A community support and self-help program requiring mastery of a set of steps to achieve and maintain abstinence, based on the program of Alcoholics Anonymous. Many addiction treatment programs use a 12-Step structure or philosophy as a construct for treatment design. Includes AA, NA, Al-Anon, CA. See also Community-based mutual help group. (SAMHSA).
For mental health services, a client having the “ability to pay” means that the client has third-party coverage that will pay for the needed services, the person's maximum monthly fee is greater than zero, or the person has identified payment for a needed service or services in an approved plan utilizing Social Security work incentive provisions (i.e., Plan to Achieve Self-Sufficiency; Impairment Related Work Expense ). (TAC)
Affect that is not consistent with the person’s mood or situation.
The client’s overall appearance is abnormal or unusual for the person, place and situation.
The client displays behavior that is abnormal and inappropriate for the situation.
The client’s speech and/or language is abnormal and inappropriate for the person, place and situation.
Observation of and interaction with the client reveals abnormal thought processes, ways of thinking and/or content.
Nonuse of alcohol or any illicit drugs, as well as non-abuse of medications normally obtained by prescription or over the counter. Abstinence does not refer to nonuse of or withdrawal from maintenance medications (methadone, buprenorphine, LAAM, or naltrexone). (SAMHSA)
A user’s ability to locate and gain use of certain functions of a computer software application.
A Federally funded program that seeks to increase access to substance abuse services through independent assessment, participant choice of providers, service linkages with faith- and community-based organizations, and the use of an electronic voucher method of payment.
A person's ability to obtain health services needed to achieve desired health outcomes. Access depends upon components such as availability and acceptability of services to the person, transportation, distance, hours of operation, language, and the cultural competency of staff. Barriers to access may be structural, financial, or personal. (TAC)
Process of periodic review for conformance with accrediting-body standards. See 42 CFR, Part 8 § 2, for other accreditation-related terms and definitions. (SAMHSA)
Personal care needs such as eating, bathing, dressing or getting around inside the home.
A person who has an inability to control when and how much of mind altering substances or behaviors she uses, on a consistent basis.
Combination of the physical dependence on, behavioral manifestations of the use of, and subjective sense of need and craving for a psychoactive substance, leading to compulsive use of the substance either for its positive effects or to avoid negative effects associated with abstinence from that substance. (SAMHSA)
User roles that include specific functions and provide the assigned user with rights supplemental to the roles included with their “Core” role. (CMBHS)
Add-ons are services that are not part of the standard DSHS mental health service package but may be added to an individual’s authorized package of services if certain criteria are met i.e. additional services are recommendation by the clinician and the individual meets additional eligibility criteria
A client discharge prompted by the CMBHS system according to pre-defined DSHS rules rather than by the CMBHS user. (DSHS)
The point where a client formally enters a provider’s program for treatment and/or services. The admission continues until discharge. (CMBHS)
A person who is 13 through 17 years of age. See also Youth. (TAC)
A person who is 18 years of age or older. (TAC)
Legal documents - such as living wills and durable powers of attorney for health care decisions - that detail a person's wishes regarding medical treatment prior to an illness or accident that makes him/her unable to do so.
A person who is a registered nurse approved by the Texas State Board of Nurse Examiners to practice as an advanced practice nurse, in accordance with Texas Occupations Code, Chapter 301. The term is synonymous with "advanced nurse practitioner.
The decision to withhold payment of a claim, not to pay a claim, or to recoup a previous payment. Adverse action may be claim specific or across claims (10% error rate => recoupment of 10% of paid $$). (DSHS)
A determination by an HMO, BHO (LMHA, OSAR) or utilization review agent that health care services provided or proposed to be provided to a client/enrollee are not medically necessary or appropriate. (TDI)
An undesirable response associated with use of a drug that either compromises therapeutic efficacy, enhances toxicity, or both. (TJC)
An outward expression of a person's emotions.
A Twelve Step recovery program for any adult who has been affected by the drinking of another. Al-Anon supports program members in taking best care of themselves, while learning the difference between support of, and codependency with, one who has problems with alcohol.
Twelve Step recovery program for adolescents affected by an adult alcoholic.
The Twelve Step recovery program of help and support for those who want to stop drinking. AA is characterized by non-judgmental sharing of experience by its members, as well as their hope and strength in the spirit of fellowship, to solve common problems and help others in their recovery. The program has been in existence since 1935 and is the treatment of choice by most recovering alcoholics. AA adheres to the disease model of alcoholism.
Ability to remain sufficiently alert to perceive and act.
An abnormal, acquired sensitivity to a given substance.
A progressive, incurable condition that destroys brain cells, gradually causing loss of intellectual abilities - such as memory - and extreme changes in personality and behavior.
Services given to clients or patients who do not require overnight care (residential or hospital). Often used synonymously with “outpatient” services.
Provides the means by which Americans with disabilities can overcome barriers. The law’s purposes are to provide a clear and comprehensive national mandate for the elimination of discrimination against individuals with disabilities, as well as clear, strong, consistent, and enforceable set of standards addressing discrimination against individuals with disabilities.
The apprehensive anticipation of future danger or misfortune accompanied by a feeling of dysphoria or somatic symptoms of tension. Anxiety is distinguished from fear in that fear is a more appropriate word when real danger exists. Anxiety is more reflective of a threat that is not apparent in the real world, at least not to the degree experienced. Often accompanied by rapid heart rate, shortness of breath and tremor of the hands.
A process available to the client, their family member, treating provider or authorized representative to request reconsideration of an adverse determination.
An application is a software program that runs on your computer. Web browsers, e-mail programs, word processors, games, and utilities are all applications. The word "application" is used because each program has a specific application for the user.
A clinical function whereby the clinician uses current and historical information about a client to make decisions about the diagnosis and need for treatment. From there, in collaboration with the client (and family when appropriate) develops a plan for treatment with goals, problems, objectives and strategies.
A non-institutionalized facility that is used by people who are not able to live on their own, but do not yet need continuous nursing care.
The CMBHS role for a person that is assigned the task of authorizing health services. (CMBHS)
A written document signed by the client giving their authorization for a provider to release their health care documents to another party or entity.
The Consent screen is a form used to release confidential information. Once the form is saved in CMBHS, other providers (the disclosees) are allowed to view information you collect about the client. You may select specific parts of the client's record to release based on what the client gives you permission to release. It is a federal law that a hard copy of the form must be filled out, printed, and signed by the client before it can be saved in CMBHS. When the Consent form is saved in CMBHS, the disclosee has access to the information until the expiration date indicated on the Consent form unless the consent is revoked prior to the expiration date. Once a Consent form is saved, you are not able to make changes to it. If you make a mistake, you may either revoke the Consent form you saved, or create a new one to replace the original. Revoking Consent removes the ability of the disclosee to view the information.
DSM-IV-TR disorder classification comprising definitions and descriptions of major disorders (i.e., psychotic, mood, and substance use disorders) that may require clinical attention. (SAMHSA)
A button in a software program or web browser that allows the user to move to the previous page or screen
The scheduled processing of one or more logical documents grouped together as a file. A batch process can be used to automate repetitive computing tasks by performing a list of commands in sequence.
