Division of Behavioral Health Services

Definitions

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BHS Definitions List (revised 06/15/13)

I

Illegal
An incident or occurrence that is or was likely to constitute a violation of a state or federal statute, regulation, court decision or other law.

Immediate Response
An expedited and instant response to a person who may be in need of medically necessary covered behavioral health services. An immediate response should be initiated without delay, within a timeframe indicated by the person's clinical needs, but no later than two hours from the initial identification of need.

In-network services
Services provided by Tribal and Regional Behavioral Health Authority (T/RBHA) contracted providers.

Incapacitated Person
Any person who is impaired by reason of a mental illness, mental deficiency, mental disorder, physical illness or disability, chronic use of drugs, chronic intoxication, or other cause, except minority, to the extent that he lacks sufficient understanding or capacity to make or communicate responsible decisions concerning his person.

Incident or Accident
Include the following:

1. Deaths;
2. Medication error(s) requiring medical services;
3. Adverse reaction to medications requiring medical services;
4. Suicide attempt requiring medical services;
5. Self-inflicted injury requiring medical services;
6. Suspected or alleged abuse;
7. Suspected or alleged neglect;
8. Suspected or alleged exploitation of client;
9. Physical injury occurring on premises or during a licensee-sponsored activity requiring medical services;
10. Food poisoning requiring medical services;
11. Unauthorized absence from a residential agency, inpatient treatment program, Level IV transitional agency providing services to clients under the age of 18, or an adult in a therapeutic foster home;
12. Physical injury that occurs as the result of a personal or mechanical restraint;
13. Suspected or alleged criminal activity that occurs on the premises or during a licensee- sponsored activity off the premises;
14. Incidents or allegations of violations of the rights contained in A.A.C. R9-20-203 for all enrolled persons or in 9 A.A.C. 21, Article 2 for persons determined to have a Serious Mental Illness; and
15. Discovery that a client, staff member, or employee has a communicable disease listed in A.A.C. R9-6-202 (A) or (B)

Independent Community Housing
A setting where a person can live either alone or with a roommate in a home or apartment without on-going daily supervision from behavioral health providers. Options include: HUD Section 8 programs through local Public Housing Authorities; Low-income subsidized housing through local non-profit organizations; Shelter Plus Care and Supportive Housing Programs funded with federal grants and administered by RBHA contracted housing providers; State subsidized rental units; and Permanent Houses and apartments purchased with HB 2003 funding.

Independent Licensed Practitioners
Behavioral health professionals who are Physicians (MD and DO), Licensed Psychologists, Nurse Practitioners, or Physician Assistants and the following behavioral health professionals who are licensed by the Arizona Board of Behavioral Health Examiners and authorized to practice without direct supervision: Licensed Clinical Social Workers, Licensed Professional Counselors, Licensed Marriage and Family Therapists, and Licensed Independent Substance Abuse Counselors.

Independent Living Setting
A setting in which a person lives without supervision or in-home services provided by a T/RBHA or subcontracted provider agency.

Individual
Any person currently or previously enrolled in a T/RBHA.

Individually Identifiable Health Information
(45 C.F.R. § 160.103) Information, including demographic data, that relates to the individual's past, present or future physical or mental health or condition, the provision of health care to the individual, or the past, present, or future payment for the provision of health care to the individual, and that identifies the individual or for which there is a reasonable basis to believe can be used to identify the individual.

Individual Service Plan (ISP)
A complete written description of all covered behavioral health services and other informal supports that have been identified through the assessment process that will assist the person to meet his/her specified goals. The ISP is documented in the comprehensive clinical record and provided to all agencies involved in providing services identified on the ISP.

Infant and Early Childhood Mental Health
The ability of children from birth to age five to grow, develop and learn in a way that enhances their psychological, physical, social and emotional health both as an individual and in relationship to their caregivers, environment and culture with respect for each child's uniqueness.

Informed Consent
A Voluntary agreement, oral or written, except when explicitly required to be written, following presentation of all facts necessary to form the basis of an intelligent consent by the person or guardian prior to the provision of specified behavioral health services.

Inhumane
An incident, condition or occurrence that is demeaning to a person with Serious Mental Illness or which is inconsistent with the proper regard for the right of the person to humane treatment.

Initial Assessment
The assessment of a person made by a behavioral health professional or a behavioral health technician under the supervision of a behavioral health professional between the person's first visit with the behavioral health professional or behavioral health technician and the completion of the interim service plan.

Inpatient Services
A behavioral health service provided in a psychiatric acute hospital (including a psychiatric unit in a general hospital), a residential treatment center for persons under the age of 21, or a sub-acute facility.

Inpatient treatment and discharge plan or "ITDP"
Is the written plan for services to a client prepared and implemented by an inpatient facility in accordance with the R9-21-101, et seq.

Institution for Mental Disease (IMD)
A hospital, nursing facility, or other institution of more than 16 beds that is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care, and related services. An institution is an IMD if its overall character is that of a facility established and maintained primarily for the care and treatment of individuals with mental diseases.

Institutionalized individual
An institutionalized individual means a full-benefit dual eligible individual who is an inpatient in a medical institution or nursing facility for which payment is made under Medicaid throughout a month, as defined under section 1902(q)(1)(B) of the Act.

Intake
The collection by appropriately trained T/RBHA/provider staff of basic demographic information about a person in order to enroll him/her in the ADHS/DBHS system, to screen for Title XIX/XXI AHCCCS eligibility and to determine the need for any copayments.

Intake / Enrollment
The collection by appropriately trained T/RBHA/provider staff of basic information about a Non- Title XIX/XXI eligible person in order to enroll him/her in the ADHS/DBHS system, to screen for Title XIX/XXI AHCCCS eligibility and to determine the need for any copayments.

Inter-class Polypharmacy
Defined as more than three medications prescribed at the same time from different classes of medications for the overall treatment of behavioral health disorders. The medical record must contain documentation specifically describing the rationale and justification for the combined use.

Interim Service Plan
A written description of interim behavioral health services and other informal supports that have been identified to address immediate needs until an Individual Service Plan (ISP) is developed.

Interpretation
The transfer of oral speech from a source language into a target language while maintaining the speaker's intent.

Interventions
A service, practice, treatment or variable that can create change.

Intra-class Polypharmacy
Defined as more than two medications prescribed at the same time within the same class, other than for cross-tapering purposes. The person's medical record must contain documentation specifically describing the rationale and justification for the combined use.

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