Regulation detail

Pa. Code 5221.3

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Definitions

Jurisdiction: PA Agency: Pennsylvania Department of Human Services (OMHSAS) and Department of Drug and Alcohol Programs (DDAP)
CMHC (60%)
Plain-English summary

This section provides definitions for key terms used in Pennsylvania's intensive case management (ICM) chapter, including 'consumer,' 'targeted population,' 'intensive case management,' and related roles and concepts. It establishes that ICM services are designed for adults with serious and persistent mental illness and children with serious mental illness or emotional disorders. As a definitions section, it supports the operational and eligibility requirements set out in the broader ICM chapter administered by OMHSAS and DDAP.

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Regulation text
55 Pa. Code § 5221.3 - Definitions 

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The following words and terms, when used in this chapter,
 have the following meanings, unless the context clearly indicates
 otherwise:

Case
-A consumer and members of his
 family being served, if the consumer is a child.

Child
-A person 17 years of age or
 younger or 21 years of age or younger if enrolled in special education.

Consumer
-A person who receives intensive
 case management services. The term does not include a family member who
 receives services.

County administrator
-The MH/MR
 administrator who has jurisdiction in the geographic area.

County plan
-A county plan and estimate
 of expenditures which describes how case management services will be made
 available, including the anticipated expenditures for the services. The plan is
 prepared and updated annually by the county administrator and the county MH/MR
 board and submitted for approval to the Department of Public Welfare, Office of
 Mental Health in accordance with this chapter.

Department
-The Department of Public
 Welfare of the Commonwealth.

Emotional disturbance
-A child's
 inability to function in the home, school or community and so the child
 requires multiple medical, social, educational or other supports.

Enrolled provider
-A county MH/MR program
 or private agency specifically identified as a provider of intensive case
 management in the county human services plan which has been approved by the
 Department and enrolled by the Office of Mental Health and the Office of
 Medical Assistance Programs for claims processing.

Family
-Parents, as defined in this
 section, siblings and other relatives living in the home.

Global assessment of functioning scale
-A
 procedure for measuring the overall severity of psychiatric disturbance which
 is contained in DSM-III-R (
Diagnostic and Statistical Manual of Mental
 Disorders
, Third Edition, Revised), published by the American
 Psychiatric Association, 1987, Washington, D.C., and subsequent
 editions.

Intensive case manager
-A staff person
 designated to provide intensive case management under §
 
5221.21
 (relating to
 organizational requirements).

Intensive case management
-The services
 described in this chapter which are designed to assist targeted adults with
 serious and persistent mental illness and targeted children with a serious
 mental illness or emotional disorder and their families, to gain access to
 needed resources, such as medical, social, educational and other
 services.

MH/MR
-Mental Health/Mental
 Retardation.

Mental health direct care
 experience
-Working directly with adult or children mental health
 service consumers, providing services involving casework or case management,
 individual or group therapy, crisis intervention, early intervention,
 vocational training, residential care or social rehabilitation in a mental
 health facility or in a facility or program that is publicly funded to provide
 services to mental health consumers, or in a nursing home, a juvenile justice
 agency, or a children and adolescent service agency.

Mental illness
-The existence of a mental
 disability subject to DSM III-R diagnosis, excluding mental retardation or
 substance abuse as the primary diagnosis, rendered by a licensed physician or
 psychologist.

Parent
-The biological or adoptive mother
 or father or the legal guardian of the child or a responsible relative or
 caretaker with whom the child regularly resides.

Supervisor
-A person designated to
 supervise intensive case managers under §
 
5221.21
.

Targeted population
-Adults with serious
 and persistent mental illness and children with serious mental illness or
 emotional disorders who are deemed eligible to receive intensive case
 management as identified by the county administrator under this
 chapter.

Notes

55

 Pa. Code §
 
5221.3

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