Ohio Department of Mental Health ODMH Glossary

Aged, Blind and Disabled. A Medicaid eligibility category defined as those Ohioans who financially qualify and are 65 or older, blind or who have disabilities.

The assurance that consumers are aware of the local array of mental health services and are afforded the opportunity to receive needed services and supports in a timely manner.

Facilities licensed by the Ohio Department of Mental Health that provide room, board and personal assistance to individuals in need across the state of Ohio.

Automated Cost Management System.

Severe but of short duration, not chronic.

Assertive Community Treatment.

Alcohol, drug addiction and mental health/community mental health boards. One of the 50 community mental health boards established by Ohio Revised Code, Chapter 340.03 to provide planning, management and funding of mental health services in Ohio at the local level.

Aid to Families with Dependent Children. A Medicaid eligibility category also referred to as Ohio Works First (OWF) or TANF (Temporary Assistance to Needy Families).

Average Daily Resident Population. Measurement describing hospital utilization.

A legal means (document) by which a person can specify his/her choice about how he/she will be treated in the event that his/her illness renders him/her incapable of exercising choice.

Activities in support of individuals with mental illness, including rights protection, legal and services assistance, as well as system or policy changes.

American Federation of State, County and Municipal Employees.

Medicaid eligibility category defined as those Ohioans who financially qualify and are 65 or older, blind or who have disabilities.

Myths and misperceptions about older people.

A Medicaid eligibility category also referred to as Ohio Works First (OWF) or TANF (Temporary Assistance to Needy Families).

A statewide interagency effort to improve school success for high-risk children and youth, including removing barriers to student learning.

National Alliance for the Mentally Ill of Ohio. An organization dedicated to self-help and family advocacy and improving the lives of those with severe mental illnesses. The organization was built with four cornerstones in mind: support, education, advocacy and research.

Alcohol or Other Drug services or diagnosis.

Measurement describing inpatient hospital utilization.

BAA (SEE BUSINESS ASSOCIATE AGREEMENT)

A management tool to measure, assess and improve organizational performance. The balanced scorecard develops key measures across four major perspectives (financial, customer, internal process and learning/technology). The Ohio Department of Mental Health has formally adopted the balanced scorecard as part of its strategic planning process.

Describes the combination of mental health and chemical dependency services.

Interventions and services that have been evaluated and have demonstrated good outcomes for mental health consumers. In general, best practices are approaches that 1) are judged to be exemplary 2) have been developed or based on systematic processes 3) are designed to produce successful outcomes and 4) have undergone rigorous evaluation and research.

Block Grant funds are provided in a lump sum for a broad range of related activities with less precise purposes and are subject to relatively few regulations, with some approval required for expenditure.

One of the 50 community mental health boards established by Ohio Revised Code, Chapter 340.03, to provide local planning, management and funding of mental health services in Ohio at the local level.

An agreement between a covered entity and a person or organization that performs a function or activity on behalf of a covered entity but is not part of the covered entity's workforce. A business associate can also be a covered entity in its own right.

Bureau of Vocational Rehabilitation of the Ohio Rehabilitation Services Commission (RSC).

Citizen's Advisory Board.

Clinical and Financial Efficiency. Personnel who examine ways to provide efficiencies for the clinical administration of behavioral healthcare organizations (BHOs) and preserve financial effectiveness for BHOs and Community Support Networks (CSNs).

1. Client Assistance Program.
2. An upper limit established on a specific category of expenditures.

A form of cost containment that pays for a service based on a set rate per person per time period. The insurer pays providers a fixed amount in advance (prospectively) for each person eligible for service, usually on a monthly or annual basis, regardless of the number and type of services used.

Commission on Accreditation of Rehabilitation Facilities (one of the national accrediting bodies).

A benefit strategy in which certain benefits are administered separately from other benefits.

Services that link the individual with appropriate service providers, monitors progress and provides advocacy services.

Federal money given to states or state money given to boards for a specific set of purposes, subject to a relatively large number of regulations See Block Grant.

Coordinating Center of Excellence. Expert resources in Ohio responsible for promoting the use of a specific set of clinical best practices that support recovery and resiliency among individuals receiving mental health services.

An Ohio Department of Mental Health supported/sponsored Center of Excellence focused on assisting communities to implement multi-systemic therapy.

Expert resources in Ohio responsible for promoting the use of a specific set of clinical best practices that support recovery and resiliency among individuals receiving mental health services.

Chief Clinical Officer.

Chief Executive Officer.

Federal money given to states or state money given to boards for a specific set of purposes, subject to a relatively large number of regulations See Block Grant.

Refers to written authorization from the Ohio Department of Mental Health for an agency to operate specific services and provide activities according to the Ohio Administrative Code. These services and activities are included in the agency's contract or subcontract with a community mental health board or for a non-contract agency that has voluntarily applied.

