CMBHS CLINICAL AND PROGRAM GLOSSARY

TERM	ABBREV.	DEFINITION
12-Step program		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).
Ability to pay		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)
Abnormal appearance		The client’s overall appearance is abnormal or unusual for the person, place and situation.
Abnormal behavior		The client displays behavior that is abnormal and inappropriate for the situation.
Abnormal speech/language		The client’s speech and/or language is abnormal and inappropriate for the person, place and situation.
Abnormal thought processes and/or content		Observation of and interaction with the client reveals abnormal thought processes, ways of thinking and/or content.
Abstinence		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)
Abuse of privilege		When a user willfully performs an action prohibited by organizational policy or law, even if technical controls are insufficient to prevent the user from performing the action. (DSHS IT)
Access (services)		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)
Access (to a software functions)		A user’s ability to locate and gain use of certain functions of a computer software application.
Access To Recovery	ATR	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. (HHS)
Accreditation		Process of periodic review for conformance with accrediting-body standards. See 42 CFR, Part 8 § 2, for other accreditation-related terms and definitions. (SAMHSA)
Activities of daily living	ADL	Activities that are essential to daily personal care including bathing or showering, dressing, getting in or out of bed or a chair, using a toilet, and eating. (HHSC)
Addiction		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)
Add-on role		User roles that include specific functions and provide the assigned user with rights supplemental to the roles included with their “Core” role. (DSHS/CMBHS)
Add-on services		Add-on services 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. (DSHS)
Administrative discharge		A client discharge prompted by the CMBHS system according to pre-defined DSHS rules rather than by the CMBHS user. (DSHS)
Admission		The point where a client formally enters a provider’s program for treatment and/or services. The admission continues until discharge. (DSHS/CMBHS)
Adolescent		A person who is 13 through 17 years of age. See also Youth. (TAC)
Adult		A person who is 18 years of age or older. (TAC)
Adult (CMS)		As defined by CMS for Medicaid funded programs and clients, an adult is defined as a person age 21 or over. (CMS)
Advance directive		Legal documents, such as a living will and durable power of attorney for health care decisions, that details a person's wishes regarding medical treatment prior to an illness or accident that makes him/her unable to do so.   Advance directives: These directives pertain to treatment preferences and the designation of a surrogate decision-maker in the event that a person should become unable to make medical decisions on their own behalf. Advance directives generally fall into three categories: living will, power of attorney and health care proxy. (APA MedTerms)
Advanced Practice Nurse	APN	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. (TOC)
Adverse action		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)
Adverse determination		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)
Adverse Drug Reaction	ADR	An undesirable response associated with use of a drug that either compromises therapeutic efficacy, enhances toxicity, or both. (TJC)
		In pharmacology, any unexpected or dangerous reaction to a drug. An unwanted effect caused by the administration of a drug. The onset of the adverse reaction may be sudden or develop over time. Also called an adverse drug event (ADE), adverse drug reaction (ADR). (APA MedTerms)
Affect		An outward expression of a person's emotions.
		The emotional tone a person expresses. A person's affect may be appropriate or inappropriate to the situation. (APA MedTerms)
AIMS Scale		A screening instrument for Tardive Dyskenesia (a chronic involuntary movement disorder) to systematically assess and record involuntary movements on a scale of 1 to 4 according to severity of symptoms.
Al-Anon		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. (SAMHSA)
Alateen		Twelve Step recovery program for adolescents affected by an adult alcoholic.
Alcoholics Anonymous	AA	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. A free, self-help organization founded to assist people addicted to alcohol in breaking old behavior patterns and gaining support for living a sober lifestyle. (APA MedTerms)
Alert box		A system generated window that appears to inform the user about a certain condition. In CMBHS, the term “error message” is used. (DSHS/CMBHS)
Alertness		Ability to remain sufficiently alert to perceive and act.
Allergy		An abnormal, acquired sensitivity to a given substance. A misguided reaction to foreign substances by the immune system, the body system of defense against foreign invaders, particularly pathogens (the agents of infection). The allergic reaction is misguided in that these foreign substances are usually harmless. (APA MedTerms)
Alzheimer's disease		A progressive, incurable condition that destroys brain cells, gradually causing loss of intellectual abilities - such as memory - and extreme changes in personality and behavior. A progressive neurologic disease of the brain that leads to the irreversible loss of neurons and dementia. The clinical hallmarks of Alzheimer's disease are progressive impairment in memory, judgment, decision making, orientation to physical surroundings, and language. (APA MedTerms)
Ambulatory		Services given to clients or patients who do not require overnight care (residential or hospital). Often used synonymously with “outpatient” services.
Americans With Disabilities Act of 1990	ADA	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.
Anxiety		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.
Appeal		A process available to the client, their family member, treating provider or authorized representative to request review and reconsideration by the next level of authority of an adverse determination.
Application		A software program that runs on your computer such as a word processor, game, web browser, and e-mail program. The word "application" is used because each program has a specific application or “use” for the user.
Assessment		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/others when appropriate) develops a plan for treatment with goals, problems, objectives and strategies.
Assisted living		A non-institutionalized facility that is used by people who need assistance and support to live on their own, but do not need continuous nursing care. Usually but not exclusively for the elderly.
Attestation		The act of watching someone sign a document, and then signing your own name as a witness. You are attesting -- that is, confirming that the person whom you watched sign the document in fact did so. Attesting to a document does not mean that you are vouching for its accuracy or truthfulness; only acknowledging that you watched it being signed by the person whose name is on the signature line.
Attorney		Advocate, counsel, or official agent qualified to represent clients in court and give them legal advice.
Audit information		In CMBHS, Audit Information is the information at the bottom of every page to include the name of the user who created the page (Created By), the date the page was created (Created Date), the user who last saved the page (Last Saved By) and the date the page was last saved (Last Saved Date). (DSHS/CMBHS)
Authorization		To authorize health services for payment utilizing a utilization management process.
Authorization Approver		The CMBHS role for a person that is assigned the task of authorizing health services. (DSHS/CMBHS)
Authorization for Release of Client Health Information		A written document signed by the client giving their authorization for a provider to release their health care documents to another party or entity.
Authorization Requester		In CMBHS, the role for a person that is assigned the task of requesting authorization for a client health service. (DSHS/CMBHS)
Average length of stay	ALOS	A provider or facilities’ average length of client stay from admission to discharge.
Awaiting sentencing		Charged with a crime, found guilty at trail, awaiting sentencing by a judge or jury.
Awaiting trial		Charged with a criminal offense but the trial has not yet started. May be in jail or out on bond.
Axis I		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)
Back button		A button in a software program or web browser that allows the user to move to the previous page or screen.(Microsoft)
Backup		A copy of files and applications made to avoid loss of data and to facilitate their recovery in the event of such loss. (DSHS IT)
Batch process		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.
Battered women’s center		Safe places where victims of domestic violence (and sometimes their children) can live while they get help.
Behavioral Health Care or Services		Assess, diagnose and treat mental health and substance use disorders. Setting may be inpatient, outpatient, residential or other setting. (HHSC)
Behavioral Health Integrated Provider System	BHIPS	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)
Behavioral Health Organization	BHO	A managed care organization that provides or contracts for behavioral health services and as defined by the Texas Department of Insurance. (TDI)
Behavioral Health Services	BHS	Services that cover mental health and substance abuse treatment 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.