Assessment and treatment of mental and/or psychoactive substance use disorders. Setting may be in-patient, out-patient, residential or other setting.
The Behavioral Health Integrated Provider System (BHIPS) is a nationally-recognized, Davies Award-winning, Internet-based computer system for substance abuse services providers that offers tools for clinicians to ensure provision of quality services and facilitates meeting reporting requirements and billing. BHIPS was released by DSHS on June 11, 2001, beginning a phased rollout to providers that was completed in November 2002. (DSHS)
Services that cover mental health and substance abuse care needs. Services that may be included are screening, assessment, detoxification, individual therapy, family therapy, group therapy, psychiatric evaluation, psychiatric medication management, opioid substitution, intensive outpatient services, inpatient and partial hospitalization.
Group of medications having a common molecular structure and similar pharmacological activity, including anti-anxiety, sedative, hypnotic, amnestic, anticonvulsant, and muscle-relaxing effects. Benzodiazepines are among the most widely prescribed medications (e.g., diazepam, chlordiazepoxide, clonazepam, alprazolam, lorazepam).
In CMBHS, billable means a claim can be sent to DSHS for payment. (CMBHS)
"Binge" alcohol use is defined as drinking five or more drinks on the same occasion on at least 1 day in the past 30 days. By "occasion" is meant at the same time or within a couple of hours of each other. (NSDUH).
An episode of memory loss associated with drug or alcohol abuse.
Affect that represents significant reduction in the intensity of emotional expression
In Texas, is housing for unrelated adults that is licensed by DADS as a boarding home. Provides minimal services and supervision. (TAC)
Intracranial injury, or a head injury, which can occur from traumatic, vascular, infectious, degenerative or neoplastic
An entity (public or private) with whom DSHS has a contract to deliver services
As a Problem Status in the CMBHS Treatment Plan, to “Case Manage” means the provider will address the problem through the delivery of case management rather than treatment services. (CMBHS)
A process used by a designated health professional to manage an individual’s health care. Case managers ensure clients get needed services but do not provide treatment services themselves. Case management activities may include, but are not limited to, reviewing the client’s medical record, evaluating client need, coordinating services, referring to appropriate services and following-up, and discharge planning. May also include client-specific advocacy, and assistance with problem solving.
Part of the Substance Abuse and Mental Health Services Administration in the U.S. Department of Health and Human Services. CMHS works with state and local mental health authorities, service providers, clients and their families to improve and increase the quality and range of mental health treatment and support services.
The federal agency within the Department of Health and Human Services (HHS) that administers the Medicare program. Among its responsibilities, CMS oversees the Medicare Administrative Contractors involved in the processing and review of Medicare claims at the first and second level of appeals.
In CMBHS, one of the reasons for a client discharge. The provider’s circumstances caused the client to be discharged. Examples include: The provider looses their license, and the provider looses funding in relation to the population. (CMBHS)
A character is a letter, numeral, or punctuation mark. In counting the number of characters entered into a data field, include spaces as well.
A non-criminal court having jurisdiction over civil actions.
A request for payment for medical services that were provided to an eligible client. Client specific fee-for-service claim transactions must be in a HIPAA compliant format.
Once a pending claim has been submitted, the Claim Status List screen is used to track the status of the claim. Each claim can be access using the link to the claim.
For a Substance Abuse Service Provider –
For an OSAR -
For an LMHA--An individual seeking or receiving mental health community services from or through the LMHA (one of its employed or contracted providers).
For an MMCO--An enrolled member.
For a provider of Rehabilitative Services or Service Coordination reimbursed by Medicaid--An individual seeking or receiving rehabilitative services or service coordination reimbursed by Medicaid.
Not sure where this came from
A person who meets the following criteria:
Has a mental health or substance use related problem
Has completed the screening and intake process
Has been formally admitted for treatment or recovery services
A person is not a client if he or she has only completed a screening or has been placed on a waiting list.??
Legacy TDMHMR data system used to register and track clients throughout the service delivery system. Included outpatient and inpatient services and clients receiving publicly funded mental health and mental retardation services.
As a Reason for Discharge in the CMBHS Discharge Assessment, “client died” means that according to information from a reliable source, the client has died. Examples of reliable sources might include a family member or a coroner’s or police report. The most reliable source is a death certificate. (CMBHS)
As a Reason for Discharge in the CMBHS Discharge Assessment, “client moved” means the client has moved to an area where they can no longer access the service provider or the client is no longer eligible for services with this provider. (CMBHS)
A Twelve Step recovery program focused on recovery from cocaine addiction.
Internal mental processes such as problem solving, memory, and language. Cognitive disorders are disorders of thinking, for example, schizophrenia
An additional source of information about the client. A person interviewed to obtain information about the client or to corroborate information. (CMBHS)
An independent, nonprofit accreditation organization for providers of aging, behavioral health, child & youth, employment & community and medical rehabilitation services.
A provider of mental health staff member who, as of August 30, 2004:
(A) has received:
(i) a high school diploma; or
(ii) a high school equivalency certificate issued in accordance with the law of the issuing state;
(B) has had three continuous years of documented full-time experience in the provision of MH rehabilitative services; and
(C) has demonstrated competency in the provision and documentation of MH rehabilitative services in accordance with this subchapter and the MH Rehabilitative Services Billing Guidelines. (TAC)
Behavior which a person does not because it is meaningful or enjoyable but because he feels he "has to do it". These behaviors are often done in a repetitive fashion and the person does not feel that they are under their control.
Information that is exempted from disclosure requirements under the provisions of the Texas Public Information Act or other applicable state or federal law. Any information by which the identity of a client or employee can be determined either directly or by reference to other available information if the identify cannot be disclosed under federal or state law. (DSHS IT)
Rules established by Federal and State agencies to limit disclosure of information about a patient's substance use disorder and treatment (described in 42 CFR, Part 2 § 16). Programs must notify patients of their rights to confidentiality, provide a written summary of these rights, and establish written procedures regulating access to and use of patient records. (SAMHSA)
Affect type that represents mild reduction in the range and intensity of emotional expression.
Activities to ensure coordination of services to a client. For example, continuity of services are provided when:
(A ) a client needs or receives a referral to another provider for physical or social services;
(B) a client has a change in his/her level of need;
(C) a client is discharged from a hospital;
(D) a client transitions between services; and
(E) a client's services are terminated.
A legally enforceable written agreement for the purchase of substance abuse or mental health community services
(Texas Administrative Code)
Refers to two or more disorders occurring simultaneously. Generally refers to mental health and substance abuse disorders but can refer to mental health, physical, developmental, or other disorders.
A predetermined flat fee that the insured pays for healthcare services, in addition to what the insurance covers. Copay is usually not specified in percentage of the total healthcare cost. e.g., you pay $10 for a visit to the doctor's office, no matter how much the doctor's office visit charge is.