Code of Federal Regulations.

Crisis Intervention Training.

Consumer-focused, evidence-based interventions and services that are believed to result in good outcomes for consumers.

Focuses on the use of auality improvement, consumer outcomes and evidence-based practices within the framework of recovery, resiliency and cultural competence.

Convenient, comprehensive services that meet individual needs and are delivered in a clinical and culturally competent manner.

A group of state and/or local agencies that cooperate to plan and provide services for difficult-to-serve populations.

Community Mental Health Center.

Center for Mental Health Services (National Institutes for Health).

Centers for Medicare and Medicaid Services (formerly know as Health Care Financing Agency - HCFA). This is the U.S. Health and Human Services (HHS) agency responsible for Medicare and parts of Medicaid. CMS is responsible for oversight of the Health Insurance Portability and Accountability Act (HIPAA) administrative simplification transaction and code sets, health identifiers and security standards. CMS also maintains the Health Care Common Procedure Coding System (HCPCS) medical code set and the Medicare Remittance Advice Remark Codes administrative code set.

Clinical Nurse Manager.

Council on Accreditation for Children and Family services (one of the national accrediting bodies).

Consumer-Operated Business.

Children's Ohio Eligibility Determination Instrument. Refers to a test that determines the eligibility of people for state and county mental retardation and developmental disabilitiy services.

Regional planning committee comprised of the local mental health boards and area behavioral healthcare organizations that mutually plan for the utilization of inpatient and Community Support Network (CSN) services as well as the joint development of clinical initiatives and best practices.

Council of Medical Directors.

A risk and protection-focused prevention model based on decades of research on the causes and correlations of juvenile problem behavior.

A program that is designed to link individuals being released from incarceration to community mental health services.

A person, agency or entity designated by the alcohol, drug addiction and mental health services and community mental health services (ADAMHS/CMH) boards to be contacted to assist in making community agency appointments for offenders with mental illness who are being released from prison.

One of the 50 community mental health boards established by the Ohio Revised Code that provides local planning, management and funding of mental health services in Ohio at the local level.

Federal legislation that authorized federal funding for the creation of comprehensive community-based mental health centers; such centers were mandated to provide a specific set of services on a discretionary basis.

Community mental health services provided by state mental health workers to people with severe mental illnesses who are living in the community. This was formerly called State Operated Services (SOS).

A system of services to meet the needs of children and adults with serious mental illness who are capable of living in the community with appropriate rehabilitation and support services.

1. Implies having the capacity to function effectively.
2. Refers to a legal term (i.e. competency to stand trial).

A system used in the Integrated Behavioral Health Care System (IBHS) behavioral healthcare organizations to facilitate online entering of medication orders into the Patient Care System (PCS).

The managed care technique of continuously evaluating the appropriateness of service usage.

A person who has been or is receiving mental health services and/or supports.

See Ohio Mental Health Consumer Outcomes Initiative.

A range of services including: medical, psychological, pre-vocational, vocational, educational, recreational, social and residential, which enable a person to progress and maintain the highest possible level of functioning.

The simultaneous presence of two or more disorders (e.g. substance abuse and mental illness).

Expert resources in Ohio responsible for promoting the use of a specific set of clinical best practices that support recovery and resiliency among individuals receiving mental health services.

Consumer Operated Service.

A term frequently used to refer to Ohio Council of Behavioral HealthCare Providers.

Computerized Physician Order Entry. A system used in the IBHS BHOs to facilitate online entering of medication orders into the Patient Care System (PCS).

Client Rights Advocate.

Client Rights Officer.

Community Support Network. Community mental health services provided by state mental health workers to people with severe mental illnesses who are living in the community. Formerly called State Operated Services (SOS).

Community Support Program. A system of services to meet the needs of children and adults with serious mental illness who are capable of living in the community with appropriate rehabilitation and support services.

The integrated pattern of human behavior that includes thoughts, communications, actions, customs, beliefs, values and institutions of racial, ethnic, religious, age or social groups and demographics.

A set of congruent behaviors, attitudes and policies that integrate within a system, agency or among professionals, and enables that system, agency or professional to work effectively in cross-cultural situations.

Training or retraining in basic skills of daily living in actual living situations, such as cooking, shopping, budgeting and cleaning.

Preventing unnecessary retention in and admission to public hospitals through the timely discharge of admitted patients and the diversion of potential candidates for admission to other treatment services and facilities. With the passage of the Community Mental Health Centers Act of 1963, deinstitutionalization of mentally disabled people became a national mental health policy.

A practice of moving the responsibilities down to more local levels of government.

Deaf/Hard of Hearing.

Programs designed to screen people out of the criminal justice system and into appropriate mental health/drug/alcohol services before the person becomes incarcerated.