Benefit Package		Services an insurer, government agency, or health plan offers to a group or individual under the terms of a contract. (HHSC).
Benzodiazepines		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).
Billable		In CMBHS, billable means a claim can be sent to DSHS for payment. (DSHS/CMBHS)
Binge drinking		"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)
Blackout		An episode of memory loss associated with drug or alcohol abuse.
Blunted affect		Affect that represents significant reduction in the intensity of emotional expression.
Boarding home		In Texas, is housing for unrelated adults that is licensed by DADS as a boarding home. Provides minimal services and supervision. (TAC)
Brain injury		Intracranial injury, or a head injury, which can occur from traumatic, vascular, infectious, degenerative or neoplastic processes.
Buprenorphine		Partial opioid agonist approved by FDA for use in detoxification or maintenance treatment of opioid addiction and marketed under the trade names Subutex® and Suboxone® (the latter also containing naloxone).
Business entity		An entity (public or private) with whom DSHS has a contract to deliver services. (DSHS/CMBHS)
Care coordination		A service that includes working with individuals and families to develop a plan of care to meet the needs of the individual and to coordinate the services of the managed care organization. (HHSC)
Case manage		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. (DSHS/CMBHS)
Case management	CM	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.
Caution		In the CMBHS Help, information that that advises users that failure to take or avoid a specified action could result in the loss of data or addition of invalid data into the system. (DSHS/CMBHS)
Center for Mental Health Services	CMHS	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. (SAMHSA)
Centers for Medicare and Medicaid Services	CMS	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. (HHS)
Characters		A character is a letter, numeral, or punctuation mark. In counting the number of characters entered into a data field, include spaces as well.
Change in provider status		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. (DSHS/CMBHS)
City/County health services		A health service provided by a City or Country or a health services clinic operated by a City or Country.
Civil action		A civil action is a non-criminal case in which one private individual or a business sues another private individual or a business, to protect or enforce private or civil rights; usually involves attempts to get property back, to force someone to complete a contract, or to protect someone's civil rights.
Civil Commitment – Mental Health		A civil court commitment as defined in Title 7 of the Texas Health and Safety Code. (THSC)
Civil Commitment- Substance Abuse		A civil court commitment as defined in Title 6 of the Texas Health and Safety Code. (THSC)
Civil court		A non-criminal court having jurisdiction over civil actions.
Claim		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.
Claim status		In CMBHS, Claim Status refers to where the claim is in the submission to payment cycle. The Claim Status List is used to track the status of the claim. (DSHS/CMBHS)
Clergy		Collective term for individuals ordained by a Church who perform spiritual and/or religious functions.
Client		A client is a person who has a mental health and/or substance use problem who has contacted the business entity for services and has completed the screening or intake process and may have been formally admitted for treatment or services. (DSHS/CMBHS)
Client Assignment and Registration System	CARE	Legacy TDMHMR data system used to register and track clients throughout the service delivery system for clients receiving publicly funded mental health and mental retardation services. Included community based, state hospital and state school services. (DSHS)
Client died		As a Reason for Discharge in CMBHS “client died” means that the provider has direct knowledge that the client has died or that the provider received information from a reliable source that the client has died. Examples of reliable sources might include a death certificate, coroner or police report, newspaper or information from a family member. (DSHS/CMBHS)
Client moved		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. (DSHS/CMBHS)
Cocaine Anonymous	CA	A 12 Step recovery program focused on recovery from cocaine addiction.
Cognitive		Internal mental processes such as problem solving, memory, and language. Cognitive disorders are disorders of thinking, for example, schizophrenia
Collateral		An additional source of information about the client. A person interviewed to obtain information about the client or to corroborate information. (DSHS/CMBHS)
Commission on Accreditation of Rehabilitation Facilities	CARF	An independent, nonprofit accreditation organization for providers of aging, behavioral health, child & youth, employment & community and medical rehabilitation services. (CARF)
Commitment (Court)		Court ordered civil commitment for mental health or substance abuse services.
Community-based mutual help groups for alcohol and/or other drugs		Community-based mutual help groups for alcohol and/or other drugs such as AA, NA, Al-Anon, CA. See also, 12-Step Program.
Community Health Centers		Includes primarily facilities designated by the federal Health Resources and Services Administration.
Community IMD		Institution for Mental Disease as defined by the Centers for Medicare and Medicaid Services. (CMS)
Community Services Specialist	CSSP	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)
Compulsive behaviors		Behavior that 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.
Confidential information		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)
Confidentiality regulations		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)
Consent to treatment		Form completed with and signed by an applicant for MAT and by designated treatment program staff members, which verifies that the applicant has been informed of and understands program procedures and his or her rights and treatment goals, risks, and performance expectations.
Continuity of services	COS	Assistance provided to clients or their authorized representatives in planning and organizing behavioral health and other relevant community resources. Continuity of services are especially important when a client: (A ) needs or receives a referral to another provider for physical or social services; (B) has a change in his/her level of need; (C) is discharged from a hospital; (D) transitions between services; and (E) services are terminated. (TAC)
Contract		A legally enforceable written agreement for the purchase of substance abuse or mental health community services. (TAC)
Coordination of care	COC	The process of coordinating care, treatment, or services provided by a behavioral health care organization, including referral to appropriate community resources and liaison with others (such as the client’s physician, other behavioral health care organizations, or community services involved in care or services) to meet the ongoing identified needs of clients, to ensure implementation of the plan of care, and to avoid unnecessary duplication of services.
Co-Occurring Disorders		Refers to two or more medical disorders occurring simultaneously. In behavioral health services generally refers to mental health and substance abuse disorders but can refer to a combination of substance abuse, mental health, physical, developmental, or other disorders.
Copay		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 charge for the doctor's office visit is. (TDI)
Co-occurring psychiatric and substance abuse disorder	COPSD	Used by DSHS to describe certain rules, policies, and funding streams targeted at this special client population. TAC COPSD rule effective September 7, 2003 requires that members of the (MH) priority population not be restricted from services due to substance use disorders. (TAC)
Core role		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. (DSHS/CMBHS)
Correctional facility		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. (DSHS/CMBHS)
Court services		As a Referral Source in CMBHS, means Other Court services not listed. (DSHS/CMBHS)
Court/DWI/DUI		Court following arrest for DWI/DUI. (DSHS/CMBHS)
Court/Pre-trial Diversion		Court programs designed for pre-trial diversion. (DSHS/CMBHS)
Craving		Urgent, seemingly overpowering desire to use a substance, which often is associated with tension, anxiety, or other dysphoric, depressive, or negative affective states. (SAMHSA)
Credentialing		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.
Crisis		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. (TAC)
Crisis Stabilization Unit	CSU	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. (THSC)
Cultural competence		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)
Cultural diversity		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)
Cursor		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.
Dallas Area NorthSTAR Authority	DANSA	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. (DSHS)
Data		Computer data is information processed or stored by a computer. This information may be in the form of text documents, images, audio clips, or software programs and is stored in a file and folder on the computer’s hard drive.
Data base		This is a data structure used to store organized information, typically made up of many linked tables of rows and columns, so the data can be easily searched, sorted, and updated.
Date of service		The date the service was provided to the client. (DSHS/CMBHS)
Decompensation		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.
Deductible		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. (TDI)
Default		Used to describe a preset value for an option in a computer program. It is the value used when a setting has not been specified by the user. Typically, default settings are set to what most people would choose anyway, so there's often no reason to change them.