In CMBHS, a “core role” is a user role that includes access to multiple CMBHS functions and to sufficient functions needed to use the system. (CMBHS)
A facility for detention or housing of individuals charged with a crime and awaiting trial or convicted of a crime, such as jail or prison. Includes juvenile justice facilities used for the same purposes. (CMBHS)
Urgent, seemingly overpowering desire to use a substance, which often is associated with tension, anxiety, or other dysphoric, depressive, or negative affective states. (SAMHSA)
A process to review and approve a staff's ability to provide specified clinical services as a licensed staff, certified or trained staff. The process includes establishing and applying specific criteria and prerequisites to determine the staff's initial competency and assessing and validating the staff's qualification to deliver care. Re-credentialing is the periodic process of reevaluating the staff's competency and qualifications.
A situation in which an individual believes that because of a mental health condition, he or she presents an immediate danger to self or other or that his or her mental or physical health is at risk of serious deterioration.
A crisis stabilization unit licensed under Chapter 577, of the Texas Health and Safety Code and Chapter 134 relating to Private Psychiatric Hospitals and Crisis Stabilization Units.
Capacity of a service provider or organization to understand and work effectively in accord with the beliefs and practices of persons from a given ethnic/racial/religious/social group or sexual orientation and enables them to work effectively in cross-cultural situations. It includes the holding of knowledge, skills, and attitudes that allow the treatment provider and program to understand the full context of a patient's current and past socio-environmental situation. (SAMHSA)
Differences in backgrounds and beliefs that may affect the way groups of clients/patients in treatment and individuals within these groups view the world and their place in it, their substance use, and treatment. (SAMHSA)
Delivery of services that are responsive to cultural concerns of racial, ethnic and regional groups including their language, histories, traditions, religion, beliefs and values.
A “cursor” is an arrow that you can use to point to objects on your screen and then click or double-click the mouse button to perform an action on that object. A “cursor” is called a pointer in CMBHS Online Help.
The Local Behavioral Health Authority formed during 1998/99 to ensure that local communities are given a voice in the delivery of publicly funded managed behavioral health care for NorthSTAR.
Computer data is information processed or stored by a computer. This information may be in the form of text documents, images, audio clips, software programs, or other types of data. Computer data may be processed by the computer's CPU and is stored in a file and folder on the computer’s hard drive. Only Memory), and is usually measured in Kilobytes (thousand) or Megabytes (million) bytes of memory.
This is a data structure used to store organized information. A database is typically made up of many linked tables of rows and columns. Databases are used in nearly all e-commerce sites to store product inventory and customer information. in a way that the data can be easily searched, sorted, and updated.
The date the service was provided to the client.
Substance Abuse Treatment including Out-patient, Day Treatment, and other Non-Residential program types. (DSHS)
A temporary return to a lower level of psychological adaptation or functioning, often occurring when an individual is under considerable stress or has discontinued prescribed medication.
Amount to be paid by the insured person before the insurance company begins to pay for the covered expenses. A deductible may be either per sickness/injury or once per policy period or once per year. The person does not receive reimbursement later from insurance company for the deductible.
This term is used to describe a preset value for some option in a computer program. It is the value used when a setting has not been specified by the user. For example, the default font setting in Netscape Communicator is "Times." If you don't go to the Netscape preferences and change it to something else, the "Times" font will be used -- by default. Typically, default settings are set to what most people would choose anyway, so there's often no reason to change them. "Default" can also be used as a verb. If a custom setting won't work for some reason, the program will "default" to the default setting.
Defendant covers the range of persons who can be in a drug court program – criminal offenders, juvenile delinquents, civil defendants, or persons on probation.
CMBHS is a client health record, with laws regulating what can be changed, deleted or erased and when. When entering data into CMBHS, you can remove characters behind the cursor by pressing the delete key. You can also remove entire sections of text by selecting the text you wish to delete and pressing either delete button on the keyboard.
An acute episode of delirium that is usually caused by an advanced state of withdrawal or abstinence, from alcohol (benzodiazepines, barbiturates or other major tranquilizers) following habitual excessive consumption and evidenced by highly elevated vital signs, severe tremors, hallucinosis, and delirium. Delirium tremens can also appear after a rapid reduction in consumption.
A perception or false belief based on incorrect inference about external reality that is firmly held, despite what almost everyone else believes and despite incontrovertible proof to the contrary. A belief not ordinarily accepted by other members of the person's culture or subculture.
Examples of delusional symptomalogy are persecutory; somatic; thought broadcasting; thought insertion. delusional jealousy; bizarre; grandiose; delusion of reference;
A condition of declining mental abilities, especially memory. Individuals with dementia may experience changes in personality, become confused, aggressive, paranoid or depressed, may have trouble doing things they used to do and often have trouble finding the right word.
A defense mechanism where certain information is blocked or not accessed by the conscious mind.
Created in September 2004, this department consolidates the mental retardation services and state school programs of the Department of Mental Health and Mental Retardation; community care, nursing facility, and long-term care regulatory services of the Department of Human Services; and aging services and programs of the Department on Aging.
TThe agency within the Texas Health and Human Services Commission dedicated to ensuring that people with disabilities and families who have children with developmental delays have the same opportunities as other Texans to pursue independent and productive lives. DARS consists of these divisions: Rehabilitation Services, Blind Services, Early Childhood Intervention, Disability Determination and Deaf and Hard of Hearing Services. (DARS)
The United States government's principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves.
Texas Health and Human Services department that brings together the former Texas Commission on Alcohol and Drug Abuse, the Texas Department of Health, the mental health services of the Texas Department of Mental Health and Mental Retardation and the Texas Health Care Information Council focused on improving the health of all Texans. (DSHS)
An alteration in the perception or experience of the self so that one feels detached from and as if one is an outside observer of one's mental processes or body.
Marked by recurrent feelings of detachment or distance from one’s own experience, body or self. When severe, individuals with this disorder may believe the external world is unreal or distorted.
The process of eliminating drugs from the body of someone who is chemically dependent or the social and/or medical management of the symptoms of withdrawing a person from a specific psychoactive substance in a safe and effective manner. May be provided through various levels of care, but must be under medical supervision.
A substantial problem in mental or physical functioning, with onset before the age of 18 and of indefinite duration. Examples are autism, mental retardation, cerebral palsy or uncontrolled epilepsy.
Identification of the client’s symptoms and/or disease based on a comprehensive assessment as determined by a qualified professional using a standard system of classification. (see Diagnostic and Statistical Manual of Mental Disorders; 4th Edition R)
Manual published by the American Psychiatric Association, is a handbook for mental health professionals that lists categories of mental disorders and criteria for diagnosing them. The standard classification of mental disorders used by mental health professionals in the United States.
The client has difficulty staying awake and attentive.
Disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment. The disturbance may be sudden or gradual, transient or chronic.
The formal release of a client by a provider; the termination of a period of services.
A written plan developed in collaboration with the client that provides a person with guidance to help him/her make a successful transition from structured services to the community. Typically includes concrete plans in several areas such as housing, employment, education, transportation, counseling, social services, and required supervision.
The formal process for determining, prior to discharge from services, the coordination and management of the care that a member is to receive following discharge.
In the CMBHS Consent for Disclosure of Information document, the discloser
Confusion about the time of day, date, place, person or situation.
To become visible on your computer screen.