Director of Nursing.

This lawsuit grew out of the Lucasville prison riots and was settled out of court. It restructured the way mental health services are delivered within state prisons in Ohio.

Early childhood mental health is the social, emotional and behavioral well-being of children birth through five years, including the developing capacity to: experience, regulate and express emotion; form close, secure relationships; and explore the environment and learn. ODMH supports an initiative that provides parents and caregivers of young children with the knowledge and skills necessary to help their children develop into mentally healthy individuals.

Electronic Data Interchange. Refers to the exchange of routine business transactions from one computer to another in a standard format, using standard communications protocols.

Refers to the exchange of routine business transactions from one computer to another in a standard format, using standard communications protocols.

Defines the current best practices that consumers, clinicians and community supports use to facilitate the recovery process. New best practices are continuing to emerge.

Executive Policy Management Committee.

Employee Retirement Income Security Act. Refers to federal laws that govern employer-based retirement, health care coverage and other employee benefit plans. ERISA supercedes almost all state laws that affect employee benefits.

Electronic Remittance Advice (Pre-HIPAA format).

An Ohio Department of Mental Health team comprised of the director and deputy directors.

The conscientious, explicit and judicious use of current best evidence in making decisions about the care of an individual.

This council includes the directors of the following Ohio departments: Alcohol and Drug Addiction Services; Budget and Management; Education; Health, Job and Family Services; Mental Health; Mental Retardation and Developmental Disabilities and Youth Services. The Governor or his designee chairs the Council.

A performance based, multi-agency program designed to reduce the number of children and youth placed out of their homes. Services include but are not limited to financial assistance, family support, crisis counseling and respite care.

People identified by the consumer as either family members or significant others who provide the necessary support needed for recovery.

Refers to the predominant method of payment for healthcare in which a payor pays a provider for treatment provided upon submission of a valid claim, in accordance with agreed upon business rules. This payment method is distinguished from those used in some managed care plans, such as capitation or case rate.

Research-established criteria used to measure a program's fit with a best practice or an evidence-based program.

A term used to describe a person with mental illness involved in the criminal justice system. This includes people who are found incompetent to stand trial, not guilty by reason of insanity and those in jails and prisons who have mental illnesses and have been referred to the mental health system by the criminal court for evaluation and treatment.

Full Time Equivalent (2,080 hours per year).

Fiscal Year. July 1-June 30 is the state fiscal year and October 1-September 30 is the federal fiscal year.

The conscientious, explicit and judicious use of current best evidence in making decisions about the care of an individual.

Person who has attended and graduated from a college/university accredited program to perform or provide services requiring specialized knowledge and skills. An example would be a person practicing in the mental health field who has at least a master's degree or higher in a related field.

General Revenue Funds (state appropriation).

Small community-based residential facility intended for disabled individuals who are capable of living in the community but whose mental health problems or other disabilities prevent them from living independently. Usually such facilities have staff 24 hours a day.

A place where people are aided in re-adjusting to society following a period of imprisonment, hospitalization or beginning the recovery process from addiction.

Housing Assistance Program. A short-term rental program to provide subsidy and/or loan assistance for start-up costs. Used with housing that includes a standard tenant landlord lease and no requirements for clinical treatment required as part of the assistance.

Home and Community Care Council.

Health Care Finance Administration (now called Centers for Medicare and Medicaid Services or CMS).

A federal law that allows people to qualify immediately for comparable health insurance coverage when they change their employment relationships. HIPAA gives the U.S. Department of Health and Human Services the authority to mandate the use of standards for the electronic exchange of health care data; specify what medical and administrative code sets should be used within those standards; require the use of national identification systems for health care patients, providers, payers (or plans), and employers (or sponsors) and specify the types of measures required to protect the security and privacy of personally identifiable health care information. Also known as the Kennedy-Kassebaum Bill, the Kassebaum-Kennedy Bill, K2 or Public Law 104-191.

Health Information Manager.

Health Insurance Portability Accountability Act of 1996. A federal law that allows people to qualify immediately for comparable health insurance coverage when they change their employment relationships. HIPAA gives the U.S. Department of Health and Human Services the authority to mandate the use of standards for the electronic exchange of health care data; specify what medical and administrative code sets should be used within those standards; require the use of national identification systems for health care patients, providers, payers (or plans), and employers (or sponsors) and specify the types of measures required to protect the security and privacy of personally identifiable health care information. Also known as the Kennedy-Kassebaum Bill, the Kassebaum-Kennedy Bill, K2 or Public Law 104-191.

Housing Outcomes Performance Evaluation. Evaluation that is funded through a 508H/Block Grant and monitored through the housing outcomes process, allowing boards to plan--in the most flexible manner--with a focus on outcome accountability, to meet the array of housing needs that exist in that community.