Defendant		Defendant covers the range of persons who can be in a drug court program – criminal offenders, juvenile delinquents, civil defendants, or persons on probation.
Defer		As a Problem Status in the CMBHS Treatment Plan, the provider will not address the problem at this time. (DSHS/CMBHS)
Delete		To remove characters entered by the user using the delete key on the keyboard or other method of deletion. The delete key removes characters behind the cursor or entire sections of text by selecting (highlighting) the text you wish to delete and pressing either delete button on the keyboard. Laws regulate what can be changed, deleted or erased from an electronic health/medical record.
Delirium tremens	DT	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 Alcoholism and evidenced by highly elevated vital signs, severe tremors, hallucinosis, and delirium. Delirium tremens can also appear after a rapid reduction in consumption.
Delusion		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.
Delusional symptomalogy		Observation of and interaction with the client reveals the presence of delusional thoughts and ideas. Examples of delusional symptomalogy are persecutory; somatic; thought broadcasting; thought insertion, delusional jealousy; bizarre; grandiose; and/or delusion of reference.
Dementia		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.
Department of Aging and Disability Services	DADS	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. (HHSC)
Department of Assistive and Rehabilitative Services	DARS	The 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)
Department of Family Protective Services	DFPS-CPS	The Texas state agency responsible for the protection of children, the elderly and disabled. (DFPS)
Department of Health and Human Services	HHS	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. (HHS)
Department of State Health Services	DSHS	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)
Dependence		State of physical adaptation that is manifested by a drug class-specific withdrawal syndrome that can be produced by abrupt cessation, rapid dose reduction, and/or decreasing blood level of a substance and/or administration of an antagonist.
Depersonalization		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.
Depressed mood		The client displays signs of a depressed mood such as a sad facial expression, limited body movements, no initiation of contact or conversation with others.
Detoxification	Detox	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.
Developmental disability		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.
Diagnosis		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. (DSM-V)
Diagnostic and Statistical Manual of Mental Disorders; 4th Edition TR	DSM-IV TR	Manual published by the American Psychiatric Association, handbook for Mental health professionals. 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.
Difficulty with alertness		The client has difficulty staying awake and attentive.
Direct service providers		A business entity contracting with DSHS to have face-to-face contact with clients and provide services. (DSHS/CMBHS)
Disability		(See also “on disability.”)
Disassociation		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.
Discharge		The formal release of a client by a provider; the termination of a period of services.
Discharge plan		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.
Discharge planning		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.
Disclosee		In the CMBHS, Consent for Disclosure of Information document, the disclosee is the person or business entity that will receive the client’s health care records. (DSHS/CMBHS)
Discloser		In the CMBHS, Consent for Disclosure of Information document, the discloser is the person or business entity that created and has current possession of the client’s health care records. (DSHS/CMBHS)
Disorientation		Confusion about the time of day, date, place, person or situation.
Display		To become visible on the user’s computer screen. (DSHS/CMBHS)
Dissociative symptomatology		The client displays signs of a dissociative disorder which is a complex mental process that provides a coping mechanism for individuals confronting painful and/or traumatic situations. Dissociative symptomatology can include dissociative amnesia, dissociative fugue, dissociative identity disorder and depersonalization disorder.
Diuretic		A substance that that encourages the body to rid itself of fluids through urination. Increases the rate of bodily excretion. Example: Prescription Medication – Lasix.
Domestic violence program		Services for victims of domestic violence.
Dosage form		A quantification of the amount of active ingredient in a medication. (DSHS/CMBHS)
Drug court		Refers to a court’s specialized docket that has been specifically designated and staffed to handle cases involving non-violent drug-abusing offenders through an intensive, judicially monitored program of drug treatment and rehabilitation services. (THSC)
Elected a new provider		In CMBHS, as a reason for discharge, means that the client has chosen to receive services with another provider. (DSHS/CMBHS)
Electronic Data Interchange	EDI	The sending and receiving of information using computer technology or an application to application exchange of electronic business information in a “standard” format. (DSHS/CMBHS)
Electronic messaging		The transmission of any message via electronic means. This includes, but is not limited to, e-mail, instant messaging, wireless-broadband connectivity used in the transmission of data via hand-held devices, and/or cellular transmissions. (DSHS IT)
Elementary school		A school that usually includes the first four to the first eight grades and often a kindergarten. (TEA)
Elevated mood		Observation of and interaction with the client reveals an exaggerated feeling of well-being, euphoria or elation; more than would be expected for the situation.
Emancipated adolescent or minor		A minor, for whom a Texas court has removed the disabilities of minority. (TFC)
Emergency room or emergency department	ER or ED	The emergency “room” or “department” of a hospital.
Emetic		Substance that is used to cause vomiting. Example: Ipecac Syrup is an over the counter emetic.
Employee Assistance Program	EAP	Employer sponsored services that provide counseling and referral to improve the psychological health of employees.
Employer		A person, or other entity that hires and pays for the services of another person.
Employer identification number	EIN	A unique number assigned by the Internal Revenue Service to an employer. (IRS)
Encounter		A healthcare visit of any type by a client to a provider of care or services.
Encryption		A method for making electronic information unusable to anyone without a “key” with which they are able to “translate” the information into a readable format. (DSHS IT)
Enrollee		A person eligible for services from a managed care plan. Applicable to NorthSTAR. (DSHS/CMBHS)
Enrollment		The process by which a health plan enrolls groups and individuals for membership.
Enter		To press the enter key on your keyboard. In the CMBHS Help also used to mean “type into” a data field. (DSHS/CMBHS)
Environment supervised by a Doctor, P.A. or Nurse		Health care setting where treatment is overseen by medical personnel including hospitals, nursing facilities, crisis stabilization units and detoxification programs. (DSHS/CMBHS)
Episode of care	EOC	An episode of care starts when the client is admitted to a provider business entity and ends when the client is discharged. (DSHS/CMBHS)
Equipment for snorting drugs		Paraphernalia used for insufflating (snorting) drugs such as straws, spoons and tubes. (DSHS/CMBHS)
Error message		A system generated message that appears to inform the user about a certain condition. (DSHS/CMBHS)
Expire		To become invalid because of the passage of time beyond a preset point in time.
Eye contact		The degree to which an individual makes or avoids contact with another’s eyes.
File		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 or the entire contents of a data transmission, including one or more batches.
Flat affect		Indicates the absence of signs of affective expression.
Foster care		Provision of a living arrangement in a household other than that of the client's family. (SAMHSA)
Frequency		How often (the number of times) during the day, week or month a medication is to be taken.
Full time employment or employed		Full time is 40 hours per week or the standard number of hours for a certain industry or job type.
Funded capacity		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 is Total Funding amount / Unit Rate / 365 days = Funded beds / slots. Funded Capacity is not total beds/slots. (DSHS)
Functioning type		Functioning Type is documented when a Location is being created in CMBHS. Internal Functioning Type means the Location being created is a part of a business entity/provider contracting with DSHS. An External functioning type is a separate business entity contracting with the business entity/provider, not with DSHS. (DSHS/CMBHS)
General Education Diploma	GED	Individuals who pass the GED exam earn a high school equivalency diploma. The GED tests cover five subjects: Math, Science, Social Studies, Writing and Reading. (TEA)
General Hospital		A designation for a hospital. Usually includes an emergency room. (DSHS/CMBHS)
Global Assessment of Functioning (GAF) Scale	GAF	In the Diagnostic and Statistical Manual of Mental Disorders; 4th Edition R, the reporting of overall function on Axis V is performed using the Global Assessment of Functioning (GAF) Scale. The GAF scale may be particularly useful in tracking the clinical progress of individuals in global terms, using a single measure. The GAF scale is to be rated with respect only to psychological and occupational functioning. (DSM)
Goal		In treatment planning, a generalized statement of the long term desired outcome.
