This section defines the population of 'children or youth with serious emotional disturbance' (SED) for purposes of DC Department of Behavioral Health regulations, covering individuals under age 22 with a diagnosable mental, behavioral, or emotional disorder (per DSM-IV or ICD-9-CM) that causes functional impairment in family, school, or community settings. It excludes standalone substance use or developmental disorders unless co-occurring with another SED diagnosis. This is a population definition section, not a facility licensing or operating standards provision.
View official source1201 CHILDREN OR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE 1201.1 Children or youth with serious emotional disturbance includes children and youth under age 22 who currently have, or at any time during the prior year have had, a diagnosable mental, behavioral, or emotional disorder, including those of biological etiology that: (a) Is or was of sufficient duration to meet diagnostic criteria specified within the DSM-IV or the ICD9-CM equivalent, except for DSM-IV "V" codes; (b) Is neither a substance abuse disorder nor a developmental disorder, unless co-occurring with another diagnosable serious emotional disturbance; (c) Results, resulted in, or will without treatment or other support services, result in a functional impairment that either substantially interferes with or limits the consumer's role or functioning in family, school, or community activities, or that limits the consumer from achieving or maintaining one or more developmentally-appropriate social, behavioral, cognitive, communicative, or adaptive skills; and (d) Includes functional impairments of episodic, recurrent, and continuous duration but not temporary and expected responses to stressful events in the consumer's environment. SOURCE: New by emergency and proposed rulemaking at 49 DCR 1734 (February 22, 2002)[EXPIRED]; Final Rulemaking published at 49 DCR 5811 (June 21, 2002).