A short-term rental program to provide subsidy and/or loan assistance for start-up costs. Used with housing that includes a standard tenant landlord lease and no requirements for clinical treatment required as part of the assistance.

Evaluation that is funded through 508H/Block Grant and monitored through the Housing Outcomes process, allowing boards to plan--in the most flexible manner with a focus on outcome accountability--to meet the array of housing needs that exist in that community.

The section 8 rental voucher and rental certificate programs are the federal government's major programs for assisting very low-income families, the elderly and the disabled to rent decent, safe and sanitary housing in the private market. Since the rental assistance is provided on behalf of the family or individual, participants are able to find and lease privately owned housing, including single family homes, townhouses and apartments. The participant is free to choose any housing that meets the requirements of the program and is not limited to units located in subsidized housing projects.

Intermediate Care Facility. An institution licensed under state law to provide health-related care and services to individuals who do not require the degree of care or treatment that a hospital or skilled nursing facility provides.

Intermediate Care Facility (for people who are) mentally retarded.

Institution for Mental Disease.

Refers to the waiver of federal requirements granted by the U.S. Secretary of Health and Human Services, permissible only in federal demonstration waivers. This allows Medicaid to pay for services for people between the ages of 22 and 64 who are receiving treatment in private or public free-standing psychiatric hospitals.

Any occurrence which is not consistent with the routine care of a client; the routine services provided by the regional psychiatric hospital or the routine standard of care for the hospital. Incidents include accidents, unusual occurrences or situations that might result in injury to a person or damage to property or equipment. Incidents may involve clients, employees, visitors and other people (O.A.C. § 5122-3-13).

Any event that poses a danger to the health and safety of clients, staff and/or visitors of an agency and is not consistent with routine care of people served or routine operations of the agency (O.A.C. § 5122-26-13).

Refers to a federal waiver of Medicaid requirements that permits payment for services not ordinarily covered by Medicaid. Also permits individuals to receive income and accumulate resources at levels higher than ordinarily permitted for individuals receiving institutional services paid by Medicaid. Most of the current IHCBS waiver programs are for mentally retarded and developmentally disabled people. This program has very limited applicability for people with mental illness because Medicaid does not pay for institutional services for most adults. See IMD waiver.

Integrated Behavioral Healthcare System product line. The ISS product line is a continuum of high quality services for adults with acute and/or severe mental illness who require inpatient care. The intensity and specialization of these services is responsive to the unique clinical needs of the individual and board with the goal of recovery.

Health-related care and services to individuals who do not require the degree of care or treatment that a hospital or skilled nursing facility is designed to provide, but who, because of a mental or physical condition, requires 24-hour availability of nursing care and other services.

An institution licensed under state law to provide health-related care and services to individuals who do not require the degree of care or treatment that a hospital or skilled nursing facility provides.

Standards that permit a state to hospitalize people who are mentally ill against their will because they pose a danger to self or others.

Enables courts to compel outpatient treatment for those with mental illness who need treatment but who are incapable of deciding voluntarily to seek or comply with treatment orders.

Legal status that refers to Incompetent to Stand Trial - Restoration Treatment, pursuant to Section 2945.38(B) of the O.R.C. See the ODMH Forensic Manual for additional information on forensic legal statuses.

Legal status that refers to Incompetent to Stand Trial - Unrestorable, pursuant to Section 2945.38(H)(4) of the O.R.C. See the ODMH Forensic Manual for additional information on forensic legal statuses.

Legal status that refers to Incompetent to Stand Trial-Unrestorable-Criminal Court Jurisdiction, pursuant to Section 2945.39(A)(2) of the O.R.C. See the ODMH Forensic Manual for additional information on forensic legal statuses.

Joint Committee on Agency Rule Review is a legislative committee that approves administrative rules.

Joint Commission on Accreditation of Healthcare Organizations.

Integrated Behavioral Healthcare Leadership Council.

Longitudinal Study of Mental Health Services and Consumer Outcomes. This longitudinal study contains two parts. The first part focuses on the effects of system changes on the yearly service patterns of individuals with severe mental illness. The second part focuses on consumers' individual experiences within the mental health system and includes five waves of measurement.

A therapeutic or care-giving setting that allows the maximum amount of freedom of movement consistent with the person's clinical and risk management needs.

The Ohio Department of Mental Health's written approval and authorization for an inpatient psychiatric service provider to receive people with a mental disorder for care and treatment as outlined in Section 5122-14-01 of the O.A.C.

Refers to the signed, numbered and dated document issued by the department to the facility that specifies the maximum number of residents for type 1 facilities and the number of household members for type 2 or type 3 facilities. The license shall include the type 1, 2, or 3 and term of licensure (full, probationary or interim). See Reference Section 5122-30 of the O.A.C. for additional information.