Characterized by blocking out critical information, usually of a traumatic or stressful nature. The amnesia may be localized to a specific window of time; selective, allowing the patient to remember only small parts of events that took place in a defined period of time; generalized to the patient’s entire life; or systematized, in which the loss of memory is related to a specific category of information.
A rare disorder in which an individual suddenly and unexpectedly takes physical leave of his or her surroundings and sets off on a journey of some kind. Individuals in a fugue state are unaware of or confused about their identities. Rarely, these individuals will assume a new identity.
Previously known as multiple personality disorder. Individuals with DID have more than one distinct identity or personality state that surfaces on a recurring basis. The disorder is also marked by differences in memory, which vary with the individual’s “alters” or other personalities.
A complex mental process that provides a coping mechanism for individuals confronting painful and/or traumatic situations. A separation of a person’s consciousness from the current reality that appears as a defense to a traumatic event (s).
Drug that increases the rate of bodily urine excretion (diuresis).
A quantification of the amount of active ingredient in a medication.
Department of State Health Services
In CMBHS, as a reason for discharge, means that the client has chosen to receive services with another provider. (CMBHS)
EDI is the sending and receiving of information using computer technology
The electronic transfer of monies between accounts of the payer and payee.
An exaggerated feeling of well-being, euphoria or elation.
Mental health community services or other necessary interventions directed to address the immediate needs of an individual in crisis in order to assure the safety of the individual and others who may be placed at risk by the individual's behaviors, including, but not limited to, psychiatric evaluations, administration of medications, hospitalization, stabilization or resolution of the crisis.
A healthcare visit of any type by a client to a provider of care or services
To press the enter key on your keyboard. Also used incorrectly to mean “type in”.
Health care setting where treatment is overseen by medical personnel including hospitals, nursing facilities, crisis stabilization units and detoxification programs.
An episode of care starts when the client is admitted to a provider business entity and ends when the client is discharged. (CMBHS)
Paraphernalia used for insufflating (snorting) drugs such as straws, spoons and tubes.
A computer system generated message to inform the user that a user of system error has occurred.
Refers to treatment guidelines that can be supported by quality clinical research.
To become invalid because of the passage of time beyond a preset point in time.
The degree to which an individual makes or avoids contact with an other’s eyes.
A file is a collection of data stored in one unit, identified by a file name. It can be a document, picture, audio or video stream, application, or other collection of data.
Indicates the absence of signs of affective expression.
Frequency is the measurement of the number of occurrences of a repeated event per unit of time.
The ability to search an entire Help system for a particular word or keyword.
The number of beds (residential) or slots (outpatient), a provider is able to serve at any given time with the amount of DSHS funding they are awarded for each service type. The calculation should be Total Funding amount / Unit Rate / 365 days = Funded beds/slots.
A designation for a hospital Usually includes an emergency room.
A generalized statement of the long term desired outcome.
Grooming typically includes bathroom activities such as washing and cleaning the body, combing and styling the hair; brushing teeth; cosmetic care of the body, such as shaving and dressing.
A generic term used for a supervised living residence, usually in the community, for individuals with a disability or dependency.
Subjective feeling of having committed an error or offense. A feeling of culpability for offenses contrary to one's personal conscience. An unpleasant feeling of self-criticism. Feelings of culpability, especially for imagined offenses or omissions,
A sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ. Hallucinations may occur in any sensory modality— Visual system, Auditory system, Olfaction, Taste, Tactition, Proprioception, Equilibrioception, Nociception,-or Thermoception.
HHSC has oversight responsibilities for designated HHS Agencies, and administers certain health and human services programs including the Texas Medicaid Program, Children's Health Insurance Program and Medicaid waste, fraud, and abuse investigations.
A hospital, an ambulatory surgery center licensed under Chapter 243 of the Health and Safety Code, a chemical dependency treatment facility licensed under Chapter 464 of the Health and Safety Code, a renal dialysis center, a birthing center, a rural health clinic or a federally qualified health center as defined by 42 United States Code, §1396(1)(2)(B).
Federal legislation (P.L. 104-191) intended to provide portability of employer-sponsored insurance from one job to another in order to prevent the inability to change jobs because of the fear of losing health insurance. Prohibits insurers from excluding individuals because of health problems or disabilities; limits insurers’ ability to exclude treatment for pre-existing conditions; requires standardized electronic exchange of administrative and financial health services information; protects security of electronically transmitted or stored information and the privacy of individuals covered by Medicaid; and implements the new National Provider Identifier to be used on all electronic transactions between providers and health plans. To comply with HIPAA, systems of care must establish ways to ensure patient privacy as the patients move seamlessly from one agency to another. Also called the "Kassebaum-Kennedy" law
An ANSI-accredited group that is responsible for specifying standards for the health industry and defines standards for the cross-platform data transfer.
Term for a full or partial decrease in the ability to detect and/or understand sounds.
This is the starting point or front page of a Web site. This page usually has some sort of table of contents on it and often describes the purpose of the site. Many people have a "personal home page," which is another way the term "home page" can be used.
A person is homeless when he/she resides in one of the following: Places not meant for human habitation,
such as cars,
parks,
sidewalks,
abandoned buildings, under bridges; an emergency shelter; transitional housing for homeless persons;
A person who is being evicted within a week from a private dwelling or institution, no residence has been identified and lacks resources to obtain housing, or is fleeing a domestic violence housing situation and no subsequent residence has been identified and lacks the resources and support networks needed to obtain housing
A person is homeless when he/she resides in one of the following:
places not meant for human habitation, such as cars, parks, sidewalks, abandoned buildings, under bridges; an emergency shelter; transitional housing for homeless persons; a person who is being evicted within a week from a private dwelling or institution, no residence has been identified and lacks resources to obtain housing, or is fleeing a domestic violence housing situation and no subsequent residence has been identified and lacks the resources and support networks needed to obtain housing.
The desire to kill some one else. Encompasses thoughts, ideation, plans, attempts, and the act of taking someone’s life.
A public, for-profit, or nonprofit institution licensed or owned by Texas that is a general or special hospital, private mental hospital, chronic disease hospital or other type of hospital where patients receive emergency and/or acute medical care.
A psychiatric hospital licensed or operated by DSHS (TAC).
A Hospital owned/operated by the Veteran’s Administration to provide services to veterans.
A Hospital owned/operated by the Veteran’s Administration to provide services to veterans.
An individual’s expression of anger or rage towards a person or situation.
When you roll the cursor over a link on a Web page, it is often referred to as "hovering" over the link. In most cases, the cursor will change from a pointer to a small hand when it is hovering over a link.
A state in which a person is abnormally and easily excitable and can not remain focused on a physical or mental task.
Hypertext is text that links to other information. By clicking on a link in a hypertext document, a user can quickly jump to different content. Though hypertext is usually associated with Web pages, the technology has been around since the 1960s. Software programs that include dictionaries and encyclopedias have long used hypertext in their definitions so that readers can quickly find out more about specific words or topics.
A picture or symbol used to represent a function, activity or location on the Internet.
Impulse without external stimulus; recklessness- the trait of acting giving little thought to danger.
