For purposes of this chapter, the following terms shall have the meanings ascribed:
Case Management - A collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet the beneficiary's behavioral health needs through communication and available resources.
Clubhouse - See Psychosocial Rehabilitation Services.
Counseling - Individual, group, or family face-to-face services for symptom and behavior management, development, restoration, or enhancement of adaptive behaviors and skills, and enhancement or maintenance of daily living skills.
Department of Behavioral Health -The executive department that is the successor in interest to the Department of Mental Health pursuant to the Department of Behavioral Health Establishment Act of 2013, effective December 24, 2013 (D.C. Law 20-61; D.C. Official Code §§ 7-1141.01 et seq.).
Department of Health Care Finance - The executive department responsible for administering the Medicaid program within the District of Columbia effective October 1, 2008.
Institutions for Mental Disease - Shall have the same meaning as set forth in 42 CFR § 435.1010.
Medication Assisted Treatment - The use of FDA-approved medications, in combination with counseling and behavioral therapies, to provide a "whole-patient" approach to the treatment of substance use disorders.
Medicaid Fee Schedule - A comprehensive list of fee maximums used to reimburse providers on a fee-for-service basis located at www.dc-medicaid.com.
Psychosocial Rehabilitation Services - Behavioral health, cognitive, or supportive interventions assisting individuals with the development of life skills. Also known as Clubhouse services.
Recovery Support Services (RSS) - Non-clinical services provided to a beneficiary by a certified RSS provider to assist the beneficiary in achieving or sustaining recovery from an SUD. RSS are available to individuals with an SUD who are currently in treatment or have moved into recovery from substance use/abuse, and individuals who have self identified with SUD, but are assessed as not needing treatment.
Substance Use Disorder (SUD) - A chronic relapsing disease characterized by a cluster of cognitive, behavioral, and psychological symptoms indicating that the client continues using a substance despite significant substance-related problems. A diagnosis of SUD requires a client to have had persistent, substance related problem(s) within a twelve (12)-month period in accordance with the most recent version of the DSM.
Transition Planning Services - Services for beneficiaries stepping down from certain institutional treatment settings that identify needed treatment and support services that support recovery, reduce the chances of avoidable hospital or residential treatment readmissions, and connect beneficiaries to identified treatment and support services.
Trauma Recovery and Empowerment Model (TREM) - A structured group therapy intervention for individuals who have survived trauma and have substance use disorders or mental health conditions. TREM draws on cognitive restructuring, skills training, and psychoeducational and peer support to address recovery and healing from sexual, physical, and emotional abuse.
Trauma System Therapy (TST) - A comprehensive, phase-based model for treating traumatic stress in children and adolescents that adds to individually-based approaches, by specifically addressing the child's or youth's social environment and/or system of care. TST is designed to provide an integrated, highly coordinated system of services guided by the specific understanding of the nature of child or youth traumatic stress.
Vocational Services - Services necessary to enable an individual with a disability to engage in competitive employment.
D.C. Mun. Regs. tit. 29, r. 29-8699