Definitions

The following terms used in 130 CMR 417.000 have the meanings given in this section unless the context clearly requires a different meaning. Freestanding Clinic — any institution licensed as a clinic by the Department of Public Health pursuant to M.G.L. c. 111, § 51 that is not part of a hospital and that has its own legal identity, maintains its own patient records, and administers its own budget and personnel. Such institutions include mental health centers and community health centers. Functional Maintenance Program — a planned combination of social, vocational, and recreational services designed for individuals disabled by a chronic mental illness who need continuing services to maintain skills that allow them to function within the community but who do not require the more intensive care of inpatient or day treatment programs. Identifiable Unit — a separate organizational unit within the same building as, but separately established from, the facility of which it is part that employs staff explicitly assigned to it, and has separately defined and established purposes, policies, procedures, and treatment services. Mental Illness — mental and emotional disorders as defined in the current International Classification of Diseases, Clinical Modification, or the American Psychiatric Association's Diagnostic and Statistical Manual, and manifested by impaired functioning in behavior, feeling, thinking, or judgment to the extent that the affected person, or someone else, can observe that the person affected is unable to fulfill reasonable personal and social expectations. Prevocational Activities — services that prepare a member for paid or unpaid employment and that are not job-task oriented but are aimed at a generalized result. These services may include, but are not limited to, teaching concepts such as attendance, task completion, problem solving, safety, time management and career planning. These services may be considered part of the hourly rate when incorporated as part of the member’s individualized treatment plan. Psychiatric Day Treatment Program (the program) — a planned combination of diagnostic, treatment, and rehabilitative and recovery-oriented services provided to individuals with mental or emotional disabilities who need more active or inclusive treatment than is typically available through a weekly visit to a mental health center or hospital outpatient department, but who do not need full-time hospitalization or institutionalization. Such a program utilizes multiple, intensive, and focused activities in a supportive environment to enable such persons to acquire skills to live an independent life in the community. Such programs may be operated by a freestanding clinic, a satellite clinic facility, or an identifiable unit of a clinic. Satellite Clinic Facility — a facility not physically attached to a clinic that operates under the clinic's license and that falls under its fiscal, administrative, personnel, and clinical management. Treatment Response — The degree to which an individual demonstrates progress toward goal achievement as evaluated by using the PDT program’s assessment instrument. Vocational Rehabilitative Services — services that provide vocational assessments, job training, and career counseling.