For mental health services, the person's maximum monthly fee is zero and the person:
(A) does not have third-party coverage;
(B) has third-party coverage, but has exceeded the maximum benefit of the covered service(s) or the third-party coverage will not pay because the services needed by the person are not covered services; or
(C) has not identified payment for a needed service or services in an approved plan utilizing Social Security work incentive provisions (i.e., Plan to Achieve Self-Sufficiency; Impairment Related Work Expense ).
Affect that does not match with the content of what is being said or mood.
The knowing written consent of an individual or the individual's legally authorized representative, so as to be able to exercise free power of choice without undue inducement or any element of force, fraud, deceit, duress, or other form of constraint or coercion. The basic elements of information necessary for informed consent include the following presented in language or format easily understood by the individual:
a thorough explanation of the procedures to be followed and their purposes, including identification of any experimental procedures;
description of any attendant discomforts and reasonably expected risks;
description of any reasonably expected benefits;
disclosure of any appropriate alternative procedures as well as their reasonably expected risks and benefits, including those that might result if no procedure is utilized;
an offer to answer any questions about the procedures; and
An instruction that the individual can withdraw consent and stop participating in the program or activity at any time without prejudice to the individual.
Paraphernalia, such as needles and syringes used to introduce drugs into the body.
A patient, including a newborn infant, who is formally admitted to the inpatient service of a hospital and who is subsequently discharged, regardless of status or disposition. Inpatients include patients admitted to medical/surgical, intensive care, nursery, subacute, skilled nursing, long-term, psychiatric, substance abuse, physical rehabilitation and all other types of hospital units.
Residential services provided in a department facility, a licensed hospital unit, a licensed crisis stabilization unit, or a psychiatric hospital.
The act or result of comprehending the inner nature of self, other and/or situations.
Based on 42 CFR §435.1009, a hospital, nursing facility, or other institution of more than 16 beds that is primarily engaged in providing psychiatric diagnosis, treatment, or care of individuals with mental illness, including medical attention, nursing care, and related services.
A property of mind that encompasses many related abilities, such as the capacities to reason, plan, solve problems, think abstractly, comprehend ideas and language, and learn.
Optional Medicaid service that provides residential care and services for individuals with developmental disabilities based on their functional needs.
Published by the World Health Organization the ICD-9 provides codes to classify disease, causes of injury or disease. Every health condition is assigned a unique code. ICD-9 is the HIPAA approved standard.
An emotional or physical distancing from others common in many behavioral health disorders.
The behavioral and physical manifestations of the effect of a psychoactive drug including alcohol, on an individual.
The individual's natural environment (e.g., the individual's residence, work place, or school).
The Joint Commission is an independent, not-for-profit organization that accredits health care organizations and programs and is the nation’s predominant standards-setting body in health care.
Seeing the relation of ideas and experience and forming conclusions from them.
Affect that indicates abnormal, sudden and/or rapid shifts in mood.
Laxatives are substances that induce bowel movements. Most often taken to treat constipation, however also inappropriately used for weight loss.
A person authorized by law to act on behalf of an individual with regard to certain matters, such as health care, and may include a parent, guardian, or managing conservator of a child or adolescent, a guardian of an adult, or a personal representative of a deceased individual.
The Level of Care (or service package) that is authorized for payment by the entity with the authority to authorize or deny. (DSHS/CMBHS)
The Level of Care that is computed using a mechanism that determines a level of care appropriate for the client using an evaluation processes and preset algorithm. (DSHS/CMBHS)
The Level of Care that is recommended by a clinician whether it is the same or different from the calculated Level of Care. (DSHS/CMBHS)
Clinical criteria that define different levels of service or levels of care within a service; levels of service/levels of care criteria include admission criteria, exclusion criteria, continuing stay criteria and discharge criteria for each level of service or care.
A staff member who is:
(A) a physician;
(B) a physician assistant;
(C) an RN;
(D) an LVN; or
(E) a pharmacist
A staff member who is:
(A) a physician;
(B) a licensed professional counselor;
(C) a licensed clinical social worker (formally a licensed master social worker-advanced clinical practitioner) as determined by the Texas State Board of Social Work Examiners in accordance with Texas Occupations Code, Chapter 505;
(D) a psychologist;
(E) an advanced practice nurse recognized by the Board of Nurse Examiners for the State of Texas as a clinical nurse specialist in psych/mental health or nurse practitioner in psych/mental health; or
(F) a licensed marriage and family therapist.
A person licensed as a vocational nurse by the Texas Board of Nurse Examiners in accordance with Texas Occupations Code, Chapter 301 or, prior to February 1, 2004, was licensed as a licensed vocational nurse by the Texas Board of Nurse Examiners in accordance with Texas Occupations Code, Chapter 302, and whose license has not yet expired.
When you see a blue highlighted and underlined word or phrase on a page, you are looking at a link. By CLICKING ON a link, you can "jump" to a new window, Web page or site. When you move the cursor over a link in a Web page, the arrow will turn into a little hand, (? Check?) letting you know that it is a link. The term "hyperlink" comes from the way links can quickly send you to another Web destination.
As designated in the Texas Administrative Code.
An entity designated by the DSHS Commissioner in accordance with the Texas Health and Safety Code, §533.035(a).
If you are ever asked to enter your username and password, you are being asked to enter your login information. A login is a combination of information that authenticates your identity. This could be a name and password or an ID number and security code. Many secure Web sites use login information to authenticate visitors before allowing them access to certain areas of the site. Unlike the words "brush" and "comb," this term should not be used as both a noun and a verb. It should only be used as a noun, (you don't login to a server, you log in to it).
The range of services typically provided at skilled nursing, intermediate-care, personal care or elder-care facilities.
The ability to add elements to valid values without the aid of a programmer
In CMBHS, as a Reason for Discharge, means the client’s treatment team recommends discharge as continued stay will not result in additional therapeutic benefits for the client. (CMBHS)
A jointly funded, federal/state health insurance program for low-income and disabled people who meet needs-based eligibility requirements. Covers individuals including children, the aged, the blind, and/or disabled and people who are eligible to receive federally assisted income maintenance payments
A Medicaid-enrolled provider with which the department has a Medicaid provider agreement to provide services under the State's Medicaid Program.
A physical condition intrinsic to the individual (it is part of that individual’s own body), may reduce the individual's quality of life and causes clear disadvantages to the individual.
The determination that a specific health care service is: medically appropriate; necessary to meet a client’s health needs; consistent with the diagnosis; the most cost-effective option; and consistent with clinical standards of care.
The systematic, organized account, compiled by health care providers, of information relevant to the services provided to an individual. This includes an individual's history, present illness, findings on examination, treatment and discharge plans, details of direct and indirect care and services, and notes on progress.
A federal health insurance program established by Title XVIII of the Social Security Act that provides payment for medical and health services to the population aged 65 and over regardless of income, as well as certain disabled persons and persons with ESRD.
Hospital insurance provided by Medicare that can help pay for inpatient hospital care, medically necessary inpatient care in a skilled nursing facility, home health care, hospice care and end-stage renal disease treatment.