Grooming		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.
Group home		A generic term used for a supervised living residence, usually in the community, for individuals with a disability or dependency. Not a treatment setting.
Guilt		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,
Halfway House Intermediate Care		General names for residential step-down programs for persons with substance abuse or mental health problems. (DSHS/CMBHS)
Hallucinations		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, auditory, olfaction, taste, tactition, proprioception, equilibrioception, nociception,-or thermoception. In CMBHS, the client admits to or observation reveals that the client is having hallucinations. (DSHS/CMBHS)
Health and Human Services Commission	HHSC	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. (HHSC)
Healthcare Common Procedural Coding System	HCPCS	A medical code set that identifies health care procedures, equipment, and supplies for claim submission purposes. It has been selected for use in HIPAA transactions. HCPCS Level I contains numeric CPT codes which are maintained by the AMA. HCPCS Level II contains alphanumeric codes used to identify various items and services that are not included in the CPT medical code set. (CMS)
Health Care Facility		A hospital, an ambulatory surgery center licensed under Chapter 243 of the Health and Safety Code (HSC), a chemical dependency treatment facility licensed under Chapter 464 of the HSC, 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). (TAC)
Health Insurance Portability and Accountability Act of 1996	HIPAA	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 client privacy as the persons move seamlessly from one agency to another. Also called the "Kassebaum-Kennedy" law
Health Level Seven	HL7	An ANSI-accredited group that is responsible for specifying standards for the health industry and defines standards for cross-platform data transfer.
Health professional		Person licensed and able to practice as a health care professional in Texas. Includes but is not limited to MD, PA, and RN. (TOC)
Hearing impairment		Term for a full or partial decrease in the ability to detect and/or understand sounds.
Home page		In CMBHS this refers to the starting or entry point or the “front page” of the client’s health record. (DSHS/CMBHS)
Homeless		An individual is homeless who: 1. lacks a fixed, regular, and adequate nighttime residence; and 2. has a primary nighttime residence that is- a. a supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing); b. an institution that provides a temporary residence for individuals intended to be institutionalized; or c. a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings. 3. is marginally homeless: in a doubled-up living arrangement where there is no formal written or verbal agreement of residency with the primary legal resident; or is at imminent risk of homelessness due to eviction (within 30 days). Title 42 of the United States Code (USC).
Homicidality		The desire to kill some one else. Encompasses thoughts, ideation, plans, attempts, and the act of taking someone’s life.
Hospital		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.(TAC)
Hospital/General		A hospital licensed by DSHS as a General Hospital. A hospital that provides mental health services in at least one separate psychiatric unit with specially allocated staff and space for the treatment of persons with mental illness. (TAC)
Hospital/Psychiatric		A hospital licensed by DSHS as a free-standing Psychiatric Hospital.(TAC)
Hospital/State Psychiatric		A psychiatric hospital licensed or operated by DSHS. (TAC).
Hospital/Veterans Administration	VA	A Hospital owned/operated by the Veteran’s Administration to provide services to veterans.
Hostility		An individual’s expression of anger or rage towards a person or situation. Observation of and interaction with the person reveals an angry, potentially aggressive demeanor.
Hover		When you roll the cursor over a link, 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.
Hyperactivity/ Distractibility		A state in which a person is abnormally and easily excitable and can not remain focused on a physical or mental task.
Hypersomnia		A condition where a person has excessive daytime sleepiness and trouble staying awake during the day. (APA MedTerms)
Icon		A picture or symbol used to represent a function, activity or location on the Internet.
Impaired insight		The client’s insight is impaired as evidenced by
Impaired judgment		The client’s judgment is impaired as evidenced by
Impulsiveness		Observation of and interaction with the client reveals lack of impulse control; recklessness. The trait of acting giving little thought to danger.
In care		Means receiving primary medical care for HIV disease that is consistent with U.S. Public Health Service Treatment Guidelines. Persons who are accessing other health-related services and/or support services but are not receiving primary medical care are not considered to be "in care."
In controlled environment		The client is in a confined environment where employment is not possible or opportunities are exceedingly limited.
In jail/prison/work release		The client is in a jail or prison. Includes inmates that have Work Release privileges.
Inability to pay		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 ). (TAC)
Inappropriate affect		An affect that does not match with the content of what is being said, a situation or mood.
Incarcerated		As a Reason for Discharge in CMBHS, this means that the client confined to a jail or prison or other facility in the criminal justice system. (DSHS/CMBHS)
Incident		Unintentional, willful or negligent unauthorized activity that affects the availability, confidentiality, or integrity of Information Resources. (DSHS IT)
Information resources	IR	The procedures, equipment, facilities, software, and data that are designed, built, operated, and maintained to create, collect, record, process, store, retrieve, display, and transmit information. (DSHS IT)
Informed consent		The knowing written consent of an individual or the individual's legally authorized representative (LAR), 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. (TAC)
Injecting equipment		Paraphernalia, such as needles and syringes, used to introduce drugs into the body. (DSHS/CMBHS)
In Kind Match		The dollar value of non-cash contributions by a third party given in goods, commodities, or services that are utilized in activities that benefit a DSHS Program Attachment project and that are contributed by non-federal third parties without charge to the contractor.
Inpatient		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.
Inpatient services		Residential services provided in a DSHS facility, a licensed hospital unit, a licensed crisis stabilization unit, or a psychiatric hospital. (DSHS)
Insight		The act or result of comprehending the inner nature of self, other and/or situations.
Insomnia		Difficulty in falling or staying asleep, the absence of restful sleep, or poor quality of sleep. Insomnia is a symptom and not a disease. Insomnia is defined as difficulty initiating or maintaining sleep, or both, despite adequate opportunity and time to sleep, leading to impaired daytime functioning. Insomnia may be due to poor quality or quantity of sleep. (APA MedTerms)
Institution for Mental Disease	IMD	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. (CMS)
Intelligence		A property of mind that encompasses many related abilities, such as the capacities to reason, plan, problem solve, think, abstract, comprehend ideas and language, and learn.
Intermediate Care Facility For Persons With Mental Retardation	ICF/MR	Optional Medicaid service that provides residential care and services for individuals with developmental disabilities based on their functional needs. (DADS)
International Statistical Classification of Diseases and Related Health Problems –9	ICD-9	Published by the World Health Organization (WHO), 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. (WHO)
Internet		A global system interconnecting computers and computer networks. The computers and networks are owned separately by a host of organizations, government agencies, companies, and colleges. Invented by Al Gore. (DSHS IT)
Interpersonal isolation		The client has isolated him/herself from relationships with others. This emotional or physical distancing from others is common in many behavioral health disorders.
Intoxicated		The client appears to be under the influence of alcohol and/or other drugs. The behavioral and physical manifestations of the effect of a psychoactive drug including alcohol are observed.
Intranet		A private network for communications and sharing of information that, like the Internet, is based on TCP/IP, but is accessible only within an organization. (DSHS IT)
In-vivo		The individual's natural environment (e.g., the individual's residence, work place, or school).