Programs designed to link individuals being released from the criminal justice system after completing their sentences to ensure appropriate follow-up services.

This longitudinal study contains two parts. The first part focuses on the effects of system changes on the yearly service patterns of individuals with severe mental illness. The second part focuses on consumers' individual experiences within the mental health system and includes five waves of measurement.

Health and/or personal care services required by people who are chronically ill, aged and/or disabled in an institution or at home on a long-term basis. The term is often used more narrowly to refer only to long-term institutional care such as that provided in nursing homes.

Insurance policies that cover specified services for a specified period of time. Long-term care policies (and their prices) vary significantly. Covered services often include nursing care, home health care services and custodial care.

Length of Stay (number of days in hospital).

Multi-Agency Community Services Information System. An Ohio automated payment and management information system for mental health services. The outpatient payment information system compiles behavioral health care services for both Medicaid paid and non-Medicaid paid services. Additional information is available on the MACSIS Web site.

An occurrence severe enough to warrant special categorization for purposes of reporting, as described in Section 5122-3-13 of the O.A.C.

A health care delivery system that attempts to keep costs down by managing the care to eliminate unnecessary treatment and to reduce expensive hospital care. The most familiar models are health maintenance organizations (HMOs) and preferred provider organizations (PPOs).

State laws requiring insurance companies to offer or provide minimum health benefits.

Incentive for local governments to raise local dollars to obtain state or federal funds for the provision of services.

Federal program that provides health insurance to low-income families who meet certain categorical and financial criteria.

A federal Medicaid reform enacted by Congress that allows states to modify Medicaid eligibility rules to permit disabled people returning to work to secure extended Medicaid coverage. It also requires these people to contribute toward such coverage.

The federal government requires that each state/local government match the federal government funds for Medicaid reimbursement. In Ohio, this is approximately a 60 percent (federal) and 40 percent (state/local) match.

Refers to a set of Medicaid eligibility rules that permits disabled individuals whose income exceeds Ohio's need standard to become eligible for Medicaid by showing proof of expenditures, unusually on a monthly basis, for medical services.

Provision of Omnibus Budget Reconciliation Act of 1981, which allowed for a waiver of regulations prohibiting Medicaid reimbursement for certain community-based services. Waived services must be necessary to prevent institutionalization and cannot include room and board costs.

Refers to criteria established by public and private health insurers to ensure medical treatment is necessary and appropriate for the condition or disorder for which treatment is provided. Review methods employed by insurers include retrospective, concurrent and pretreatment reviews.

A study of health care expenditures performed by MEDSTAT, a health information company that provides decision support systems, market intelligence, databases and research for managing the purchase, administration and delivery of health services and benefits.

Health conditions that are characterized by alterations in thinking, mood or behavior (or some combination thereof) associated with distress and/or impaired functioning.

A state of successful performance of mental function, resulting in productive activities, fulfilled relationships with other people and the ability to adapt to change and to cope with adversity. From early childhood until death, mental health is the springboard of thinking and communication skills, learning and emotional growth, resilience and self-esteem.

The Mental Health Act of 1988 changed funding allocations and mandated each alcohol, drug addiction and mental health (ADAMH) board to establish a community support system, provided that people civilly committed would be committed to a board and not a hospital. The act also established a risk fund and clarified the responsibilities of the ADAMH boards as the single authority for the mental health system in each community, including provisions for the community mental health plan.

Any of a number of chapters of the National Mental Health Association, an organization of advocates, providers and others interested in mental health services.

National organization that has a nationwide mental health database. It is used by some boards and their providers to compare their consumer satisfaction data.

Courts that provide continuing judicial supervision of non-violent offenders with mental illnesses or co-occurring disorders.

A pilot project to create comprehensive systems of care for juvenile offenders with mental illnesses.

A term that collectively refers to all mental disorders.

Mental Health Association. Any of a number of chapters of the National Mental Health Association, an organization of advocates, providers and others interested in mental health services.

Mental Health Information System.

Co-occurring mental illness and mental retardation/developmental disabilities.

Memorandum of Agreement.

MACSIS Operations Management Team.

The most severely mentally disabled adults.

Mutual System Performance Agreement.

Major Unusual Incident. An occurrence severe enough to warrant special categorization for purposes of reporting, as described in Section 5122-3-13 of the O.A.C.

An intensive family and community-based treatment that addresses the multiple determinants of serious anti-social behavior in juvenile offenders. MST addresses the factors known to be related to delinquency across the key settings or systems within which youths are embedded (e.g., family, peers, schools, neighborhoods). MST strives to promote behavior change in the youth's natural environment, using the strengths of each system to facilitate the change..

National Alliance for the Mentally Ill of Ohio. An organization dedicated to self-help and family advocacy and improving the lives of those with severe mental illnesses. The organization was built with four cornerstones in mind: support, education, advocacy and research.

