N.H. Admin. Code § He-M 408.02

Current through Register No. 50, December 12, 2024

Section He-M 408.02 - Definitions

(a) "Case manager" means the person employed by the community mental health program who provides targeted case management services in accordance with He-M 426.

(b) "Clinical record" means the cumulative documents, collected and preserved, containing information relative to the care and treatment of each individual.

(c) "Commissioner" means the commissioner of the department of health and human services, or his or her designee.

(d) "Community mental health program (CMHP) " means a program operated by the state, city, town, or county, or a community-based New Hampshire nonprofit corporation for the purpose of planning, establishing, and administering an array of community-based, mental health services pursuant to He-M 403 and as defined in RSA 135-C:2, IV.

(e) "Credentials" means the abbreviation of one's academic degree and title as it pertains to the person's role in providing services to an individual.

(f) "Department" means the department of health and human services.

(g) "Electronic clinical record" means the cumulative documents collected and preserved by the CMHP and containing information relative to the health record of an individual's care and treatment in digital format.

(h) "Electronic prescribing" means a prescriber's ability to electronically send an accurate, error-free, and understandable prescription directly to a pharmacy from the point-of-care.

(i) "Electronic signature" means a computer data compilation of any symbol or series of symbols executed, adopted, or authorized by an individual to be the legally binding equivalent of the individual's handwritten signature.

(j) "Facility" means New Hampshire hospital or a community receiving facility designated pursuant to RSA 135-C:26 and He-M 405, or an acute psychiatric residential treatment program.

(k) "Family member" means the parent, foster parent, legal guardian, child, brother, sister, spouse, significant other, grandparent, grandchild, stepparent, aunt, uncle, or first cousin of the individual.

(l) "Goals" means long-term, observable, desired accomplishments or changes to be achieved by an individual.

(m) "Guardian" means a person appointed pursuant to RSA 463 or RSA 464-A or the parent of an individual under the age of 18 whose parental rights have not been terminated or limited by law.

(n) "Individual" means a person who is receiving or applying for a service from a program or community residence.

(o) "Individual service plan (ISP) " means a written document that:

(1) Is developed annually as the result of a service planning process pursuant to He-M 401; and

(2) Includes the identification of the individual's:

a. Goals and objectives;

b. Treatments and services; and

c. Criteria for achieving the stated goals.

(p) "Licensed practitioner of the healing arts" means a person who meets the qualifications and provides psychotherapy or other services identified pursuant to He-M 426.

(q) "Medical necessity" means that the services and supports provided to an individual are:

(1) Consistent with the generally accepted clinical practice for diagnosis and treatment of the symptoms of mental illness or serious emotional disturbance;

(2) The most efficient and economical that can be safely provided, as prescribed by a physician; and

(3) Not solely for the convenience of the individual or the providers.

(r) "Mental illness" means a condition of a person who is determined severely mentally disabled in accordance with He-M 401 and who has at least one of the following psychiatric disorders classified in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), available as listed in Appendix A:

(1) Schizophrenia spectrum and other psychotic disorders except for the following:

a. Schizotypal personality disorder:

b. Substance or medication induced psychotic disorder; and

c. Psychotic disorder due to another medical condition:

(2) Bipolar and related disorders except for the following:

a. Substance or medication induced bipolar and related disorder; and

b. Bipolar disorder and related disorder due to another medical condition;

(3) Depressive disorders except for the following:

a. Disruptive mood dysregulation disorder;

b. Premenstrual dysphoric disorder;

c. Substance or medication induced depressive disorder; and

d. Depressive disorder due to another medical condition;

(4) Borderline personality disorder;

(5) Panic disorder;

(6) Obsessive compulsive disorder;

(7) Post-traumatic stress disorder;

(8) Bulimia nervosa;

(9) Anorexia nervosa;

(10) Other specific feeding or eating disorders;

(11) Unspecified feeding or eating disorders; and

(12) Major neurocognitive disorders where psychiatric symptom clusters cause significant functional impairment and one or more of the following symptom categories are the focus of psychiatric treatment:

a. Anxiety;

b. Depression;

c. Delusions; and

d. Hallucinations.

(s) "Objectives" means short-term, desired accomplishments designed to assist the individual in achieving the long-term goals identified on the individual service plan.

(t) "Person-centered" means that individuals receiving mental health services are the center of the system of care, and their needs and direction drive the care and services provided.

(u) "Rehabilitation" means the reinstatement of a former level of functioning or achieving a higher level of functioning than existed on admission to a program or residence through the provision of therapy, education, and activities as specified in the individual service plan.

(v) "Residential program" means a non-facility based residence for the care and treatment of people with a mental illness.

(w) "Serious emotional disturbance" means severe mental disability in persons from birth to age 18 who currently, or at any time within the past year, have had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified with the DSM-5, that resulted in functional impairment, which substantially interfered with or limited the child's role or functioning in the family, school, or community activities. This definition excludes substance abuse disorders and conditions due to another medical condition or substance medication induced disorders.

(x) "Service planning process" means the annual review conducted in accordance to He-M 401 to develop or revise an individual service plan.

(y) "Suspension" means a time limited, specific withholding of any available service(s) from an individual for well-defined and documented reasons and pursuant to He-M 401.

(z) "Termination" means the cessation for an indefinite period of all services to an individual in accordance with He-M 401.

(aa) "Treatment" means the examination, assessment, diagnosis, training, rehabilitation therapy, pharmaceuticals and other services provided to individuals within the mental health service system, excluding examination or diagnosis for the purpose of determining the need for involuntary emergency admissions pursuant to RSA 135-C:27-33 or involuntary admissions pursuant to RSA 135-C:34-54.

N.H. Admin. Code § He-M 408.02

#2039, eff 7-1-82; ss by #2423, eff 7-13-83; rpld by #2468, eff 9-6-83

New. #3051, eff 7-8-85, EXPIRED: 7-8-91

New. #7281, eff 5-23-00, EXPIRED: 5-23-08

New. #9512, eff 7-9-09

Amended by Volume XXXVII Number 45, Filed November 09, 2017, Proposed by #12409, Effective 10/24/2017, Expires 10/24/2027.