Medicare-administered medical insurance that helps pay for certain medically necessary practitioner services, outpatient hospital services and supplies not covered by Part A hospital insurance of Medicare coverage. Doctors' services are covered under Part B even if provided to a member in an inpatient setting. Part B can also pay for some home health services when the beneficiary does not qualify for Part A.
A prescription drug benefit for Medicare-eligible seniors and disabled persons. It was established as part of the Medicare Prescription Drug, Improvement and Modernization Act (MMA) that President Bush signed into law on December 8, 2003.
An illness, disease, or condition (other than a sole diagnosis of epilepsy, dementia, substance use disorder, mental retardation, or pervasive developmental disorder) that:
(A) substantially impairs an individual's thought, perception of reality, emotional process, development, or judgment; or
(B) grossly impairs an individual's behavior as demonstrated by recent disturbed behavior.
Below normal intellectual ability that originates during the developmental period. Mental retardation is associated with impairment in maturation, learning and/or social adjustment. In general with mental retardation, the IQ is equivalent to or less than 70 and the condition is present from birth or infancy. Individuals with mental retardation have abnormal development, learning difficulties and problems in social adjustment.
A menu bar is a horizontal strip that contains lists of available menus for a certain program. In Windows programs, the menu bar resides at the top of each open window.
Sometimes called an alert box or message indicator. This message informs the user of any system warnings or processes the system that they may need to know.
Messages generated by CMBHS, usually displayed on Workspaces.
The internal expression of a person’s emotions.
The combination of fine motor functioning, such as the ability to use hands to manipulate small items (e.g., pinching, grasping) and gross motor functioning, such as the ability to use the whole body to execute large muscle movements (e.g., running, jumping, climbing).
Along with the keyboard, the mouse is one of the primary input devices used with today's computers. The name comes from the small shape of the mouse, which you can move quickly back and forth on the mouse pad, and the cord, which represents the mouse's tail.
Mouse cursor is most often an arrow that you can use to point to objects on your screen and then click or double-click the mouse button to perform an action on that object. The cursor on your screen can indicate two things: where your mouse pointer is, or where the next character you type will be entered. (Also called a pointer).
A system for uniquely identifying all providers of health care services, supplies, and equipment. NPIs are unique,10- digit, all-numeric identification numbers that will identify a health care provider in standard transactions, such as health care claims, assigned by the NPPES. The NPI is a HIPAA Administrative Simplification Standard. More information about NPI numbers can be found on the Centers for Medicare and Medicaid Services (CMS) website at: http://www.cms.hhs.gov/NationalProvIdentStand/
An unpleasant symptom related to the urge to vomit.
Used to refer to movement through a software application and how a user does this.
New generation or atypical anti-psychotic medications are drugs that act on different brain receptors than just blocking dopamine receptors as the old agents do, and control the psychosis without producing extra pyramidal symptoms (EPS).
All activities that require payments that are not claims. These activities are not clinical in nature.
A Business Entity or Provider that does not use the CMBHS system.
The NorthSTAR Program is a publicly funded managed care approach to the delivery of mental health and chemical dependency services to eligible residents of Dallas, Ellis, Collin, Hunt, Navarro, Rockwall and Kaufman counties. The pooled purchasing approach of NorthSTAR transformed separately funded and disparate systems of care with different eligibility requirements (Medicaid, DSHS funded SA/CD programs, MH community center programs) into one system of care. It provides a comprehensive mental health/substance abuse benefit package for all eligible individuals, and access to benefits is determined by clinical need, not funding source.
In CMBHS Help, a Note emphasizes important information from the text or that may apply only in special cases. (CMBHS)
An establishment licensed by DADS as a provider of long term care or rehabilitative nursing home services. Sometimes used to denote a level of care.
The observable, measurable, concrete behavior demonstrated by the client that will serve as evidence of progress towards the goal.
A client that has been determined to be disabled by a public or private entity based on medical evidence and because of this receives a regular benefit is said to be “on disability.”
In general, when a machine is "online," it is turned on and connected to other devices. For example, when a network printer is online, computers connected to that network can print from it. Other devices, such as scanners, video cameras, audio interfaces, and others are said to be online when they are running and connected to a computer system.
Also known as an "OS," this is the software that communicates with computer hardware on the most basic level. Without an operating system, no software programs can run. The OS is what allocates memory, processes tasks, accesses disks and peripherals, and serves as the user interface.
Awareness of one's self in relation to the dimensions of time, place, person and situation.
Substance Abuse Treatment including Out-patient, Day Treatment, and other Non-Residential program types. (DSHS)
Submitting a pending claim will bill DSHS for services provided. HIPAA transaction codes and modifiers are automatically generated based on the service type selected when the service is recorded.
Heath care setting where patients receive services for no more than 23 hours in one day.
An OSAR provides outreach, screening, assessment and referral services to individuals who may have a drug and/or alcohol problem, their family and support system, to help find the appropriate level of care and services in the community. (DSHS)
In CMBHS, means a function or document in CMBHS with an assigned number. Sometimes used as synonymous with the word “computer screen”. (CMBHS)
A password is a string of characters used for authenticating a user on a computer system. For example, you may have an account on your computer that requires you to log in. In order to successfully access your account, you must provide a valid username and password. This combination is often referred to as a login. While usernames are generally public information, passwords are private to each user. Most passwords are comprised of several characters, which can typically include letters, numbers, and most symbols, but not spaces. While it is good to choose a password that is easy to remember, you should not make it so simple that others can guess it. The most secure passwords use a combination of letters and numbers and don not contain actual words.
When a payment is made, a HIPAA compliant 835 Payment Notification record is available.
A person who:
(A) has received: (i) a high school diploma; or (ii) a high school equivalency certificate issued in accordance with the law of the issuing state;
(B) has at least one cumulative year of receiving mental health community services; and
(C) is under the direct clinical supervision of an LPHA.
Each time a billable service is recorded for outpatient or residential services, a claim is generated on the Pending Claims screen. Selecting a link on the claims will present the appropriate HIPAA transaction (837-Professional for Outpatient or 837-Institutional for Residential) for submission to DSHS for payment.
A person who is licensed as a pharmacist by the Texas State Board of Pharmacy in accordance with Texas Occupations Code, Chapter 558.
An injury, acute or chronic, that limits physical functioning.
(See also physical disability).
A person who is:
(A) licensed as a physician by the Texas Medical Board in accordance with Texas Occupations Code, Chapter 155; or
(B) authorized to perform medical acts under an institutional permit at a Texas postgraduate training program approved by the Accreditation Council for Graduate Medical Education, the American Osteopathic Association, or the Texas Medical Board.
A person who is licensed as a physician assistant by the Texas State Board of Physician Assistant Examiners in accordance with Texas Occupations Code, Chapter 204.
Measures to determine the effectiveness of actions or interventions in meeting treatment goals. For CMBHS measured as positive, neutral, or negative.
A note in a clinical record used to capture and display the client's progress in treatment and progress toward goals. Progress notes reflect the results of a specific procedure performed and are therefore associated with the Procedure record.
The entity delivering the health care service. Also referred to as “Service Provider.”