Joint Commission, The	JC	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. (TJC)
Judgment		Seeing the relation of ideas and experience and forming conclusions from them.
Labile affect		Affect that indicates abnormal, sudden and/or rapid shifts in mood.
Laxative		Substances that induce bowel movements through mechanisms such as stimulating, lubricating, or hydrating. May be taken orally or rectally. Most often taken to treat constipation, however also inappropriately used for weight loss. Examples: Over the counter laxatives– X-lax, Milk of Magnesium, Psyllium, Flax seed, Castor Oil.
Left against professional advice	(AMA)	As a reason for discharge, although the treatment team recommended continued services, the client has elected to leave services prematurely. (DSHS/CMBHS)
Legally authorized representative	LAR	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. (TAC)
Level of Care	LOC	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.
Level of Care - Authorized	LOC - A	The Level of Care (or service package) that is authorized for payment by the entity with the authority to authorize or deny. (DSHS/CMBHS)
Level of Care - Calculated	LOC - C	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)
Level of Care - Recommended	LOC - R	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)
Licensed Medical Personnel	LMP	A person who is: (A) a physician; (B) a physician assistant; (C) an RN; (D) an LVN; or (E) a pharmacist. (TOC)
Licensed Practitioner of the Healing Arts	LPHA	A person 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) (D) a psychologist; (E) an advanced practice nurse recognized by the Board of Nurse Examiners for 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. (TOC)
Licensed Vocational Nurse	LVN	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. (TOC)
Link		A word or phrase in blue font, bolded and underlined, it is a link. By CLICKING ON a link, you can "jump" to a new window, web page or site. The term "hypertext" comes from the way links can quickly send you to another Web destination.
Local Area Network	LAN	A group of computers and associated devices that share a common communications line. (DSHS IT)
Local Behavioral Health Authority	LBHA	A Local Behavioral Health Authority is the entity designated by the State to be responsible for planning, policy development, coordination and oversight of covered services. (TOC)
Local Mental Health Authority	LMHA	A governmental entity to which HHSC delegates its authority and responsibility for any, all, or portions of planning, policy development, coordination, resource development and allocation, and oversight of the delivery of mental health services in a local service area. designated by the DSHS Commissioner. (THSC)
Login		A login is a combination of information that authenticates your identity. In CMBHS, this is your user ID and Password. (DSHS/CMBHS)
Long-term care	LTC	The range of services typically provided at skilled nursing, intermediate-care, personal care or elder-care facilities. (DADS)
Maximum Benefit Achieved		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. (DSHS/CMBHS)
Meal		A meal is defined as the food served and eaten in one sitting; usually at a customary time (morning, noon and evening). The client may not eat at regular times every day or may eat small amounts of food several times a day making the number of meals more difficult to determine.
Medicaid		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. (CMS)
Medicaid Provider		A Medicaid-enrolled provider with which the department has a Medicaid provider agreement to provide services under the State's Medicaid Program. (HHSC)
Medical Disability		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.
Medically Necessary Service (CMS)		As defined by CMS, a behavioral health service that: a. Is reasonably necessary for the diagnosis or treatment of a mental health or chemical dependency disorder to improve or maintain an individual’s level of functioning resulting from such a disorder; b. Is in accordance with professionally accepted clinical guidelines and standards of practice in behavioral health care; c. Is furnished in the most appropriate and least restrictive setting in which services can be safely provided; d. Is the most appropriate level or supply of service which can safely be provided; and e. Could not be omitted without adversely affecting the individual’s mental and/or physical health or the quality of care rendered. (CMS)
Medical Record		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, tests, treatment and discharge plans, details of direct and indirect care and services, and notes on progress.
Medicare		A federal health insurance program established by Title XVIII of the Social Security Act that provides payment for medical and health services to those aged 65 and older, regardless of income, as well as certain disabled persons and persons with ESRD. Medicare Part A - 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 Part B - 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.   Medicare Part D - A prescription drug benefit for Medicare-eligible seniors and disabled persons, established as part of the Medicare Prescription Drug, Improvement and Modernization Act (MMA) signed into law December 8,
Mental Health/Day Treatment		Mental Health Services, more intensive than outpatient, where a client receives treatments for several hours a day.
Mental Health/Out-patient		Mental Health services, often provided in a clinic setting, where the client receives scheduled and crisis services.
Mental Health Emergency Care Services		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. (TAC)
Mental Illness	MI	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; and/or (B) grossly impairs an individual's behavior. (DSM-V)
Mental Retardation	MR	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. (DSM-V)
Message		System generated messages to a user, displayed on Workspaces or Message Inbox. (DSHS/CMBHS)
Mission/Shelter for Homeless		A place that provides food and shelter to homeless people.
Mood		The internal expression of a person’s emotions.
Motor Functioning		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).
Mouse		Along with the keyboard, the mouse is one of the primary input devices for computers. Also called a Pointer.
National Provider Identifier	NPI	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/ (CMS)
Nausea		An unpleasant symptom related to the urge to vomit.
Navigation		Used to refer to movement through a software application.
Navigation Tools		Navigation tools allow users to find their way around a program or application, such as links or buttons. Navigation tools are usually present either at the top or bottom (or both) of a page or screen. Examples are buttons that allow users to return to the previous page, move forward to the next page, or jump to the top of the current page.
New Generation Medications		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.
Non-Claims Activities		Activities that require payments that are not claims. These activities are not clinical in nature.
Non-CMBHS Business Entity/Provider		A Business Entity or Provider that does not use the CMBHS system. (DSHS/CMBHS)
Non-medical Supportive Care		For programs that provide services to People Living with HIV (PLWH), other services that contribute to their accessing and remaining in primary medical care. (DSHS/CMBHS)
Non-priority Population		The client does not meet the DSHS criteria as a member of the priority population. The same as “Priority Population Designation Not Met.”
NorthSTAR		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. (DSHS)
Not in the labor force		The client is not currently employed and may or may not have ever been employed, is not looking for work and is not collecting unemployment benefits.(DSHS/CMBHS)
Note		In CMBHS Help, a Note emphasizes important information from the text or that may apply only in special cases. (DSHS/CMBHS)
Nursing Home		A long term care facility licensed by DADS as a provider of long term care or rehabilitative nursing home services. Sometimes used to denote a level of care. (DADS)
Objectives		Documentation of observable, measurable, and concrete behavior demonstrated by the client that will serve as evidence of progress towards the goal in a treatment plan. (DSHS)
On Disability		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.”
Online		When an electronic devise 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.
Opioid		Natural derivative of opium or synthetic psychoactive substance that has effects similar to morphine or is capable of conversion into a drug having such effects. One effect of opioid drugs is their addiction-forming or addiction-sustaining liability. (SAMHSA)
Oriented		Awareness of one's self in relation to the dimensions of time, place, person and situation. Oriented X4 is used to specifically refer to the orientation in the 4 dimensions of orientation.
Other Community Referral		A community agency to which a client is referred other than one those listed. (DSHS/CMBHS)
Other Health Care Provider		A provider of health care services not included in a list of answer choices. (DSHS/CMBHS)
Outpatient or Residential Claim		A Claim for an Outpatient or Residential service that was provided to a client. (DSHS/CMBHS)
Outpatient Setting		Heath care setting where clients receive services for no more than 23 hours in a day.
Outpatient Hospital		Intensive outpatient services provided for less than 24 hr per day.
