9 CAR § 40-755. Mental health policy terms

The Division of Children and Family Services will know and understand the following terms: (1)(A) Crisis intervention-emergency short-term treatment services aimed at assisting individuals experiencing a psychiatric or behavioral crisis. (B) These services are designed to stabilize the person in crisis, prevent further deterioration, and provide immediate indicated treatment in the least restrictive setting; (2)(A) Mental health diagnostic assessment. (B) The cultural, developmental, age and disability, relevant clinical evaluation, and determination of a beneficiary's mental status. (C) Functioning in various life domains. (D) An axis five (5) DSM diagnostic formulation for the purpose of developing a plan of care; (3)(A) Discharge plan. (B) Activities that facilitate a patient's movement from one (1) healthcare setting to another, home, or other placement in the community. (C)(i) It is a multidisciplinary process involving physicians, nurses, social workers, and possibly other health professionals. (ii) Its goal is to enhance continuity of care. (D) The discharge begins on admission in higher levels of care and continues throughout the treatment process; (4)(A) Inpatient acute psychiatric treatment. (B) Short-term treatment designed to stabilize patients with significant behavioral health issues and begin the therapeutic process in a safe, supportive environment. (C) This level of care is to be utilized only in circumstances when the client cannot be safely treated in a less restrictive environment. (5)(A) Inpatient psychiatric residential treatment. (B) Treatment for a psychiatric condition that is typically three to six (3-6) months in a facility using multidisciplinary approaches to return to a level of functioning that allows the client to return to community. (C)(i) The client should participate in individual, group, and family therapy in addition to attending educational classes. (ii) The length of stay should only be as long as necessary to move the client to a less restrictive level of care; (6)(A) Psychiatric crisis. (B) Behavioral health issues that are sudden in onset, requiring: (i) Immediate assessment; (ii) Crisis intervention; and (iii) Emergency treatment. (C) A psychiatric crisis includes suicidal or homicidal thoughts with a valid plan of intent, psychosis, or loss of ability to understand and interpret reality; (7)(A) Master treatment plan. (B) Written document that outlines specific goals, objectives, and interventions to address problems and issues related to the client’s diagnosis, as identified in a diagnostic assessment; (8)(A) Temporary crisis plan. (B) Clearly defined steps crafted in advance that detail how to manage a crisis when it occurs; (9)(A) Treatment team. (B) Group of professionals that work together to treat mental disorders. (C) Treatment team members may include but are not limited to: (i) Psychiatrists; (ii) Psychologists; (iii) Therapists; (iv) Mental health technicians; (v) Case managers; and (vi) Social workers; (10)(A) Wrap around plan. (B) A course of action identified by a wrap around team that includes local services and natural supports necessary to reduce out-of-home, school, or community placements for families, children, and youth with moderate to severe mental health needs.