Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 1 - GENERAL PROVISIONS › Section 1-3 - Definitions

Current through July 13, 2024
(a) The terms used in these Rules possess
				their standard meaning in healthcare, unless otherwise defined by the
				Department.
(b) The following
				definitions apply to these Rules:
(i)
				"Administrator" means the Senior Administrator of the Wyoming Department of
				Health, Behavioral Health Division, as well as the Senior Administrator's
				designees.
(ii) "Behavioral health
				services" means mental health or substance use disorder treatment services and
				supports provided to persons with mental illness and/or substance use
				disorders.
(iii) "Bio-psychosocial
				and spiritual needs" means the biological, psychological, social, and spiritual
				needs of a client, which play a significant role in a behavioral health
				disorder and contribute to the client's functioning.
(iv) "Certification" means a process to
				formally recognize that a provider has met the requirements of these Rules to
				provide substance use disorder treatment services to court ordered individuals
				or behavioral health services purchased by the Department.
(v) "Community mental health or substance use
				disorder treatment center" means a provider that:
(A) Is licensed to conduct business in the
				State of Wyoming;
(B) Is governed
				by a citizen board;
(C) Has a local
				identity;
(D) Participates as a
				member of the community;
(E) Is
				responsive to community needs;
(F)
				Provides affordable, accessible, and effective services that address individual
				needs and that are available to all persons who need services, regardless of
				the ability to pay for services; and
(G) Provides a comprehensive range of
				services for persons with behavioral health disorders including specialized
				services for the priority populations.
(vi) "Core behavioral health services" means
				mental health outpatient services, substance use disorder outpatient services,
				community housing services, residential treatment services, crisis
				stabilization services, withdrawal management services, and other relevant
				services as determined by the Department.
(vii) "Corrective action" means a necessary
				change in provider policy or practice that is a result of a complaint, an
				investigation process, site visit findings, or noncompliance with a contract
				provision, a resolution plan, or these Rules.
(viii) "Court Supervised Treatment panel" or
				"CST program panel" means the panel authorized under the Court Supervised
				Treatment Programs Act,
				W.S.
				7-13-1605(d).
(ix) "Court Supervised Treatment program" or
				"CST program" means the program authorized under the Court Supervised Treatment
				Programs Act,
				W.S. 7-13-1601 to
				-1616.
(x) "Court Supervised
				Treatment provider" or "CST treatment provider" means the provider of substance
				use disorder treatment services for a CST program.
(xi) "Court Supervised Treatment program
				team" or "CST program team" means the CST team authorized under
				W.S.
				7-13-1609(a).
(xii) "Department" means the Wyoming
				Department of Health, Behavioral Health Division.
(xiii) "Driving under the influence/minor in
				possession services" or "DUI/MIP services" means assessment and education
				services for persons arrested for driving under the influence or minor in
				possession of illegal substances.
(xiv) "Emergency services" means direct
				contact with a person in a mental health crisis as an intervention to prevent
				escalation of the crisis and to triage the person into needed
				services.
(xv) "Engagement
				services" means face-to-face staff contact, which may include delivery through
				telehealth, with an individual who is waiting to be admitted into treatment for
				the purpose of maintaining the individual's motivation and to help prepare them
				for treatment.
(xvi)
				"Evidence-based practice" means a behavioral health intervention that:
(A) Shows statistically significant
				effectiveness through empirical research in treating specific problems and
				populations;
(B) Is consistent with
				relevant clinical expertise; and
(C) Considers client preferences and
				values.
(xvii) "Executive
				director" means the individual responsible for the overall management of a
				provider. The term encompasses other titles including, but not limited to,
				chief executive officer, sole proprietor, president, or program
				administrator.
(xviii) "Governing
				board" means the board of directors of a private nonprofit corporation, a
				community board as defined in
				W.S.
				35-1-613(a)(i), or a public
				agency as defined in
				W.S.
				35-1-613(a)(vi).
(xix) "Intensive outpatient program" or "IOP"
				means structured substance use disorder and mental health treatment programming
				consisting primarily of counseling and education. IOP is more intensive than
				outpatient counseling, less intensive than residential care and can function as
				a step-down from residential care.
(xx) "Intervention services" means skilled
				treatment services indicated by client need, which include, individual and
				group counseling, family counseling, educational groups, skills training,
				occupational and recreational therapy, medication assisted treatment, and
				psychotherapy.