An establishment licensed by DSHS under the Texas Health and Safety Code, Chapter 577, offering inpatient services, including treatment, facilities, and beds for use beyond 24 hours, for the primary purpose of providing psychiatric assessment and diagnostic services and psychiatric inpatient care and treatment for mental illness. Such services must be more intensive than room, board, personal services, and general medical and nursing care. Although substance abuse services may be offered in a psychiatric hospital, a majority of beds (51%) must be dedicated to the treatment of mental illness in adults and/or children.
A medical doctor who specializes in treating brain and psychological disorders. Since psychiatrists are doctors, they can prescribe medications such as antidepressants and prescribe therapy such as psychotherapy.
Didactic educational services provided for a group.
A person who is licensed as a psychologist by the Texas State Board of Examiners of Psychologists in accordance with Texas Occupations Code
Professional mental health services that bring together approaches from the rehabilitation and the mental health fields. These services combine pharmacological treatment, skills training, and psychological and social support to clients and families in order to improve their lives and functional capacities
A substance which makes you excrete the contents of your bowels.
In Texas, a licensed chemical dependency counselor or one of the practitioners listed below who is licensed and has at least 1,000 hours of documented experience treating substance-related disorders:
1.licensed professional counselor (LPC);
2.licensed clinical social worker (LCSW);
3.licensed marriage and family therapist (LMFT);
4.licensed psychologist; (Psychologist)
5.licensed physician; (MD)
6.licensed physician's assistant; (PA)
7.certified addictions registered nurse (CARN); or
8.advanced practice nurse. (APN)
A QCC is eligible for over-sight of a Counselor Intern's work. The QCC is not a state issued license. Each facility is responsible for designating a QCC. (TOC)
A staff member who is credentialed as a QMHP-CS who has demonstrated and documented competency in the work to be performed and:
(A) has a bachelor's degree from an accredited college or university with a minimum number of hours that is equivalent to a major (as determined by the LMHA or MCO in accordance with §412.316(d) of this title (relating to Additional Requirements for Credentialing a QMHP-CS)) in psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, physician assistant, gerontology, special education, educational psychology, early childhood education, or early childhood intervention;
(B) is a registered nurse; or
(C) completes an alternative credentialing process identified by the department.
Pages or data fields that can be viewed but not edited or changed.
The process of developing new meaning and purpose in one's life as one grows beyond the effects of their behavioral health disorders. According to the President’s New Freedom Commission on Mental Illness, a process by which people who have a mental illness are able to work, learn and participate fully in their communities. For some individuals, recovery is the ability to live a fulfilling and productive life despite a disability. For others, recovery implies the reduction or complete remission of symptoms.
In Access To Recovery services (ATR) a Recovery Support Provider is a business entity that provides wrap-around services to aid in an client's recovery. These service may include but are not limited to GED, Spiritual Support, Family and Marriage counseling, etc
A person who is licensed as a registered nurse by the Texas Board of Nursing in accordance with Texas Occupations Code, Chapter 301.
Client registration is the act of entering client identifying information into a data system to uniquely identify the client. Client registration is the act of entering client identifying information into a data system to uniquely identify the client. In CMBHS a client with a Client Profile is registered.
Services provided in a client-driven, integrated systemic delivery approach that meet the needs and choices of clients with mental illness, which gives equal priority to:
assisting and supporting the client in managing the symptoms of his/her mental illness;
training the client in the skills needed to cope with the demands of the clients' chosen environments;
modifying characteristics of the environments when necessary; and
strengthening or developing social support networks.
The DSHS contract manager has rejected/denied the claim and will not further process it for payment. (DSHS/CMBHS)
A term commonly used instead of “Authorization for Release of Client Health Care Information”.
Also used instead of “Consent”. (DSHS/CMBHS)
Remote access is the ability to access your computer from a remote location. In order for a remote access connection to take place, the local machine must have the remote software installed and the remote machine must have the remote server software installed. A username and password is almost always required to authenticate the connecting user. Remote access is also the ability to control the machine once the connection has been made. Most remote access programs also allow users to transfer files between the local and remote machines, which can save a lot of commuting time. While remote access can be helpful for many people, don't enable it on your machine unless you absolutely need to. It is just one more security concern you will have to deal with.
Twenty-four hour treatment for behavioral health (i.e. substance abuse and/or mental health) care. Excludes hospitals, psychiatric facilities, and Institutions for Mental Diseases (IMDs).
An employee appointed by the head of a DSHS facility or the CEO of a community center or provider organization to protect and advocate for the rights of persons receiving mental health services. (also called client rights advocate, customer service representative etc )
Thought, ideation, obsession, compulsion, plan, or intent to cause physical harm to another. Can vary from low risk (e.g., individual has fleeting thoughts of “getting even”) to high risk (e.g., individual has detailed plan and means to kill another person).
Thought, ideation, obsession, compulsion, plan, or intent to cause physical harm to self. Risk can vary from low risk (e.g., individual has fleeting thoughts of harming self) to high risk (e.g., individual has detailed plan and means to kill themselves). Self harm can include Self Injurious Behavior without intent to die.
The degree to which an individual is likely to respond by injury to another person.
Access to CMBHS requires that each staff member have a User ID and a password to log in to the system. Each user is assigned one or more roles based on their job functions/responsibilities within the organization. Roles are also used to limit access to certain functions and data.
Ongoing observation of an individual to ensure the individual’s safety. An appropriate staff person must be continuously present in the individual’s immediate vicinity, provide ongoing monitoring of the individual’s mental and physical status, and ensure rapid response to indications of a need for assistance or intervention. Safety monitoring includes maintaining continuous visual contact with frequent face-to-face contacts as needed.
Determination of eligibility for further assessment and or treatment to include crisis services. A behavioral health screening is the process by which a determination of clinical need and/or eligibility for further assessment is made. Screenings for substance dependence and mental health problems are usually brief processes designed to identify people who are at risk of having disorders that warrant immediate attention, or need more comprehensive assessment. Information is collected through face-to-face or telephone interviews with the potential client or collateral.
Generalized electrical discharges of cerebral origin consisting of sudden transitory abnormal motor, sensory, autonomic, or psychic nature resulting from transient dysfunction of the brain resulting in abnormal behavior.
Intentional or impulsive self-injurious behavior such as burning, cutting or carving on oneself, activities which result in harm to the body. Includes head banging.
A testing processes used by a licensed health professional to test a person’s cognition and memory.
Conflict between a client and an individual or group that causes distress to the client and possibly others in the environment.
Individuals are defined as having Serious Psychological Distress (SPD) if at some time during the past 12 months they had a diagnosable mental, behavioral, or emotional disorder that met criteria specified in the American Psychiatric Association’s 1994 Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and that resulted in functional impairment that substantially interfered with or limited one or more major life activities. (Note: Data for SPD are not defined for youth aged 12 to 17.) SPD is measured using the K6 distress questions.
An involuntary trembling or quivering, of the body from nervous agitation, fright, neurological illness or drug/alcohol withdrawal.
A person’s usual pattern of sleep to include falling to sleep, sleeping, dreaming and waking.