National Association of State Mental Health Program Directors. This non-profit organization is dedicated to serving the needs of the nation's public mental health system through policy development, information dissemination and technical assistance.

An organization dedicated to self-help, family advocacy and improving the lives of those with severe mental illnesses. The organization was built with four cornerstones in mind: support, education, advocacy and research.

NASMHPD is a non-profit organization dedicated to serving the needs of the nation's public mental health system through policy development, information dissemination and technical assistance.

A strategy that includes 15 key recommendations to assist national, state and local entities in shaping policies and allocating resources to programs.

A study that attempts to identify the service needs of populations or special subgroups. A needs assessment may also include an examination of services that are in place and an identification of service gaps.

Legal status that refers to Not Guilty by Reason of Insanity, pursuant to Section 2945.40 of the O.R.C. See the ODMH Forensic Manual for additional information on forensic legal statuses.

National Institute for Mental Health (now Center for Mental Health Services, National Institutes for Health)

National Research Institute, a division of the National Association of State Mental Health Program Directors.

National Technical Assistance Center, a division of the National Association of State Mental Health Program Directors.

Ohio Administrative Code. Codes sections are available online.

Ohio Association of County Behavioral Healthcare Authorities.

Office of Budget and Management.

Ohio Council of Behavioral Health Professionals. An organization whose vision is to improve the health status of Ohio's communities. It also promotes effective and adequate behavioral health care through its members (providers of mental health and addiction services).

Ohio Civil Service Employees Association. See AFSCME.

Ohio Department of Aging.

Ohio Department of Alcohol and Drug Addiction Services.

Ohio Developmental Disabilities Council.

Ohio Department of Health.

Ohio Department of Job and Family Services.

Ohio Department of Mental Health.

Ohio Department of Mental Retardation and Developmental Disabilities.

Ohio Department of Youth Services.

Formed during 2009, the Ohio Empowerment Coalition is a network of individual members and affiliate organizations dedicated to mental health recovery and establishment of a shared vision for mental health advocacy. The OEC is an independent, consumer-run group funded by, but autonomous from, the Ohio Department of Mental Health.

Ohio Hospital Association.

A process initiated by former Governor Taft to provide a comprehensive review of Ohio's services and support systems for people with disabilities and to make recommendations for improving these services.

Codes sections are available online at http://codes.ohio.gov/oac

Ohio's proposal to replace the current Medicaid acute care financing system with a managed, comprehensive health care benefit plan to all Ohioans with family incomes at or below 100 percent of poverty (also see BBP and SHRS).

A standardized way of measuring and reporting outcomes of consumers receiving services in the Ohio community mental health system.

Codes are available online at http://codes.ohio.gov/orc.

OA program administered by the Ohio Department of Jobs and Family Services (ODJFS) that provides cash assistance and job-finding services and training to needy families.

Olmstead v. LC is a U.S. Supreme Court decision that found that people with a disability have a right to services in the least restrictive environment.

Ohio Legal Rights Services.

Ohio Psychiatric Association.

Ohio Revised Code. Code sections are available online.

Tracking system used by hospitals to measure clinical performance.

Ohio's Suicide Prevention Plan.

Office of Support Services. An Ohio Department of Mental Health office that provides auxiliary services to state facilities and select community agencies. OSS provides wholesale food and pharmacy, as well as consultation in dietary, cycle menu planning, pharmacy and drug information services. Services are provided to state facilities within the Departments of Mental Health, Mental Retardation and Developmental Disabilities, Rehabilitation and Correction and Youth Services, as well as community mental health agencies.

Impact on the person or system served.

A measure that indicates the result of the performance (or non-performance) of a function or process.

An individual (patient) who receives health care services (such as surgery) on an outpatient basis, meaning he/she does not stay overnight in a hospital or inpatient facility.

Program of Assertive Community Treatment. A highly structured, multidisciplinary program of intensive treatment, rehabilitation and support services to clients in their homes, on the job and in social settings.

Protection and Advocacy for Individuals labeled as mentally ill. An advisory council to Ohio Legal Rights Service (OLRS).

Refers to a series of initiatives at the national and state levels to achieve a greater recognition of the efficacy of and equitable coverage for treatment for mental disorders compared to physical illnesses by private and public health insurers.

Pre-admission Screening and Annual Resident Review Program is required for individuals with serious mental illness or mental retardation/developmental disabilities who seek to enter a nursing facility. It's also for residents who have a significant change in their conditions.

An employment training program jointly funded by local community systems, the Ohio Rehabilitation Services Commission and the federal government to provide streamlined services for particular disability groups.

Patient Care System. The automated system that is used in regional psychiatric hospitals operated by the Ohio Department of Mental Health.

