervision, and extended
				  supervision by a fully licensed clinician if board's supervision requirement is
				  met but the individual is not yet licensed, to become licensed by one of the
				  following licensing boards:
(A) Psychology;
(B) Social Work (clinical specialty only);
(C) Professional Counselor;
(D) Marriage and Family Therapist;
(E) Behavioral Practitioner; or
(F) Alcohol and Drug Counselor.
"Linkage"
refers to the communication and
				  coordination with other service providers to assure timely appropriate
				  referrals between the CMHC and other providers.
"Medically necessary"
means health care services
				  or supplies needed to prevent, diagnose or treat an illness, injury, condition,
				  disease or its symptoms and that meet accepted standards of medicine.
"Nurse Care manager"
means a Licensed Practical
				  Nurse (LPN) or a Registered Nurse (RN).
"ODMHSAS"
means the Oklahoma Department of
				  Mental Health and Substance Abuse Services.
"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.
"Peer Recovery Support Specialist"
or
"PRSS"
means an individual who meets the qualifications and is
				  certified as a PRSS pursuant to OAC 450:53.
"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 quality improvement, continuous
				  improvement, organization-wide quality improvement and total quality
				  management.
"Primary Care Practitioner (PCP)"
means a
				  licensed physician, Advanced Practice Registered Nurse (APRN), or Physician
				  Assistant (PA) licensed in the State of Oklahoma.
"Program of Assertive Community Treatment"
or
"PACT"
is a clinical program that provides continuous treatment,
				  rehabilitation, and support services to persons with mental illness in settings
				  that are natural to the consumer.
"Progress notes"
mean a chronological written
				  description of services provided to a consumer, resident, client, or patient
				  that documents, utilizing acceptable documentation practices, the consumer's
				  response related to the intervention plan or services provided.
"Psychiatric Residential Treatment Facility"
or
"PRTF"
means a non-hospital facility that provides inpatient
				  psychiatric services to individuals under the age of twenty-one (21).
" Psychosocial asssessments "
are 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.
"Psychotherapy"
or
"Therapy"
means a
				  goal directed process using generally accepted clinical approaches provided
				  face-to-face by a qualified service provider with consumers in individual,
				  group or family settings to promote positive emotional or behavioral change.
"Recovery Support Specialist"
or
"RSS"
means an individual who has completed the ODMHSAS RSS
				  training and has passed the ODMHSAS RSS exam.
"Rehabilitation Services"
means face-to-face
				  individual or group services provided by qualified staff to develop skill
				  necessary to perform activities of daily living and successful integration into
				  community life.
"Resident"
means a person residing in a
				  community living program certified by ODMHSAS.
"Restraint"
refers to manual, mechanical, and
				  chemical methods that are intended to restrict the movement or normal
				  functioning of a portion of an individual's body.
"Screening"
means the process to determine
				  whether the person seeking assistance needs further comprehensive assessment.
"Service Intensity"
means the frequency and
				  quantity of services needed, the extent to which multiple providers or agencies
				  are involved, and the level of care coordination required.
"Service plan"
or
"Treatment plan"
means the document used during the process by which a qualified service
				  provider and the consumer together and jointly identify and rank problems,
				  establish agreed-upon immediate short-term and long-term goals, and decide on
				  the treatment process and resources to be utilized.
"Trauma informed capability"
means the capacity
				  for a facility and all its programs to recognize and respond accordingly to the
				  presence of the effects of past and current traumatic experiences in the lives
				  of its consumers.
"Wellness"
means the condition of good physical,
				  mental and emotional health, especially when maintained by an appropriate diet,
				  exercise, and other lifestyle modifications.
"Wellness Coach"
means an individual who is
				  actively working on personal wellness and who is designated to collaborate with
				  others to identify their personal strengths and goals within the eight
				  dimensions of wellness (spiritual, occupational, intellectual, social,
				  physical, environmental, financial, and emotional).
(A) In order to qualify to be a Wellness Coach, individuals
				  shall:
(i) Have a behavioral health related associates degree or two
				  years of experience in the field and/or have an active certification and/or
				  license within the behavioral health field (e.g. PRSS, Case Management, LBHP,
				  LPN, etc.); and
(ii) Complete the ODMHSAS Wellness Coach Training Program and
				  pass the examination with a score of 80% or better.
(B) Wellness Coach roles and responsibilities include:
(i) Role model wellness behaviors and actively work on
				  personal wellness goals;
(ii) Apply principles and processes of coaching when
				  collaborating with others;
(iii) Facilitate wellness groups;
(iv) Conduct motivational interventions;
(v) Practice motivational interviewing techniques;
(vi) Provide referrals to community resources for nutrition
				  education, weight management, Oklahoma Tobacco Helpline, and other
				  wellness-related services and resources;
(vii) Create partnerships within local community to enhance
				  consumer access to resources that support wellness goals;
(viii) Raise awareness of wellness initiatives through
				  educational in-service and community training;
(ix) Elevate the importance of wellness initiatives within
				  the organization;
(x) Promote a culture of wellness within the organization for
				  both consumers and staff;
(xi) Respect the scope of practice and do not practice
				  outside of it, referring people to appropriate professionals and
				  paraprofessionals as needed.
Added at 29 Ok Reg 663,
				  eff 7-1-12