Outreach Program		A program designed to reach out and identify people that need services rather than providing services to clients that request them.
Outreach Screening Assessment Referral Provider	OSAR	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)
Page(s)		In CMBHS, means a function or document in CMBHS with an assigned number. Sometimes used as synonymous with the word “screen”. (DSHS/CMBHS)
Paid Claim Status		The claim has been paid by the state comptroller. (DSHS/CMBHS)
Parole		Supervised release of a prisoner that allows the person to serve the rest of their sentence out of prison if all conditions of release are met. The person must have been convicted of a crime, sentenced and imprisoned in order to be placed on parole. In CMBHS may refer to the client’s parole officer or program. (DSHS/CMBHS)
Paraprofessional		Mental health and substance abuse service provider staff whose documentation in CMBHS requires sign-off by a supervisor. This is the appropriate role for LCDC Counselor Interns.(DSHS/CMBHS)
Part-time Employed		Someone who is employed on a less than full time basis, usually less than 4o hours per week.
Part-time (irregular hrs, day wk)		Someone who is employed on a less than full-time basis but the work is not regularly scheduled and may be for multiple employers. Records of the number of hours worked and the pay received may not be recorded.
Part-time (reg. hrs) -		Someone who is employed on a less than full-time basis; works regularly scheduled hours.
Password		A password is a string of characters used for authenticating a user on a computer system. For example, in order to successfully access CMBHS, you must provide a valid user ID and password. This combination is often referred to as a login. Passwords can include letters, numbers, and most symbols, but not spaces.
Payment Notification		When a payment is made, a HIPAA compliant 835 Payment Notification record is generated.
Peer Provider (MH)		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. (CMS)
Pending Claim		1. When a service delivered to a client has been documented, thereby creating a claim for the service, but the provider has not yet associated the claim with a DSHS contract and submitted it to DSHS for payment. 2. After a provider has submitted a claim in CMBHS and it has been received by the DSHS Source program, but no action has been taken. (DSHS/CMBHS)
Pharmacist		A person who is licensed as a pharmacist by the Texas State Board of Pharmacy in accordance with Texas Occupations Code, Chapter 558. (TOC)
Physical Impairment		An injury, acute or chronic, that limits physical functioning. Also called a physical disability.
Physician		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. (TOC)
Physician Assistant	P.A.	A person who is licensed as a physician assistant by the Texas State Board of Physician Assistant Examiners. (TOC)
Pointer		A primary input devices for computers. Also called a mouse.
Police; Prevention Program		As a referral source or destination in CMBHS, refers to the Police or Police sponsored substance use/abuse prevention program. (DSHS/CMBHS)
Poor Eye Contact		The client averts his/her eyes from people and spends a limited amount of time making eye contact with the interviewer.
Poor Grooming		A person displays a lack of attention to hygiene and grooming. Examples include dirt or food on the face and/or clothes; clothing mismatched and/or wrinkled, hair disheveled and uncombed, body odor.
Portable Document Format	PDF	Invented by Adobe Systems, Portable Document Format (PDF) lets users capture and view information from almost any application and on any computer system.
		CMBHS converts documents to the pdf format prior to printing.
Pre-trial Diversion/Deferred Prosecution		Participating in a program geared toward diverting those charged with crimes away from the criminal justice system prior to having a trial. (DSHS/CMBHS)
Primary Clinician		Also known as the Single Accountable Staff Person, Primary Counselor or Continuity of Services Staff Person.
Primary Health Care		For programs that provide services to People Living with HIV (PLWH) Primary health care includes: • Medical evaluation and clinical care that is consistent with Public Health Service guidelines, including CD4 cell monitoring, viral load testing, antiretroviral therapy, prophylaxis and treatment of opportunistic infections, malignancies, and other related conditions   • Oral health care   • Outpatient mental health care   • Outpatient substance abuse treatment   • Nutritional services, and   • Specialty medical care referrals. (HHS)
Primary Location		The Primary Location displays when the CMBHS user logs in to the system. A Primary location and other locations needed by the user are selected when their account is set up by the Local CMBHS Administrator. Other assigned locations can be accessed using the Change Location function on the Administrative toolbar. (DSHS/CMBHS)
Primary Medical Care		For programs that provide services to People Living with HIV (PLWH), primary medical care means medical evaluation and clinical care that is consistent with U.S. Public Health Service guidelines for the treatment of HIV/AIDS. Such care must include access to anti-retrovirals and other drug therapies, including prophylaxis and treatment of opportunistic infections and combination antiretroviral therapies. (HHS)
Priority Population Designation Not Met		The client does not meet the DSHS criteria as a member of the priority population. The same as “Non-priority Population”.
PRN		Latin "pro re nata", meaning for an occasion that has arisen, as circumstances require, as needed).
Probation		A court ordered sentence that consists of a set of conditions used as a substitute for or in addition to incarceration Probation officer referral or as a condition of probation. (DSHS/CMBHS)
Probation (DWI)		Changed with a DWI, the client is given a sentencing alternative to imprisonment in which the court releases a convicted defendant under supervision of a probation officer who monitors the defendant.
Probation (non-DWI)		A sentencing alternative to imprisonment in which the court releases a convicted defendant under supervision of a probation officer that makes certain that the defendant follows certain rules.
Professional Claim		A claim for payment from an individual heath professional.
Progress Indicator		Measures to determine the effectiveness of actions or interventions in meeting treatment goals. For CMBHS measured as positive, neutral, or negative. (DSHS)
Progress Notes		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.
Provider		A business entity contracting with DSHS to provide a health care service. May also include vendors. Also referred to as a “Service Provider.” Includes providers of mental health case management services and providers of mental health rehabilitative services. (DSHS/CMBHS)
Psychiatric Hospital		An establishment licensed by DSHS , 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. (THSC)
Psychiatrist		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.
Psycho-educational Services		Didactic educational services provided for a group. (DSHS/CMBHS)
Psychologist		A person who is licensed as a psychologist by the Texas State Board of Examiners of Psychologists in accordance with Texas Occupations Code. (TOC)
Psychosocial Rehabilitation		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
Purgatives		A substance which makes you excrete the contents of your bowels.
Qualified Credentialed Counselor	QCC	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)
Qualified Mental Health Professional-Community Services	QMHP-CS	A person credentialed by an LMHA 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. (TAC)
Quick Inventory of Depressive Symptoms	QIDS	Used to assess the symptom domains designated by the American Psychiatry Association Diagnostic and Statistical Manual of Mental Disorders - 4th Edition (DSM-IV) to diagnose a major depressive episode. Can be used to screen for depression, although it has been used predominantly to measure symptom severity. (APA)
Read-only mode		Pages or data fields that can be viewed but not edited or changed.
Recovery		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.
Recovery Support Provider	RSP	In Access To Recovery services (ATR) a Recovery Support Provider is a business entity that provides wrap-around services to aid in a client's recovery. Services may include but are not limited to GED, Spiritual Support, Family and Marriage counseling.