Public Children Services Agency. County agencies charged with preventing child abuse and neglect in Ohio.

Services offered by mental health consumers, people with addictions or others to provide support to one another. Peer support services can include drop-in centers, peer respite care or support groups. See self-help.

The percent of eligible people who will use a service or program in a given period, usually a contract year.

The daily rate charged or reimbursable for goods and services, e.g., the cost paid by mental health boards for a day of inpatient care at a regional psychiatric hospital.

Protected Health Information. Individually identifiable information received from or on behalf of a partner related to the past, present or future physical or mental health condition of an individual, provision of health care to an individual or the past, present or future payment for health care provided to an individual. For more information reference 45 CFR 164.501.

Patient Outcomes Research Team. A study funded by the Agency for Health Care Policy and Research and the National Institute for Mental Health to develop and disseminate recommendation for the treatment of schizophrenia based upon existing scientific evidence.

A review of an individual's health care status or condition, prior to an individual being admitted to an inpatient health care facility, such as a hospital.

A method of determining payments for medical care in advance of delivery of services.

A person or organization that manages and delivers clinical and/or support services.

Traditional mental health services, as well as a variety of social learning, vocational and community living programs.

Type of drugs prescribed by physicians to control some of the symptoms of mental illness.

Refers to the network (ODMH, CMH/ADAMH boards) of administrative and service organizations responsible for the provision of publicly funded services to people who require mental health treatment.

The efforts to determine the quality of care, to develop and maintain programs at an acceptable level and to institute improvements when the opportunity arises or the care does not meet the desired standard of care.

An approach to the continuous study and improvement of the processes of providing health care services to meet the needs of individuals and others. Synonyms include continuous quality improvement, continuous improvement, organization-wide performance improvement and total quality management.

The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. Dimensions of performance include the following: patient perspective issues, safety of care environment, as well as accessibility, appropriateness, continuity, effectiveness, efficacy, efficiency and timeliness of care.

Convenient, comprehensive services that meet individual needs and are delivered in a clinical and culturally competent manner.

A personal process of overcoming the negative impact of a psychiatric disability, despite its continued presence.

A facility that provides inpatient and community-based care and is supported primarily through state appropriations.

The Medicaid Rehabilitation Option (the "Rehab Option") refers to the optional rehabilitative services that a state Medicaid program may add to its state Medicaid plan. Rehabilitative services are defined in 42 CFR §440.130 as "any medical or remedial services recommended by a physician or other licensed practitioner of the healing arts, within the scope of his practice under state law, for maximum reduction of physical or mental disability and restoration of a recipient to his best possible functional level." Ohio participates in the Rehab Option for Mental Health Services.

Services specifically tailored to assist a person to improve physical, psychosocial and vocational functioning. Provides assistance in job training, education, community support, transportation, living skills and other basic needs.

A shared understanding between the consumer, clinicians and significant others of behaviors, feelings and thoughts that indicate the onset of symptom destabilization, actions and activities that will avert the continued progress of symptom destabilization. A formal written acknowledgement of this plan is called an advance directive.

The personal and community qualities that enable individuals to rebound from adversity, trauma, tragedy, threats or other stresses and to go on with life with a sense of mastery, competence and hope.

A service designed to provide temporary residence for a person with a disability who ordinarily lives with family or friends or to assume temporary responsibility for care of the person in his or her own home. Provides back-up support and in some cases a relief to people responsible for care of ill or disabled person who ordinarily lives in their household.

Repeated cycling into and out of inpatient facilities.

An assessment that is completed on individuals for the purpose of making short-term clinical estimates of violent behavior and identifying static and dynamic risk factors to be addressed in an aggressive prevention treatment plan.

Release of Information.

The Ohio Rehabilitation Services Commission, a state agency comprised of three bureaus: Bureau of Vocational Rehabilitation (BVR), Bureau of Services for the Visually Impaired (BSVI) and Bureau of Disability Determination (BDD).

The responsibility of the public mental health system to serve people with mental health needs who would not otherwise receive services.

Co-occurring substance abuse/mental illness (dual diagnosis).

Substance Abuse and Mentally Ill Court. A judge creates a special docket for offenders with major mental illnesses and substance abuse disorders.

A study funded by the Agency for Health Care Policy and Research and the National Institute for Mental Health to develop and disseminate recommendations for the treatment of schizophrenia based upon existing scientific evidence.

Severely Emotionally Disturbed. A designation for those individuals under 18 years of age who have serious emotional disturbances and are at the greatest risk for needing services. The SED designation has been made using three components: diagnosis, duration of impairment and level of functioning.

When consumers, their families or friends contact each other to share their experiences and suggest strategies for coping or for change.

