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(1) "Adult" means a person who is 18 years of age or older.

(2) "Adult day treatment" means a program which provides, in accordance with mental health center license requirements, a variety of evidence-based, recovery-oriented mental health services to adults with severe disabling mental illness.

(3) "Community-based psychiatric rehabilitation and support" means services provided in home, school, workplace, and community settings for adults with severe disabling mental illness. Services are provided by trained mental health personnel under the direction of and according to individualized treatment plans. The services may be provided outside of normal clinical or mental health program settings and are designed to assist individuals in developing the skills and behaviors necessary for recovery. Community-based psychiatric rehabilitation and support services are provided on a face-to-face basis with the individuals, family members, teachers, employers or other key individuals in the individual's life when such contacts are clearly necessary to meet goals established in the individualized strength-based treatment plan.

(a) Community-based psychiatric rehabilitation and support includes but is not limited to the following services:

(i) evaluation and assessment of symptomatic, behavioral, social and environmental barriers to independent living and community integration;

(ii) assisting the individual to develop communication skills, self-management of psychiatric symptoms, and the social networks necessary to minimize social isolation and increase opportunities for a socially integrated life;

(iii) assisting the individual to develop daily living skills and behaviors necessary for maintenance of a home, family relationships and responsibilities, an appropriate education, employment or vocational situation, and productive leisure and social activities;

(iv) immediate intervention in a crisis situation and referral to necessary and appropriate care and treatment.

(b) Community-based psychiatric rehabilitation and support does not include the following:

(i) interventions provided in day treatment or partial hospitalization programs;

(ii) interventions provided in a hospital, nursing home, or residential treatment facility;

(iii) interventions provided by staff of crisis facilities, group homes, or adult foster care providers in such facilities, homes, or settings;

(iv) case planning activities, including but not limited to attending meetings, completing paperwork and other documentation requirements, traveling to and from the individual's home;

(v) therapeutic interventions by licensed practitioners, regardless of the location of the service; and

(vi) activities which are purely recreational in nature.

(4) "Co-occurring capability" means a mental health program can, for individuals who are eligible for mental health services:

(a) screen all individuals for substance use disorders;

(b) provide access to outpatient therapists trained to diagnose and work with substance abusers;

(c) explicitly address some specific treatment needs of individuals with substance use disorders; and

(d) collaborate with another provider to access necessary consultation when an individual also requires services from that provider.

(5) "Crisis intervention services" means a program which provides, in accordance with mental health center license requirements, emergency short term 24-hour care, treatment and supervision in a crisis intervention stabilization facility or other community setting for persons age 18 or older with mental illness experiencing a mental health crisis.

(6) "Evidence-based practice" means a practice that, based on research findings and expert or consensus opinion, is expected to produce a specific measurable clinical outcome or change in client status.

(7) "Illness management and recovery" means a program to help individuals who have experienced psychiatric symptoms to develop personalized strategies for managing their mental illness and moving toward recovery. Such a program can be provided in an individual or group format.

(8) "Foster care for mentally ill adults" means a supervised living environment in a licensed foster home with support services by mental health professionals.

(9) "In-training practitioner services" are services provided under the supervision of a licensed practitioner by an individual who has completed all academic requirements for licensure as a psychologist, clinical social worker or licensed professional counselor and is in the process of completing the supervised experience requirement for licensure. The in-training practitioner's services must be supervised by a licensed practitioner in the same field, and, other than licensure, the services are subject to the same requirements that apply to licensed practitioners.

(10) "Mental health center services" are defined in ARM 37.88.903.

(11) "Mental health group home services" means a supported living environment provided under a group home endorsed mental health center license and providing independent living and social skills development services.

(12) "Program of assertive community treatment or PACT" means a self-contained clinical team that meets the requirements of ARM 37.88.908.

(13) "Practitioner" means a physician, mid-level practitioner, licensed psychologist, licensed clinical social worker or licensed professional counselor.

(14) "Practitioner services" means services provided by a practitioner which could be covered and reimbursed by the Montana Medicaid program if the individual practitioner were enrolled in the program and had provided the services according to applicable Medicaid requirements.

(15) "Recovery" means a process that enables an individual to live a meaningful life in the community. The fundamental components of recovery include self-direction, person-centered strength-based treatment, empowerment, respect, responsibility, and hope.

(16) "Recovery-oriented mental health services" means:

(a) respect for and appreciation of the individual that ensures inclusion and participation in all aspects of his or her life;

(b) individualized and person-centered treatment, based on the individual's unique strengths and resiliencies as well as his or her needs, preferences, experiences (including trauma), and cultural background; and

(c) empowerment of the individual to choose from a range of options and to participate in decisions and to receive education and support in so doing, and to promote personal responsibility for his or her own recovery.

(17) "Respite care" means relief services that allow family members, who are regular care givers for an adult with severe disabling mental illness to be relieved of their care giver responsibilities for a temporary, short term period.

(18) "Treatment day" means a calendar day, including night, daytime or evening, during which an individual is at the provider's facility and receiving services according to applicable requirements.

History: 53-2-201, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-111, 53-6-113, MCA; NEW, 1999 MAR p. 1301, Eff. 7/1/99; TRANS, from SRS, 2000 MAR p. 195; AMD, 2001 MAR p. 27, Eff. 1/12/01; AMD, 2002 MAR p. 2225, Eff. 8/16/02; AMD, 2004 MAR p. 84, Eff. 1/1/04; AMD, 2007 MAR p. 1197, Eff. 8/24/07; AMD, 2009 MAR p. 1489, Eff. 8/28/09.

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