Refer		As a Problem Status in the CMBHS Treatment Plan, indicates that the provider will address the problem through a referral to another service within the provider’s business entity or to an external provider. (DSHS/CMBHS)
Referral		Sending a client from one service setting to another for assessment. In CMBHS refers to referral sources within the provider’s business entity and external to the provider’s business entity. (DSHS/CMBHS)
Referred to Another Provider		As a Reason for Discharge, the client was referred to another provider for additional services thought to be more beneficial or suited to the client. (DSHS/CMBHS)
Registered nurse	RN	A person who is licensed as a registered nurse by the Texas Board of Nursing in accordance with Texas Occupations Code, Chapter 301. (TOC)
Registration		Client registration is the act of entering client identifying information into a data system to uniquely identify the client. In CMBHS, completion of a Client Profile registers the client. (DSHS/CMBHS)
Rehabilitative Services	Rehab.	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.
Rejected Claim Status		The DSHS contract manager has rejected/denied a claim and will not further process it for payment. (DSHS/CMBHS)
Release		A term commonly used instead of “Authorization for Release of Client Health Care Information”. Also used instead of “Consent”. (DSHS/CMBHS)
Remote Access		Establishing a connection to any facility system or network from a distant location. (DSHS IT)
Residential Treatment	RT	Twenty-four hour treatment for behavioral health problems(i.e. substance abuse and/or mental health) in a residential setting. Excludes hospitals, psychiatric facilities, and Institutions for Mental Diseases (IMDs). (CMS)
Retired		Has stopped working, usually upon reaching a determined age or by personal choice (usually in the presence of an adequate pension or personal savings).
Revocation of an Authorization for Release of Client Health Information		When a client retracts or “takers back” a previously granted authorization to release client health care information.
Rights		Texas Health and Safety Code, SUBTITLE A. Texas Department o Mental Health And Mental Retardation, 576. Rights Of Patients, SUBCHAPTER A. General Rights, Rights Under Constitution And Law Sec.576.001.   (a) A person with mental illness in this state has the rights, benefits, responsibilities, and privileges guaranteed by the constitution and laws of the United States and this state.   (b) Unless a specific law limits a right under a special procedure, a patient has: (1) the right to register and vote at an election;   (2) the right to acquire, use, and dispose of property, including contractual rights;   (3) the right to sue and be sued;   (4) all rights relating to the grant, use, and revocation of a license, permit, privilege, or benefit under law;   (5) the right to religious freedom; and   (6) all rights relating to domestic relations. (THSC)
Rights Protection Officer	RPO	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 a client rights advocate, or customer service representative. (TAC)
Risk of harm to others		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).
Risk of self harm		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.
Risk of violence		The degree to which an individual is likely to respond by injury to another person.
Rituals of religion or spiritual beliefs		Rituals of religion or spiritual beliefs may include, but are not limited to, going to church, mass, temple or synagogue; daily prayers said alone, prayer meetings; meditation, fasting, walk-abouts. (DSHS/CMBHS)
Role Based Security		Access to CMBHS requires that each user 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 used to limit access to certain functions and data. (DSHS/CMBHS)
Safety Monitoring		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. (TAC)
School/Academic Facility		A day or residential boarding school. (DSHS/CMBHS)
School/Based Services		Other School based services not on this list. (DSHS/CMBHS)
School/Counselor		A school or school counselor. (DSHS/CMBHS)
School/Principal		A school or school administrator designated as the principal of a school.
School/Student Assistance Program	(SAP)	SAPs evolved from the EAP model. SAPs first addressed only substance abuse by students, but expanded to address a wide range of issues that impede academic achievement. (DSHS/CMBHS)
School/Teacher		A school or school teacher. (DSHS/CMBHS)
Screen(s)		In CMBHS, referred to as pages. (DSHS/CMBHS)
Screening		A behavioral health screening is the process by which a determination of clinical need and/or eligibility for further assessment, to include crisis services, 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.
Search Results		The results produced by a search.
Seizures		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.
Self - Harming 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.
Serial Sevens		A testing processes used by a licensed health professional to test a person’s cognition and memory.
Serious Conflict/Arguments		Conflict between a client and an individual or group that causes distress to the client and possibly others in the environment.
Serious Psychological Distress		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. (DSM-IV)
Service Facility		A program that provides services such as Ambulatory Detoxification or a Sheltered Workshop.
Service (Military)		Is currently a member of the US military service.
Shakes/Tremors		An involuntary trembling or quivering, of the body from nervous agitation, fright, neurological illness or drug/alcohol withdrawal.
Sleep Pattern		A person’s usual pattern of sleep to include falling to sleep, sleeping, dreaming and waking.
Social Security Administration	SSA	The federal agency that administers Social Security benefits.
Supplemental Security Income	SSI	A Federal supplemental income program funded by general tax revenues (not Social Security taxes).  It helps aged, blind, and disabled people, who have little or no income by providing monthly cash payments to meet basic needs for food, clothing, and shelter.
Sort		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). (DSHS/CMBHS)
Sort Order Rules		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). (DSHS/CMBHS)
Special Education		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. (TEA)
Special Education Services Eligibility Criteria		§89.1040. To be eligible to receive special education services, a student must be a "child with a disability," as defined in 34 Code of Federal Regulations (CFR), §300.8(a), subject to the provisions of 34 CFR, §300.8(c), the Texas Education Code (TEC), §29.003, and this section. The provisions in this section specify criteria to be used in determining whether a student's condition meets one or more of the definitions in federal regulations or in state law. (b) Eligibility determination. The determination of whether a student is eligible for special education and related services is made by the student's admission, review, and dismissal (ARD) committee. Any evaluation or re-evaluation of a student shall be conducted in accordance with 34 CFR, §§300.301-300.306 and 300.122. (TEA)
Spiritual		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. (WNCD)
Staff		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. (DSHS/CMBHS)
State Mental Health (MH) Facility		DSHS operated state psychiatric hospital. (DSHS)
State Mental Retardation (MR) Facility		DADS operated state school for persons with mental retardation. (DADS)
State funded Community Hospital		One of 3 Legislatively created state funded community hospitals. Located in Lubbock, Houston, or Galveston. (HHSC)
Strengths and Limitations		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). Sometimes limitations are significant enough to rise to the level of problems and are targeted for intervention, others may be serious but there are no realistic interventions available so they continue unaddressed. (DSHS/CMBHS)
Student		A person who is currently enrolled in and attends school on at least a part-time basis.
Submitted Claim Status		The user has submitted the claim document in CMBHS. (DSHS/CMBHS)
Substance Abuse	SA	The inappropriate use of and/or addiction to illegal and legal substances including alcohol and prescription and non-prescription drugs.
Substance Abuse and Mental Health Providers	SA/MH Providers	In the CMBHS Help, refers to direct service providers of substance abuse and/or mental health services. This includes only those business entities that deliver mental health and substance abuse services directly to clients and/or their families, usually through face-to-face contact. (DSHS/CMBHS)
Substance Abuse and Mental Health Services Administration	SAMHSA	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)
Substance Abuse Treatment/Detox Facility		A program licensed by DSHS to provide substance abuse treatment or substance abuse detoxification services. (DSHS)
Substance Abuse Treatment/Out-patient, Day Treatment, Other Non-Residential		Substance Abuse Treatment including Out-patient, Day Treatment, and other Non-Residential program types. (DSHS)
Substance Abuse Treatment/Residential Program		Substance Abuse Treatment including Residential type programs only. (DSHS)
Substance Abuse/Aftercare Program		A substance abuse program that provides services after a hospital or residential or Detoxification admission. (DSHS)
Substance Abuse/OSAR		Facility designated by DSHS to provide Outreach Screening Assessment and Referral services. (DSHS)
Suicidality		Encompasses suicidal thoughts, ideation, plans, suicide attempts, and completed suicide
Suicide		The intentional taking of one's life.