(xxi) "Medication
				assisted treatment" or "MAT" means the use of medications, excluding those used
				for detoxification, which are used in combination with counseling and
				behavioral therapies to support recovery and provide a whole-person approach to
				the treatment of substance use disorders. Medications utilized in MAT include
				buprenorphine (Suboxone® and Subutex®), acamprosate, naltrexone,
				disulfiram, and others approved by the Food and Drug Administration (FDA) and
				the Substance Abuse and Mental Health Services Administration
				(SAMHSA).
(xxii) "Multi-county
				consortium" means a formal agreement between two or more providers in different
				counties to share funding, administrative support, clinical staff, or other
				resources to ensure a continuum of service availability and increase cost
				effectiveness.
(xxiii) "National
				accreditation" means accreditation issued by The Joint Commission (TJC), the
				Commission on Accreditation of Rehabilitation Facilities (CARF), or National
				Integrated Accreditation for Healthcare Organizations (NIAHO).
(xxiv) "Ombudsman program" means a program
				which advocates for the rights of individuals by investigating and resolving
				problems and grievances, providing information, and working with institutions,
				organizations, and agencies to increase the effective provision of services to
				the people they serve.
(xxv) "Peer
				specialist" means a person who is or has been a recipient of services for
				serious mental illness or substance use disorder treatment, who is credentialed
				by the Department or a national accrediting organization, and employed by a
				provider. The term encompasses other titles including recovery coach, recovery
				specialist, job coach, peer wellness coach, peer mentor, and peer
				advocate.
(xxvi) "Promising
				practice" means an administrative or clinical practice that has some scientific
				research or data showing positive outcomes but does not have enough evidence to
				support generalizable conclusions.
(xxvii) "Provider" means a provider of
				behavioral health services funded by the Department or a provider of substance
				use disorder services to persons referred or ordered to receive services by a
				court.
(xxviii) "Qualified clinical
				staff" means persons who are licensed or certified in Wyoming to practice:
(A) As a mental health or addictions
				professional under the Wyoming Mental Health Professions Licensing Act, W.S.
				W.S.
				33-38-101 to -113;
(B) Psychology under
				W.S.
				33-27-113 to -123;
(C) Medicine under the Medical Practice Act,
				W.S.
				33-26-101 to -703; or
(D) As an Advanced Practice Registered Nurse
				under the Wyoming Nurse Practice Act,
				W.S.
				33-21-119 to -157 or the Advanced Practice
				Registered Nurse Compact,
				W.S.
				33-21-301 to -302.
(xxix) "Quality of care review" means review
				by the client's treatment team of clinical documentation for the purpose of
				reviewing the client's progress in treatment and the services provided to
				ensure the most appropriate level of care is provided, to coordinate needed
				services outside the provider, and for internal quality assurance.
(xxx) "Recovery supports" means non-clinical
				provider-sponsored activities and services which advance a sense of hope,
				complement and support treatment, increase and sustain treatment engagement,
				improve outcomes, and enhance recovery. Generally, recovery supports are
				developed and conducted by persons who are in recovery. Recovery supports do
				not include 12-Step meetings.
(xxxi) "Residential treatment services" means
				services provided in a freestanding or hospital-based facility, which provides
				room and board, and which operates twenty-four (24) hours per day, seven (7)
				days per week. A residential treatment facility provides evaluation, a planned
				regimen of treatment services including the staff-monitored administration of
				prescribed medication, and other supports as indicated by the client's
				treatment plan.
(xxxii) "Resolution
				plan" means a written plan to implement corrective actions identified by the
				Department to achieve measurable improvements in efficiency, effectiveness,
				performance, accountability, outcomes, or other indicators.
(xxxiii) "SAMHSA" means the Substance Abuse
				and Mental Health Services Administration within the United States Department
				of Health and Human Services.
(xxxiv) "Service area" means a single county,
				multiple counties, or a region, designated by the Department to serve as the
				geographic area in which contracted services are to be provided.
(xxxv) "These Rules" means all chapters
				promulgated under
Rules, Wyoming Department of Health, Mental Health
				& Substance Abuse Services
.
(xxxvi) "Withdrawal management" means an
				organized service delivered by appropriately trained staff and which includes
				supervision, observation, and support for clients who are intoxicated or
				experiencing withdrawal.