N.J. Admin. Code § 10:52A-1.2

Current through Register Vol. 56, No. 21, November 4, 2024
Section 10:52A-1.2 - Definitions

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

"Active treatment" means a process initiated at the point of intake for a psychiatric APH program and consists of the assessment, treatment, recovery and discharge planning phases of mental health services. Active treatment includes an integrated, comprehensive and complimentary schedule of treatment services for the purpose of maximizing a beneficiary's independence and community living skills to reduce unnecessary hospitalizations.

"Adult acute partial hospital" or "APH" means an intensive and time-limited acute psychiatric service for beneficiaries 18 years of age or older who are experiencing, or are at risk for, rapid decompensation. This mental health service is intended to minimize the need for hospitalization.

"Advanced practice nurse" means an individual certified as an advanced practice nurse by the New Jersey State Board of Nursing.

"Certified psychiatric rehabilitation practitioner" means an individual who has fulfilled all of the eligibility requirements of, and passed a comprehensive, standardized written examination as defined by, the Certification Commission for Psychiatric Rehabilitation.

"Clinician" means a mental health professional possessing a Master's or Doctoral degree from an accredited university in a field, such as psychiatry, psychology, social work, psychiatric nursing or rehabilitation counseling including, but not limited to, a licensed professional counselor. In addition to the degree, the individual shall have completed the applicable training including the appropriate residency (fellowship), internship or student placement required by the professional standards of the respective discipline as well as the applicable State license. A clinician may also serve in the capacity of a qualified addictions staff person.

"Community mental health associate" means a community mental health associate as defined by the Addiction Professional Certification Board, Inc., located at 1200 Tices Lane, East Brunswick, N.J. 08816.

"Direct care staff" means those personnel whose primary function is face-to-face and telephone interaction with the beneficiary providing the therapeutic contact necessary to achieve the beneficiary's treatment goals.

"Division" or "DMAHS" means the Division of Medical Assistance and Health Services within the New Jersey Department of Human Services.

"DMHS" means the Division of Mental Health Services within the New Jersey Department of Human Services.

"DSM-IV-TR" means the Diagnostic and Statistical Manual of Mental Disorders, incorporated herein by reference, as amended and supplemented, published by American Psychiatric Publishing, Inc., 1000 Wilson Boulevard, Suite 1825, Arlington, Virginia, 22209.

"Educational services" means a formal educational course of study leading to a degree, certificate or graduation from an accredited institution or program and may include basic educational courses, special educational courses, G.E.D., and precollege preparation.

"Family therapy" means an outpatient therapy approach which involves assessment and treatment with all immediate family members present and which places emphasis on the family as a system rather than focusing on one person who might be deemed the identified patient.

"Group outpatient hospital psychiatric services" means an outpatient therapy for mental health disorders which involves a group of usually four to 12 beneficiaries who have similar problems and treatment needs. The group meets regularly with a therapist who uses the interaction of the group members to relieve distressful symptoms and modify beneficiaries' behavior.

"Individual outpatient hospital psychiatric services" means an outpatient therapy for mental health disorders that is tailored for a beneficiary and is administered one-on-one, in sessions which last between 30 minutes and one hour and which are provided on a regular basis for a course of treatment over a defined period of time.

"Individualized Recovery Plan" means a beneficiary-directed, individualized treatment plan developed in collaboration with the beneficiary, which identifies clinical needs, current status and specific goals and objectives. The Individualized Recovery Plan identifies specific interventions and measurable outcomes and is revised on a regular basis to reflect the beneficiary's current status and achievement of goals.

"Interdisciplinary treatment team (IDT)" means a team of individuals consisting of at least a psychiatrist or an advanced practice nurse, a therapist, a rehabilitation counselor and other counselor(s), the beneficiary, direct APH or PH staff, an RN and others involved with meeting the beneficiary's treatment needs.

"Licensed associate counselor" means an individual licensed as an associate professional counselor by the Professional Counselor Examiners Committee of the New Jersey State Board of Marriage and Family Therapy Examiners.

"Licensed professional counselor" means an individual licensed as a professional counselor by the Professional Counselor Examiners Committee of the New Jersey State Board of Marriage and Family Therapy Examiners.

"Medication management" means medication services to evaluate, prescribe or administer and monitor a beneficiary's use of psychotropic medications, provided by, or under the supervision of, a licensed physician or APN.

"Medication monitoring" means medication services provided to monitor a beneficiary's use of psychotropic medications under the supervision of a licensed physician or APN.

"Mental health services worker" means an individual, working under the direct supervision of a licensed mental health professional, who possesses a bachelor's degree or associate's degree in psychosocial rehabilitation or mental health services, or possesses one of the following credentials: certified psychiatric rehabilitation practitioner or community mental health associate.

"Off-site interventions" means planned mental health programming provided by the APH staff or PH staff during hours of APH or PH, respectively, at a location other than that of the program site in order to assist the beneficiary to apply or practice critical community-learned skills.

"Partial hospital" or "PH" means an individualized, outcome-oriented psychiatric service which provides a comprehensive, structured, non-residential, interdisciplinary treatment and psychiatric rehabilitation program to assist beneficiaries who have a serious mental illness in increasing or maximizing independence and community living skills and enhancing the quality of their lives.

"Prevocational services" means prevocational services, as that term is defined at 10:52-2.10A.

"Prior authorization" means approval by the Division before a service is rendered.

"Programs of assertive community treatment (PACT)" means mental health rehabilitative services, which are delivered in a self-contained treatment program provided by a service delivery team and managed by a qualified program director, which merges treatment, rehabilitation and support services, which are individualized and tailored to the unique needs and choices of the beneficiary receiving the services.

"Qualified addictions staff" means individuals credentialed to provide supervision, clinical or direct care pursuant to the Alcohol and Drug Counselor Licensing and Certification Act, 45:2D-1 through 17.

"Rehabilitation counselor" means an individual licensed by the Professional Counselor Examiners Committee of the New Jersey State Board of Marriage and Family Therapy Examiners (licensed rehabilitation counselor (LRC)), certified as a certified rehabilitation counselor (CRC) by the Certification in Rehabilitation Counseling Board or possessing the education, training and experience sufficient to qualify for either credential.

"Registered nurse" or "RN" means a person who has graduated from an accredited nursing program and who possesses a valid nursing license in the State of New Jersey.

"Skill development" means learning the requisite knowledge, attitudes and specific actions that lead to the performance of a critical competency needed for valued community role functioning. Skill development can be accomplished through either individual or group instruction; however, the staff-to-consumer ratio in group instruction must not exceed 1:10.

"Social worker" means an individual licensed by the New Jersey Board of Social Work Examiners as a certified social worker (CSW), licensed social worker (LSW) or licensed clinical social worker (LCSW).

"Vocational services" mean those interventions, strategies and activities which assist the beneficiary in acquiring skills to enter a specific occupation or assist the beneficiary in directly entering the workforce as an employee.

N.J. Admin. Code § 10:52A-1.2