HAR §11-175-02. §11-175-02 Definitions

As used in this chapter: *** "Adult mental health division" or "AMHD" means the division of the department that promotes and provides for the establishment and operation of a community-based mental health system pursuant to section 334-3, Hawaii Revised Statutes. *** "Continuing support" means continuing services designed to provide safety-net supports. The population focus is on individuals with a qualifying severe and persistent mental illness with accompanying severe functional impairment who do not have access to other mental health services. *** "Crisis services" means time-limited services that are intensive and focused services designed to assess, stabilize and provide linkage to treatment and other community supports, as appropriate. Crisis services are intended for individuals in mental health crisis or situational crisis and not already eligible for continuing support. *** "Disaster" means an event of significant community impact that is outside the range of usual human experience and that would be markedly distressing to almost anyone, provoking, or expected to provoke intense helplessness, terror, or fear of serious threat to life of physical integrity, or sudden destruction of home or community infrastructure. "Disaster services" means services that may include counseling, debriefing, or education intended to relieve or minimize the development of psychological distress or dysfunction in persons who have experienced stress from a disaster. "Eligibility determination" or "eligibility assessment" means an assessment approved by AMHD, which is sufficient to establish as diagnosis of severe and persistent mental illness, persons in an acute, service mental health crisis, and those experiencing distress and trauma from a declared disaster, conducted in a standardized and timely manner for consumers who are applying for AMHD services to determine whether they are eligible for continuing support. 2947 §11-175-02 *** "Global assessment of functioning" or "GAF" means a score assigned by the clinician, which is used as a criteria for psychological, social and occupational functioning on a numerical rating from 1-100 as described in the Diagnostic and Statistical Manual of Mental Disorders. *** "Qualifying diagnosis" means one of the following diagnoses listed in the Diagnostic and Statistical Manual of Mental Disorders - DMS-IV-TR (The numeral preceding each diagnosis reflects the corresponding number in the DMS-IV-TR.): 295.xx Schizophrenia i. 295.10 Disorganized Type ii. 295.20 Catatonic Type iii. 295.30 Paranoid Type iv. 295.60 Residual Type v. 295.90 Undifferentiated Type 295.70 Schizoaffective Disorder 296.34 Major Depression, Recurrent Type, Severe with Psychotic Features 296.xx Bipolar Disorder i. 296.0x Single Manic Episode ii. 296.4x Most Recent Episode Manic iii. 296.5x Most Recent Episode Depressed iv. 296.6x Most Recent Episode Mixed v. 296.7 Most Recent Episode Unspecified 296.89 Bipolar II Disorder 297.1 Delusional Disorder. *** "Severe and persistent mental illness" or "SPMI" means that a person has been assessed with the presence of a qualifying diagnosis for the previous 12 months, or will be expected to demonstrate the presence of a qualifying diagnosis for the next 12 months, and that person demonstrates functional impairment that seriously limits the person's ability to function independently in an appropriate and effective manner, as evidenced by a score of 50 or lower on the GAF. *** [Eff 12/19/89, am and comp DEC 30 1988; comp [ DEC 1 6 2010 ] (Auth: HRS §§334-9) (Imp: HRS §§334-2, 334-3) 3947