Term used to describe people who suffer certain mental or emotional disorders that erode or prevent the development of their functional capacities in relation to such primary aspects of daily life as personal hygiene and self-care, self-direction, interpersonal relationships, social transactions, learning and recreational activities and that erode or prevent the development of their economic self-sufficiency. See SMD and SED.

Supportive Housing Option for Prosperity. Funds used to meet housing and residential needs other than rental assistance, e.g., supportive housing staff and lease technicians, etc.

Care and treatment provided for short duration of time, usually not exceeding 30 days in length.

An institution that has a transfer agreement with one or more participating hospitals and is primarily engaged in providing inpatient skilled nursing care and rehabilitative services; meets specific regulatory certification requirements.

Severely Mentally Disabled. A designation for those adults with severe and persistent mental illnesses who are at the greatest risk for needing services. The SMD designation has been made using four components: the receipt of SSI/SSDI for a mental impairment, diagnosis, duration of impairment and level of functioning.

State Mental Health Representative for Children and Youth.

Care and treatment provided for short duration of time, usually not exceeding 30 days in length.Created by the Omnibus Budget and Reconciliation Act of 1981 to consolidate federal assistance to states for social services into a block grant. States are allowed to use the money for almost any community or social service for virtually any individual or family.

Suicide Prevention Team

Social Security Disability Insurance provides benefits to disabled or blind individuals who are insured by workers' contributions to the Social Security Trust Fund.

Supplemental Security Income Program makes cash assistance payments to aged, blind and disabled people (including children age 18) who have limited income and resources. The federal government funds SSI from general tax revenue.

System Team Assessing Risk. This Ohio Department of Mental Health (ODMH) central office develops, refines and implements an approach that provides ODMH with the ability to identify indicators of risk(s) to people seeking and/or receiving publicly funded mental health services. It also implements specific, timely interventions to prevent, reduce and minimize risk exposure to people in community mental health and residential facilities settings. The approach is focused on risks related to inadequate access to services and receipt of poor quality care. This approach includes use of information from the community, data analysis and improved responsiveness by ODMH to concerns that are raised through these channels.

Refers to the single state agency designated by each state's governor to be the entity responsible for the administration of publicly funded mental health programs.

Stereotypes associated with mental illness that hinder and/or negatively impact the recovery process.

A well-defined approach to helping people with disabilities participate as much as possible in the competitive labor market, working in jobs they prefer with the level of professional help they need. According to the federal definition, supported employment means "competitive work in integrated work settings … consistent with the strengths, resources, priorities, concerns, abilities, capabilities, interests and informed choice of the individuals, for individuals with the most significant disabilities for whom competitive employment has not traditionally occurred or for whom competitive employment has been interrupted or intermittent as a result if a significant disability."

A review of research on mental disorders from former U.S. Surgeon General David Satcher. The first U.S. Surgeon General's report, Mental Health: A Report of the Surgeon General, was published in December 1999. It captures progress made in the last 10 years in understanding and treating mental illness and reducing stigma. In addition, the report examines such things as treatment, what people go through when seeking care and the care system.

The percent of the population that establishes Medicaid eligibility.

Teledictation Device for the Deaf (permits a person who is deaf to communicate by phone with another person with a TDD by typing words on a keyboard. The words are printed in LED display or typed on the other end). See TTY.

Federal legislation that increases beneficiary choice in obtaining rehabilitation and vocational services; removes barriers that require people with disabilities to choose between health care coverage and work and aims to provide Americans with disabilities a better opportunity to participate in the workforce.

Title XX of the Social Security Act (Block Grants to States for Social Services).

Trading Partner Agreement (HIPAA term).

The time in which an individual is moving from one life/development stage to another; for example, the change from childhood to adolescence, adolescence to adulthood and adulthood to older adult.

Teletypewriter, currently preferred term for device that permits a person who is deaf or severely hearing impaired to communicate by phone with another TTY user. See TDD.

Unique Client Identifier. Used in MACSIS.

Uniform Financial Management System.

When a residential provider takes services apart. Instead of charging a flat per diem (per day fee), the provider charges for individual services.

Utilization Review. In contracting with a community mental health agency, a board shall consider the cost effectiveness of services provided by that agency and the quality and continuity of care. It may review cost elements, including salary costs of the services to be provided. A utilization review process shall be established as part of the contract for services entered into between a board and a community mental health agency. The board may establish this process in a way that is most effective and efficient in meeting local needs. [O.R.C. § 340.03(A)(8)(a)]

Utilization Review for psychiatric inpatient services. Through competitive RFP process, Health Care Excel, Inc. (HCE) in close collaboration with its subcontractor, First Mental Health, Inc. (FMH) has been selected to operate the URIP program. Program includes a) preadmission certification of in-patient psychiatric admissions and b) post-payment review (including on-site chart review) of inpatient psychiatric admissions.