New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 594 - Operation Of Licensed Housing Programs For Children And Adolescents With Serious Emotional Disturbances › Section 594.4 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
For purposes of this Part:
(a) General.
(1) Admission criteria means factors which
				are identified for use by the provider of services in determining a youth's
				eligibility for admission to a licensed housing program.
(2) Child, adolescent, or youth means:
(i) for persons admitted to licensed housing
				programs (including teaching family homes, community residence programs that
				are not CREDIT programs, or State operated licensed housing programs for
				children and adolescents), an individual who has attained at least the 5th
				birthday but not the 18th; or
(ii)
				for persons admitted to community residences that are CREDIT programs, an
				individual who has attained at least the 12th birthday but not the
				19th.
(3) Collaterals
				means members of the child or adolescent's family or household, or significant
				others other than staff members of mental health programs, who regularly
				interact with the child or adolescent and are directly affected by or have the
				capability of affecting the child's or adolescent's condition and are
				identified in the service plan as having a role in treatment.
(4) Community Residence Program (CR) means a
				program which provides a therapeutic environment for six to eight children and
				adolescents with serious emotional disturbances whose individual treatment
				issues preclude family settings or who may need to prepare for independent
				living. The focus of the program is to develop and implement a plan with the
				youth and family on how to live successfully and productively in a community,
				attend school or prepare for employment and develop the skills needed to return
				to more normative environments. The program emphasizes consumer and
				family-driven integration in the community, collaboration with other service
				providers, consumer input and family involvement, and development of community
				life roles and natural supports.
(5) Community Residence for Eating Disorder
				Integrated Treatment Program (CREDIT program) is a subclass of community
				residence program for children and adolescents who have been diagnosed with an
				eating disorder, whose individual treatment issues preclude family settings or
				other less restrictive alternatives.
(6) Crisis residence means a program which
				provides a short-term (1-21 day) crisis residential option for children and
				adolescents experiencing a crisis which threatens psychiatric stability and
				provides crisis supports to the youth, the family and/or to the service
				provider. The goal of the program is to stabilize the crisis situation; support
				the family's or service provider's efforts to maintain the child or adolescent
				in his or her current residence, and to decrease the inappropriate use of an
				inpatient facility or other out-of-home placements.
(7) Designated mental illness diagnosis means
				that the youth currently meets the criteria for a psychiatric diagnosis in the
				most current edition of the Diagnostic and Statistical Manual of Mental
				Disorders (DSM), or has a diagnosis of an eating disorder as defined in this
				section, but excluding alcohol or drug disorders, organic brain syndromes,
				developmental disabilities or social conditions (V-codes). ICD-9-CM categories
				and codes that do not have an equivalent in DSM-III-R are also not included as
				designated mental illness diagnosis.
(8) Discharge planning means the continuing
				process of planning for termination of services from a licensed housing program
				through the utilization of an individual's strengths in the identification of
				residential or other community resources and natural supports needed for the
				transition of the resident to another residential option or return to the
				family and making the necessary referrals, including linkages for treatment,
				rehabilitative and support services.
(9) Eating disorder shall have the same
				meaning as defined in section 2799-e  of the Public Health Law and shall
				include, but not be limited to, conditions such as anorexia nervosa, bulimia
				and binge eating disorder, identified as such in the most current edition of
				the International Classification of Disease or the most current edition of the
				Diagnostic and Statistical Manual of Mental Disorders, or other medical and
				mental health diagnostic references generally accepted for standard use by the
				medical and mental health fields.
(10) Family-centered care means the degree to
				which a service is oriented toward meeting the needs of the family rather than
				requiring the family to conform to the nature of the program.
(11) Provider of service means the entity
				which is responsible for the operation of a program. Such entity may be an
				individual, partnership, association or corporation.
(12) Qualified mental health staff person
				means:
(i) a physician who is currently
				licensed as a physician by the New York State Education Department;
				or
(ii) a psychologist who is
				currently licensed as a psychologist by the New York State Education
				Department; or
(iii) a social
				worker who is either currently licensed as a licensed master social worker or
				as a licensed clinical social worker by the New York State Education Department
				or has a master's degree in social work from a program approved by the New York
				State Education Department; or
(iv)
				a registered nurse who is currently licensed as a registered professional nurse
				by the New York State Education Department; or
(v) an individual having a master's or
				bachelor's degree in a human services related field; or
(vi) a creative arts therapist who is
				currently licensed as a creative arts therapist by the New York State Education
				Department; or
(vii) a marriage and
				family therapist who is currently licensed as a marriage and family therapist
				by the New York State Education Department; or
(viii) a mental health counselor who is
				currently licensed as a mental health counselor by the New York State Education
				Department; or
(ix) a psychoanalyst
				who is currently licensed as a psychoanalyst by the New York State Education
				Department; or
(x) a nurse
				practitioner who is currently certified as a nurse practitioner by the New York
				State Education Department; or
(xi)
				for purposes of a CREDIT program, a registered dietitian who is currently
				licensed by the New York State Education Department; or
(xii) other professional disciplines which
				receive the written approval of the Office of Mental Health.
(13) Teaching family home program
				(TFHP) means a program which provides an individually tailored
				treatment-oriented residential environment for children and adolescents with
				serious emotional disturbances. Each individual home can serve up to four
				children and adolescents. The program utilizes carefully selected and trained
				teaching parents and child care staff who provide services, support and
				education to the youth and their families. The youths' mental health-related
				challenges may preclude them from the closeness of a family setting and are
				best addressed in a small group setting. The focus of the program is to provide
				the necessary supports and teaching to ensure that each youth will be able to
				live successfully in a family or independently, can meet with success in school
				or vocational activities, and live productively in the community. The program
				emphasizes integration in the community, collaboration with other service
				providers, consumer input and family involvement.