Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GENERAL PROVISIONS › Section 5240.2 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
						have the following meanings unless the context clearly indicates
						otherwise:
ABA-Applied behavior analysis
-The
						design, implementation and evaluation of environmental modifications, using
						behavioral stimuli and consequences, to produce socially significant
						improvement in human behavior or to prevent loss of attained skill or function
						including the use of direct observation, measurement and functional analysis of
						the relations between environment and behavior.
ASD-Autism spectrum disorder
-A pervasive
						neuro-developmental disorder present from early childhood that involves
						maladaptive or restrictive behaviors, impairments in communication, and
						impairments in social interactions and relationships as described in the
						diagnostic criteria in the most recent edition of the
Diagnostic and
						Statistical Manual of Mental Disorders
.
Aversive conditioning
-The application of
						startling, painful or noxious stimuli.
BCaBA certification-Board-certified assistant
						behavior analyst certification
-An undergraduate-level certification by
						the Behavior Analyst Certification Board.
BCAT certification-Board-certified autism
						technician certification
-A certification by the Behavioral
						Intervention Certification Council.
BCBA certification-Board-certified behavior
						analyst certification
-A graduate-level certification by the Behavior
						Analyst Certification Board. BCBA refers to both master's (BCBA) and doctoral
						level credentials (BCBA-D).
BHT
-Behavioral health technician.
BHT-ABA
-Behavioral health
						technician-applied behavior analysis.
Caregiver
-An individual with
						responsibility for the care and supervision of a child, youth or young
						adult.
Chemical restraint
-The administration of
						a drug that has a temporary effect of restricting the child's, youth's or young
						adult's freedom of movement that is used to manage a child's, youth's or young
						adult's behavior and reduce a risk to the safety of the child, youth, young
						adult or others. Chemical restraint does not include standard treatment for the
						child's, youth's or young adult's medical or physical condition.
Child
-A person under 14 years of
						age.
Community like setting
-A setting that
						simulates a natural or normal setting for a child, youth or young adult.
Department
-The Department of Human
						Services of the Commonwealth.
EBT-Evidence-based therapy
-Behavioral
						health therapy that uses scientifically established behavioral health
						interventions and meets one of the following:
(i) Categorized as effective by the Substance
					 Abuse and Mental Health Services Administration in the Evidence-Based Practice
					 Resource Center.
(ii) Categorized
					 as Model or Model Plus in the Blueprints for Healthy Youth Development
					 registry.
(iii) Categorized as
					 well-established by the American Psychological Association's Society of
					 Clinical Child and Adolescent Psychology.
(iv) Rated as having positive effects by the
					 Institute of Education Sciences' What Works Clearinghouse.
Formal support
-An agency, organization
						or person that provides assistance or resources to a child, youth or young
						adult within the context of an official role.
Full-time equivalent
-37.5 hours per week
						of staff time.
Group services
-Therapeutic interventions
						provided primarily in a group format through psychotherapy; structured
						activities, including ABA services; and community integration activities that
						address a child's, youth's or young adult's identified treatment needs.
IBHS-Intensive behavioral health
						services
-An array of therapeutic interventions and supports provided
						to a child, youth or young adult in the home, school or other community
						setting.
IBHS agency
-An entity that provides one
						or more IBHS.
ITP-Individual treatment plan
-A detailed
						written plan of treatment services specifically tailored to address a child's,
						youth's or young adult's therapeutic needs that contains the type, amount,
						frequency, setting and duration of services to be provided and the specific
						goals, objectives and interventions for the service.
Individual services
-Intensive
						therapeutic interventions and supports that are used to reduce and manage
						identified therapeutic needs, increase coping strategies and support skill
						development to promote positive behaviors with the goal of stabilizing,
						maintaining or maximizing functioning of a child, youth or young adult in the
						home, school or other community setting.
Initiation of service
-The first day an
						individual service, ABA service or group service is provided. This includes the
						first day an assessment is conducted.
Manual restraint
-A physical hands-on
						technique that restricts the movement or function of a child, youth or young
						adult, or a portion of a child's, youth's or young adult's body. A manual
						restraint does not include the use of hands-on assistance needed to enable a
						child, youth or young adult to achieve a goal or objective identified in an
						ITP.
Mechanical restraint
-The use of a device
						attached or adjacent to a child's, youth's or young adult's body that restricts
						freedom of movement or normal access to the child's, youth's or young adult's
						body which cannot easily be removed by the child, youth or young adult. A
						mechanical restraint does not include the use of a seat belt during movement or
						transportation or a device prescribed by a licensed medical
						professional.
Mental health direct service
-Service
						that involves working directly with a child, youth or young adult to provide
						mental health treatment.
Natural support
-An agency, organization
						or person that provides support to a child, youth or young adult in a personal
						or nonprofessional role.
Pressure-point technique
-The application
						of pain for the purpose of achieving compliance. A pressure-point technique
						does not include a clinically-accepted bite release technique that is applied
						only to release a bite.
RBT certification-Registered behavior technician
						certification
-A certification by the Behavior Analyst Certification
						Board.
Restrictive procedure
-A practice that
						limits or restricts a child's, youth's or young adult's freedom of movement,
						activity or function.
Seclusion
-The involuntary confinement of
						a child, youth or young adult alone in a room or an area from which the child,
						youth or young adult is physically prevented from leaving.
Staff
-Any individual, including an
						independent contractor or consultant, who works for an IBHS agency.
Systems of care principles
-Guiding
						philosophies that form the essential elements of a coordinated network of
						community-based services and supports that is organized to meet the challenges
						of children, youth and young adults with serious mental health needs and their
						families that is family-driven and youth-guided and includes interagency
						collaboration, individualized strengths-based care, cultural and linguistic
						competence, community-based services and accountability.
Trauma
-The result of an event, series of
						events or set of circumstances that is experienced by a child, youth or young
						adult as physically or emotionally harmful or threatening and that has lasting
						effects on the child's, youth's or young adult's functioning and physical,
						social, emotional or spiritual well-being.
Trauma-informed approach
-An approach
						that recognizes the widespread impact of trauma including the signs and
						symptoms of trauma and potential paths for recovery by integrating knowledge
						about trauma into policies, procedures and practices that avoids
						retraumatization.
Treatment team
-Individuals involved in a
						child's, youth's or young adult's treatment. Members of the treatment team may
						include the child, youth, young adult, parents, legal guardians, caregivers,
						teachers, individuals who provide services and any individual chosen by the
						child, youth, young adult or parents or legal guardians of the child or youth
						to be part of the treatment team.
Young adult
-A person 18 years of age or
						older but under 21 years of age.
Youth
-A person 14 years of age or older
						but under 18 years of age.