Support Services		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
Supported Housing		A DSHS mental health service that provides support to eligible individuals that facilitates their remaining in their preferred living situation. (DSHS)
System-generated		Created by a computer program according to pre-set rules. (DSHS/CMBHS)
Telemedicine/		Provision of health care or psychiatry via telecommunications, typically utilizing medical computer sciences. A qualified health professional is able to interview and examine the person through the use of computer, closed-circuit television or telephone
Temporary Assistance for Needy Families	TANF	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. (HHSC)
Terminated by Provider		In CMBHS, as a reason for discharge, the provider terminated the client from treatment. You may include additional information regarding the reason for the termination in the Comments field for this section. (DSHS/CMBHS)
Texas Administrative Code	TAC	The Texas Administrative Code (TAC) is a compilation of all state agency rules in Texas. These rules are collected and published by the Office of the Secretary of State. There are 16 titles in the TAC. Each title represents a subject category, and related agencies are assigned to the appropriate title.
Texas Correctional Office on Offenders with Medical or Mental Impairments	TCOOMMI	(Coming soon)
Texas Occupations Code		(Coming soon)
Texas Workforce Commission	TWC	The Texas Workforce Commission or a program funded/operated by Texas Workforce Commission. (TAC)
Texas Youth Commission	TYC	The Texas Youth Commission or a program funded/operated by Texas Youth Commission. (TAC)
Text		Letters and numbers typed into a computer application.
Third Party Payer		(Coming soon)
Total Requested Amount		The Total Requested Amount is the sum of any un-liquidated working capital previously advanced and your total outlays less any payments that were previously requested and any working capital being liquidated on the current invoice. (DSHS)
Transformation Work Group	TWG	The Transformation Work Group is a designated work group of the Texas Mental Health Transformation Project. (DSHS)
Transgender		Transgender is an umbrella term used to describe people whose gender identity (sense of themselves as male or female) or gender expression differs from that usually associated with their birth sex. Many transgender people live part-time or full-time as members of the other gender. Broadly speaking, anyone whose identity, appearance, or behavior falls outside of conventional gender norms can be described as transgender. However, not everyone whose appearance or behavior is gender-atypical will identify as a transgender person.
Treat		As a Problem Status in the Treatment Plan, “Treat” means the provider is actively providing treatment services to the client for this problem. (DSHS/CMBHS)
Treatment Alternative to Incarceration	TAIP	A TDCJ program that provides alternatives to incarceration. (DSHS)
Treatment Completed		As a Reason for Discharge, means that the client has successfully completed treatment with this provider. (DSHS/CMBHS)
Treatment Plan		A documented therapeutic approach for each client that outlines attainable short-term goals mutually acceptable to the client and the Provider and that specifies the services to be provided and their frequency and schedule. The plan is based on data gathered during the assessment, identifies the client's strengths and limitations, needs, and preferences regarding service delivery. Adapted from 42 CFR, Part 8 § 2).(SAMHSA)
Treatment Plan Review		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.
Treatment Team		The interdisciplinary or multidisciplinary group of professionals working together to provide services to a client.
Tribal Drug Court		Federally-recognized Indian tribal governments as defined under the Indian Self Determination Act, 25 U.S.C. 450b(e)).
Type or Typing		Using a keyboard to enter characters into a software application.
Unemployed		The client has been employed in the past, is not currently employed and is seeking employment. May or may not be receiving unemployment benefits. (DSHS)
Uniform Assessment–Texas Recommended Assessment Guidelines	UA-TRAG	The UA-TRAG is used by a Qualified Mental Health Professional-Community Services (QMHP-CS) at a Local Mental Health Authority (LMHA) 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. For more information about the TRAG, go to www.dshs.state.tx.us/mhprograms/RDMTRAG.shtm. (DSHS)
Unknown		As an answer choice in CMBHS, means that the information is not available. (DSHS/CMBHS)
Unmet Needs		Identified treatment or support needs of the people that are not being met as well as those receiving treatment that is inappropriate or not optimal. (SAMHSA)
Unprotected Sex		Vaginal/oral/anal penetration without use of a condoms or latex barrier.
Urgent Care Services		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. (TAC)
Urgency of Need for MH Services		Urgency of Need for Mental Health Services is defined as one of the following: Emergent - Mental health community services provided to an individual in crisis in which the individual presents an immediate danger to self or others or in which the individual is incapable of controlling, knowing, or understanding the consequences of his or her actions.   Urgent - Mental health community services provided to an individual in crisis to prevent serious deterioration of the individual's mental or physical health.   Routine - Mental health community services provided to an individual who is not in crisis. Defined in Rule §412.303 of the Texas Administrative Code. (TAC)
Unemployed		The client has been employed in the past, is not currently employed and is seeking employment. May or may not be receiving unemployment benefits. (DSHS)
Uniform Resource Locator	URL	An acronym for Uniform Resource Locator, a URL is the address for a site on the Internet. Web browsers use the URL for locating files and remote sites.
Upload or Uploading		Uploading a file means loading a file from your computer onto a remote one. Often confused with downloading, which is the opposite, meaning loading a file from a remote computer to your computer as in “downloading music files”.
Urine Drug Test		The most common laboratory assessment technique in addiction treatment, which involves analysis of urine samples from patients for the presence or absence of specific drugs. Methods of urine testing vary widely.
USAS Vendor Identification Number	USAS Vendor ID	(Coming soon)
User		An individual authorized to access an information resource in accordance with the owner-defined controls and access rules. (DSHS IT)
User Name		A user name is the account name used to access a computer system and the way people identify themselves to their online service.
User Rights		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)
Utilization Management	UM	The process of evaluating the necessity, appropriateness and efficiency of health care services against established guidelines and criteria.
Utilization Management Exception		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. (DSHS/CMBHS)
Value Options	VO	The behavioral health management organization currently contracting with DSHS for management of the NorthSTAR network. (DSHS)
Vendor		Any non-employee person or entity that exchanges goods or services (typically commercial goods and services) for money. (DSHS IT)
Veteran		An individual who served in the active military, naval, or air service—including National Guard or Reserve—and who was discharged or released from such service under honorable conditions.
View-only		Text or function that can only be viewed, not changed or edited. (DSHS/CMBHS)
Visual Impairment		Impairment of the sense of sight; a visual defect or disorder.
Vitamins		(Coming soon)
Vomit		Regurgitation of stomach contents through the esophagus and out the mouth.
Vouchered Claim Status		The claim has been accepted by the DSHS Source financial program and creation of a voucher has been requested. (DSHS/CMBHS)
Wait List		A list of clients waiting for the provider’s services. (DSHS/CMBHS)
White		A racial category describing a person having origins in any of the original peoples of Europe, the Middle East, or North Africa. (SAMHSA)
Withdraw		As a Problem Status in the CMBHS Treatment Plan, means that the problem was documented in error or for some reason is no longer relevant. (DSHS/CMBHS)
Withdrawal Syndrome (or Withdrawal)		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)
Read-Write Access		Read-Write refers to a level of permissions granted to users through security roles that allows viewing and editing of a document. (DSHS/CMBHS)
Youth		A client who is 13 through 17 years of age. (See also Adolescent). (TFC)
Youth (CMS)		As defined by CMS for Medicaid funded programs and clients, a Youth is a person under the age of 21, also referred to as a "child" or collectively as "children".