To arrange information in a list or table into a specified order chosen by the user. In CMBHS the user can sort text, numbers, or data in lists or tables in ascending order (A to Z, zero to 9, or earliest to latest date) or in descending order (Z to A, 9 to zero, or latest to earliest date).
Examples of sort order rules
• When you sort text in tables you can select to sort a single column in a table or the entire table.
• You can also sort by more than one word or field inside a single table column.
• If a column contains both last and first names, you can sort by either last name or first name, just as you could if the last and first names were in a list instead of a table. Items that begin with numbers are sorted next; and items that begin with letters are sorted last.
• If CMBHS doesn't recognize a date or time, it places the item at the beginning or end of the list (depending on whether you're sorting in ascending or descending order).
In Texas, education that ensures all children with disabilities have available to them a free appropriate public education that emphasizes services designed to meet their unique needs and prepare them for employment and independent living. Services may be available to students with a physical disability, mental retardation, emotional disturbance, learning disability, autism, speech disability or traumatic brain injury.
Concerned with or attached to religious values; ecclesiastical rather than lay or temporal; things of a religious, ecclesiastical nature; something that in ecclesiastical law belongs to the church or to a cleric. (Webster's Ninth Collegiate Dictionary)
Any and all personnel of a service provider, OSAR, LMHA, or BHO, including full-time and part-time employees, contractors, students, interns and volunteers. Same as Staff Member.
In CMBHS, strengths and limitations are identified during assessment and used in treatment planning and provision, to tailor services to increase their likelihood of being beneficial to the client. A client strength is a personal, physical, social, family or community attribute that is positive in nature and may provide the client some advantages in his/her path to recovery. A client limitation is anything that may hinder or put the client at a disadvantage in his/her treatment and recovery such as financial problems, language difficulties, ethnic and social attitudes, lack of social support, logistics (caring for children, limited transportation), and unhelpful patient behaviors (tardiness, missed appointments).
The inappropriate use of and/or addiction to illegal and legal substances including alcohol and prescription and non-prescription drugs.
An agency within the United States Department of Health and Human Services (HHS) that is committed to improving the lives of people with or at risk for substance abuse or mental illness. SAMHSA’s vision is “A life in the community for everyone, based upon the principle that people of all ages with or at risk for substance abuse disorders and mental illnesses should have the opportunity for a fulfilling life that includes a job, a home, and meaningful relationships with family and friends.” (SAMHSA)
A program licensed by DSHS to provide substance abuse treatment or substance abuse detoxification services. (DSHS)
Substance Abuse Treatment including Out-patient, Day Treatment, and other Non-Residential program types. (DSHS)
Substance Abuse Treatment including Residential type programs only. (DSHS)
A substance abuse program that provides services after a hospital or residential or Detoxification admission. (DSHS)
Facility designated by DSHS to provide Outreach Screening Assessment and Referral services. (DSHS)
Encompasses suicidal thoughts, ideation, plans, suicide attempts, and completed suicide
The intentional taking of one's life.
Rehabilitative services that are not strictly medical but are nonetheless considered to be necessary to the recovery process for many clients. Such services are designed to develop and/or restore a client's functional capacities and may include support to enable clients to maintain independent housing, education, employment, or other activities associated with community integration to assist the client in functioning in the client's chosen living, learning, working, and socializing environments.
A DSHS mental health service that provides support to eligible individuals that facilitates their remaining in their preferred living situation. (DSHS)
Texas Correctional Office on Offenders with Medical or Mental Impairments
Provision of health care or psychiatry via telecommunications, typically utilizing medical computer sciences. A qualified mental health professional is able to interview and examine the person through the use of computer, closed-circuit television or telephone
Needy families may receive a monthly cash grant through the Temporary Assistance for Needy Families (TANF) program. Grants are available for single- and two-parent families, and are based on need.
The text cursor is typically a straight vertical line or I-shaped object that flashes in a line of text. Typically, the cursor will be at the end of the line, because you are adding new text. However, if you want to insert a word or phrase somewhere else in a line of text, you can use the mouse cursor to click the place where you want to insert the text. In most word processing programs, once you start typing, the text cursor continues to flash, but the mouse pointer disappears until you move the mouse again.
The Transformation Work Group is a designated work group of the Texas Mental Health Transformation Project.
As a Problem Status in the Treatment Plan, “Treat” means the provider is actively providing treatment services to the client for this problem. (CMBHS)
A written plan based on data gathered during the assessment of a client, developed by the provider, in consultation with the client. The treatment plan identifies the client's strengths and limitations, needs, and preferences regarding service delivery.
The treatment plan includes:
measurable goals targeted to the client's symptoms, needs, problems and level of functioning;
the types services and interventions to be provided;
a schedule for service delivery, including amount, frequency, and duration of services to be provided;
the staff responsible for the service(s) to be provided;
time frames for achieving goals; and
re-evaluation of the treatment plan.
Process by which the client’s treatment plan is reviewed along with the client’s response to treatment and progress toward goals. Justification for continued length of stay, transfer or discharge
The Treatment Plan Review is generated from the Treatment Plan. Progress toward goals is a required element as well as justification for continued length of stay, transfer or discharge. A history of Reviews is also maintained.
The interdisciplinary or multidisciplinary group of professionals working together to provide services to a client.
Federally-recognized Indian tribal governments as defined under the Indian Self Determination Act, 25 U.S.C. 450b(e)).
The UA-TRAG is used by a Qualified Mental Health Professional-Community Services (QMHP-CS) at each Local Mental Health Authority (LMHA) and their providers to assess the service needs and recommend a level of care for individuals in the public mental health system. Includes, but is not limited to, the Adult Texas Recommended Assessment Guidelines (TRAG), the Children and Adolescent Texas Recommended Assessment Guidelines, and the department-approved algorithms.
Vaginal/oral/anal penetration without condoms or latex barrier
Mental health community services or other necessary interventions provided to persons in crisis who do not need emergency care services, but who are potentially at risk of serious deterioration of their mental or physical health.
Tasks that a user is permitted to perform on a computer system. User rights are assigned by administrators to individual users or groups as part of the security settings for the computer. User rights are assigned, not granted or allowed. (Microsoft)
Authorization of additional amounts of services based on medical necessity when the individual has reached the maximum service units of their currently authorized level of care. (CMBHS)
The behavioral health management organization currently contracting with DSHS for management of the NorthSTAR network.
Text or function that can only be viewed, not changed on edited. (CMBHS)
Impairment of the sense of sight; a visual defect or disorder.
Regurgitation of stomach contentsthrough the esophagus and out the mouth.
The Wait List screen is used to place clients on a Wait List. You are able to view the entire list by using the On-line Wait, List.
Predictable constellation of signs and symptoms after abrupt discontinuation of or rapid decrease in use of a substance that has been used consistently for a period. Signs and symptoms of withdrawal are usually opposite to the direct pharmacological effects of a psychoactive substance. (SAMHSA)
Related to read/write, but write-only and read-only refer to properties of files, and read/write refers to a level of permissions granted to users, not an adjective that defines files or other objects.
A client who is 13 through 17 years of age. See also Adolescent